What to expect at the health summit
Despite political divide, parties agree on some policies.
President Obama plans to move health care back into the spotlight next week by hosting a televised bipartisan health summit.
Obama said he would publish his health care priorities ahead of the meeting and has asked Republicans to do the same.
His stated goal is to jumpstart a bipartisan conversation on the issue, but critics say it's a political maneuver to push the Democratic overhaul forward.
Either way, the Feb. 25 event lets both sides outline their policy proposals.
Though there is plenty they disagree on, Republicans and Democrats do have some similar ideas for tackling problems in the health care industry.
We talked to a few policy experts on what to expect on the agenda.
Where they agree
* Industry regulation. Both parties are likely to push for this populist part of the health care overhaul. The President has already previewed his intention to use this populist message to sell the bill.
Democrats believe Americans will support their bill if it is properly messaged, and this is one way they will try to do that, Stuart M. Butler of the conservative Heritage Foundation said.
"Everybody in America hates insurance companies so politically that's attractive," he noted.
* Deficit reduction. The President has renewed his focus on fiscal responsibility in recent weeks as Democrats try to dispel the notion that they have been spending carelessly.
While Republicans are also likely to highlight the need to cut costs, they will probably blame Democrats for not doing enough, Butler said.
* Malpractice suits. Republicans favor significant malpractice reforms at the federal and state levels to protect doctors. Some Democrats do too, but trial lawyers are influential supporters of the party.
"That's not an easy issue for them to introduce," said Henry J. Aaron of the liberal Brookings Institution. Republicans could exploit that weakness by highlighting this issue.
* The uninsured. Both parties agree that something needs to be done to expand coverage to people who don't have it. Republicans have proposed insurance pools for high-risk insurers, an idea that has bipartisan traction.
But Democrats say that Republican proposals thus far haven't gone far enough to expand coverage.
* State-level initiatives. Republicans prefer that health care changes happen at the state level. Senate Democrats also favor a statewide exchange over a national one, the treatment that President Obama also appears to favor.
* No public option. Democrats abandoned the House's proposal for a government-run health care option early in negotiations, when it became clear that the Senate did not have enough votes to pass the proposal.
Republicans also oppose the idea, so don't expect either party to push for it during the summit.
Where they disagree
* Insurance taxes. The tax on the Cadillac health plans was a bipartisan Senate proposal, but there is hardly agreement on either side. Republicans disagree on how to tax the plans, and House Democrats prefer a tax on wealthy incomes instead.
Next week's meeting may shed light on how Democrats plan to address this issue, which has created intraparty disagreement on health care.
"Whatever you spend you've got to pay for," Aaron said.
* The pace of change. Republicans are expected to paint the Democratic proposal as too large and ambitious. By advocating for change in incremental steps, they can play into voters' fears of the health care overhaul.
But Democrats believe a comprehensive bill is needed for meaningful change, said Robert Pollack of Families USA, a pro-overhaul group that represents health care consumers.
* Federal control. Republicans are concerned that Democrats are expanding government bureaucracy by introducing a host of new health agencies in the proposed bills.
Last year House Republicans suggested that $50 billion be given to states over the next decade so that they can drive their own health care initiatives. Republicans may reintroduce that proposal at the summit.
* Overall cost. House and Senate Democrats have laid out plans that would cost nearly $1 trillion over the next decade. Republicans are expected to criticize this weakness in the Democratic plan and play into voters’ fears that Democrats are spending too much.
"This bill is too expensive for the Republicans to pass," said James C. Capretta of the conservative Ethics and Public Policy Center.
* Medicare cuts. Democrats have proposed $436 billion in cuts to the Medicare program by reducing payments to providers. Republicans oppose the idea, saying it will drive willing suppliers of services out.
Capretta added that people may lose their coverage as well, a point Republicans may emphasize before the cameras.
* When to act. Politically Republicans have little incentive to pass a health care bill while Democrats are in power. Even if they want to introduce health care changes, they could do so to their strategic advantage after elections, Butler noted.
"It's hard to see a political dynamic that favors Republicans playing ball on this," he said.
Ambreen Ali writes for Congress.org.
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