How the Senate and Congressional Bills compare

Thanks to Health Care Now, a comparison between the Single Payer bills introduced in the Senate and Congress can be viewed here.

The Sanders bill differs from the Conyers bill in the House (HR 676) in two fundamental ways.

The Conyers' bill would create a single payer that would be administered at the federal level.

The Sanders bill mirrors legislation introduced by the late Sen. Paul Wellstone (D-Minn.) in 1993, S. 491, and closely parallels similar legislation pending before the House, H.R. 1200, introduced by Rep. Jim McDermott (D-Wash.)

It would create a single payer that would be administered by the individual states.

The Conyers bill has 72 co-sponsors. The McDermott bill has 7 co-sponsors. Sanders has no co-sponsors.

David Himmelstein of PNHP said that the Sanders approach "might well be best for states with competent and relatively uncorrupt state governments."

"It would probably be a weaker approach in states with lesser expertise and honesty," Himmelstein said.

The state approach is closer to the Canadian single payer system, where the provinces administer the program.

The other way that the Sanders bill differs from the Conyers bill is that it doesn’t provide for mental health parity.

But Himmelstein said that Sanders will correct this.

----------------



Single-payer health reform bill introduced in Senate


PNHP
Press release
March 26, 2009



Challenging head-on the powerful private insurance and pharmaceutical industries, Vermont’s Sen. Bernie Sanders introduced a single-payer health reform bill, the American Health Security Act of 2009, in the U.S. Senate Wednesday.



The single-payer approach embodied in Sanders’ new bill stands in sharp contrast to the reform models being offered by the White House and by key lawmakers like Senators Max Baucus (D-Mont.) and Edward Kennedy (D-Mass.). Their plans would preserve a central role for the private insurance industry, sacrificing both universal coverage and cost containment during the worst economic crisis since the Depression.



In contrast, Sanders’ new legislation would cover all of the 46 million Americans who currently lack coverage and improve benefits for all Americans by eliminating co-pays and deductibles and restoring free choice of physician. The most fiscally conservative option for reform, single payer slashes private insurance overhead and bureaucracy in medical settings, saving over $400 billion annually that can be redirected into clinical care.



Highlights of the bill include the following:





Sanders, who serves on the Senate Committee on Health, Education, Labor, and Pensions, is a longtime advocate of fundamental health care reform. His new bill draws heavily upon the single-payer legislation introduced by the late Sen. Paul Wellstone (D-Minn.) in 1993, S. 491, and closely parallels similar legislation pending before the House, H.R. 1200, introduced by Rep. Jim McDermott (D-Wash.).



http://www.pnhp.org/news/2009/march/singlepayer_health_.php



S.703 - American Health Security Act of 2009 - full text:
http://pnhp.org/PDF_files/American-Health-Security-Act-single-payer.pdf



Thomas (http://thomas.loc.gov/