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Health Reform Ideas in the Primeval Soup
Unformatted Document Text:  21 Today most of the advocates of this approach combine a tax credit with purchasing pools and make the credit refundable for respond to those who have little or no tax liability. 48 As a stand alone idea it probably has little chance of being generally seen as a viable approach to solving the problem of the uninsured. Without a much more conservative available coalition in Congress and a conservative in the White House this is probably not a likely outcome in the legislative process. In combination with other policy ideas, such as health insurance market reform or an individual mandate, it is easier to contemplate how this idea might move to center stage in a future health policy debate. Employer Mandate Origins By the early 1970s about 80% of the working population had some type of private health insurance with most of them obtaining coverage through group policies obtained by their employer. 49 By today’s standards the coverage was not comprehensive. Only about half of them had catastrophic coverage in the form of major medical. 50 Fulltime workers were much more likely to be covered than those working part time. Union workers in manufacturing jobs the Northeast were much more likely to be covered than service workers in the South. This pattern continues to the present. In his 1971 health insurance address to the Congress President Nixon said: I am proposing that a National Health Insurance Standards Act be adopted which will require employers to provide basic health insurance for their employees. In the past, we have taken similar actions to assure workers a minimum wage, to provide them with disability and retirement benefits and to set occupational health and safety standards. Now we should go one step further and guarantee that all workers will receive adequate health insurance protection. 51 Nixon then pointed out this approach would require no additional federal expenditures as the costs would be absorbed by employers and employees. He also proposed replacing most of Medicaid with a new public plan that would include the unemployed and some working poor. 52 In the hectic last days of the Ways and Means mark-up session in August 1974, Wilbur Mills introduced a compromise bill that featured an employer mandate similar to the Nixon-Ford bill. While this bill gained a 13-12 margin in the Committee, Mills in the end did not take it forward. 53 48 List a few major articles and people with this approach 49 Davis 34 50 Davis 37 51 Mayes, op.cit. p. 89. 52 Davis, op. cit 89-97. 53 Wainess, op cit.

Authors: Brasfield, James.
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21
Today most of the advocates of this approach combine a tax credit with purchasing pools
and make the credit refundable for respond to those who have little or no tax liability.
48
As a stand alone idea it probably has little chance of being generally seen as a viable
approach to solving the problem of the uninsured. Without a much more conservative
available coalition in Congress and a conservative in the White House this is probably not
a likely outcome in the legislative process. In combination with other policy ideas, such
as health insurance market reform or an individual mandate, it is easier to contemplate
how this idea might move to center stage in a future health policy debate.
Employer Mandate
Origins
By the early 1970s about 80% of the working population had some type of private health
insurance with most of them obtaining coverage through group policies obtained by their
employer.
49
By today’s standards the coverage was not comprehensive. Only about half
of them had catastrophic coverage in the form of major medical.
50
Fulltime workers
were much more likely to be covered than those working part time. Union workers in
manufacturing jobs the Northeast were much more likely to be covered than service
workers in the South. This pattern continues to the present.
In his 1971 health insurance address to the Congress President Nixon said:
I am proposing that a National Health Insurance Standards Act be adopted which
will require employers to provide basic health insurance for their employees. In
the past, we have taken similar actions to assure workers a minimum wage, to
provide them with disability and retirement benefits and to set occupational health
and safety standards. Now we should go one step further and guarantee that all
workers will receive adequate health insurance protection.
51
Nixon then pointed out this approach would require no additional federal expenditures as
the costs would be absorbed by employers and employees. He also proposed replacing
most of Medicaid with a new public plan that would include the unemployed and some
working poor.
52
In the hectic last days of the Ways and Means mark-up session in August 1974, Wilbur
Mills introduced a compromise bill that featured an employer mandate similar to the
Nixon-Ford bill. While this bill gained a 13-12 margin in the Committee, Mills in the
end did not take it forward.
53
48
List a few major articles and people with this approach
49
Davis 34
50
Davis 37
51
Mayes, op.cit. p. 89.
52
Davis, op. cit 89-97.
53
Wainess, op cit.


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