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Title : The Obama Wellness Tending Budget Toll Cuts Pretty Small

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The Obama Wellness Tending Budget Toll Cuts Pretty Small

In conversations amongst members of the press the concluding couplet of days, it is apparent the orbit of President Obama's proposed federal wellness attention cuts is non good understood inward context.

Is the President actually making difficult choices to choose America's wellness attention spending nether control?

You decide.

Here are unopen to facts from the Obama budget message spreadsheets (pages 117-127):

• In 2012, 3 years into the plan, federal wellness attention spending is reduced past times $18 billion--to all the same 97.7% of what it would choose been without the cuts.
• In 2019, the Obama budget reduces federal wellness attention spending past times $51 billion--to 96.3% of what it would choose been.
• Half of the administration's proposed wellness attention spending cuts come upward from reducing Medicare HMO payments past times $177 billion.
• Separating the HMO reductions, looking at simply cuts to what nosotros would reckon the traditional wellness attention providers--doctors, hospitals, drug companies, abode wellness care--the Obama budget calls for simply $6 billion inward cuts inward 2012 which is less than 1% of what the Medicare as well as Medicaid budget would choose been.
  
• The full spending cuts to these traditional providers (other than Medicare HMOs) totals $19 billion inward 2019, well-nigh 1.4% of what the budget would choose been.
  

The Obama budget did non tackle physician payment reform or telephone telephone for whatever physician payment cuts but said, "The Administration believes that the electrical flow physician payment system, spell it has served to boundary spending to a degree, needs to last reformed to plow over physicians incentives to ameliorate character as well as efficiency. Thus, spell the baseline reflects our best gauge of what the Congress has done inward recent years, nosotros are non suggesting that should last the time to come policy. As business office of health attention reform, the Administration would back upward comprehensive, but fiscally responsible, reforms to the payment formula. "

The Congress has overridden the physician payment cuts called for past times the Sustainable Growth Rate Formula 8 years inward a row--the most recent fourth dimension this past times July when the Congress overrode the pending 10% physician fee cutting past times eliminating someone fee-for-service Medicare inward 2011 to pay for it.

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