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96 Geo. L.J. 523 (2007-2008)
Can We Get There from Here - Universal Health Insurance and the Congressional Budget Process

handle is hein.journals/glj96 and id is 526 raw text is: Can We Get There from Here? Universal Health Insurance and the Congressional Budget Process TIM WESTMORELAND* It is so true here that he who frames the question determines the answer. -Representative Roscoe Bartlett' TABLE OF CONTENTS INTRODUCTION .......................................... 524 I. CURRENT FEDERAL HEALTH SPENDING AND THE BUDGET PROCESS ... 526 A. OVERVIEW ...................................... 526 B. BUDGET LIMITS .................................... 527 II. SURVIVORS' COSTS AND SOLIPSISM-OVERINCLUSIVE AND UNDERINCLUSIVE SCORING .............................. 528 A. SURVIVORS' COSTS ................................. 529 B. SOLIPSISM ...................................... 529 C. EFFECTS ........................................ 532 III. UNIVERSAL HEALTH INSURANCE MODELS AND OVERINCLUSIVE AND UNDERINCLUSIVE SCORING .............................. 532 A. THE SINGLE-PAYOR MODEL ........................... 534 B. THE EMPLOYER-MANDATE MODEL ....................... 534 C. THE HSA MODEL .................................. 534 IV. How To FRAME THE QUESTION BETrER ..................... 536 A. SIDESTEPPING SURVIVORS' COSTS ....................... 536 B. PUTING SOLIPSISM IN CONTEXT ........................ 537 CONCLUSION ............................................ 538 * Visiting Professor of Law, Georgetown University Law Center; Senior Scholar, O'Neill Institute on Health Law, Georgetown University Law Center; Research Professor of Public Policy, Georgetown University Public Policy Institute; J.D., Yale Law School; B.A., Duke University. © 2008; Tim Westmoreland. 1. 153 CONo. REc. H1803 (daily ed. Feb. 16, 2007) (statement of Rep. Bartlett) (It should be noted that Mr. Bartlett was describing the war in Iraq, not the subjects discussed herein). 523

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