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Experts Express Concern Over Clinton Health Plan

.Family planning and pregnancy related services(most likely including abortions)

.Alternative care: hospice care for terminallyill instead of hospitalization, home health careinstead of institutionalization.

.Prescription drugs: outpatient prescriptiondrugs covered; for people on Medicare, but whoaren't in an alliance, prescription drug benefitswith $250 deductible, 20 percent cost sharing,annual out-of-pocket cap of $1000.

.Vision and hearing care: eyeglasses andcontacts for children under 18, routine eye andear exams, diagnosis and treatment for eyedefects.

.Dental services: preventive services,emergency in jury treatment for children under 18.

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.Mental health services: substance abuserehabilitation, inpatient and residentialtreatment; services only covered for 30 days perepisode, 60 days for in-patients; for outpatients,cap of 30 psychotherapy visits per year.

.Health education classes.

Who (And What) Pays?

.Employers must pay at least 80 percent ofpremium of average health care plan; paymentcapped at 7.9 percent of payroll, but employerscan choose to pay more.

.Government subsidies for employers who cannotpay 80 percent.

.Savings from Medicaid and Medicare programs.

."Sin" taxes on cigarettes and alcohol.

.Surcharges on large employers choosing to formtheir own alliance.

Who Saves?

.The uninsured--all Americans receive coverage.

.The poor--families and individuals withincomes below 150 percent of poverty level willreceive government subsidies to cover premiums.

.Retirees--government would pay premiums forthose not yet eligible for Medicare; existingemployer retirement health plans pay 20 percent ofpremiums, government pays the rest.

.Small businesses--those with up to 50employees can receive government subsidies basedon the average wage of the employees. If averagewage is under $12,000, the employer need notcontribute more than 3.5 percent. Employeecontributions increase with wages until themaximum cap of 7.9 percent.CrimsonSteven G. Dickstein

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