Dirigo A Fait Accomplie

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Anonymous
Dirigo A Fait Accomplie

A couple of interesting tidbits from the article."Harvard Pilgrim HealthCare, a Massachusetts-based HMO that does business in Maine, says its big business customers in Maine pay roughly 20 percent more for insurance than their counterparts in Massachusetts. For small companies, the gap is even bigger."
"In Maine, 98 percent of companies have 50 or fewer workers."
"The National Federation of Independent Business, which represents small companies, also has its doubts. ''I'm not sure small business is going to find this plan affordable,'' said David Clough, the group's state director as he stood in the hallway of the Legislature earlier this week."
I would say to Mr. Clough "you ought to be sure, or you ought to find a new job." DT

Anonymous
Dirigo A Fait Accomplie

I have just been informed that the Dirigo Health Plan is a done deal and will be heading to the governor's desk for his signature.Unfortunately, when one is in the minority, all one can say is: that's the way of life in Maine.Oracle :( :confused:

Keith
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Re: Dirigo A Fait Accomplie

Does anyone know what is in the final plan?
I understand it includes the state spending $53 million for startup cost. What else? How does it work?

HenryGonzalez
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Re: Dirigo A Fait Accomplie

SUMMARY This amendment replaces the bill. In Part A, the amendment establishes Dirigo Health as an independent executive agency to arrange for the provision of health coverage to small employers and their employees and dependents and to individuals on a voluntary basis. Dirigo Health is also required to monitor and improve the quality of health care in this State. Dirigo Health is governed by a board of directors. Five voting members must be appointed by the Governor and confirmed by the Legislature. Under Part A, Dirigo Health must contract with health insurance carriers to offer health insurance to eligible small businesses and individuals through Dirigo Health Insurance. The health insurance benefits must be determined by the board and must comply with all statutory requirements of the Maine Insurance Code, including mandated benefits. The amendment also provides additional assistance through subsidies, based on a sliding scale, to employees and individuals with earnings below 300% of the federal poverty level who are enrolled in Dirigo Health. Employers who participate in Dirigo Health Insurance may be required to contribute up to 60% toward the cost of coverage for employees who work at least 20 hours per week and their dependents. The employer contribution rate for employees who work less than full time must be prorated. In the first year of operation, funding for Dirigo Health is provided through the General Fund. After July 1, 2005, funding for subsidies and the Maine Quality Forum must be provided through savings offset payments paid by health insurance carriers, employee benefit excess insurance carriers and third-party administrators. The board of directors is required to establish the savings offset amount, not to exceed 4% of annual premium revenue or its equivalent, on an annual basis and those savings offset payments may not exceed the aggregate cost savings attributable to reductions in bad debt and charity care costs as a result of the operation of Dirigo Health and the expansion in MaineCare. Part A expands MaineCare coverage for children and adults and provides coverage for expansion enrollees who enroll individually and who enroll through Dirigo Health as part of an employer group. The expansion of MaineCare eligibility may not become effective until Dirigo Health becomes operational. The amendment also requires monthly reporting of the noncategorical adult MaineCare expansion.
Download details at: [url=http://www.mainelegislature.org/legis/bills/billdocs/LD161103.doc]The Governor's New Outfit is a Birthday Suit[/url]

Anonymous
Re: Dirigo A Fait Accomplie

Open the floodgates / out go the tax payahs in come the socialists. Maine is a done deal.

Bob Stone
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Re: Dirigo A Fait Accomplie

Last I heard was that they were going to use Federal Economic Stimulus Funds to start it up. That makes a lot of sense (/sarcasm).Trish Riley is going to be knocking down $85m plus benefits a year, so I guess it "stimulated" at least one household!This thing is going to be a convoluted as a plate of John Elias Baldacci's spaghetti. There's a new sheriff in town...socialism.

Anonymous
Re: Dirigo A Fait Accomplie

MAINE IS NOW OUT OF BUSINESS!!!

Anonymous
Re: Dirigo A Fait Accomplie

According to the World Health Organization the U.S. ranks number one in a single area so far as health care of it's citizens is concerned. That area is 'COST'.charlie

Anonymous
Re: Dirigo A Fait Accomplie

C ~ "of it's citizens"Unfortunately Maine moved well beyond the USA's generosity to non citizens. Look at the flow from Canada alone for health care.Better yet, ask Chellie Pingree :D

HenryGonzalez
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Re: Dirigo A Fait Accomplie

So, Charlie N.:The United States spends more on health care per citizen than any other country in the world.Isn't that horrible. Shall we shoot for last?nd

Melvin Udall
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Re: Dirigo A Fait Accomplie

How much would we spend if you took lawyers out of the equation, including those in the legislature?

Anonymous
Re: Dirigo A Fait Accomplie

None Dare.You said, "The United States spends more on health care per citizen than any other country in the world. Isn't that horrible. Shall we shoot for last?"No, we should try to improve the quality of care provided which ranks far lower.charlie

Anonymous
Re: Dirigo A Fait Accomplie

quote:Originally posted by Melvin Udall:
[b]How much would we spend if you took lawyers out of the equation, including those in the legislature?[/b]

That's not the issue in Maine. We already have a cap on non-economic damages and we have a screening panel that keeps most cases out of court. For the few that get into court there are not many big jury verdicts. Maine juries are well known for being skeptical of big damage claims.Maine's high health care costs are driven my many factors, including: insurance mandates; easy elegibility for Medicaid; bad habits (higher smoking rates and lots of overwight people); a high rate of poverty; and a small population spread over a large geographic area resulting in lots of small, expensive hospitals.

Anonymous
Re: Dirigo A Fait Accomplie

quote:Originally posted by charlien:
[b]No, we should try to improve the quality of care provided which ranks far lower.[/b]

I have never heard anyone suggest that the US has poor quality of care for those we can afford it.

Bigshooter
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Re: Dirigo A Fait Accomplie

We have "screwed the pooch" on this one. There is no socialized system out there that I am aware of that is even remotely successful. I have a friend in England with cancer and his treatment was so bad over there that he has been coming to the USA to get treatment and having to pay cash. Unfortunately he will probably be passing before the year is out but he has been getting much better treatment here. This is a VERY sad day.Thanks Gov.Baldacci. You have proven that you are worthy of following in Hillary's footsteps. You have fallen to the ranks of a true Socialist. :(

Bob Stone
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Re: Dirigo A Fait Accomplie

George...Even those that can't pay get wonderful care.

Bob Stone
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Re: Dirigo A Fait Accomplie

Is there a waiting period for care under Dirigo Health? I couldn't find one.

Keith
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Re: Dirigo A Fait Accomplie

Bob
Dirigo Health doesn't start until July 2004.
Except appointing the committees, etc. but no benefits for the "most vulnerable" for another year or so.

Anonymous
Re: Dirigo A Fait Accomplie

We already provide free Medicaid to the most vulnerable.

Keith
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Re: Dirigo A Fait Accomplie

Senate roll call for enactment
BENNETT of Oxford R N
BLAIS of Kennebec R N
BRENNAN of Cumberland D Y
BROMLEY of Cumberland D Y
BRYANT of Oxford D Y
CARPENTER of York R Y
CATHCART of Penobscot D Y
DAGGETT of Kennebec D Y
DAMON of Hancock D Y
DAVIS of Piscataquis R N
DOUGLASS of Androscoggin D Y
EDMONDS of Cumberland D Y
GAGNON of Kennebec D Y
GILMAN of Cumberland R N
HALL of Lincoln D Y
HATCH of Somerset D Y
KNEELAND of Aroostook R Y
LaFOUNTAIN of York D Y
LEMONT of York R X
MARTIN of Aroostook D Y
MAYO of Sagadahoc R Y
MITCHELL of Penobscot R Y
NASS of York R N
PENDLETON of Cumberland D Y
ROTUNDO of Androscoggin D Y
SAVAGE of Knox R N
SAWYER of Penobscot R Y
SHOREY of Washington R N
STANLEY of Penobscot D Y
STRIMLING of Cumberland D Y
TREAT of Kennebec D Y
TURNER of Cumberland R Y
WESTON of Waldo R N
WOODCOCK of Franklin R Y
YOUNGBLOOD of Penobscot R X

Keith
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Re: Dirigo A Fait Accomplie

House roll call for Dirigo healthADAMS of Portland D Y
ANDREWS of York R N
ANNIS of Dover-Foxcroft R Y
ASH of Belfast D Y
AUSTIN of Gray R N
BARSTOW of Gorham D Y
BENNETT of Caribou D Y
BERRY of Belmont R N
BERUBE of Lisbon R N
BIERMAN of Sorrento R Y
BLANCHETTE of Bangor D Y
BLISS of South Portland D Y
BOWEN of Rockport R N
BOWLES of Sanford R N
BRANNIGAN of Portland D Y
BREAULT of Buxton D Y
BROWN of South Berwick R Y
BROWNE of Vassalboro R Y
BRUNO of Raymond R Y
BRYANT-DESCHENES of Turner R N
BULL of Freeport D Y
BUNKER of Kossuth Township D Y
CAMPBELL of Newfield R Y
CANAVAN of Waterville D Y
CARR of Lincoln R Y
CHURCHILL of Orland R Y
CHURCHILL of Washburn R Y
CLARK of Millinocket D Y
CLOUGH of Scarborough R N
COLLINS of Wells R Y
COLWELL of Gardiner D Y
COURTNEY of Sanford R N
COWGER of Hallowell D Y
CRAVEN of Lewiston D Y
CRESSEY of Baldwin R N
CROSTHWAITE of Ellsworth R N
CUMMINGS of Portland D Y
CURLEY of Scarborough r N
DAIGLE of Arundel R Y
DAVIS of Falmouth R X
DUDLEY of Portland D Y
DUGAY of Cherryfield D Y
DUNLAP of Old Town D Y
DUPLESSIE of Westbrook D Y
DUPREY of Hampden R N
DUPREY of Medway D Y
EARLE of Damariscotta D Y
EDER of Portland G Y
FAIRCLOTH of Bangor D Y
FINCH of Fairfield D Y
FISCHER of Presque Isle D Y
FLETCHER of Winslow R N
GAGNE-FRIEL of Buckfield D Y
GERZOFSKY of Brunswick D Y
GLYNN of South Portland R Y
GOODWIN of Pembroke D N
GREELEY of Levant R Y
GROSE of Woolwich D Y
HATCH of Skowhegan D Y
HEIDRICH of Oxford R N
HONEY of Boothbay R N
HOTHAM of Dixfield R Y
HUTTON of Bowdoinham D X
JACKSON of Fort Kent U Y
JACOBSEN of Waterboro R N
JENNINGS of Leeds D Y
JODREY of Bethel R Y
JOY of Crystal R X
KAELIN of Winterport R Y
KANE of Saco D Y
KETTERER of Madison D Y
KOFFMAN of Bar Harbor D Y
LANDRY of Sanford D Y
LAVERRIERE-BOUCHER of Biddeford D Y
LEDWIN of Holden R N
LEMOINE of Old Orchard Beach D Y
LERMAN of Augusta D Y
LESSARD of Topsham D Y
LEWIN of Eliot R N
LUNDEEN of Mars Hill D Y
MAIETTA of South Portland R Y
MAILHOT of Lewiston D Y
MAKAS of Lewiston D Y
MARLEY of Portland D Y
MARRACHÉ of Waterville D Y
McCORMICK of West Gardiner R Y
McGLOCKLIN of Embden D X
McGOWAN of Pittsfield D Y
McKEE of Wayne D Y
McKENNEY of Cumberland R N
McLAUGHLIN of Cape Elizabeth D Y
McNEIL of Rockland R N
MILLETT of Waterford R Y
MILLS of Farmington D Y
MILLS of Cornville R Y
MOODY of Manchester R Y
MOORE of Standish R X
MURPHY of Kennebunk R N
MUSE of Fryeburg R N
NORBERT of Portland D Y
NORTON of Bangor D Y
NUTTING of Oakland R X
O'BRIEN of Augusta R N
O'BRIEN of Lewiston D Y
O'NEIL of Saco D Y
PARADIS of Frenchville D Y
PATRICK of Rumford D Y
PEAVEY-HASKELL of Greenbush R N
PELLON of Machias D Y
PERCY of Phippsburg D Y
PERRY of Calais D X
PERRY of Bangor D Y
PINEAU of Jay D Y
PINGREE of North Haven D Y
PIOTTI of Unity D Y
RECTOR of Thomaston R N
RICHARDSON of Greenville R N
RICHARDSON of Brunswick D Y
RICHARDSON of Skowhegan R X
RINES of Wiscasset D Y
ROGERS of Brewer R N
ROSEN of Bucksport R Y
SAMPSON of Auburn D Y
SAVIELLO of Wilton D Y
SHERMAN of Hodgdon R N
SHIELDS of Auburn R N
SIMPSON of Auburn D Y
SMITH of Monmouth D Y
SMITH of Van Buren D Y
SNOWE-MELLO of Poland R N
STONE of Berwick R N
SUKEFORTH of Union U N
SULLIVAN of Biddeford D Y
SUSLOVIC of Portland D Y
SYKES of Harrison R Y
TARDY of Newport R Y
THOMAS of Orono D Y
THOMPSON of China D Y
TOBIN of Windham R N
TOBIN of Dexter R N
TRAHAN of Waldoboro R Y
TREADWELL of Carmel R N
TWOMEY of Biddeford D Y
USHER of Westbrook D Y
VAUGHAN of Durham R N
WALCOTT of Lewiston D Y
WATSON of Bath D Y
WHEELER of Kittery D Y
WOODBURY of Yarmouth U Y
WOTTON of Littleton D Y
YOUNG of Limestone R Y

Anonymous
Re: Dirigo A Fait Accomplie

Perhaps in the next election for the senate of Maine, republicans will work harder to achieve the majority this time around.Not much hope for any changes in the house, but there certainly could be a good possibility for the senate.How best can we all get on the same page fellow conservatives, we must [b]STOP[/b]what's happening politically in our beautiful state.Oracle :confused:

Anonymous
Re: Dirigo A Fait Accomplie

What was the house spin?

Doug Thomas
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Re: Dirigo A Fait Accomplie

When this plan doesn't work...what then?

Anonymous
Re: Dirigo A Fait Accomplie

quote:Originally posted by Doug Thomas:
[b]When this plan doesn't work...what then?[/b]

The timing should be just about right to elect a Republican Governor.

Keith
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Re: Dirigo A Fait Accomplie

I have been wondering why they would bother with this after all the guts have been removed. It hardly resembles the original.But the Governor will be able to say he did something.Worse than that... once it is in operation, if it doesn't work, just make adjustments (insert more money) When was the last time you saw a useless government agency buried?

Anonymous
Re: Dirigo A Fait Accomplie

Today's Boston Globe had a good article on the plan, describing how it is supposed to work and why it might not:[url=http://www.boston.com/dailyglobe2/164/business/The_Maine_question+.shtml...

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