KHN’s “What the Health?”: Why Healthcare Is So Expensive, Chapter $ 22K

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Congress appears to be making progress with a huge social spending bill, but even if it passes the House of Representatives on schedule in the week of November 15, it could pass the Senate before the Thanksgiving deadline set by the Democratic Party. Is low.

On the other hand, even if many people stop caring during a pandemic, the cost of health insurance provided by their employer continues to rise. The employer’s annual KFF survey reported that the average cost of work-based family planning has risen to over $ 22,000. However, many employers have added additional coverage of mental health care and telemedicine this year to provide what their workers need most.

This week’s panelists are Julie Rovner from KHN, Alice Miranda Ollstein from Politico, Anna Edney from Bloomberg News, and Rebecca Adams from CQ Roll Call.

Among the points from this week’s episode:

  • Moderate Democrats who were worried about the price tag of the social spending bill said they wanted to see a complete analysis of spending and costs from the Parliamentary Budget Department during last week’s negotiations. But the House of Representatives probably won’t get that score before voting on the bill. Instead, the CBO releases its valuation little by little as analysts go through certain sections of huge invoices.
  • Even if the House of Representatives passes a bill promised by the leadership next week, the Senate could significantly amend the bill. Some provisions are subject to the Bird Rule that items in this type of bill must be budget related. Republicans are expected to challenge some of the bills, and parliamentarians need to decide whether their objections are valid.
  • Among the provisions that some moderate Democratic senators may oppose are paid parental leave and mechanisms for lowering Medicare drug prices.
  • Congress is seeing a very busy end of the year, which may complicate the passage of social spending bills. Leaders have already postponed a bill to raise debt caps and the annual federal spending bill until early December.
  • A federal judge has blocked an order from Texas Republican Governor Greg Abbott to ban the mandatory masks at school. However, as the proceedings have been appealed, the final resolution may be some time away. The Convention on the Rights of Persons with Disabilities, which has appealed to suspend the governor’s orders, argued that the ban keeps children with health problems at high risk from coming to school.
  • Despite opposition to vaccination mandates from conservative leaders, the majority of workers have their shots either because they wanted it or because their employer mandated it. .. The proceedings filed against these workplace requirements may not represent widespread opposition among residents.
  • In a survey of employer health plans, KFF found that premiums were rising faster than wages as medical costs continued to rise. Leaders of both parties say they want to reduce the cost of care, but magical medicine is unlikely. Instead, parliamentarians generally tend to force the government to pay most of the country’s medical bills when they can’t find a way to reduce their spending.
  • One of the key challenges in dealing with rising health care costs in Congress is the power of the medical industry. Due to the tight margins of Capitol Hill’s political parties, it’s fairly easy for the industry to use its contributions to pick a few members and prevent major reforms from going through.
  • A KFF study also records that the scope of telemedicine during a pandemic has expanded significantly. Employers and governments are worried about increased spending as telemedicine duplicates services and doctors charge for services they perform over the phone without charge, but this genie is a bottle. It will be difficult to bring it back. Consumers like convenience. Also, some services, such as mental health therapies and medical consultations with local residents, are much easier.

Also this week, Rovner interviews nurses, scholars and entrepreneurs Rebecca Love, who have thought a lot about the future of the nursing profession and how it fits into the US healthcare system.

In addition, as an additional credit, panelists also recommend talking about your favorite health policy for the week that you think you should read.

Julie Robner: “Doctors don’t see you right now” by Merrill Goozner in Washington Monthly.

Alice Miranda Olstein: “Despite the call for improvement, air travel remains a nightmare for many disabled people,” NPR by Joseph Shapiro and Allison Morenkamp.

Rebecca Adams: KHN’s “Patient went to the hospital for care.” Some did not come out after Covid’s positive test, “by Christina Juette.

Anna Edoni: “The 23andMe saliva test was all part of a bigger plan,” by Kristen V Brown, Bloomberg News.

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KHN’s “What the Health?”: Why Healthcare Is So Expensive, Chapter $ 22K

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