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<blockquote data-quote="faulkton" data-source="post: 6277910" data-attributes="member: 561910"><p>My plan would offer to every American the same broad and balanced health protection through one of three major programs:</p><p></p><p>--Employee Health Insurance, covering most Americans and offered at their place of employment, with the cost to be shared by the employer and employee on a basis which would prevent excessive burdens on either;</p><p></p><p>--<strong>Assisted Health Insurance, covering low-income persons</strong>, and persons who would be ineligible for the other two programs, with Federal and State government paying those costs beyond the means of the individual who is insured.</p><p></p><p>--A principal feature of Assisted Health Insurance is that it relates premiums and out-of-pocket expenses to the income of the person or family enrolled. <strong>Working families with incomes of up to $5,000, for instance, would pay no premiums at all. Deductibles, co-insurance, and maximum liability would all be pegged to income levels.</strong></p><p></p><p>--An improved Medicare Plan, covering those 65 and over and offered through a Medicare system that is modified to include additional, needed benefits.</p><p></p><p>One of these three plans would be available to every American, but for everyone, participation in the program would be voluntary.</p><p></p><p><strong>The benefits offered by the three plans would be identical for all Americans, regardless of age or income.</strong> Benefits would be provided for:</p><p></p><p>--hospital care;</p><p></p><p>--physicians' care in and out of the hospital;</p><p></p><p>--prescription and life-saving drugs;</p><p></p><p>--laboratory tests and X-rays;</p><p></p><p>--medical devices;</p><p></p><p>--ambulance services; and,</p><p></p><p>--other ancillary health care.</p><p></p><p><strong>There would be no exclusions of coverage based on the nature of the illness. </strong>For example, a person with heart disease would qualify for benefits as would a person with kidney disease.</p><p></p><p>In addition, CHIP would cover treatment for mental illness, alcoholism and drug addiction, whether that treatment were provided in hospitals and physicians' offices or in community based settings.</p><p></p><p>The health needs of children would come in for special attention, since many conditions, if detected in childhood, can be prevented from causing lifelong disability and learning handicaps.</p><p></p><p>Under the Comprehensive Health Insurance Plan, a doctor's decisions could be based on the health care needs of his patients, not on health insurance coverage. This difference is essential for quality care.</p><p></p><p>Every American participating in the program would be insured for catastrophic illnesses that can eat away savings and plunge individuals and families into hopeless debt for years. No family would ever have annual out-of-pocket expenses for covered health services in excess of $1,500, and low-income families would face substantially smaller expenses.</p><p></p><p><strong>As part of this program, every American who participates in the program would receive a Health-card </strong>when the plan goes into effect in his State. This card, similar to a credit card, would be honored by hospitals, nursing homes, emergency rooms, doctors, and clinics across the country. This card could also be used to identify information on blood type and .sensitivity to particular drugs-information which might be important in an emergency.</p><p></p><p>Bills for the services paid for with the Health-card would be sent to the insurance carrier who would reimburse the provider of the care for covered services, then bill the patient for his share, if any.</p><p></p><p><strong>Every employer would be required to offer all full-time employees the Comprehensive Health Insurance Plan. </strong>Additional benefits could then be added by mutual agreement. The insurance plan would be jointly financed, with employers paying 65 percent of the premium for the first three years of the plan, and 75 percent thereafter. Employees would pay the balance of the premiums. Temporary Federal subsidies would be used to ease the initial burden on employers who face significant cost increases.</p><p></p><p>Individuals covered by the plan would pay the first $150 in annual medical expenses. A separate $50 deductible provision would apply for out-patient drugs. There would be a maximum of three medical deductibles per family.</p><p></p><p>After satisfying this deductible limit, an enrollee would then pay for 25 percent of additional bills. <strong>However, $1,500 per year would be the absolute dollar limit on any family's medical expenses for covered services in any one year.</strong></p></blockquote><p></p>
[QUOTE="faulkton, post: 6277910, member: 561910"] My plan would offer to every American the same broad and balanced health protection through one of three major programs: --Employee Health Insurance, covering most Americans and offered at their place of employment, with the cost to be shared by the employer and employee on a basis which would prevent excessive burdens on either; --[B]Assisted Health Insurance, covering low-income persons[/B], and persons who would be ineligible for the other two programs, with Federal and State government paying those costs beyond the means of the individual who is insured. --A principal feature of Assisted Health Insurance is that it relates premiums and out-of-pocket expenses to the income of the person or family enrolled. [B]Working families with incomes of up to $5,000, for instance, would pay no premiums at all. Deductibles, co-insurance, and maximum liability would all be pegged to income levels.[/B] --An improved Medicare Plan, covering those 65 and over and offered through a Medicare system that is modified to include additional, needed benefits. One of these three plans would be available to every American, but for everyone, participation in the program would be voluntary. [B]The benefits offered by the three plans would be identical for all Americans, regardless of age or income.[/B] Benefits would be provided for: --hospital care; --physicians' care in and out of the hospital; --prescription and life-saving drugs; --laboratory tests and X-rays; --medical devices; --ambulance services; and, --other ancillary health care. [B]There would be no exclusions of coverage based on the nature of the illness. [/B]For example, a person with heart disease would qualify for benefits as would a person with kidney disease. In addition, CHIP would cover treatment for mental illness, alcoholism and drug addiction, whether that treatment were provided in hospitals and physicians' offices or in community based settings. The health needs of children would come in for special attention, since many conditions, if detected in childhood, can be prevented from causing lifelong disability and learning handicaps. Under the Comprehensive Health Insurance Plan, a doctor's decisions could be based on the health care needs of his patients, not on health insurance coverage. This difference is essential for quality care. Every American participating in the program would be insured for catastrophic illnesses that can eat away savings and plunge individuals and families into hopeless debt for years. No family would ever have annual out-of-pocket expenses for covered health services in excess of $1,500, and low-income families would face substantially smaller expenses. [B]As part of this program, every American who participates in the program would receive a Health-card [/B]when the plan goes into effect in his State. This card, similar to a credit card, would be honored by hospitals, nursing homes, emergency rooms, doctors, and clinics across the country. This card could also be used to identify information on blood type and .sensitivity to particular drugs-information which might be important in an emergency. Bills for the services paid for with the Health-card would be sent to the insurance carrier who would reimburse the provider of the care for covered services, then bill the patient for his share, if any. [B]Every employer would be required to offer all full-time employees the Comprehensive Health Insurance Plan. [/B]Additional benefits could then be added by mutual agreement. The insurance plan would be jointly financed, with employers paying 65 percent of the premium for the first three years of the plan, and 75 percent thereafter. Employees would pay the balance of the premiums. Temporary Federal subsidies would be used to ease the initial burden on employers who face significant cost increases. Individuals covered by the plan would pay the first $150 in annual medical expenses. A separate $50 deductible provision would apply for out-patient drugs. There would be a maximum of three medical deductibles per family. After satisfying this deductible limit, an enrollee would then pay for 25 percent of additional bills. [B]However, $1,500 per year would be the absolute dollar limit on any family's medical expenses for covered services in any one year.[/B] [/QUOTE]
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