President Obama has proposed a $2.5
trillion overhaul of the U.S. healthcare system,
which he hopes will also stimulate economic growth.
One of the key aspects of the presently-proposed
plan is the creation of a government-run insurance
program that would provide coverage for the 46 million
Americans who are uninsured.
Part of the plan to pay for this overhaul requires
scaling back on tax deductions to the highest-income
brackets. Moreover, President Obama proposes cutting
down on overpayments to Medicare Advantage, as well
as changing the structure of Medicare reimbursements
to hospitals and increased provision of generic
drugs.
The idea of a government competitor to private insurers
has been a
point
of contention in Congress. The Democrats propose
that public competition is the only way that private
insurers will keep premiums low. Republicans, on the
other hand, contend that the proposal will drive private
insurers out of business, thereby essentially promoting
a public-run healthcare system. As a result, a potential
compromise that is being discussed is the creation
of non-profit insurance cooperatives, owned and operated
by their members, which will compete with private
insurers in providing coverage for individuals and
small businesses.
Several associations in the healthcare industry,
such as the American
Nurses Association and American’s
Health Insurance Plans, have publicly voiced
their position on healthcare reform. The American
Medical Association has historically opposed
the extension of government involvement in the medical
system and had released a statement saying that
it opposes expansion of Medicare to cover the uninsured
or a plan that offers the same structure as Medicare.
In speaking on June 15, 2009, Obama presented his
proposal
to the American Medical Association (AMA). Obama
assured them that “if you like your doctor, you
will be able to keep your doctor… If you like your
health care plan, you will be able to keep your
health care plan…My view is that health care reform
should be guided by a simple principle: fix what’s
broken and build on what works.”