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You get the Health Care Reform as as envisioned by that the house of ms.
You'll going to impose a very significant tax on small business are you comfortable without.
Well but small businesses are paying that right now by having people who are staying on.
Just because of the health care benefits and -- small companies.
Are having to shoulder that then and bear the burden of 10% annual increases in health care.
A premiums and what does that mean meant for the average we each -- it means flat wages for the last several years because the companies are putting that's extra money into -- -- into the cost of health care as a way to try to.
I -- I -- pretty effective secretary Locke as commerce secretary.
You'll comfortable -- they -- a charge a significant income tax surcharge on small business owners.
And a fine all tax whichever you call it all those small businesses which do not -- -- provide health insurance now you'll come.
Well actually that's not that that is not what is being proposed by the congress in fact the small businesses under that employ a less than for -- -- a certain number of employees.
Would be exempt from having to provide this health insurance the rest always the reference to provide yet ready to -- I didn't -- -- -- But if they do they will have tax breaks and tax incentives for providing that health insurance to their employees.
So the companies that are doing it now will be rewarded.
For doing the right thing and large companies.
Are already providing health care insurance to their employees.
And you would be then you will give a guaranteed a small business under the that we are not a net cost increase.
With the health reform plan that you -- no net cost well increased period there are there are many proposals of the Health Care Reform.
In the congress and it depends on which committee you're talking about there's.
There's a great deal of agreement we've not seen the final version coming out of that it out of that you know the house or the senate.
But the bottom line is that if we don't have Health Care Reform this is gonna be a huge burden on.
Small and large companies and on individuals as well as governments city state and federal government when we have forty million people uninsured.
And who's paying for it means that the companies that provide health insurance are having to pay taxes to the state governments to provide that safety net.
For those who are not getting -- health insurance it also means that companies who are doing the right thing are having increased cost.
By health insurance for their employees when their competitors.
Don't offer health insurance to their place that's not fair but to those companies doing the right thing madam -- so we're all paying for one way or another.
Madam secretary could you just give us a definitive word via.
What will a public option or eight -- -- option one of the two.
What I have to be in any reform proposal which this administration from -- to sign.
Well I think the administration has said consistently.
And I certainly agree we need competition and when he cost control.
And you don't really get that.
Absent having some choices in the marketplace so I think it's an essential.
Component of what needs to happen in a new marketplace for people to have affordable coverage.
So you will have a publicly funded co -- system and publicly run co -- system for the first few years all eight publicly funded.
Public option direct one of those two will be in Health Care Reform got it.
-- is you know that the proposals.
For the five proposals are out we don't know what the finance committee's gonna say below attacking about it is.
A level playing field competing with private insurers not giving them the monopoly you have good marketplace as -- Cost control and choice -- available to consumers that the debate is chaotic nobody knows what's coming down here.
I mean it yet we know while they like I don't think drafted so they can be -- the -- the Democrats are totally split on this but we don't know what's coming down upon.
Well up for the five committees have drafted bills we know exactly what's in those bills.
The fifth committee is still working on their version we'll find out when they return.
From recess in in September so -- bill drafts are available and I think congress -- right now that competition is a good thing.
-- cost control is essential and that consumer choice is essential and those elements are very.
Much components of the bills that are drafted and very much part of the come finance committee discussion.
So the public option.
All the co -- option one of the two publicly financed mostly be a part of legislation which the president will sign I mean front opinion down the finance committee may come up with another option we don't know yet -- had -- clarify -- -- -- -- -- would you agree with tort reform.
Would you put it on the table.
You tell me what your -- the president has said he.
Is open to a variety of ways to make sure that doctors don't continue to look over their shoulders when they practice medicine.
Raising quality of health care for all Americans is clearly a good deal -- 100000 I don't die year for medical -- yeah how about some taking away state mandates and having a national.
Insurance market would you go for that.
That is part of what is being contemplated in in the health insurance exchange that you would have a national option that would.
Be available in every state in the country for people to choose as one of their choices -- -- consumer choice.
They may prefer.
Private market plans that only deals with their state they may prefer a public option that that is available to people.
-- crossed state lines but I think that's part of what's contemplated in a new marketplace for those Americans who don't have affordable coverage right now.
Secretary Sebelius secretary -- thank you very much for taking the time out to be with us today we do appreciate it thank you.
Thank you thank you.
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