I thought up a solution that eliminates all federal involvement in any and every way whatsoever, same as if you’re buying a car. It eliminates the burden on business to administer ala carte policies, eliminates union waivers and subsidies, returns complete control to the state, allows cooperation between states, and addresses the elephant in the room - how to stop institutionalized socialized medicine under the guise of expansion of medic-aid. And I think it’s a better start than some one sentence showboat bill. So, here goes:
“The Feds-Out Plan”
1. All medic-aid program enrollments are hereby frozen.
2. Medic-aid enrollees have worse medical outcomes than privately insured patients because of lack of availability of doctors accepting medic-aid. Inadequate medic-aid reimbursements to providers results in ‘cost-shifting’ which is the most important factor of higher premiums. Therefore, the total of medic-aid enrollees will be reduced to no larger than 1/20th the population of the workforce (children excluded). Programs will be funded via block grants. Block grants for 2017 will equal 3/4ths of 2016 levels and reduced in similar increments until the enrollee goal is achieved.
3. All federal subsidies, credits or any other form of federal subsidizing of health insurance premiums are hereby revoked.
4. Individual tax deductions for covered and uncovered medical services, long-term care and insurance premiums are hereby revoked.
5. As the traditional regulator of insurance, States will establish insurance pools, and will designate carriers and services permitted to conduct business in that state. Each pool may have standards and the State underwriters may move the insured from one pool to another without prior notice as treatment history warrants. States who contract with less than 3 insurance carriers will apply to the US Attorney General for a waiver, providing justification. Individuals may purchase across state lines but only from a carrier that is also licensed to do business in their own state.
6. Independent group pools for non-profit, for-profit, state and county employee and independent groups of any sort, including unions of any sort, are no longer permitted. High-risk states (i.e., Alaska, Vermont, Wyoming) may pool together.
7. All policies, including Cadillac and catastrophic plans, must be purchased on an individual basis through the state pool using the individual’s social security number. Enrollment will be limited to an ‘open season.’ Those choosing to opt out will be required to sign an notarized acknowledgement of the right of the State to seize assets if uninsured care is sought.
8. States may seize the assets and estates upon death of any uninsured or insured individual sufficient to reimburse the State for unpaid costs incurred or submitted by a state-approved provider, including administrative costs involved. Estates are prohibited from deducting seized funds or assets from federal tax returns.
9. Providers who claim unpaid services will submit claims to the State who will reimburse the provider from the asset siezure fund. Related tax credits for providers previously used to write off such losses on federal tax returns are revoked.
10. All stock trading, commmon and preferred, and all pension fund trading in insurance and service provider related futures is hereby frozen for 90 days, subject to extension, to prevent stock market destabilization as states establish their pools and accomplish enrollments.
What is Estate Recovery:
http://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx
Please post the text from the U.S. Constitution delineating the enumerated power delegated to the federal government to enact laws to mandate or control health care matters.
You forgot one...11) All Legislators are required to be enrolled in any form of healthcare legislation that is made law.