A bill in Congress introduced by John Conyers on February 8, 2005 and cosponsored by 78 members of the House of Representatives including Dennis Kucinich. There are no new cosponsors since 2006. Test of the thomas.gov summary of the bill:
United States National Health Insurance Act (or the Expanded and
Improved Medicare for All Act) - Establishes the United States National
Health Insurance Program (the Program) to provide all individuals
residing in the United States and in U.S. territories with free health
care that includes all medically necessary care, such as primary care
and prevention, prescription drugs, emergency care, and mental health
services.
Prohibits an institution from participating in the
Program unless it is a public or nonprofit institution. Allows
nonprofit health maintenance organizations (HMOs) that actually deliver
care in their own facilities to participate in the Program.
Gives patients the freedom to choose from participating physicians and institutions.
Prohibits
a private health insurer from selling health insurance coverage that
duplicates the benefits provided under this Act. Allows such insurers
to sell benefits that are not medically necessary, such as cosmetic
surgery benefits.
Sets forth methods to pay hospitals and
health professionals for services. Prohibits financial incentives
between HMOs and physicians based on utilization.
Authorizes
appropriations and provides for appropriated sums to be paid for: (1)
by vastly reducing paperwork; (2) by requiring a rational bulk
procurement of medications; (3) from existing sources of Government
revenues for health care; (4) by increasing personal income taxes on
the top five percent income earners; (5) by instituting a modest
payroll tax; and (6) by instituting a small tax on stock and bond
transactions.
Requires the Program to give first
priority in retraining and job placement to individuals whose jobs are
eliminated due to reduced administration.
Establishes a
National Board of Universal Quality and Access to advise the Secretary
and the Director to ensure quality, access, and affordability.
Provides
for the eventual integration of the health programs of the Department
of Veterans' Affairs and the Indian Health Service into the Program.
Immediate questions are about those taxes. Unspecified amounts and words like modest just don't get it done! 7% more payroll taxes would be a lot. Would it all be employer side, employee side or both? How much income tax on the top 5%. Taxes on capital gains plus taxes on stock and bond transactions would have a chilling effect on US business.
HR676 has its own advocacy group that answers questions like this:
Isn’t this really just socialized medicine?
No, it really isn’t, not even close. Socialized
medicine is where the state owns and controls all of the assets of the
system and employs all of the medical personnel involved as well. With
the New Medicare, the state owns nothing and only exercises minimum
control over the process such as establishing much needed cost controls
and some helpful operating guidelines and mechanisms. Real
examples of “socialized” services include those necessary public
services such as police and fire which everyone agrees needs to be
provided as government services for the benefit of society. How
would you like it if all of the police and fire departments across the
country were set up like our current medical system is today and their
services were only available on a pay-per-use basis where only the well
to do and privileged could actually afford to have access to them? That doesn’t make any more sense than having our medical services limited as they are now in that very same way either… does it!
HealthCareNow.org is a bit more forthcoming about the costs:
Proposed Funding For USNHI Program:
Maintain current federal and state funding for existing health care programs; employer payroll tax of 4.75, an employee payroll tax of 4.75; establish a 5% health tax on the top 5% of income earners; 10% tax on top 1% of wage earners, 1/3rd of 1% stock transaction tax, closing corporate tax loop-holes; repeal the Bush tax cut for the highest income earners.
Is the 4.75% on top of the current 3% payroll taxes for Medicare? What is the income level for the top 5% (over $150,000) of income earners and the top 1% (over $250,000). What is the effect of a 0.333% stock transaction tax? Would that mean a $333 tax on my $100,000 investment transfer from GM to EXXON? What about inside a fund family?
Michael Moore likes it too which should activate substantial opposition.