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Resuscitating Health Care ReformPosted on Dec 8, 2008
With unemployment soaring, the need grows daily for guaranteed health care. But that may not happen in the coming year because of the desperate need to revive the economy and put people to work. It is true that President-elect Barack Obama is assembling a team well equipped for the difficult political and policy battle over health care reform. It will take more than political smarts, however, to keep health care a top priority in the administration and steer it through a Congress buffeted by so many pressing issues and special interests. His designated secretary of health and human services, former Sen. Tom Daschle, knows the politics and understands policy. He is, after all, the author of the book “Critical: What Can Be Done About the Health Care Crisis.” Obama has named a top expert on health care as head of the Office of Management and Budget, the agency that shapes the president’s budget and tries to make sure the huge federal bureaucracy follows his priorities. He is Peter R. Orszag, most recently director of the Congressional Budget Office. But before his appointment, Orszag warned that the recession may overwhelm or at least delay health care reform. Writing in his informative and readable Budget Office blog on Oct. 13, he said: “Many observers have noted that addressing the problems in financial markets and the risks to the economy may displace health care reform on the policy agenda—and that may well be the case for some period of time. (As a small example, I know that over the past few months I have been spending less time on health care because the turmoil in financial markets and associated issues have consumed much more of our time and attention at CBO.)” Advertisement Last week’s news that 533,000 American jobs were lost in November was accompanied by predictions that the recession will continue through much of next year. The November figure brought the job loss since September to almost 1.3 million. “There are no quick or easy fixes to this crisis, which has been many years in the making, and it’s likely to get worse before it gets better,” Obama said Saturday. Obama also announced that he will offer a program to create at least 2.5 million jobs. Workers would replace old heating systems and take other steps to make federal buildings around the nation energy-efficient. An army of construction workers would build and repair roads and bridges and modernize old school buildings. The many thousands of laid-off information technology workers, installers and other technicians dumped by communications companies would create networks linking libraries, schools and hospitals to the Internet and bringing high-speed Web service to areas now without it. I saw the difficulties in implementing the plan last Friday when I visited Los Angeles City Hall and talked to Deputy Mayor Jaime de la Vega and Richard Katz, transportation advisers to Mayor Antonio Villaraigosa. The two men, examples of the local officials who would actually execute such programs, told me that plans are ready for many of these kinds of projects around Southern California. But Congress must approve the projects without pork-barreling. Then plans must wind their way through city halls, county buildings and state capitals. Contracts must be proposed in accordance with many rules, environmental impact reports must be approved, workers hired. And all of this done in the face of entrenched state and local bureaucrats whose first reaction to any new proposal is “Just say no.” Obviously aware of this tendency, Obama warned officials to “use it or lose it.” That means the work will have to be put on a fast track with bureaucratic practices put aside. But even with everyone cooperating, the sheer magnitude of the task threatens to drain all the energy from health care reform. That can’t be allowed to happen. Think of the 1.3 million who have lost their jobs since September. And that number doesn’t include the discouraged who have given up on job hunting. Some who had health insurance at work are eligible for COBRA benefits for 18 months, if their employer hasn’t gone out of business or filed for Chapter 11. If they’re lucky, the newly unemployed, with COBRA, pay the full cost of coverage plus 2 percent for administrative costs. And this is after they have lost their income. Many of these unemployed must also make house payments or pay rent, feed and clothe the kids, keep the electricity on and the car running and take care of all the other necessities. When their COBRA policies expire, they’re left to the cruel reality of the private insurance marketplace. The number of uncovered and minimally covered people will increase. Their ranks will include those who were refused insurance because of pre-existing conditions and the many who cannot afford individual policies. In addition, there are the poor being deprived of care because of state and federal cutbacks in Medicaid and State Children’s Health Insurance. Obama’s plan would make sure everyone was eligible for a private or a public plan, with various provisions to encourage or force employers to chip in. It is, in effect, Medicare for all. Democratic Sen. Max Baucus of Montana, chairman of the Senate Finance Committee, has a plan that resembles Obama’s. That’s a huge plus for health care reform, since his committee must approve the plan. In the House, Democrat Henry Waxman, the new chairman of the Energy and Commerce Committee, is a strong medical care reform supporter. The fight to pass such legislation will take all their combined policy smarts and political clout. Lobbyists will try to shape or kill proposals. Health professionals, health service companies, pharmaceutical concerns and other health-related enterprises were major contributors to House Energy Committee and Commerce Committee members. Health and insurance companies were big donors to members of the Senate Finance Committee, according to the Center for Responsive Politics. Obama will also need Republican support. Despite all this, the Obama team must enact universal health insurance and do it in 2009. The need for everyone to have access to health care is too urgent to be delayed. Previous item: The Best and the Brightest Led America Off a Cliff Next item: Obama Embraces the Military Elsewhere: . CommentsAre you a Truthdig member yet? Login now, or register with Truthdig. Add Your Comment
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A Progressive Journal of News and Opinion. Editor, Robert Scheer. Publisher, Zuade Kaufman.
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By KDelphi, December 13, 2008 at 9:22 pm #
If the idea is just more “poor pools”—just leave it the f*ck alone! HR 676 is, I guess, for more civilized countries. We just cannot doo single payer—-we dont care about each other enough.
Many here have been treated in/lived in countres with single payer. If the Dems dont do it when they have have all 3 checks, they can go straight to hell…I cannot think of a single reason for a progressive to be a Demn anymore.
It is a human right. Sen. Obama said we would all “get a chance to get the same care as Congress”—what, are he and Daschle and Co. going to go on Medicaid? Or, when will we get single payer?
Or, did he just lie?
Report thisBy Blackspeare, December 12, 2008 at 1:10 pm #
The way to solve the health insurance problem is to treated it like other insurance policies where there is a pay out limit. That way insurance would be affordable——you get what you can afford and when you run out either you pay out-of-pocket or go into bankruptcy and then onto medicaid. With an upper limit to pay out people would be more selective in their medical treatment.
Report thisBy jr., December 11, 2008 at 8:18 pm #
(Unregistered commenter)
The “use it or lose it” policy regarding government spending has always been law and is nothing new. Regarding universal health care, i wouldn’t be so against it if persons had the choice to “opt out”. For whatever reasons, i.e., religious, personal reasons, it really shouldn’t have to be justified, however, when budgets are dependent on a use it or lose it policy, on a certain number of persons being taken in to use it, and on dollars being set aside specifically for those who supposedly want health care, it would come to be within that agency’s benefit to ingnore a individual’s request to not be practiced on by the medical establishment simply in order to meet a budget and would be a cauldron of corruption just waiting to happen. Until this issue is addressed the matter of universal health care will always get a resounding NO! from this one.
Report thisBy dihey, December 10, 2008 at 6:02 pm #
Economic and Financial troubles are NOT fig leafs to cover the nakedness of Obama’s proposed health insurance policy!
Report thisBy George, December 10, 2008 at 9:12 am #
(Unregistered commenter)
GREAT comments here…and we must NOT buy the meme/lie that the fiscal crisis means not addressing healthcare.
NONSENSE!
Nearly half of bankruptcies are due to healthcare costs. How many foreclosures are? Much of the highly touted $72/hour of auto workers—healthcare costs. 47 million of us (me included)have no insurance—while many others that do get SCREWED when they need it.
Healthcare coverage is PAID for (see above). Healthcare coverage for all alleviates an enormous set of economic strains. HEALTHCARE IS A MAJOR PIECE OF THE SOLUTION TO THE FISCAL CRISIS.
Not giving hundreds billions MORE to lying, inept, thieving bankers.
If Obama fails to do this—well, he’ll be one of the biggest supporters of racism in U.S. history—since the healthcare problems we face are profoundly racist.
Healthcare is a right.
Report thisBy Big B, December 9, 2008 at 11:20 pm #
Our lack of a system of socialized medicine speaks volumes of us as a people and a nation.
We are a cruel and uncaring lot, so stuck on our lifestyles of keeping up with the Jones’s that we gleefully look the other way as our neihbors children and grandparents cannot afford to go to doctors.
If we are not all willing to row together, the american experiment is doomed. Instead of looking at capitalism as a tool, we have prayed to it like a demigod. Now the selfishness that accompanies the free market is eating away at our national soul like some socio-economic malignancy. We have rode this gravy train until the bisquit wheels wore off. If we do not institute a sweeping social welfare system soon, it will be too late, and the dream of america will whither and die.
Then again, that just might be the catalist for change we so desperatly need.
Report thisBy yellowbird2525, December 9, 2008 at 7:05 pm #
The #1 solution to the health problems today: do away with all the Corporations that rule with & run the politicians in this country. The poison in the toothpaste did NOT come from China: it is in everything that is put into the items people buy in the USA today: simple, fast, effective, efficent; do away with the FDA who is in coherts with the criminals who are lawbreakers who claim to be lawmakers: LOOK at Iceland, Denmark, England, Japan, country after country GOVERNS by social need; NOT by individual & Corp GREED; Pharma’s get 600,000 xs the cost of meds; politicians get their fair share & more of it; YET: the PEOPLE pay Corps taxes now? They, the people, who were NEVER meant to pay taxes at all but the PROFITS from REGULATED BUSINESSES were to pay for all roads, schools, etc; SEE how the same folks who ran the plantations BOUGHT OUT the polical (supposedly) 2 groups? And as 1 senator said: it is run just like a plantation; where the SOLE PURPOSE of the “slaves” is to make THEM RICH! And they do it by taking the health, taking their wealth, & always claiming “we have no $” because it has been able to deceive the people for years. THIS is NOT a “force for good” which was fabricated BS set up to “fool” the people. The it is either THIS corrupt & criminal way of doing things they claim is “freedom” or COMMUNISM; WRONG: the deliberate harmful acts & violence (deliberately harming & killing millions for profit) is violence in my opinion; check out the # of infant deaths related to the use of formaldehyde in THIS nation for decades! #1.; by POLITICAL PARTIES for THEIR OWN AGENDA on citizens who do not morally deserve it is THIER definition of terrorism. THEY are the very ones responsible for all of it folks; & it is going to get a great deal worse not better.
Report thisBy konnie, December 9, 2008 at 6:59 pm #
(Unregistered commenter)
#1 switch the BIG 3 employees/retirees to medicare.
#2 include all the newly unemployed in medicare.
#3 change the age rule from 65 to 62, so the folks
who want to retire but can’t because of the lack of
health insurance, can do so - FREEING UP THOUSANDS
OF JOBS.
#4 change medicare rules to include bargaining for better prices and reimbursements.
this could be the short term fix, while we are waiting to the real thing.
Report thisBy Jim C, December 9, 2008 at 6:57 pm #
Well , it seems everyone here is on board for single payer health insurance , so now what ? The ( gag ) healthcare insurance industry is going to be lobbying hard and spending money like water buying politicians to make sure it doesn’t happen . Obama’s plan isn’t even close to single payer and nothing is even being discussed that would cut out the middle men who syphon off more than 30% of healthcare dollars for profit and overhead . Any suggestions anyone ? Oh , Felicity , we’re not 35th anymore , we’re now 37th , right behind Columbia , we’re now two spots behind Peru .
Report thisBy lichen, December 9, 2008 at 6:20 pm #
HR676 single payer is medicare for all; Obama’s plan is NOT. We need to axe the insurance corporations, keep the employers out of it, and institute it alongside a truly progressive tax model that will be fully enforced (and won’t have millions of loopholes for the rich.)
Report thisBy TAO Walker, December 9, 2008 at 5:55 pm #
Anybody else see an “echo” of what’s going-on here these days (with all the “market turmoil” and “frozen credit” and “unemployment” and “mortgage foreclosures” and “two wars” and “global warming” and media-made crisis-upon-crises, on-and-on, ad nauseum) with the meant-to-be “perfect storm” of discomfort and terror Ed Harris’ character brought-down upon Truman’s head when that Holy Fool finally made a break for freedom from his life-long inmate-hood? As the rule-of-fear breaks-down, those who want to keep ruling by fear are pulling-out all the stops, in a desperate and vain attempt to prevent their Human captives from escaping the confinement that’s been so “profitable” for the few….and so devastating to the very Humanity (not even to mention the lives) of the many.
Is it just this old Savage, or does it strike others here as utterly insane to expect that a “system” of ruthless exploitation that is itself the orgnically functional equivalent of a “global” disease (it’s owner/operators prefer it to be called “civilization”) can somehow be made to produce healthy “individuals” (themselves a “sub-species” already badly deformed at-birth, and horribly handicapped for-life….without Medicine not available to them within the confines of their “benign”(?) institutionalization)? Anyway, the ubiquitous term “health care” invariably refers almost exclusively to the delivery of medical attention….and the Pandora’s Box of chemical-weapons which that used-to-be “last resort” mainly consists of today.
Granted, it IS a free wild WORLD out here beyond the shrinking razor-wire boundaries of the domesticated peoples’ virtual counterfeit. There are no “guarantees,” no “rights,” no “privileges,” no “entitlements,” no “retirements.” Of course there are no rabidly “competing ideologies,” either, nor any “national security” police-state apparatus. No self-selected (and perpetuated) “ruling-class” will be deciding “what’s best for” the arbitrariuly designated “lower” orders, or forcing compliance with their wishes and whims. Nobody “rations” anything here. Health is not a “commodity.” Neither is knowledge nor anything else essential to our well-being as Living Tiyoshpayes.
Out here there is free wild Humanity abiding within the integrity of our given organic function within the Living Arrangement of our Mother Earth within the Song ‘n’ Dance of Life Herownself. Our Relatives are glad to provide all we need to stay whole and healthy….and all we pay is our precious attention. Yet there are still those among our tame Sisters and Brothers who can’t understand why we refuse to surrender the vital rigors or our Way for the diminishing half-life they are “enjoying” less-and-less theirownselfs these days.
Go figure.
HokaHey!
Report thisBy Alan, December 9, 2008 at 5:08 pm #
(Unregistered commenter)
If all the “this is a real change” stuff is real,
Report thisthen let’s see a prompt prosecution by
the Obama Justice Department of the entire
health insurance industry as a criminal
conspiracy under the RICCO statutes.
By Outraged, December 9, 2008 at 4:11 pm #
Article quote: “With unemployment soaring, the need grows daily for guaranteed health care. But that may not happen in the coming year because of the desperate need to revive the economy and put people to work.”
There isn’t any VALID reason to “back-burner” healthcare. All the necessary components are already there. HR. 676 has been sitting out there forever (or so it seems). All we need is a simple VOTE.
The ONLY naysayers to single-payer are the insurance companies. I think they’ve killed enough people the last couple of decades to once and for all rescind their assassin’s license. Insurance companies ARE desk murders. Make no mistake about it, they construct their glass and metal shrines to conceal and deflect from the flesh and blood cost of their hideous trade. Their advertising eschews a protected condition for you and your family, yet their deeds are in direct opposition to it.
As peddlers of death and suffering insurance companies want your earned as well as your tax dollar to continue to murder your friends, neighbors,fellow citizens and yourself with the simple stroke of the pen or click of the mouse. They like to use the non-threatening terminology “claim denied”, whereas a more realistic phrase would be “suffer or die”. DEMAND SINGLE PAYER.
Single payer is ALREADY PAID FOR. From Nader’s site:
“Studies show that savings from a single-payer system would be more than enough to provide universal coverage for the same amount that we are now paying. In 2001, a federally funded study of single-payer universal health coverage, prepared for the Office of Vermont Health Access by the Lewin Group, found the state could save more than $118 million a year over current medical insurance costs-and still cover every Vermonter.”
http://www.votenader.org/issues/social/healthcare/#66007
“I (Nader) also support a crackdown on billing fraud and abuse – which the Government Accounting Office has estimated costs the nation about 10 percent of our entire healthcare bill – or over $220 billion year.
The health insurance industry, McCain, Clinton and Obama are opposed to single payer. Under our current system, $350 billion a year goes to needless administrative expenses. A single payer system is the only way to recover these wasted billions.
With these savings, we could provide Medicare for all.”
http://www.votenader.org/blog/2008/02/25/its-a-no-brainer/
There are hundreds of groups and millions of Americans supporting single-payer. Check out this list from Healthcare NOW:
http://www.healthcare-now.org/petition/endorse/
Another budget area where Obama could find dollars is the “war fund”. We don’t need these monies to provide healthcare for all. Although these monies would be well spent if reallocated towards the economy. The military-industrial complex is a glaring example of bloated expense and waste of taxpayer dollars needlessly creating more death, suffering and disease. This would easily fund the “economic issues” we face.
The attempt to CLAIM that these issues can’t be dealt with for one reason or another is A LIE. This is just their sleazy way of letting you know that they are not on the side of The People, and is merely a way to project themselves as “concerned” when in fact they haven’t any intent to address these issues in a responsible manner.
DEMAND SINGLE PAYER.
Report thisYou’ve already paid for it, you just didn’t get it.
By uglyfemale, December 9, 2008 at 3:05 pm #
(Unregistered commenter)
Call, email Congress to pass H.R. 676. How to pay for it? Declare “victory” in Iraq and stop wasting $10billion a month. Slash the Pentagon budget by 60%. Rescind the Bush tax cuts for top 1%. Close the faith-bassed initiative, no-child-left-behind schemes.
Report thisBy felicity, December 9, 2008 at 2:15 pm #
Seems to be a concensus here that the insurance business has to be kicked out of the health-care business, and I heartily agree.
As it now stands, this country ranks 35th world-wide in the quality of its health-care. Quality is the operative term here because the myth is - completely nuts - that a health-care system without the intermediary of the insurance business guarantees the death of “the best health-care in the world.”
Report thisBy MikeInMexico, December 9, 2008 at 1:49 pm #
It’s a moral choice. We (in most countries, even Mexico)expect the fire and police departments to be equally available to all. What’s the difference with healthcare? Cost. What is an acceptable price for morality?
Report thisBy Alan, December 9, 2008 at 1:27 pm #
(Unregistered commenter)
We wan’t ta solicit and appreciate the
Report thishealth care suggestions of all of the
American people. (Yes, I’m gonna keep
the leading ‘ta’, I know it’s a Bushism, but
it’s well a transition continuity thing.
Of course I refuse to say ‘nucular’)
Anyway send in all
of your health care suggestions.
We want ta process them all efficiently
and completely. So when Hillary Clinton
is not at the State Department, she will be
in the White House mail room processing
all the health care inquiries.
‘HMOs’, they’re not just for breakfast
anymore! The new and improved
HMO industry, clean coal at work for you!
By Alfie, December 9, 2008 at 12:55 pm #
(Unregistered commenter)
This is true. Because of high unemployment, the US cannot afford health care reform, and when employment is high, the workers don’t need it.
Report thisBy Jim C, December 9, 2008 at 12:53 pm #
How about going all the way to the reagan tax cuts ? That was where the seeds for the current mess were sown . A truely sensable stratagy would be to go back and simply reverse all of reagan and bush policys , especially the tax policy , that would be a good start in getting us back on track . Enjoying the weather KDelphi , a bit damp but at least it’s not freezing .
Report thisBy KDelphi, December 9, 2008 at 11:28 am #
Fund it with the reversing of the Bush tax cuts, and, skip the middle class $1000 bribe.
If we had natl health care, GM would save a third on the cost of every vehicle. Mopre and more people will be being laid off, with more and more pensions and retirements being dropped—-we need universal health care more than ever.
But, I never really expected it to happen. Obama never promised it, and, Daschle doesnt advocate it. Well, Obama proposed it for Illinois…but he got alot of money from the health care industries.
The instrance companies need to go into another line of work, like the war profiteers, making money denying people life. We cannot afford natl care if we keep the insuracnce co profts.
What it boils down to is an attitude—is health care a basic human right (as the UN says), or is it not…if it is, we must do it. We are ridiculously far behind more civiized countries on this. It is past time…
HR 676—what, you think Conyers and Kucinich dont have a “plan”? PDA, PNHP, and, almost all progessive gtroups back it.
If it doesnt cost $850 billion—-we can do it..the question is a matter of desire to do it. That huge “stimulus pkg, the Big 3 bailout, Wall St. bailout”—-everytime I hear that we cannot afford it (bull) I think of these. It is a matter of priorities..until we spend more money saving lives than taking lives…we will have no “change”.
Report thisBy Jim C, December 9, 2008 at 11:23 am #
If ” universal healthcare ” means continuing to allow 30% plus overhead , 1.2 billion dollar saleries to HMO CEO’s such as was paid to the CEO of United healthcare and layers of bureaucrats whose job is to find ways to deny or delay coverage , I say , no way . We need to take the profit out of the system . As long as healthcare is run on the profit motive it won’t work . There needs to be firm limits on executive compensation and overhead . Single payer is the best way , if they won’t go there then there needs to be solid government regulation from top to bottom and everyone should be covered period . Other countries can do it and so can we , but first they need to cut the lobbists out of the picture or nothing will get done .
Report thisBy davidperi, December 9, 2008 at 11:10 am #
I live in a country that has national health care and there is a certain tax percentage that is taking out of personal income to help pay for health care. This brings certain equality for all citizens. It works in a small homogeneous country.
Most countries who have a national health care program have started it already 50-60 yrs ago.
If Obama is looking for a national health care system, how would he fund it? What about the insurance companies? Multiply hard questions that he and whoever heads it will have to solve. The very best to you.
Report this