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Reports

Health Care Reform’s Pulse Is Fading

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Posted on Jun 1, 2009

By Marie Cocco

    So it’s health care overhaul this year—or bust. If this is the bet, right now I’d put my money on bust.

    President Obama’s urgency in trying to bring rationality to the broken health insurance system is understandable. Few Americans are blind to the necessity for quick action. But the trouble with the way health care 2.0 is starting to play out is that it is looking an awful lot like the original. Obama has determinedly avoided a commitment to anything resembling his own proposal. This is because the White House has concluded that Hillary Clinton’s 1994 health care revision effort failed because it was sent to Capitol Hill as diktat.

    That’s a distortion, but it has become part of Washington political lore, and so the media and every succeeding administration, I suppose, must buy into it.

    But substantively, the trouble the new health insurance reform effort confronts now is the elemental difficulty confronted then: There is easy agreement on what’s wrong with the current system but there is no consensus on how to fix it. Let alone on paying for whatever the “fix” is.

    Not even Ted Kennedy, the Democrats’ elder statesman on health care, is moving boldly where he has gone before. He has outlined only the barest essentials for a health insurance bill—an outline that happens to include developing a public insurance option for those unable to purchase private insurance. A number of Senate Democrats—not to mention just about all Republicans—recoil at this idea, saying such a plan would compete “unfairly” with the private insurance industry. That is, a public plan would quite possibly be cheaper, more efficient to administer, and provide people with the sort of reliable and reasonably priced insurance that Medicare has long provided for the elderly. In other words, the public might find out that government-sponsored insurance works better than the corporate product.

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    Even among Democrats, so wide is the initial divide on this point that Kennedy and Sen. Max Baucus of Montana, who chairs the Senate Finance Committee and thus has a pivotal role to play in writing a health bill—and deciding on tax legislation to pay for it—were compelled to issue a joint statement on Saturday vowing to produce two health measures that are “similar and complementary.” We’ll find out what that means later.

    Even if a public plan were created, we would then have a big legislative fight over what is included in the “basic” package of benefits to be offered. The most incendiary point would involve women’s reproductive health care—the mere mention of which sends anti-abortion activists into a frenzy. Many of them consider “reproductive health care” to be code words for abortion or routine birth control, which a vocal faction of the anti-abortion movement also opposes. This argument would necessarily take place as the earth settles over the grave of Dr. George Tiller, who was murdered at his church in Kansas on Sunday morning after decades of being targeted by anti-abortion extremists.

    Even without an abortion imbroglio, wrangling over the makeup of the basic benefit would be a full-employment program for lobbyists. Should vision and dental care, which often are provided at a supplemental cost for those who now receive insurance through employers, be part of it? What about end-of-life care, the costliest medical service of all and one that many experts say needs to be curtailed if the United States is ever going to slow the rapid escalation in health costs?

    And speaking of experts, they tend to disagree with average Americans (otherwise known as voters) on what’s wrong with the system. Kaiser Family Foundation President Drew Altman has analyzed this divergence in a spot-on account of polling data posted on the organization’s Web site. One example: Experts say that as much as 30 percent of current care given to patients is “unnecessary.” But 67 percent of the public says Americans don’t get the tests and treatments they need, and only 16 percent believes that they themselves have received unnecessary care.

    And we haven’t even gotten to the conundrum of how to pay for whatever revisions are put in place—another full-employment program for lobbyists, with bonuses.

    Congress has roughly five months of work time left during this calendar year.

    Obama’s “fierce urgency of now” was a compelling campaign sound bite. But it competes, now, with the subtle yet audible sounds of stalemate.

    Marie Cocco’s e-mail address is mariecocco(at)washpost.com.

    © 2009, Washington Post Writers Group


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By KDelphi, June 8 at 12:35 pm #

Anar—You are probably correct, on the facts, historical and present, but, it is still unjust and immoral.

I cannot just say “oh well, its not gonna happen”—every decision I make in my life is controlled by my having to rely on this system. The only way out is to die. I’m not ready to do that yet, and, even if I werre, I would still be thinking of all the other people I know who go without needed health care.

A historical recitation of how unjust the US is is a little lost on me, dont you think?

When was the last time you needed life-saving medical care and were denied, because of a lack of money? If never, you really shouldnt be deciding for others.

Just dont use health care yourself. And, if you want it to stay the same, no sweat. It is what we’ll get anyway.

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By Anarcissie, June 8 at 9:33 am #

In regard to national health care or insurance, Europe and the U.S. bring somewhat different historical experiences.  In the 19th and early 20th century, Europe has a much stronger and more overt class system than the U.S. did.  This made it possible to organize unions and socialist parties and movements.  (And also fascist movements.)  As a result the ruling classes, for example Bismarck, came to the conclusion that it would be best to have a lot of social welfare, including the provision of medical insurance and care, to defuse these movements.

In the U.S., the class system was weak and permeable, so the more aggressive and talented individuals could move up classwise, and in any case the classes were not as distinct as in Europe.  As a result people in the U.S. tend to think of themselves individualistically rather than to develop any sort of class consciousness.  The ruling class actually run into trouble with working- and middle-class people if they provide social welfare, since these classes perceive (correctly) that they are the ones who will pay for it, whereas they may not be the beneficiaries. 

In the case of medical insurance, and now increasingly with medical care as well, large corporations have emerged to fill the niche.  They now control about 15% of the GDP.  They are owned and operated by the same kind of people who own and operate the political parties and the government, as well as other large corporations and important institutions.  They are not going to give up their privileges and profits without a struggle.  Right now, as events during the Clinton regime showed, they can easily defeat a frontal attack.

In any case, those who promote Single Payer, instead of advertising their cause as likely to provide better medical care at less cost for the middle and working classes, often present it as an improved Welfare program for poor people which they moralize about.  This makes it much easier to attack politically.  But moralization, begging for justice instead of demanding power, becomes a habit of mind once one submits to authority.

As I see it, those are the facts.  Events can always surprise us, but I think it is likely you will wait a long, long time for Single-Payer, and that if it does emerge, it will be structured in such a way as to privilege those who are already privileged—the basic function of the state in the first place.

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By KDelphi, June 7 at 6:40 pm #

Anar—I agree, but, I am not looking to corporations—I think our entire health care needs to be revamped. It shouldnt be a corporation (s) and doctors should learn to live on a sustainable salary.

In the meantime,I’d like to lose fewer family members and friends.

I can give plenty of examples where there are natl plans that work—-where—what country, uses health care co-ops that work?  I think that life or death issues should skip ideology and so that enough peoel can live to “form co-ops”.

I am not against them—they are just not presently useful for a country where at least 50 million have little or no care at all. Sure would have to be alot of co-ops, really fast.

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By Anarcissie, June 7 at 5:48 pm #

Most people can’t go to co-ops because there are hardly any co-ops.  There are hardly any co-ops because people keep looking to the leaders of great corporations and the government to provide them with what they need.  But the leaders are unlikely to do this, because they’re already getting what they want—the belief that they are necessary and must be supported and obeyed.

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By KDelphi, June 7 at 4:39 pm #

Whichc just goes to show how indoctrinated we ALL are—-by cash, I mean credit card, of course, which means two bankruptcies in my family.

Free to die with your rights on…

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By KDelphi, June 7 at 4:27 pm #

Most who do not support a natl health care plan have never had a catastrophic accident or illness in their family that they could not afford to pay for.

Everyone in the world thinks that it is a good idea. People are free to refuse medical coverage and go to co-ops if they wish.

And, as always, there is nothing—absolutely nothing—that, if you have money, you cannot BUY in the uS.

I would never wait for Capitalism to work, if I had my choice, we would not be a Capitalist country, as you must know by now. But, it would be nice if my sister didnt have to pay cash for her chemo.

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By Textynn, June 6 at 10:46 pm #

Kdelphi we must not allow them to feed us with crumbs. We will take this country back if people out there start growing a pair. Look what the medical insurance industry was able to shove down our throats. I think we better grab their hands off us and shove back.  Being sick and suffering and having to go through the abuse that the Medical insurance industry is famous for has made a lot of people ready to throw down and Im one of them.

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By Anarcissie, June 6 at 12:00 am #

KDelphi”
‘Every civilized country on earth offers some type of natl health care.

People will die waiting for co-ops.’

Evidently they’ll die waiting for capitalists a lot longer.

But, what can I say?  Keep begging our great leaders for crumbs and maybe they’ll let a few fall off the table.

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By KDelphi, June 5 at 7:13 pm #

Every civilized country on earth offers some type of natl health care.

People will die waiting for co-ops.

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By rjf7r, June 5 at 12:29 pm #

Didn’t we already try HMOs—which seemed like a great idea when they started—but didn’t they change into insurance companies?

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By Anarcissie, June 5 at 12:26 pm #

rjf7r:
‘The Insurance Companies will insist on maintaining or even growing their business.  There is no way we can fight the Insurance Companies. ...’

You can’t win in a direct confrontation.  What you can do is interest yourselves, your friends, your relatives and your neighbors in alternative institutions like cooperative medical insurance plans and HMOs.  When enough people are interested, you can start them up.  When there are enough of them around they will naturally cohere into large, powerful cooperative organizations.

Don’t expect to get this from our great leaders, however.  Great-leadership is what we’ve got now.

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By rjf7r, June 4 at 8:28 am #

The Insurance Companies will insist on maintaining or even growing their business.  There is no way we can fight the Insurance Companies.  That is why we need to pay them a huge subsidy just to get them to stay out of the way of health care.

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By StanW, June 4 at 8:16 am #
(Unregistered commenter)

To herewegoagain, I am sure you are correct that malpractice (direct costs) are about 2%.  But, the reason for the big demand for high tech. tests, etc., has more to do with the “fear” of malpractice lawsuits than public demand.  Yes, as “wonderful” high tech treatments and overpriced drugs are advertised (at huge COSTS which must be ultimately paid for by US), the public will DEMAND these things.  However, it is ultimately the responsibility of the doctor to decide if such treatments are actually appropriate!  If you have good insurance, it’s appropriate!!!  The doctor won’t get sued, insurance will PAY (then raise premiums) and the patient is happy when the results come back negative!  We have a serious shortage of General Practice Doctors in this country.  Why?  They are easy to blame and easy to sue!  More and more competent GPs are refusing insurance and demanding “membership” plans.  They require a “retainer” to remain your GP (GPs are becoming more like lawyers!).  Fewer medical students go into General Practice.  This means less preventative medicine is available.  Specialist doctors get paid much more and are much more difficult to sue since they practice only their specialty and can perform very well.  The GP is most at risk, and CANNOT say “no” to demands for exotic treatments!  Another reason you get GP examinations by Nurse Practicianers now instead of real doctors!  A Nurse can fill out forms for exotic tests and treatments just like a doctor, and is harder to sue. 

Yes, this is only one tiny part of what’s wrong in American health care.  Almost every aspect of our “system” has evolved into the current mess we have.  We need a totally new system!  We won’t get it (yet) because our reform is being drafted by POLITICIANS!  (Most of whom are lawyers!).  Our politicians are ALL corrupted by lobbyists and have no real clue what real people endure.  We need to get politics, lobbyists, lawyers and insurance companies out of the health care business.  Health care for all is achievable but “politicians” are totally unqualified to devise a new system.  We need a commission of intelligent people, protected by law from lobbyists, to study this mess - seriously and in great depth - to rewrite and reinvent health care in America. There is no quick fix!  Our system is much too convoluted and corrupt!  Any quick fix will only add to the mess we have, it won’t solve anything!

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By Textynn, June 4 at 12:22 am #

This Trigger idea is hilarious if you ask me.  Wait until middle class folk find out what qualifying for a some kind a Trigger means. IT’s gonna mean you have to be pretty much INDIGENT. Po folk call that WELFARE. To qualify you can’t own anything and if you have anything you have to liquidate to nothing before you’re eligible. Except if you own your home. If you do, the state puts a lean on it and when you die they usually take it. Your children won’t inherit even if they live in that house and even if they need it.. 

Maybe that’s fair. OR Maybe It not

However fair or not, it is just the old welfare system being dolled up for the Nouveau-Poor, formally known as the middle class.  Yep they won’t let you die on the street, but they will take everything in trade that you’ve got left, How else are you gonna BUY-IN if you’re not making a living wage, you’re to sick to work, etc?  If you’re like most people in the lower and middle classes you will find that employee provided benefits is like the promise of the afterlife. Someday maybe if you’re good enough, and smart enough, and work hard enough and don’t make any big mistakes before you get there you’ll have it too.

The Trigger is a desperate attempt to pacify people into accepting more of the same and indoctrinating the increasing large pool of losers who find that they just can ‘t cover all their basic bills and have health care too into the wonderful world of Welfare.  Welfare medical is provided by the government through the Medical Insurance Industry as Providers. The same people still get rich and everything stays the same. Obama can squeeze by saying he fulfilled his promise and the rich have a huge pool of desperate worker bees trying to pay enormous health care costs so they can own something and give something to their kids. Nothings really changes.

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By tropicgirl, June 3 at 1:17 pm #

Here’s a pretty up to the moment report on public option. Beware of the “trigger” public option.

I also would be careful of even the words. “public option.” Its been said by single-payer supporters that this public option, even though touted by the likes of Howard Dean, would be a less-than-satisfactory plan, basically inferior, and for poor people, that would self-destruct.

I would only trust the terminology, “single-payer.”

Remember, its the Democrats that are trying to kill it. Forget about the Republicans, thats old news.

Here is the link:

http://digbysblog.blogspot.com/2009/06/supporting-public-plan-by-digby-i-was.html

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By tropicgirl, June 3 at 12:44 pm #

To K Delphi—

“I had not heard about the “going to so-called licensed practitioners” plan—do you have a link?”

This was a caller to the Ed Show on the radio during the day (usually noon depending upon which station you tune into on the net). It was an RN who knew firsthand. She also mentioned that a fellow RN was pulled out of an emergency room to be fired. You hear a lot of good stuff during the day on the Ed show regarding single-payer. He’s a lot more forceful on radio about it.

The real battle has nothing to do with Republicans. There is a fierce battle between single payer proponents and the entirety of congress. Obama’s plan, I believe, is failing because of this. The single payer people, I believe, are killing it and scaring off anyone else who may want to support this ridiculous excuse for a plan.

Another interesting thing, it was admitted on the Ed show last night on television that expanded Medicare is the CHEAPEST, MOST ECONOMICAL way to go BY FAR. Just keep saying that.

Bammy may try to throw a trillion dollars at something that won’t work, nothing new for him. I don’t think he will end up doing anything. But we must keep the pressure on that it WON"T WORK.

I believe blogger here, jpinsatx, has the entire plan summaried. The one that WILL WORK. Good job.

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By rjf7r, June 3 at 10:59 am #

And even if you CAN afford health insurance, that doesn’t mean that you will get the medical care that you need!

The worst thing about the health care debate in the US is the assumption that if you have insurance, then you have what you need.  All it really means is that you have insurance.

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By Shift, June 3 at 9:56 am #

C’mon, you didn’t really believe that a lying President, a money hungry Congress, and a media owned by the rich would give you health care reform did you?
The message is crystal clear, “if you cannot afford health insurance then just die!”

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By herewegoagain, June 3 at 1:37 am #
(Unregistered commenter)

stanw, you’re wrong about medical malpractice lawsuits being the chief cause of skyrocketing healthcare costs. Malpractice expenditures account for less than 2% of overall health spending in this country.

Simply put, there’s a high demand by a huge population for all the lifesaving and health improving technologies available today. Pharmaceuticals are one such factor, and I do agree with your statements there. By the way, we became a nation of pill poppers soon after restrictions were lifted on pharmaceutical advertising. I recently read that approx. 51% of Americans are now on some sort of prescription drug.

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By SINGLE PAYER, June 3 at 1:18 am #
(Unregistered commenter)

Hawkeye is correct, it best to cut out the big health care insurance and start over. For once, I am with Sen. Ted Kennedy.

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By Joe King, June 2 at 11:47 pm #
(Unregistered commenter)

First seek to understand; then take real action.

Watch the Michael Moore Healthcare Documentary:
Sicko: http://topdocumentaryfilms.com/sicko/

PBS Bill Moyers Journal on the Healthcare debate
http://www.pbs.org/moyers/journal/05222009/watch.html

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By david middelstetter, June 2 at 10:57 pm #
(Unregistered commenter)

America’s ruling class just isn’t going to let all citizens have health care- or jobs, retirement, vacations, education, etc. Over these past sixty years, the Pentagon got trillions of dollars to protect our “way of life.” Imagine if even a portion of that money had been spent on social benefits for our citizens. Obama and his Democrats are con-artists just like the Reagan/Bush/Limbaugh Republicans. I am ashamed to say that I fell for it and Democrat in 2008. At least in 2000 I voted Nader and in 2004 I sat out the election because I knew neither Republican nor Democrat will ever help the majority of Americans. For example, witness the recently passed and laughably titled “credit card reform” bill. I agree with Herewegoagain… “we’ve been had.” Amen.

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By Hawkeye, June 2 at 10:25 pm #

REF: StanW

So very true.
We dogs and lackeys always go to the end of the line as the well-connected step ahead in the line.

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By Anarcissie, June 2 at 9:03 pm #

Well, I’ve suggested something ordinary people might be able to do.  I think we can observe what effect voting for Democrats, posting passionate message in leftist blogs, and calling the rich and powerful bad names, has had—or rather we can’t observe it, because it’s zero.  But you all still pine away for the good king who will make everything right, so what can I say?

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By StanW, June 2 at 8:53 pm #
(Unregistered commenter)

Why is it that no one talks about the “real” sources of our health care mess?  Our “system” started going to hell when lawyers discovered the riches to be had in malpractice lawsuits.  The insurance companies then discovered the riches in writing malpractice insurance!  Doctors should be disciplined by the “licensing” agency, not by lawyers!!!  But the AMA won’t discipline their own!  Doctors and hospitals should be exempt from lawsuits, BUT closely disciplined by someone with guts!  All this malpractice fear has lead to many other problems.  Who are the most sponsors of network evening news programs?  Watch!  DRUG companies!  Why?  Drug companies heavily advertise their newest and most expensive (but questionably useful) treatments on the air time watched by older, insured and scared people!  Drug companies know they can convince their ad viewers to run to their doctors and “demand” these new drugs.  The doctors, afraid of being sued, write prescriptions just to please their patients, and to avoid being dragged into court for malpractice!  Of course, drugs cost much more here in the USA than anywhere else in the world, any wonder why?  We have become a nation of “pill poppers”.  We have been lead to believe that we can behave however we please, then get a “pill” to fix our problem.  We are so over drugged that our water supplies are contaminated by passed through drugs.  And, our kids raid the medicine cabinet for their latest thrill.  What’s wrong with medical care in this country???  Lawyers!!!!!  Oh, I forget, our politicians are mostly lawyers!  Good luck!!!!

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By Big B, June 2 at 8:04 pm #

Let’s face it, americans do not share the same sense of community and national responsibility that the nations of Europe and Japan do. We have chosen, as a people, to value personal freedoms above and beyond any reasonable civic responsibilities. We use our freedom of choice to make war against our brothers, keep our neihbors children starving, to torture people.(I did indeed steal the first part of that from Planet of the Apes) Now it has become plainly obvious that 50 million uninsured and nearly that many underinsured are just not enough to make us selfish americans give enough of a shit to demand change in the system.

It has become my unfortunate realization that a major change in our healthcare system will only occure after great violence and tribulation. It’s tha only thing we dumbassed americans seem to understand. We have become a mediocre people, unable to live up to our creed.

The people of other “civilized” nations have figured out that if they don’t all row together, they will al sink by themselves. Yet americans call that socialism.

We can be such a pathetic people.

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By Hawkeye, June 2 at 7:16 pm #

REF: RJF7R

Thanks for the handy plain, unadorned definition of corporate fascism. It seems what we now have is a system in flux.

We “subjects” are caught in the middle of this war in Mordor on the Potomic. Damn!

I hope “we” prevail in this current battle regarding healthcare. Existing healthcare is Sicko.

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By rjf7r, June 2 at 5:12 pm #

I can see how one might see superficial similarities between “socialism” and “fascism”, but the difference (at least for “democratic socialism”) is where the people fit in.  In democratic socialism, the government represents the people and runs (some, not necessarily all) businesses.  In fascism, the corporations run the government, and the people are merely subjects.

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By KDelphi, June 2 at 4:59 pm #

hippie4ever—thanks, I will try.

I had actually considered the word “fascist”...but assumed someone here would say, “that is when corporations and govt are intermingled, so that is the same as socialism” blahblahblah

lol

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By hippie4ever, June 2 at 4:20 pm #

KDelphi, we are in agreement about Lin and the viability of singlepayer.

You wrote, “I cant believe that, all these years later, we are still arguing this settled issue.”

I could argue that about any issue of importance in the U.S., including prison reform, public education, legal cannabis, public transit, conservation, environmental degradation and ways to reverse it…

I’ve been a progressive for over 40 years now (Yikes!!!) and believe the reasons for this moribound society are both systemic and cultural. The Founding Fathers did build in many checks and balances which make significant change difficult. Hardly a coincidence that these phony revolutionaries wanted to keep strict control of the few over the masses. And when all is said, and despite great immigration, this remains a very Anglo and traditional country, and unwilling to stand up to the powers that be. Anglos prefer to whine and suffer rather than to take direct action. They want others to do this for them, for free of course, and afterwards pretend it was all their doing. (ex: the American Labour Movement)

And not to split hairs, but isn’t a capitalist dictatorship, politically, a fascist state? (When the government is totally controlled by big business)

Or maybe it’s a fascist plutocracy? But Obama’s not so much a dictator as a figurehead running scared. (Reminds me of a TV show popular when I was a kid: “Queen for a Day.” The prettiest, best-spoken and youngest candidate won the prize.
Change the gender & it’s our presidential election.

Keep the faith, KDelphi.

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By G.Anderson, June 2 at 3:46 pm #

It’s the same battle over and over again. The corporations, versus the people.

Although it looks the corporations have been winning, they are really losing, because they are going under.

And maybe that’s what it will take, the total and complete faiure of America’s corporate structure.

Maybe the Republican’s and right wingers will see that coming and put through a decoy plan before the end.

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By KDelphi, June 2 at 3:28 pm #

Her is how the “Massachusetts plan” (better called Romney’s plan) “works”

http://www.boston.com/bostonglobe/editorial_opinion/oped/articles/2009/03/02/mass_healthcare_reform_is_failing_us/

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By KDelphi, June 2 at 3:21 pm #

tropicgirl—Good post! I will watch Ed tonight—I remember him as GOP ‘Dutch ” Schultz, but, if he is as you say, now,he is worth a look-see. The Brian Williams “special” tonight (auugh, every night)on Obama in the White House (gasp!! sigh..)will be pure cheese…I cannot bear to watch it.

Will someone please tell the MSM that most of the people, almost all “progressives” are “so over Obama”??

I had not heard about the “going to so-called licensed practitioners” plan—do you have a link?

That is why, as I’ve said in the past, if THIS is the best they can do, they shoudl just leave it alone!! NO one (except the industry) is interested in a giant gift to the industry anymore!

Got it Obama?? Ok, try this—

HEALTH CARE IS A HUMAN RIGHT! No one asked to be born. NO one asks to get sick (if they do, they need to see someone about it—-and, yes, we should pay for it)! Most do not ask to be laid off..

WHY isnt anyone discussing one of the main reasons GM went bankrupt?? NO ONE is discussing the pains of the working and lower income classes—no one.

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By jpinsatx, June 2 at 2:48 pm #

Hmmm… Health Care for ALL Americans is Simple!

1) MERGE Medicare, Medicaid and CHIPS into one single “Income Based” system for children, poor and elderly citizens.

2) REQUIRE insurance companies to provide the same basic coverage for EVERY Uninsured citizen, regardless of health status, at affordable rates.

3) ALLOW insurance companies to “Profit” by offering additional benefits and options to those who qualify and are willing to pay the difference.

As for Funding…

1) Changing from an “Emergency Treatment” to a “Preventive Care” system will save local communities billions, maybe even trillions of taxpayer dollars!

2) Consolidating and utilizing existing systems will expedite the process and make administration more efficient and cost effective!

3) Small business will be able to compete globally and hire additional taxpaying employees!

4) Wealthy seniors will pay their fair share!

The Tremendous Burden on Future Generations will be Greatly Reduced!

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By tropicgirl, June 2 at 2:47 pm #

I wonder if POTUS reads the blogs. I wonder if he knows that people think he is a failure from left to right. Well, I hear he is well insulated from the blogs. Head in the clouds above us all.

All that aside, I think its really all going to hell. You can’t sustain this economy with less that 2-5% growth all the while having 10+% unemployment. This is the most basic of all math that the average person is now catching on to. Its totally, absolutely, positively impossible to grow an economy, especially a sick, bloated one like ours, with this type of unemployment. Impossible. Will never recover.

Today, the GM plan is to send many, many, jobs to China and perhaps other places. Apparently it has been for many years, after they spent years making cars that break so they could, supposedly, sell more or sell more repair. Between the outsourcing, off-shoring, out of control immigration and over-availability of technology visas, the American people do not have a chance.

Its all about taking American jobs away from people.

Part of Horseshack’s, (Obama’s brainiac budget director) plan, according to a caller on the Ed Show today, is this: The RN who was calling said that all the RN’s are going to be replaced with people who have studied some sort of medical course, for a few months. And many, many unqualified people will fall under one RN, whose license and reputation will be on the line for all the unqualified underlings. Its the Mitt Romney scheme for health insurers. Remember, he’s the guy that became famous for buying (or advising) American companies to strip every asset possible from the companies, and dump the rest of what was left, including jobs, into the toilet.

And here’s your wonderful Obama, embracing a Romney scheme. Its an HMO on steroids. Even worse. With high deductibles and taxed benefits. And the likes of a pinhead like Horseshack is going to tell you what procedures are “cost-effective”. This is the most ignorant excuse for a president that I can imagine.

Watch the Ed Show tonight on single payer. It’s become quite a war and there is a bit of news. Ed (like him or not) has been about the only progressive talk show to even cover it. Huffington has turned into a Twitter site, Move-On has abandoned the anti-war effort (no surprise, they were set up by the mainstream money dems anyway), Randi Rhodes and Hartman and Stephanie Miller can’t stop talking about Bush (ugh). Its a disaster.

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By rjf7r, June 2 at 2:36 pm #

To say that “the US just cant do it” (single-payer) is not only silly but a lie to cover the real reason:  we have a huge existing health care payments industry, and our government just won’t take any action that would eliminate that industry.

That is why I have (jokingly?) said that the solution is to treat private insurers as we do farmers: pay them NOT to provide insurance.  That way they keep or even increase their wealth, and the rest of us can have a decent modern health care payments system.

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By KDelphi, June 2 at 2:28 pm #

Anarcissie—I am certainly not one who thinks that Obama is going to save anyone, but, he does have immense popularity right now, and, within the system he could make an enormous difference for people who are dying right now for a lack of health care.

Of course the idea of health care co-ops would be great. But, every civilized country in the world has some type of national health care. To say that the uS just cant do it is silly.

We dont have to wait for revolution for this one simple step. It is not difficult.

Its about money.

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By Anarcissie, June 2 at 2:14 pm #

If you have an industry whose handle is something like 15% of the gross domestic product, I really don’t think you’re going to touch it with monarchical politics of “we’ll elect this great leader or that, and he or she will grant us the good thing from on high.”  15% of the GDP is a lot closer to power than you are.

As I’ve tediously advocated previously, one might get somewhere with some sort of people’s cooperative medical insurance and health services.  When you get tired of waiting for King Godot to come along and serve happy days to you, maybe some of you will interest yourselves in such an idea.  Unfortunately that hasn’t even begun to happen yet.

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By KDelphi, June 2 at 1:59 pm #

hippie4ever—Lin is on the pay or, someone who is very wealthy or has never had a serious illness.
I’ve probably said it here before, but, I was treated in Denmark, (I was in WorkStudy there), Norway, Italy and Canada—all were free, immediate and excellent.

I cant believe that, all these years later, we are still arguing this settled issue.

Until USAns see health care as a human right (as well, as all the necessities of life), we will live in a Capitalist Dictatorship.

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By KDelphi, June 2 at 1:54 pm #

Lin: Correction—they have national health care plans, NOT ‘insurance”. If you want “stronger points” go to the links. They are doctors and nurses who let a medical social worker in once and awhile.

I would be happy with Germany’s plan. YOu know the point I was making. Youre just splitting hairs.

ocjim—If Pres. Obama wanted single payer health care, we would be getting it. In 2003, he said that, what we needed was “both houses of Congress and the presidency”. Well, we have it—where is the single payer??  (Answer—he’s been bought)

He is so popular right now, that, he could declare just about anything, and, his “
leadership” (ie popularity) would carry the day. All both parties are thinkig about is money.

I have been treated under single payer nationalized heatlh care. It works. But, the industry is counting on people being fooled into not believing it.

Wait until you get a giant medical bill. Then, it will be too late.

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By Bob F, June 2 at 1:52 pm #
(Unregistered commenter)

Perhaps the number one thing I want to see fixed in our medical financing system is the large number of medical bankruptcies, many if not most of which started out with insurance coverage!  Can’t we at least fix that?

Of course, one of the problems with fixing that particular problem is that we have the “insurance paradigm”—you pay into a pool maintained by an insurer, and benefits are paid from that pool, and as a consequence there must be a limit to how much you can draw.  Insurance has limits; certainly if it is private insurance.

The insurance paradigm isn’t limited just to health care.  Social Security appears to be held to that paradigm as well.  Social Security has a trust fund, and everybody talks as if, once that fund is exhausted, benefits must stop.  We certainly don’t want the disabled and retirees to receive money from the general fund, heavens no!

Of course, Medicare is subject to the “insurance paradigm” as well.  The push for cost containment is driven by a perceived need to keep Medicare payouts within its trust fund.

On the other hand, other areas of government expenditure are not held to the “insurance paradigm”.  We don’t insist that our wars are paid out of some sort of “trust fund”. We don’t talk about curtailing war-making because some fund is going to run out. You never hear talk such as “We’ve reached the war-making limit for this fiscal year, so we will turn to diplomacy.” Yet we threaten that medical care will stop if the funds run out. Why is that?

Last fall we had a number of financial mega-institutions come to the government and demand, in effect, insurance for their losses to the tune of hundreds of billions of dollars.  They didn’t even have any policy or coverage—there certainly wasn’t any fund to pay such coverage—and yet their claims were paid!

Why does our nation accept some demands upon its resources regardless of available funds, yet others—sick people in particular—are turned away or told “you should have anticipated this”?

I think that when we accept the “insurance paradigm” for programs such as Social Security and Medicare, we have lost half the battle against privatized funding, because we are ignoring one of the chief differences between government funding and private funding.

Could we take a cue from how we deal with agricultural overproduction?  Since it is clear that we can’t do away with the private health insurance companies, can we pay them some hefty fees NOT to provide health insurance,  as long as they leave us alone and we have a good public health care funding program?  They really don’t care about their clerks and forms and stuff, so as long as the government gives them enough money to pay their executive salaries and some return to shareholders, that should be enough, right?  We could then simplify the rest of health care funding with a single-payer system and use the savings to pay their subsidy.

If we can pay corporate farmers not to farm, we certainly can pay insurance companies not to complicate health care.

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By hippie4ever, June 2 at 1:49 pm #

Lin wrote, “in your list of countries that have single payer health care (or at least you seem to be implying that they do). They do not. Neither do the Netherlands, Switzerland, Austria, Belgium, France, etc.”

No, you are wrong. I lived in France and had to join their singlepayer system, L’Assurance Maladie. It covered 85% of costs (which were greatly reduced because hospitals were not run for profit & doctors were not multimillionaires).

L’Assurance Maladie also paid for my OTC, including shampoo, aspirin, antihistimines, etc.

People who wish to can buy supplemental insurance to cover the 15% uncovered by national health. It was dirt cheap—about $35 a month. L’Assurance Maladie cost me about $80/month.

Compare that, Lin, to what I pay at Kaiser Permanente for catastrophic coverage. I pay everything (they cover nothing) until I reach a $5,000 per annum out-of-pocket: then it kicks in and for this “health care” I pay nearly $300 per month (more than triple what I paid in France!!!).
For basically nothing unless I have a heart attack, cancer or other grave illness.

Oh yes, the hospitals in France are clean; in this country many are filthy. When my mother was recovering from knee surgery she was in hospital for over a week. The room has 3 other women, the bathroom was always filthy, the floor was never mopped. The women took turns spot cleaning the bath.

Lin, you are uninformed or in the pay of the insurance industry. Which is it?

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By herewegoagain, June 2 at 1:48 pm #
(Unregistered commenter)

ocjim writes: “Right-wing propaganda will assure more polarization of Americans, continuing ugly and baseless arguments against reform, and paid-for gains by powerful lobbyists of the health care industry.”

Rightwing forces won’t stop healthcare reform. Democrat political corruption will. How else can we explain why they, including Obama, are becoming ever more vague on the topic?

It is not a polarizing issue. The public is firmly in the camp of universal coverage. The public decisively voted for Democrats in the last campaign, and one of the Democrats’ main campaign platforms was universal healthcare. Yet “public option” has all but disappeared from their talking points.

We’ve been had. Again.

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By Blackspeare, June 2 at 1:02 pm #

The single payer health care option is up against some very powerful forces, the insurances companies, the AMA, and the drug industry.  A single payer system would adversely affect their profits.  The American political system has let the capitalistic medical genie is out of the bottle and it has become to big to put back in!  The American populace will soon be victim to another Medicare D plan with whatever name they give it and I can’t wait to see the “doughnut hole” this time.  But not to worry there will other insurance available, albeit at a cost, to cover the “hole.”

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By bcc, June 2 at 12:23 pm #
(Unregistered commenter)

Insurance should be for the purpose of spreading risk evenly. Instead the health care industry has us paying for an institution focused on defining individual risk and charging for it. In their dreams they would be able to predict exactly what your medical expense would be and then tack on their 30% plus fee. We are paying for this “research” and for the production of complicated fine print ridden policies that allow these companies to deny care as needed to meet their profit objective for the next quarterly report. So we are paying large CEO and management salaries who are best able to execute towards these endpoint. I am convinced that whatever “reform” gets passed will be a boon to the medical insurance industry. I am highly suspicious of Obama touting computerizing all medical records to improve “efficiency” and lower expenses (ha ha ha!). I am pretty sure the insurance industry is behind this so that they can better predict patient expenses and increase their profits. “Change We Can Believe In” is a hollow sloganeering joke and a testimony to the stupidity of the American people.

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By ocjim, June 2 at 11:57 am #

Obama has put health care in the hands of Congress. When was the last time members of Congress did anything important for the people. I would say before unions declined and before Reagan: perhaps LBJ’s Great Society.

An example of what we face:

The right-wing group, Conservatives for Patients’ Rights (CPR), aired a 30-minute paid advertisement titled “The End of Patients’s Rights: The Human Consequenses of Government Run Health Care.” It was hosted by former CNN reporter, Gene Randall, and featured “horror stories” designed to lessen public support for US health care reform.

The spot had the appearance of a “60 Minutes” special and was organized by a former CEO of Columbia/HCA Healthcare, Rick Scott, who was scuttled as CEO due to fraud and kickback charges. Scott was part of the reigning “profit-above-all-else” health care culture and was accused of defrauding Medicare and giving kickbacks to doctors.

After John Kerry’s run for president in 2004, the connection of Republicans to the “Swift Boat” campaign that falsely discredited Kerry was revealed. Thus the swift-boat techniques and the probable connection of it to health care industry funding can easily be made.

The CPR infomercial and its “swift boat” tactics is a modern update of the 1993 “Harry and Louise” ad, having a less obvious connection to the health care industry. The so-called “Harry and Louise” ad was funded by the Health Insurance Association of America (HIAA) and smeared the Clinton administration attempt to implement health care reform.

The “Harry and Louise” commercial depicted a white middle-class couple, portrayed by actors Harry Johnson and Louise Clark, despairing over the allegedly bureaucratic nature of the Clinton plan and urged viewers to contact their representatives in Congress.

Fresh from their mindless, but brutal racist attacks on Obama’s Supreme Court justice nominee, right wing interests like the unelected mercenary dual of hired-gun doughboy, Rush Limbaugh, and want-a-be right-wing leader, Knute Gringrich, have jumped on board the CPR bandwagon.

Right-wing propaganda will assure more polarization of Americans, continuing ugly and baseless arguments against reform, and paid-for gains by powerful lobbyists of the health care industry.

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By Lin, June 2 at 11:48 am #
(Unregistered commenter)

Your point might be stronger KDelphi if you didn’t include Japan and Germany in your list of countries that have single payer health care (or at least you seem to be implying that they do). They do not. Neither do the Netherlands, Switzerland, Austria, Belgium, France, etc.

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By tropicgirl, June 2 at 11:04 am #

KDelphi is absolutely right. This is very simple.

What is on the table now is a sham. It needs to fail and Obama needs to own that failure. In health care reform he is a failure, failure, failure. Failure. His attempt at this was absolutely ridiculous and shameful. Protests in the hearings? Come on Mr. Change.

Single payer is the only thing that makes people excited. ANd, without the people, and energizing the people, no one will support any kind of reform. And, as we all know, it is not rocket science. You can pick from dozens of models around the world.

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By Hawkeye, June 2 at 4:56 am #

REF: KDelphi

Keep hammering on those blue dogs and repugs who seem bound and determined to protect their sources in the healthcare industry.

I really appreciate the insight you shared as shown below:

“If they pass a “public plan” for those that “cant afford it” it will just be expanded Medicaid, which is only a little better than nothing, and will be a giant gift to the insurance industry.”

Damn that Max Baucus and his reeking cohorts across the aisle. Damn them for announcing they were taking single payer off the table despite frequent polling that shows 70% did not want it off the table. Just like over 70% opposed most of the bailouts and stimulus joke gifts. Imagine the gall, “give” us taxpayer loan money. Wow!

Fool me once, shame on you. Fool me twice, shame on me. Hell, those suckers are not fooling anybody at this point. They look like a big flock of turkey buzzards devouring a corpse on the side of the highway. Ugly sight when I watch on CSPAN. Want to hear what Joe Sixpack have to say, tune into CSPAN Journal early in the mornings. It gets intense at times. No wonder incidents are popping up like the abortion doctor and the crazed gunman. People are just more than a little bit unhappy.

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By KDelphi, June 2 at 3:33 am #

I have written extensivvely here about the length of years that I have put into the ‘health care edebate”.

It is NOT difficult, folks, although the Dems would like you to think that it is.

Ask Canada, Denmark, UK, Sweden, Italy, Spain, Germany ,Japan, Phillipiines, on and on…it is a bunch of crap. You PAY FOR IT with TAXES—yeah, you know, the mooney that they take to pay for war and charter schools?

I thought that Kennedy might actually be open to a single payer plan once he had to navigate the insurance insdusty with his illness—I should have known better.

If they pass a “public plan” for those that “cant afford it” it will just be expanded Medicaid, which is only a little better than nothing, and will be a giant gift to the insurance industry.

People in more civilized countries think that the uS is crazy for putting up with this, and they are right. We dont need a “uniquely ‘Merkin plan”—we need health care for everyone. We need HR 676—or stay out of it.

More on a “public option”:

Posted on April 29, 2009
The Public Option Con
PRINT PAGE
EN ESPAÑOL

Selling Out Single-Payer
By HELEN REDMOND
Counterpunch
April 26, 2009

“As we roll out new products we will continue to price businesses for appropriate margins. We will not sacrifice profitability for membership.”

— Angela Braly, Wellpoint CEO
http://www.pnhp.org/news/2009/april/the_public_option_co.php

“HCAN and Democrats like Schakowsky are deceiving and leading people down yet another dead end alley of incremental reform. We’ve had decades of incremental reform and now there are 50 million uninsured, 25 million underinsured and between 18,000 to 100,000 people die every year because they lack access to health care. For spineless Democrats like Schakowsky and HCAN, the day will never come when single-payer is “politically feasible,” because if now isn’t the time, when will it be?”

Shame on the Democrats…

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