While we scrambled to meet income tax deadlines last April 15, Maine politicians passed $70 million in tax increases on health care and beverages to pump more tax dollars into Dirigo Health. In response, the state Chamber of Commerce, the beverage industry and other businesses united as the Fed Up With Taxes coalition to put a people's veto question on the November ballot, hoping voters will reject the new taxes.
Dirigo was supposed to be the closest thing to universal health care that Maine, and the nation, had ever seen. Today, Dirigo is nationally recognized as a colossal failure. Hopefully, the old saying "As Maine goes, so goes the nation" won't apply this time.
Dirigo was passed in 2003, with bipartisan support, based on promises by Gov. Baldacci and his Augusta bureaucrats. Politicians and the public were assured the taxpayer-funded government healthcare program would cover all 128,000 uninsured Mainers by 2009. Baldacci and his cronies also promised that Dirigo would pay for itself through the healthcare savings it would create and would NEVER require tax increases for funding. Today, just five years later, both promises have been broken.
As we approach the 2009 benchmark, just 11,500 Mainers are covered by Dirigo, fewer than the 128,000 goal, and down from a high of 15,000 enrolled last September. Of those 11,500, only about 3,900 were previously uninsured, and, for over a year now, Dirigo has been closed to new enrollees. Not exactly the progress we were promised, huh?
At a cost to taxpayers of $3,040 per enrollee annually for coverage and overhead, Dirigo is a massive burden that cannot meet its goal of universal coverage. The new $70 million tax increase that broke the no-new-taxes promise was passed not to expand coverage, but to fund benefits for those last few thousand still enrolled. Even if the people's veto campaign fails, Dirigo enrollment is still expected to decline by another 1,000.
The Fed Up With Taxes coalition rightfully notes that Maine's tax burden is already too high, especially with a struggling economy and rising energy costs. The new Dirigo tax only increases that burden. In the age of the five second sound bite, however, their people's veto campaign won't have many opportunities to discuss the program's failures.
Whether or not voters reject the tax increase, it's time politicians recognize that Dirigo isn't working. The solution to covering Maine's uninsured is not another tax increase to fund a failing government program. Expanding the number of private health insurance options will empower Mainers to find affordable healthcare coverage, and will reduce the burden Dirigo has heaped onto taxpayers.
Enabling and empowering Mainers to purchase health insurance plans available in other states will quickly and significantly reduce the rate of uninsured. Today, there is essentially just one private insurance option available for Maine individuals and only three available for small businesses. With so few options available, is it surprising that Mainers can't find an affordable plan?
Residents in other states are paying much less than Mainers for an identical private health insurance plan. In Connecticut, for example, a 25-year-old can find an individual health insurance plan for just $162 a month with no deductible. That same individual would pay $700 each month with a $1,000 deductible for the very same plan in Maine with our high cost regulations. No wonder Maine's uninsured rate for young adults is so high.
Real progress in covering Maine's uninsured will come when politicians eliminate the gimmicks and red tape keeping private health insurance companies from offering their plans in Maine. Raising taxes to fund a failing government-run healthcare program is taking us backward in the goal of covering the uninsured.
Politicians' obsession with Dirigo has essentially shut down conversation about real healthcare reform. As part of the annual scramble to revive the failing program, too many politicians are unwilling to entertain proposals like the one mentioned above. Had Dirigo been passed along with new private insurance options, more Mainers would be insured today.
I support the efforts of the Fed Up With Taxes coalition, and even signed their petition to eliminate the $70 million tax increase, to send a clear message to politicians that taxes are too high, and because progress in covering Maine's uninsured requires politicians to accept that Dirigo has failed. Entertaining other health care reforms, like expanding private health insurance options in Maine, will create a responsible solution to our healthcare challenges, and that is what we need to focus on.
Chris Cinquemani is the communications director of Maine Leads, an Augusta-based non-profit working for lower taxes and government transparency in Maine. Chris previously served as field coordinator and communications director for the 2006 Taxpayer Bill of Rights Campaign, communications director for the Maine Senate Republican Office, and state director of the 2007 No More Than 4 Campaign to oppose extending term limits for state legislators.
There has been a lot of talk about the last great budget crisis, which occurred in the early 1990's. I'm not so sure that things are that ... >
Janet Napolitano, the Democratic governor of Arizona and an early supporter of Barack Obama's presidential campaign, is being mentioned for ... >
I attended my first political "house party" in 1994 when I was a senior in college. It was hosted by one of former U.S. Sen. George ... >
In 1996, Mainers passed the Maine Clean Elections Act. The Act was supposed to remove special interests from campaign financing for Governor, State ... >
Well said...
Well said, Chris. Well said.
Fed up with Fed Up With Taxes
First, its not FUWT's inflated $70 million in new taxes. Might be $25 million if McCain gets elected and tanks the economy like Bush with his Billionare Bailout did.
$3040 per enrollee is a massive burden? A decade ago the Maine health plan for teachers cost twice that. $3040/year per enrollee sounds like a bargain.
By the gentleman's own figures the problem here is not that the program doesn't work but it is being hobbled by those that want to profit from health insurance but can't for these 11500. Since private insurance companies make money by denying care to those they insure, this piece is not surprising and certainly not convincing.
Good to Know
Its good to see that Chris has continued his style from the Republican Senate Office, where he was so good at playing hard and loose with the actual facts.
Bad Plan
I can't believe anyone could argue with a straight face that people in Maine should be able to buy health insurance from any other state. While it sounds like a good idea if you don't really think about it, the truth is that Maine would be totally unable to regulate health insurance plans outside of the state. So if you get into a dispute with your health insurance company, although I'm sure Chris would tell us that never really happens, you couldn't get any help from Maine, and you bought your plan from a company registered in Nevada (which has very little insurance regulation) you'd have to contact Nevada's government for help. Maine couldn't do anything for you. What Chris doesn't mention is that under this plan insurance companies will rush to offer plans in Maine that are registered in whatever state had the weakest insurance regulations. Not that weak regulation and oversight has every gotten us into trouble.
What
Chris Cinquemani is a right wing nut job. Dirigo has helped thousands of Mainers, who cares at the cost! I am on Dirigo and thanks to people like Chris I can feel safe when I am applying for jobs. The state can honestly afford such a noble cause. Chris Cinquemani just hates helping the less fortunate.
What right back at you
Yeah Dirigo has helped thousands of Mainers...and Bush caused 9/11 and Collins is a right winger too. This is ridiculous, Dirigo has been an abysmal failure, and other states are rolling on the floor laughing at the egg dripping off of Baldacci's face.
Give me a break, if Cinquemani is a "right wing nut job" then Blue Eey is a liberal moonbat, who just doesn't get it. Dirigo will not help another person (enrollment is closed), it is running on fumes and if you think for one second that paying astronomical rates for health insurance is better than competition then you're living under a rock. Universal/Single Payor health care is not going to happen, because even though some mainers would like to turn our republic into a socialist state, most Mainers like to have government leave them alone.
Stop lying, Dirigo is a FAILURE. Shut it down before it causes even more damage.
fumes are to blame
Anonymous3 writes, "...Dirigo is running on fumes..." Finally we know what it is that affects our legislators! It's not that they've been drinking like sailors, which is to badmouth sailors. Rather, they're inhaling Dirigo.
Re: Bad Plan
"I can't believe anyone could argue with a straight face that people in Maine should be able to buy health insurance from any other state. While it sounds like a good idea if you don't really think about it, the truth is that Maine would be totally unable to regulate health insurance plans outside of the state."
Are you kidding? Maine regulating healthcare is the problem.
A few replies...
Zippy...you're right. It's regulation that IS the problem.
Totally Amazed...it's the lack of competition (read: regulation) in Maine that IS the problem. If the market was open to other companies from other States, there would be competition amongst the companies for subscribers. If their prices or service wasn't up to par, they wouldn't attract customers. So it's in their best interests for them to provide good services.
Finally...Dirigo is a disaster. Even Baldacci, himself, admitted that it's not an ideal solution. Plus, as was said already, enrollment is closed, so no other Mainers will be helped by these funds....only the approximately 3,000 that currently are enrolled.
Beside that point, though, this effort is about more than that. It's about Maine citizens being "Fed Up With Taxes". It's about us telling the Legislature that they can't keep dipping deeper into Mainer's pockets each time funding for an idea comes up short...especially initiatives that were approved on a promise that they would require no tax increases.
It's time for the Legislature to start making some choices instead of taxes.
Post new comment