By DICK MORRIS &
EILEEN MCGANN
Published on FoxNews.com on
September 20, 2007.
The public face of Hillary Clinton's new health
care plan is sunny, filled with choices for consumers and bright with promises
for better health care for all. But a close examination of the proposal
alongside other initiatives of Sen. Clinton in the past few years reveals a dark
side she wants to hide from public view until after the election is
over.
In her program, she speaks of how health care is
the right of every "American" -- but she has a rather expansive definition of
"American." In 2005, Hillary co-sponsored legislation in the United States
Senate to offer free health insurance, under the State Child Health Insurance
Program (SCHIP) to the children of illegal immigrants who have lived in the
United States for five years. So, those who have dodged the immigration cops for
five years successfully would be rewarded not only with legal status and a path
to citizenship, but with immediate free health care for their
children.
Indeed, when Democrats and liberals speak of the
50,000,000 uninsured Americans, more than one fifth of those are illegal
immigrants. Thus, about one in five of the beneficiaries of her program for
universal health insurance are illegal aliens. (Illegal immigrants are a
disproportionately large segment of the uninsured population because legal
immigrants and citizens who live in poverty are eligible for Medicaid, but
illegal immigrants are not.)
Would Americans like to reward those whose only
connection to our country is that they flouted our laws to come here with free
health insurance for themselves and their children? Doubtless Hillary knows the
answer is no, so she is determined to hide that aspect of her plan from the
public.
Hillary speaks of the importance of stopping health
insurance companies from raising premiums on those who are sick. But she does
not mention the inevitable flip side of her proposal -- to raise premiums on
those who are well. On the one hand, she would cover all those with chronic
conditions with low cost health insurance and, on the other, would stop
insurance companies from "cherry picking" healthy and young people for their
insurance plans. The net effect would be a major increase in health insurance
premiums for the vast majority of Americans.
In effect, her plan would turn "insurance" into
"subsidy." The concept of insurance is that one pays a relatively low premium to
guard against catastrophic expenses that are outside of our ability to meet
financially. But Hillary's program would really be nothing more than a cash
transfer from the healthy to the sick, not an insurance program at
all.
Hillary says that her program would provide
"universal" coverage for all. In order to achieve universality, one must make
the program compulsory. The bulk of the uninsured do not want to have to pay for
insurance. They are healthy and don't want the added burden of health insurance.
That is why about half of those who are eligible for free or low cost insurance
under the State Child Health Insurance Program have not signed up. Their parents
don't want to.
So Hillary's program, as she freely admits, would
require health insurance as a pre-condition of employment. Not having health
insurance would be a violation just as driving a car without automobile
insurance is illegal. The resulting coercion would force millions to pay for
coverage they do not want and feel they don't need. But to pay for her national
program, Hillary needs everyone to be covered so she can use their revenues to
subsidize the coverage of those who are ill.
But the main defect of Hillary's program is that it
leaves out any attempt at cost control. With health care absorbing 16 percent of
our economy, Bill Clinton's warnings of economic disaster if its share of our
national income passed 12 percent back in 1993 sound almost quaint today. Cost
control is a vital part of any plan for universal coverage. Indeed, without it,
extending coverage just offers a blank check to patients and providers which
would drive even higher the share of our economy that goes to health
care.
It was Hillary herself who explained this concept
to Dick in 1993. The reality has not changed. Hillary will be forced to control
costs as the implicit and vital element of any health care reform. This control
of costs belies her contention that she would leave the health care system
untouched except to extend coverage to those who now lack it. Because she would
need to limit utilization and lower costs, she would be forced to ration health
care and to impose government mandated and controlled managed care on all
Americans.
For the first time, the word "no" would come into
our system. Do you need open heart surgery? Are you a poor risk because of
smoking or diabetes or age? No longer would the bureaucrat at the other end of
the phone say "we won't pay for it" or "you don't need it" or "we can't fit you
in at our facility." The answer would simply be no -- even if you pay for it
yourself, you may not have one. It is this type of coercion that drives
Canadians over the border to the U.S. in search of medical options denied them
at home under their socialized medical structure. Now it would operate on both
sides of the border.
Finally, Hillary seeks to finance the system by
ending tax breaks for the wealthy, by which she means any household with
$250,000 or more in income. Never mind that she has spent that money several
times over. But why use income taxes to finance her system? Why not do what
Democrats and Republicans are now pushing in Congress -- to finance it by raising
cigarette taxes? That way we get a double impact: higher tobacco prices cut
smoking, particularly among teenagers, and reduce health costs and the revenues
pay for her expansion of the system. The current Congress is passing legislation
to raise cigarette taxes 61 cents per pack to pay for a $35 billion expansion of
the State Child Health Insurance Program. Why not raise them $2 per pack to
raise the $110 billion Hillary says her health care proposal will
need?
In selling her program, Hillary seems to imply that
she was under the hypnotic control of her advisers (presumably Ira Magaziner) in
1993 when she designed her previous health care reform. Now she says she is in
charge. "I'm the decision maker now," she told The New York Times. "I have a
plan that is 100 percent my plan." But what was the 1993 initiative but her
plan, concocted in secret and foisted in toto on a Congress which wouldn't pass
it?
Now she says she would not "have approached [health
care reform] in the same way" as she did in 1993. Now she will be informed by "a
greater dose of humility and empathy and understanding of what it takes to get
things done in our political system."
That and a determination to conceal the true
implications of her proposal until after she is elected.
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***Copyright Eileen McGann and Dick Morris
2007. Reprints with permission only***