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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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