Mass. Health Care Plan Riles Some Liberals By STEVE LeBLANC, Associated Press Wr

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Mass. Health Care Plan Riles Some Liberals By STEVE LeBLANC,

Associated Press Writer

Fri Apr 7, 12:58 AM ET

 

 

 

BOSTON - The most radical portion of Massachusetts' move toward

universal health care — a requirement that all residents carry

insurance — is giving indigestion to some who view it as a

breathtaking expansion of government power.

 

 

" This is the first time in the country's history where simply by

virtue of living somewhere you are mandated to purchase a product, "

said Michael Tanner, of the libertarian Cato Institute, based in

Washington, D.C.

 

Supporters of the idea, including Republican Gov. Mitt Romney, cite

the mandate as a pillar of the health plan because it forces

individuals to take responsibility for their health care.

 

Many conservatives are embracing the so-called individual mandate,

but some liberals and unions are suspicious. They typically prefer

assessments on employers, which the Massachusetts plan also includes.

 

AFL-CIO President John Sweeney called the mandate " unconscionable "

and accused Massachusetts of taking " a page out of the Newt Gingrich

playbook. "

 

" Forcing uninsured workers to purchase health care coverage or face

higher taxes and fines

is the cornerstone of Mr. Gingrich's health care reform proposals, "

Sweeney said.

 

Romney and other supporters of the mandate say it spreads the burden

of covering the uninsured among ordinary citizens, business and

government.

Romney is expected to sign the bill, though he may veto a $295-an-

employee fee for businesses that don't offer insurance.

 

Romney, a possible candidate for the 2008 Republican presidential

nomination, has compared the individual mandate to car insurance,

which the state requires for everyone who owns a car.

 

Massachusetts, under the bill, will also require everyone to have

health insurance.

 

According to Tanner, that's a false comparison.

 

" Driving has always been seen as a privilege that can be revoked, "

he said. " This is making me buy a product simply by virtue of

breathing. "

 

What no one can say for sure is how many of the estimated 500,000

uninsured people in Massachusetts would be subject to the individual

mandate — in effect, how many earn enough to buy insurance but don't.

 

That, according to John McDonough of Health Care for All, a state

advocacy group, is one of the complex bill's many unanswered

questions.

 

" Whether it will work out or not, we don't know, " McDonough said.

 

" No state has ever gone down this road. "

 

The bill, a dense 145 pages, is still in the works.

Some of the grittier details, such as exactly what it means to be

able to afford insurance, will be sorted out when the actual

regulations are drafted.

 

Still, there are enough details to win over supporters and perturb

opponents.

 

Under the plan, which would take effect in July 2007, everyone who

files a state tax return, beginning in 2008,

 

will have to indicate if they have health insurance.

 

The bill also requires Medicaid and private insurers to turn over to

the state lists of their enrollees each month.

 

Anyone deemed able to buy insurance,

 

but who is still uninsured, will face increasing penalties.

 

For example, during the year they would lose the ability to claim a

personal exemption on their state tax returns. That would cost an

individual about $189 and a couple filing jointly about $378.

 

The poorest residents — single adults making about $9,800 or less —

will get access to insurance with no premiums and no deductibles.

 

The bill also includes an appeals process.