S-chip of Fools
BARNES, FRED
S-chip of Fools Republicans can't play defense on health care. by Fred Barnes Rahm Emanuel, the chief intimidator for House Democrats, didn't go for subtlety. Republicans who oppose expansion of...
...Voting to fund the war in Iraq but not for expanding S-chip, as Chabot has, is "not the place you want to be," Emanuel says...
...families earning up to 200 percent of the poverty line ($41,300 for a family of four...
...Millions of these children already have private insurance, but they wouldn't for long...
...Bush's idea of straightening out the program before expanding it makes sense...
...Then there are the half-a-million eligible poor kids who haven't gotten S-chip coverage and the 700,000 adults who have...
...Cast in those terms, being against the bill is a no-brainer...
...In vetoing the S-chip bill, President Bush "sided with [the] tobacco industry instead of America's children...
...They are part of any patient-run, market-driven reform...
...And putting opposition to a middle-class S-chip in the context of broader health care reform makes it more politically palatable...
...Yet Chabot is comfortable...
...Second, you go positive and offer an alternative...
...Middle-class families could opt for paying routine doctor bills, but want coverage for hospital stays and drugs...
...The bill vetoed by Bush, however, would offer S-chip for kids up to 300 percent of poverty ($61,950) in every state, or up to 400 percent ($82,600) in New York and perhaps other states...
...The S-chippers don't say...
...First, you go negative and criticize the bill as "welfare for the middle class," which it is...
...A 22-year-old may want cheap catastrophic coverage...
...That's step two...
...Chuck Schumer, his counterpart in the Senate, took the sorrowful approach...
...Republican congressman Steve Chabot of Ohio voted against the S-chip bill, and he's been targeted for personal attack by Rahm Emanuel...
...Does it maximize patient choice...
...And tax credits wouldn't spur the deleterious trend toward government-run health care...
...They simply pass the buck, saying it's up to the states to limit the program to those currently uninsured...
...He calls it "poor kids first...
...There are millions of children in households above the 200 percent cutoff without health insurance...
...Does it restrain soaring cost increases...
...Republicans need an alternative that's better than S-chip...
...Supporters of the S-chip-plus bill don't have a credible answer for the crowding out of private insurance...
...Third, you go big picture and show how an expanded S-chip program is inconsistent with the kind of health care system most Americans want...
...They'd be switched to S-chip because it's free...
...The broader issue is likely to dominate the domestic policy debate in the 2008 election...
...There are about 118,000 children in Ohio that aren't getting S-chip which they ought to be entitled to," he told Major Garrett...
...It consists of three steps...
...And does it generate more competition among hospitals, research institutions, pharmaceutical companies, producers of medical devices, and doctors...
...There are four tests of any plan to reform the health care system: Does it make health care more accessible...
...The Martinez plan meets all four...
...Republican senator Mel Martinez has an alternative, an obvious one...
...Republicans who oppose expansion of the S-chip program will be denying "10 million American children their health care," he told Major Garrett of Fox News...
...Rather than putting more people on a government-run program, we would advance tax credits to families with incomes between 200 percent and 300 percent of the poverty level," he said last week...
...It isn't going to be pleasant for Republicans who believe the new S-chip legislation is bad policy...
...But merely opposing expansion of S-chip isn't sufficient...
...It would drive up costs and effectively limit patient choice, which, again, is why Repub-licans—and Democrats, for that matter—who favor real reform voted against it...
...S-chip-plus meets only the first test, increased access...
...That blast came from the nice folks at the American Cancer Society, who favor the 61-cent hike in the cigarette tax that would pay for the S-chip increase...
...That's whom S-chip was created to cover...
...As Karl Rove noted in the Wall Street Journal, it's a debate Republicans can win if they promote true reform rather than offer trimmed-down versions of Democratic schemes for greater government involvement in the health care system...
...But it's a free good for the recipients, paid for by taxpayers: By definition, it's welfare...
...Individuals who pay these bills are bound to be cost-conscious in ways third-party payers—usually their employers—are not...
...But there's a way to resist the measure and neutralize the Democratic demagoguery without suffering too much political heartburn...
...A sweeping reform of the kind President Bush, Rudy Giuliani, and Mitt Romney have been touting would assure that everyone can get health insurance—and get the kind that fits their needs...
...This would be expensive—tax credits can be refundable—but not as costly as expanding S-chip...
...Instead of giving them health care," S-chip expansion would "give it to people that make as much as $83,000 a year...
...Few oppose welfare for poor children, even for children living in Fred Barnes is the executive editor of The Weekly Standard...
...How will the states do this...
...We're all hurt as a country when a child is not covered by health care and goes to school sick," he said...
...S-chip expansion has been easy for Democrats to defend because it affects children, including millions without health insurance...
Vol. 13 • October 2007 • No. 5
