Thu, Nov 26 2009
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Missouri: GOP candidate outlines health care plan On Tuesday, Hulshof repeatedly denounced Nixon’s proposal as a return to a costly and poorly managed Medicaid system.
“Hitting the rewind button to go back to the 20th century is not the answer,” Hulshof said. Hulshof proclaimed health care a priority last winter when he entered the race after Blunt chose not to seek re-election. But Hulshof waited to outline any health care specifics until several weeks after his Aug. 5 primary victory over Republican Treasurer Sarah Steelman. He said he was consulting with health care professionals while carefully crafting his plan. Among those Hulshof consulted was the Missouri Hospital Association, which was instrumental in shaping Blunt’s unsuccessful Insure Missouri plan to expand government-subsidized coverage to low-income workers. That plan also would have redirected a portion of the money now paid to hospitals for treating the uninsured. Blunt’s plan died this year in the House, where some Republicans were uneasy about increasing the government’s role in health care. Hospital association spokesman Dave Dillon said the group has endorsed neither Hulshof’s nor Nixon’s plan, but “we endorse the discussion about expanding health care from a larger perspective.” Brent Butler, the government affairs director for the Missouri Insurance Coalition, said the group has not seen the details of Hulshof’s plan and has no position on it. “As long as the insurance buying market at this time is not affected, or the companies are not adversely affected, nobody would be against trying to get people more coverage,” he said. Hulshof said his plan is different from Insure Missouri and from plans offered in other states as a means of covering the uninsured. One key, he said, would be a requirement that insurers participating in HealthMAX could not deny coverage to people because of existing health conditions. Whereas that might normally make insurers reluctant to join the program, Hulshof said he hopes to spread their risk by creating a large pool of people. Individuals would purchase their own health insurance plan by picking among various options. Businesses also could make contributions to the plan on behalf of employees. 
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