By Jennifer Parker

Dec 13, 2009 10:21am

Health Care: Summers Draws Line on Deficits but Not on Costs

Larry Summers told me that a health care bill would have to reduce budget deficits, but wouldn’t necessarily have to reduce overall health care costs.    


Late this week the actuary for Medicare and Medicaid concluded that the Senate Bill would increase overall health care spending over the next 10 years. 


But when I pressed Summers on whether the President would sign a bill that increased health care costs he said “the president’s bill will meet what has been the agreed test, that the Congressional Budget Office assesses the bill and concludes that it reduces the budget deficit.”  


Summers said that he’s “very confident that this bill will reduce health care costs,” but he wouldn’t say that the bill had to have cost reductions for the President to sign it.



 

User Comments

“But when I pressed Summers on whether the President would sign a bill that increased health care costs he said “the president’s bill will meet what has been the agreed test, that the Congressional Budget Office assesses the bill and concludes that it reduces the budget deficit.” The president’s own actuary said the bill will raise costs. So, is Summer’s equivocating for the president? And what of the president saying he wouldn’t sign a bill that does cover everyone? Just more ‘campaign-promise’ like statement to get any bill?

Posted by: deanbob | December 13, 2009, 10:55 am 10:55 am

The first sentence says it all. “Larry Summers told me that a health care bill would have to reduce budget deficits, but wouldn’t necessarily have to reduce overall health care costs.” Reduce existing medicare benefits already ‘supposedly’ paid for through payroll deductions, but health care costs to increase. Lovely!

Posted by: LongT | December 13, 2009, 11:17 am 11:17 am

Who listens to this guy? The guy cost Harvard a billion dollars investing in hedge funds, was fired by Harvard, is accepting the use of citigroups corporate jet and teliing dodd not to include citigroup in salary caps. He was paid nearly 8 million dollars from hedge fund managers and wall street companies bailed out by tarp money. What a guy to have just another corrupt czar obama put on salary with tax payer monies.

Posted by: Tammy | December 13, 2009, 11:41 am 11:41 am

Obama will sign anything that passes, why do you think he has stayed away from commenting on anything in the bill as always its not his fault, congress did it. Cant blame Bush for this costly mess.

Posted by: earl | December 13, 2009, 12:26 pm 12:26 pm

If the health care bill had a viable public option, it would reduce spending, on both a local and a national level.
A few years ago, California state senator Sheila Kuehl proposed a single payer system for California. UTLA, the teachers union of the Los Angeles Unified School district, conducted a study and concluded that if LAUSD enrolled all its employees in a single payer system, it would save between $ 100 to $ 200 million a year.
The reason is simple – Lower over head. A single payer system does not pay CEO salaries. It does not pay stockholder dividends. It does not finance lobbyists or political campaign contributions. According to an article in the Los Angeles Times, the health insurance industry is spending about $ 1.4 million a day to defeat health care reform. If you check the Huffington Post, around November 14, you will discover a report by Goldman Sachs which predicted soaring profit margins if the public option is defeated.
The Senators who oppose health care reform all get generous campaign contributions from investment firms, the health insurance industry and Big Pharma. If you don’t beleive me, go to Google, type in Center for Responsive Politics and then add the name of the Senator of your choice and you’ll see what I mean.
The same would apply to a public optin – or even opening Medicare to everybody. Local governments could enroll all their employees in a public option and get better medical coverage for less money. The same would apply on a national level.
So it is possible to save money and provide medical coverage.

Posted by: William Joseph Miller | December 13, 2009, 12:58 pm 12:58 pm

When people talk about cutting costs in Medicare, they are referring to wasteful practices and Medicare Advantage, which is a cash cow for private insurance companies and which is much higher than regular medicare. We have no idea of what insurance companies do with the money they receive from the government. A lot of it probably goes into political campaign contributions for Republicans and blue Dog democrats. So when Republicans decry Medicare cuts, bear in mind they are just trying to maintain the kickback they get from medicare Advantage. Bear in mind too, that until quite recently Republicans wanted to eliminate Medicare altogheter.
As a senior citizen, the GOP can’t fool me. I know that if you depend on Medicare, you’d better not trust a Republican because they say one thing one year and change their mind the next, depending on who is giving them a campaign contribution.

Posted by: William Joseph Miller | December 13, 2009, 1:01 pm 1:01 pm

Let me get this straight… the whole point of healthcare reform was to bring down COSTS and make insurance available and affordable to everyone, or at least that’s what we were told. NOW we find out it’s not “necessary” to reduce COSTS, just reduce deficit. So, the Obama squad scores points for reducing deficit, while the people (you know, those individuals the government is supposed to REPRESENT) will see no difference in their healthcare COSTS. I’ll wait for someone to explain this.

Posted by: Shoe | December 13, 2009, 1:08 pm 1:08 pm

The latest CNN poll shows only 36% of the American people support the so-called healthcare bill – 61% are opposed. The numbers continue to get worse for this monstrosity because the American people are seeing first hand that it isn’t about improving healthcare; rather, the Democrats are pushing to expand the roll of government even if it will make the healthcare system less affordable and will harm the quality of care.
With polling numbers continuing to decline there will be no Republican support and there are likely to be numerous defections from the Democrats. Obama’s own poll numbers are becoming an issue as well. His approval rating has fallen to 46% in the latest Rasmussen poll and Gallup had him at 47% a few days ago. Of the last 10 national polls, only one (Bloomberg) has Obama over 50%. This collapse is tied directly to Obama’s domestic agenda, including his push for a destructive healthcare bill.

Posted by: Jenny | December 13, 2009, 1:12 pm 1:12 pm

I do not fish. Someone who knows something about fishing should help pull the hook that William Joseph Miller has swallowed. He has obviously spent most of his senior citizen life standing in a government created line to see what it is giving away FREE. I wonder how you became a senior citizen without knowing all politicians lie and all need to be voted out. Take your nap.

Posted by: jerry | December 13, 2009, 2:12 pm 2:12 pm

JOKE…anyone believing this group of blundering, bafoons can put together any program resulting in a solution needs to find reality. They don’t fix anything- THEY ARE THE PROBLEM. We need to usher them to the door in November. Re-elect no-one.

Posted by: smac761 | December 13, 2009, 3:42 pm 3:42 pm

both the CBO and the commonweath fund have published that there would be a saving..if we wait long enough we will find a report that doubles the HHS cost overrun..it is time to change the system..the pharmaceutical companies will see tremendous increase in earnings based on the uninsured having coverage and the emphasis that people should take their medications..let them chip in a few more billions..
let’s show the rest of the world that we can pull this off

Posted by: notmd | December 13, 2009, 5:47 pm 5:47 pm

While it can be expected that the plan would cost more if the intent is to add some social health safety net for the millions of uninsured, these statements made by Summers are not the right kind to be stating if your intent is to make the public more comfortable with the plans.
Not increasing the deficit simply means you are getting the money from your tax base, but says nothing about how much you are going to increase the taxes in order to prevent further deficit spending. Such information really needs to be in the statements along with projections regarding when and how much savings will be realized at some later point.

Posted by: Wellescent Health Blog | December 13, 2009, 6:01 pm 6:01 pm

As Stanley Laurel was noted to say to Oliver Hardy “This is a fine mess you have gotten us into this time Ollie”.
We are caught in a real conundrum in that our number one job growth generator is the healthcare industry. But with new jobs comes the problem of paying for them. Thus the consumer is on the hook for paying for the jobs, moreso, paying for the inequities and inefficiences of the health care monster “health insurance”.
Having worked quite a few years in the field, the ‘industry’ has gotten away with everything they wanted , with no governance, accountability nor concern for anything other than meeting their bottom line and satisfying their shareholders, and their systems are bloated with inefficiencies.
If we are ever going to gain an upper hand on costs, we need to reduce the costs for many programs that place a stanglehold on the consumer and businesses. Until the HC insurers are required to get their house in order, we will continue to debate the merits of any HC plan coming through Capitol Hill.
They must think we are village idiots out here, if we are unable to see through their smoke and mirrors games they are playing. If Congress wants to do anything meaningful, they will require negotiations in good faith be the foundation for any further discussions.
We are being held hostage to a select few major carriers and industries in this country and they are bringing us to our knee’s. The banks don’t want to lend to re-mortgagers because there is not enough incentive (profit) for them because low interest rates.
The insurance industries do not want to refund monies back into state budgets when they do not have disasters in Florida or gulf coast cities. They could very easily, they had no capital outlay of any expenses but still charge exorbitant rates because of the
‘fear factor’. When they see they have no accountability they give their management huge bonuses, meanwhile these small towns and citizens are feeling the pinch of layoffs and instability throughout the entire economy.
Large business needs to realize they have a responsibility to their shareholders, but the greater responsibility is to the society at large. They can argue that point into the ground and probably hire 100 lobbyists to refute it, but the fact remains we are all in this fight together.
Reducing the budget can be done but we need to look at cost reductions, revenue generators and a flat tax that makes it more proportionate and allows us to whittle down the budget with forecasting better acheieved instead of hit and miss like we are presently doing. There are so many ways we can paint a better economic portfolio, but when big business gets too big, they start carrying a big stick and either threaten or abuse their right to participate in a free enterprise system that benefits more than themselves.
I’ll stop now, but we all know I’m just flogging a dead horse and the problems will continue to persist until when ‘they’ can say ‘we’ instead of ‘me’.

Posted by: John Merritt | December 13, 2009, 6:02 pm 6:02 pm

“I’ll stop now, but we all know I’m just flogging a dead horse and the problems will continue to persist until when ‘they’ can say ‘we’ instead of ‘me’. ”
Yes, especially when only 47% of the country paying fed income tax, while the rest of us bear the costs for them.
Those 53% need to stop thinking of just themselves.

Posted by: jonny | December 14, 2009, 7:12 am 7:12 am

That’s an idiotic statement, when the entire proposal is based on reducing costs.

Posted by: Rick McDaniel | December 14, 2009, 9:51 am 9:51 am

If the recent debate on health care has taught us anything…it’s that the consumer is not in the driver’s seat on this.
Drug Companies, Insurance companies, Hospitals, and doctors…the ones that set the pricing for medical care…all have their high paid lobbyist prowling the halls of congress, dishing promises of golf outings, campaign contributions, future employment and other goodies to the hungry members of congress.
As long as money is being waved in front of our elected representatives…don’t expect them to pay much attention to voters. After all even elections are won by slick ads that cost money…so follow the money , right?
My wife and I have found a solution that seems to work for us…
Health care beyond America’s borders.
With medical costs a fraction of what the health care industry charges us in the US, we’ve found excellent affordable health care in Thailand, of all places..even without insurance.
To woo the cash strapped and weary American uninsured and underinsured, The Thais (and Indians, Malaysian, and Singaporeans) have built excellent private hospital system that provide top notch care for a fraction of the costs in the US.
These hospitals are accredited and follow the same standards as in the US. In fact they outperform US hospitals in service and care.
Yet you can expect to pay 1/10th to 1/20th what it cost for the same procedure in the US.
Heart Bypass…US $150,000.
Hear Bypass..Thailand $15,000
My minor throat surgery for disphagia…US $2500
Thailand $100.
(That was 1 year ago today and I am back in the US… very much alive.)
In fact in Thailand most people have no use for health insurance. Prices are so affordable that Thais would rather save the insurance premiums and bank it.
While we in the US get hit twice….once by the insurance company…and the second time by the medical profession. So we pay twice for health care.
And don’t think that you are safe with insurance in America. Check your insurance policy for hidden costs like deductibles, copays and insurance caps and you will be shocked to find that health care coverage is VERY LIMITED
The US health care system is a train wreck hurtling down the mountainside with NO hope that anything…even the health care proposals in Congress can fix.
As long as the people who stand to gain the most profit from health care are calling the shots…people who rely on the US health care system are SCREWED.
And here’s the rub. People would like you to believe that the American health care system is a free market system driven by competition.
Nothing could be further from the truth.
A few giants control the insurance industry and a few medical associations strive to keep competition from putting downward pressure on compensation.
Like… when was the last time you saw a hospital post it’s rates like a restaurant posts it’s dinner prices???
When was the last time you saw a physician run a TV advertisement offering lower cost medical care like every hotel, car dealer, grocery chain, clothing store, bicycle shop, and fast food outlet in the United States?
Freemarket and competition…my foot!

Posted by: Norris Hall | December 15, 2009, 3:41 am 3:41 am

I will not vote for any politician that tries to block healthcare reform.
Quite frankly I think the American people and Obama alike are tired of the politics surrounding Health Reform. Just get it done! Ensure a good plan where insurance companies need to compete rather than dictate the cost and coverage. Where every working class Joe can afford health care coverage. Our policies are not aligned in this country. Minimum wage is what? 7.25 an hour – you certainly can not afford healthcare on 7.25 an hour. Be realistic, there are people out there working 2 and 3 jobs at minimum wage and unable to get healthcare. It’s pathetic and the government needs to resolve the problem now. Not later, now! I blame the republicans and lebierman for stalling the process for their own political gain. They don’t care if another child dies because they have no health care – they just want to make sure they get elected next term. This is the political game the American people can longer afford to play.

Posted by: confidential416 | December 15, 2009, 3:47 pm 3:47 pm

================================
The way these lying politicians say the healthcare bill is deficit neutral is, for the first 10 year span, the government collects taxes for 4 years before services are offered, then deliver services the next 6 years.
================================
The “deficit-neutral” lie is a ponzi scheme on the order of Bernie Madoff. After the first 10 years the whole system imploded on it’s own costs.

Posted by: N Waff | December 16, 2009, 12:38 am 12:38 am

The Senators who oppose health care reform all get generous campaign contributions from investment firms, the health insurance industry and Big Pharma. If you don’t beleive me, go to Google, type in Center for Responsive Politics and then add the name of the Senator of your choice and you’ll see what I mean.

Posted by: used inversion table | February 25, 2010, 10:26 pm 10:26 pm

The president is a bona fide loser. Period.

Posted by: Maggie | September 25, 2010, 2:51 pm 2:51 pm

Anyone who favors the public option has not lookerd very hard at Europe and England. 3 week waits to get an x-ray, 2 weeks to get it read, and if you haven’t died by the time they diagnose you, you probably didn’t need to be there to begin with.
Universal coverage sounds good, but the only way it works is if you outlaw private health coverage and force everyone into the same lousy system.
Notice Congress conviently opted themselves out of the public system early on. They know what’s coming down the road. Now the govenment will decide if you live or die in the healthcare system, just like it is in Europe.
Where is the motivation to do well and study to get a good job with health coverage? Where’s the motivation to take care of yourself and don’t do drugs, smoke or drink heavily?
I like our present system with some modifications rather than a government run system. Last I looked, there was no ban on smoking, drinking heavily or doing drugs in Obamacare. Now I get to pay for all of those loosers too. Change better be coming in November.

Posted by: al andersen | September 26, 2010, 10:23 am 10:23 am

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