Health Care Reform Ann Arbor, Michigan | May 12, 2011
Te AMERICAN EXPERIMENT Government or People? • The people are sovereign • Freedom to choose representatives • Freedom to choose occupation, enterprises “Free Enterprise” propels America to world leadership 2 of 25
Te AMERICAN !"#"$%&'()*+*(,%,"* !"#$%& EXPERIMENT Federal or State? !"#"$%&* (,%,"* • The 10th Amendment limits • States retain other rights the Federal Government and responsibilities —Laboratories of Democracy —Competition between them —Responsive to the people —Solutions fit the people —More efficient , effective , and productive 3 of 25
Te AMERICAN EXPERIMENT The Obama Administration fundamentally does not believe in the American Experiment. • Distrusts free enterprise • Distrusts the states —NLRB Boeing decision —Obamacare 4 of 25
MASS-CARE & #'!!"$"-,* '"()*& OBAMACARE ./%)%0%$"* )%((10%$"* A government takeover Help people get and keep of health care their health insurance 5 of 25
MASS-CARE & ,2"* +,--$%$./$*& OBAMACARE ./%)%0%$"* )%((10%$"* ~$500 Billion in New No New Taxes or Increased Taxes ~$500 Billion in No Cuts for Seniors Medicare Cuts 6 of 25
MASS-CARE & 32%,*%/.4,* 012$&3(.+(1$40& OBAMACARE • Massachusetts citizens without insurance could get care for free • Many citizens who could afford insurance chose to forego coverage—free riders Deny Taxpayers pay Personal them care for their care responsibility 10TH AMENDMENT: A STATE DECISION 7 of 25
MASS-CARE & 5(/6'%"7.+& OBAMACARE • About 94% insured before reform—no change for them • Almost 500,000 uninsured before reform in 2004 • 400,000 of which now insured because of reform • No fear of losing insurance if you get sick or change jobs • Private insurance, premium support • “Relatively modest” program cost ALL WITHOUT A TAX INCREASE Source: Massachusetts Division of Health Care Finance and Policy; Massachusetts Taxpayers Foundation 8 of 25
T e UNITED STATES .5"$5'"3 & HEALTH CARE SYSTEM 8$.(*.!*46(6* *0.-(*.!*46(6* 2"%&,2*0%$"*(7(,")* 2"%&,2*0%$"*(7(,")* • High quality health care • High cost • Choice for consumers • Non-portable insurance • Attracts the best and brightest • 50 million uninsured • Most innovation in the world • Tax discrimination 9 of 25
T e UNITED STATES 5(* "5(3(/(%$& HEALTH CARE SYSTEM * 8$.(*.!*46(6* ./%)%0%$"* 2"%&,2*0%$"*(7(,")* * • High quality health care • Hurts health care quality • Choice for consumers • Reduces consumer choice • Attracts the best and brightest • Repels the best and brightest • Most innovation in the world • Discourages innovation 10 of 25
T e UNITED STATES 5(* "5(3(/(%$& HEALTH CARE SYSTEM * ./%)%0%$"* * $/"."3,/&.,'213(%$& 5,'&'"8$%.3$.1& • Doesn’t lower costs • Massive federal spending • Raises taxes • Unconstitutional power grab from the states • Diverts Medicare funds • Massive new federal • Kills jobs bureaucracy A radical plan for vastly increasing federal power 11 of 25
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