Welcome Guest [Log In] [Register]
Add Reply
Here's your Model for the New Health Care System
Topic Started: Mar 2 2010, 04:51 PM (230 Views)
Mason
Member Avatar
Parts unknown
Here's your model for the New Health Care system


Postal Service's emerging model: Never on Saturday (and Always Broke!)


By RANDOLPH E. SCHMID (AP) – 38 minutes ago

WASHINGTON — The post office is renewing its drive to drop Saturday delivery — and plans a rate increase — in an effort to fend off a projected $7 billion loss this year.

Without drastic action the agency could face a cumulative loss of $238 billion over 10 years, Postmaster General John Potter said in releasing a series of consultant reports on agency operations and its outlook.

"The projections going forward are not bright," Potter told reporters in a briefing. But, he added, "all is not lost ... we can right this ship."

Sen. Tom Carper, D-Del., chairman of the Senate subcommittee with oversight authority over the Postal Service, called on Congress to give the post office the flexibility to deal with its future needs.

"In light of the serious financial challenges facing the Postal Service, postal management must be allowed to make the business decisions they need to stay competitive and viable in the years to come. As we have seen, it is not productive for Congress to act like a 535-member board of directors and constantly second-guess these necessary changes," Carper said in a statement.

Frederic V. Rolando, president of the National Association of Letter Carriers, also urged Congress to provide the post office with "financial breathing room," but he opposed eliminating one day of delivery.

"I do not believe that weakening our commitment of six-day service to the public will enhance the long-term position of the Postal Service as a critical element in our nation's economic infrastructure," Rolando said."

As Americans turn more and more from paper to electronic communications, the number of items handled by the post office fell from 213 billion in 2006 to 177 billion last year. Volume is expected to shrink to 150 billion by 2020.

At the same time, the type of material sent is shifting from first-class mail to the less lucrative standard mail, such as advertising.

And as people set up new homes and businesses, the number of places mail must be delivered is constantly increasing.

The agency has asked Congress for permission to reduce delivery days and has previously discussed the need for other changes such as closing some offices.

Cutting back Saturday home delivery, however, does not mean post offices would close that day.

There seemed to be concern on the part of Congress that officials had not looked at all possible options, Potter said, adding that was part of the reason for the three consultant studies.

Potter said he would like to see mail delivery cut to five days a week starting next year.

Later this month, he said, the Postal Service will ask the independent Postal Regulatory Commission to review its plans for the service reduction.

Under the law, the agency is not supposed to raise rates more than the amount of inflation, but there is a loophole allowing for higher increases in extraordinary situations such as the current recession and drop in mail volume.

"We intend to use that tool," Potter said.

He said the USPS's governing board is engaged in lively discussions of rate increases, though he declined to speculate on a new price. Currently, first-class stamps cost 44 cents. Rates for other classes vary.

"We need to walk slowly and very, very careful" in raising prices, Potter said, noting that increases can also drive business away.

A proposal before the Postal Regulatory Commission has estimated that increases of 3 percent this year and 10 percent next year would be needed to get the agency back to break-even.

While suggestions to close local post offices always draw complaints, Potter said the current system could be improved by opening more postal facilities in places like convenience stores and supermarkets. A few Office Depot stores are already doing this, he said.

The average post office has 600 patrons a week, Potter said, while the average supermarket brings in 20,000 people each week and is open longer hours and more days.

Only after such new facilities were available would a local post office close, he said.

Money-saving ideas considered and dismissed by the consultants included reducing the efficiency of mail delivery, Potter said.

Currently, the standard is to deliver first-class mail in one-to-three days, depending on the distance traveled. Reducing this to two-to-five days could save money by allowing more use of ground transport, but Potter said it would also reduce the value of mail use, especially to businesses.

Another possibility would be to ask Congress for a subsidy, but noting the current financial conditions Potter said "we do not plan to pursue that." The post office has not received taxpayer subsidies for its operations since the early 1980s.

Potter said the agency is looking to new types of mail services to offer but will not seek to get into other types of business, such as banking, which are offered by many foreign postal services.

The agency has cut its work force from a peak of 800,000 career employees to currently about 600,000, and Potter said it wants to use more part-time people in the future. Over the next 10 years some 300,000 postal workers will become eligible to retire and that will offer an opportunity to make this change, he said.

A major problem for the agency is a new requirement for an annual payment of $5.5 billion to prepay expected medical benefits for retirees. Most businesses handle that cost on a pay-as-you-go basis and Potter said he is seeking congressional approval for the post office to go back to that standard.

The consultant reports, costing a total of $4.9 million, involved volume and revenue forecasts prepared by the Boston Consulting Group, revenue research by Accenture and a combined business forecast prepared by McKinsey & Company.

http://www.google.com/hostednews/ap/article/ALeqM5hLqqBWjoeYVJl6Ole0Wxhg0K17wgD9E6NTL05


What Gov't Program isn't costing 5-10 times what was initially projected? Which one isn't losing money hand-over-fist?




Edited by Mason, Mar 2 2010, 04:52 PM.
Online Profile Quote Post Goto Top
 
Kerri P.
Member Avatar

http://www.msnbc.msn.com/id/35656271/ns/politics-health_care_reform
Obama to incorporate GOP ideas in health plan
Announcement is not likely to win him any votes from Republicans

updated 2 hours, 45 minutes ago

WASHINGTON - President Barack Obama said Tuesday he was open to four new Republican proposals on health care legislation, in a gesture of bipartisanship meant to jump-start his stalled drive to overhaul the system.

Obama detailed the ideas, all of which were raised at a bipartisan health care summit last week, in a letter to congressional leaders. In a nod to his 2008 presidential rival, Obama also said he was eliminating a special deal for Medicare Advantage beneficiaries in Florida and other states that drew criticism at the summit from Sen. John McCain, R-Ariz.

The proposals Obama listed are: sending investigators disguised as patients to uncover fraud and waste; expanding medical malpractice reform pilot programs; increasing payments to Medicaid providers and expanding the use of health savings accounts.

snip....
Offline Profile Quote Post Goto Top
 
kbp


Linked from Drudge:
Quote:
 
President Obama to Say Democrats Will Use Reconciliation to Pass Senate Health Care Reform Fix, If Not Given Up or Down Vote

March 02, 2010 6:27 PM

White House officials tell ABC News that in his remarks tomorrow President Obama will indicate a willingness to work with Republicans on some issue to get a health care reform bill passed but will suggest that if it is necessary, Democrats will use the controversial "reconciliation" rules requiring only 51 Senate votes to pass the "fix" to the Senate bill, as opposed to the 60 votes to stop a filibuster and proceed to a vote on a bill.

Lawmakers on Capitol Hill have been awaiting the president’s remarks direction on how health care reform will proceed.

In his remarks, scheduled to be at the White House, the president will paint a picture of what he will say will happen without a health care reform bill – skyrocketing premiums, everyone at the mercy of the insurance industry as recently seen with the 39% premium increases proposed by Anthem Blue Cross in California.

He will note that the “fixed” bill will include the proposal for a new "Health Insurance Rate Authority" to set guidelines for reasonable rate increases. If proposed premium increases are not justifiable per those Health Insurance Rate Authority guidelines, the Health and Human Services Secretary or state regulators could block them.

The plan to pass the bill includes having the House of Representatives pass the Democratic Senate health care reform legislation as well as a second bill containing various “fixes.”

The president will call for an up or down vote on health care reform, as has happened in the past, and though he won't use the word "reconciliation," he'll make it clear that if they're not given an up or down vote, Democrats will use the reconciliation rules as Republicans have done in the past.

White House officials will make the argument these rules are perfectly appropriate because the procedure is not being used for the whole bill, just for some fixes; because reconciliation rules are traditionally used for deficit reduction and health care reform will reduce the deficit; and because the reconciliation process has been used many times by Republicans for larger legislation such as the tax cuts pushed by President George W. Bush.

A White House official says the president will "reiterate why reform is so crucial and what it will mean for American families and businesses: they’ll have more control over their own health care, they’ll see lower costs , and they’ll see an end to insurance company abuses. He’ll note that his proposal includes the best ideas from both parties, and he’ll restate his preference for a comprehensive bill that will reduce premiums and end discrimination against people with pre-existing conditions."

The president will also extend a hand to work with Republicans on measures they have pushed, including $50 million for state grants for demonstration projects to explore alternatives to medical malpractice cases, and a crackdown on Medicaid and Medicare fraud as proposed by Sen. Tom Coburn, R-Okla.

He will also herald the removal of extraneous provisions in the bill such as the so-called “Cornhusker Kickback,” a deal to secure the support of Sen. Ben Nelson, D-Neb., in which the federal government would pay for Nebraska’s Medicaid expansion; and “Gator-aid,” the provision to shield Florida seniors from cuts to the Medicare Advantage program, secured by Sen. Bill Nelson, D-Fla.

Mr. Obama will say that he will be working on exact legislative language in the next few days. Republicans can join him and Democratic congressional leaders of the House and Senate to makes these changes and to pass the bill, but either way the bill will be moving forward.

-Jake Tapper

*This post has been updated.


For the post office on the cheaper mail items; deliver every other day, can half the carriers, and replicate what private carriers do for the higher priced deliveries.

On the health care, I'm still stumped how the fed's can force insurance control when it's a state authority.


Offline Profile Quote Post Goto Top
 
Mason
Member Avatar
Parts unknown
People forget that the failing U.S. Postal service was set up to even things out too. Some were subsidized and others were punished effectively via taxes.

People in Hawaii and Alaska pay the exact same thing that people in New Jersey pay to mail their bills and send their Christmas cards.

The results have not been good.

.
Online Profile Quote Post Goto Top
 
1 user reading this topic (1 Guest and 0 Anonymous)
« Previous Topic · LIESTOPPERS UNDERGROUND · Next Topic »
Add Reply