By Hicbd
States could have to be accountable and receive credit for outcome based performance by measures such as job readiness through having access to resources (housing, childcare, transportation, counseling), job retention, and job advancement rather than process-based work participation rates.
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Committee vacancies could be filled by lottery
By Hicbd
Committee vacancies could be filled by lottery in order to appoint committee members who were not beholden to party leaders for their selection and, therefore, would not be fearful to cross party lines in the future.
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Lower insurance premiums could be offered to those who make healthy choices
By Hicbd
Employees could be rewarded by taking healthy actions such as taking steps to lose weight, steps to quit smoking, offering free or cheap gym memberships, and reimbursement checks to encourage cheaper choices like generics over name-brand drugs.
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Fee-for-service could be replaced by bundled payments
By Hicbd
Fee-for-service can encourage doctors to do more tests, surgeries, and prescribe more medicine which may not be in the patient's best long term interest. Bundled payments or annual per patient fees means doctors could be paid on a capitation system linked to outcomes, encouraging doctors to focus on activities that deliver health benefits at a lower cost to the system.
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Obamacare could be replaced by a single payer national health insurance
By Hicbd
The single payer system, medical care funded from a single insurance pool run by the state, could save money by offering universal preventative care and eliminate insurance company administrative costs. However, there could be issues with access to care and government bureaucracy.
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A public option could be added to state insurance exchanges
By Hicbd
The Congressional Budget Office estimates that adding a publicly run insurance plan would reduce the deficit by an additional $88 billion over ten years relative to the law as passed, by taking in insurance premiums and paying out less to private insurers through exchange subsidies.
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The FairTax could replace all federal income taxes
By Hicbd
The FairTax could replace all federal income taxes (including the alternative minimum tax, corporate income taxes, and capital gains taxes), payroll taxes(including Social Security and Medicare taxes), gift taxes, and estate taxes with a single national consumption tax on retail sales. The proposal also provides monthly payment to all family households of lawful U.S. residents as an advance rebate, or "prebate", of tax on purchases up to the poverty level. Supporters contend that the plan would effectively tax wealth, increase purchasing power, decrease tax burdens by broadening the tax base, ease tax compliance, and increase economic growth.
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The Alternative Minimum Tax (AMT) could be modified or repealed
By Hicbd
The AMT could replaced with a less complicated add-on tax of four percent of adjusted gross income above $100,000 for singles and $200,000 for couples or be repealed entirely.
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Committee staff members could be selected by a nonpartisan House or Senate administrator
By Hicbd
Committee staff members, who schedule the hearings, invite witnesses to testify, prepare background materials for committee members, and negotiate with staff members from other committees in the House and Senate, could be selected by a nonpartisan House or Senate administrator and be obligated to serve all members equally without regard to party agenda. Currently, they are selected by the committee chair and senior members of the minority.
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Congressional districts could be redrawn by an independent, non- or bipartisan commission
By Hicbd
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