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GOP Strategists Seek to Alter the Health Care Reform Debate

While Senate Finance Chairman Max Baucus (D-Mont.) tries to work with key GOP committee members to fashion a bipartisan health care bill, Republican insiders are chewing over the results of two large mid-June surveys conducted for the Republican National Committee to find out what voters really care about and what lines of argument would prove effective to derail a Democratic plan.

With an OnMessage Inc. poll of 2,200 likely voters in hand, GOP strategists now believe they have the ammunition they need to engage President Barack Obama and Democratic Congressional leaders more effectively on the health care debate.

A memo written by veteran Republican consultant Alex Castellanos and now being circulated to GOP leaders around the country argues that while the discussion about health care often involves access to care, patient choice and quality of care, to most Americans “reducing health care costs is health care reform.”

“Our cause,” Castellanos writes, “must be about what is driving this debate as well. Our cause must also be bringing down health care costs.”

The memo paints the health care approach being advocated by Obama and Democratic Congressional leaders as an “old, top-down Washington-centered system” that “will empower Washington to restrict the cures and treatments your doctor can prescribe for you. ... Their Washington-centered system will end up costing trillions more, not less, and bankrupting the country.”

Repeatedly portraying the Democratic plan as “risky” and “an experiment,” the memo charges that “Obama’s plan will put government in charge of the doctors you can see and the types of treatment you can receive.” It promises higher taxes, more bureaucracy and less patient control, all at the same time that it “will further bankrupt the country with trillions more in deficit spending.”

In response, the Castellanos memo urges Republicans to offer what it calls “bottom-up, common sense fixes,” including:

• “Requiring/incentivizing doctors and hospitals to post pricing and outcomes” on the Internet;

• Incentivizing insurance companies to compete with each other with “simple one page contracts/summaries,” as well as “one page reimbursement forms;”

• Protecting doctors from “frivolous, expensive lawsuits;”

• Portability of health insurance;

• Prohibiting insurance companies from denying coverage because of pre-existing conditions;

• Cutting the Washington bureaucracy to produce “big health care savings;”

• Changing the law “so any American can buy the lowest cost insurance available nationwide, not just in their states — whether from insurance companies, businesses, church groups, college alumni associations or groups like AARP.

The memo also includes a call for a “new language” for Republicans, arguing for a “patient-centered health care movement” and against a “Washington-centered plan,” a “top-down system” and “monopolies.”

But if some of the words and phrases in the memo are new, the overall thrust isn’t. Anyone who watched the fight over the Clinton health care plan in the early 1990s will remember that critics complained about the creation of a new Washington bureaucracy, higher costs and government decisions that would tie the hands of doctors and determine who could receive what treatments.

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