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Harry and Louise Need Health ReformPosted on Jun 7, 2009Fifty million new customers. Those may be the most important words to remember as the health care reform effort hits its stride this week. Many have expressed amazement that the interest groups historically opposed to fixing the health system seem ready to work with the reformers. Their public-spiritedness reflects enlightened self-interest: The health system is so unstable that even the drug industry and the insurance companies are worried that it will crash on top of them. Health care reform could bail out these interests by adding the currently uninsured—fast approaching 50 million people—to their customer base, and by preventing more individuals and employers from dropping insurance altogether. Remember Harry and Louise, the imaginary couple who appeared in the television ads that helped beat President Clinton’s health plan 15 years ago? That middle-class duo, which is to say a great many people just like them, has switched sides in the debate. The insurance companies and the drug companies that paid for the ads know that Louise’s employer has probably restricted her health coverage or dropped her altogether. And who knows if Harry still has a job? Advertisement From the point of view of the interest groups, he adds, “that means less market share for the insurance companies, more uncompensated care by the providers, and less ability for people to afford high-cost prescription drugs.” Are you still wondering why the big interests, so far at least, are playing ball with congressional health reformers and the Obama administration? Leaders of the health industry know that unless more government money flows into the system, they will suffer along with everyone else. The banking and auto sectors will eventually have to live without government bailouts. But the experience of every other wealthy democracy in the world shows that health systems require large-scale government support. The drift toward reform in the United States marks the gradual acceptance of that idea in the one democracy that—despite the important role played by Medicare and Medicaid—has resisted it for so long. That explains why Congress is moving with unusual speed. Sen. Edward M. Kennedy, who chairs the Health, Education, Labor and Pensions Committee, put out his own draft bill last week aimed at pushing progressive ideas on cost containment and a strong government role. Sen. Max Baucus, the chairman of the Finance Committee, is expected to issue the outlines of a plan within a couple of weeks that he hopes will appeal to at least five to seven Republican senators. The conventional view, true as far as it goes, is that the big sticking points are whether a final bill should include a government-sponsored health plan in the menu of choices that consumers will be given (I believe it should), and how to pay for expanded coverage. But the toughest behind-the-scenes battles will be about how much the insurance companies, the drug companies and the providers are willing to give up to get a government bailout of the health system. That was the significance of a little-noticed line in President Obama’s letter last week to Kennedy and Baucus outlining his own goals in the bill. Obama wrote that “reform cannot mean focusing on expanded coverage alone.” The president stressed that it also had to be about “a serious, sustained effort to reduce the growth rate of health care costs.” That sounds like boilerplate. It isn’t. The hardest part of the health care fight, says Ralph Neas, the CEO of the National Coalition on Health Care, may not be providing assistance for the uninsured—remember, that means expanding the customer base—but getting all the players to agree to serious cost controls. Neas’ coalition includes both business and labor, both of which have been hit hard by spiraling health costs. So by all means let’s welcome the drug and insurance companies to the health care bargaining table. But let’s also remember that they are sitting at that table as a matter of urgent necessity. Negotiators should bear in mind that health care reform is as vital for them as it is for the now underinsured Harry and Louise. New and Improved CommentsIf you have trouble leaving a comment, review this help page. Still having problems? Let us know. If you find yourself moderated, take a moment to review our comment policy. |
By KDelphi, June 12, 2009 at 2:25 pm Link to this comment
Please, peace.
Report thisBy herewegoagain, June 12, 2009 at 7:20 am Link to this comment
(Unregistered commenter)
KDelphi, it’s nothing personal, I’m not involved in the health care field directly or even indirectly.
Where you and I seem to disagree on single-payer is that anything related to healthcare should not be private. Honestly, it’s a minor point of disagreement, because there are single payer systems already in place where there certainly are private providers, contractors, manufacturers who supply these single payer systems.
They simply can’t gouge these systems the way they do in the US, because the single-payer systems have more bargaining power.
At any rate, I’ll check out that hearing when I get some extra time.
I would also just like to add I respect that you’re coming from a knowledgeable perspective about the inner-workings of our current health care system, and it’s just flat-out wrong you are forced to choose between employment or Medicaid. It’s one of the truly most screwed up aspects of our healthcare system, and I don’t blame you for being extremely frustrated. I’m frustrated too.
Peace.
Report thisBy KDelphi, June 11, 2009 at 11:25 pm Link to this comment
herewegoagain—what did you think of the Hearing?
Or are you just on a mission to disagree with me now?
Is health car the topic, or am I the topic?
Report thisBy KDelphi, June 11, 2009 at 10:29 pm Link to this comment
herewegoagain—Is that all you care about? Profits for med. professionals? What is your profession, by the way? I didnt say I was averse to them making a living—i am averse the life or death being for-profit. That is what essential med services are.I think that they should be on a reasonable salary like med prof. in the EU or Canada or even Mayo Clinic or Cleveland Clinic. (they have private care too—thats ok, for the rich, if they want to buy it—you will alwaya be able to buy things in Capitalism—its not my choice, but for those that think they are better than everyone else…))No I dont think that people should go into medicine for profit. I think that it is immoral. It is obvious that many do in teh US, which is one reason we have so many specialists. The insurance industry has been setting health care policy in the uS for many years—you dont actually think that some dr determined that it takes 28 days to go off of drugs, do you? It was Blue Cross Blue Shield. It is that way with many treatments and it dosent make any sense.
As for you, you seem to shift positions, You are not against single payer, except for “10%”—-that helps no one.
I said that I am not “UNEMPLOYED”—it is different when you cannnot work becuse you have a disability than “being unemployed” ( and, in this economy, it takes a hell of a guy to insult the “unemployed”) I am not working, not becaue I choose not to, but, because i cannot risk losing my medicaid. I didnt say ‘children” I dont think that adults should die for a lack of money either.
NO, I dont hate all drs at all. I love some of the ones I used to work with. I have had some drs be very kind to me, but, many admitted that a certain type of care would be much better than what they had to do—-because it was Medicaid. Some just did the right thing anyway, but they risk their license. Really “doctor friendly”. But, go ahaead, shift Medicaid to all the unemployed now,tand 300% of poverty level—-the roles will swell and the middle class will get a taste of Mecicaid HMOs. Maybe then people will realize how crappy it is.
If you dont know if you are rich or dont know what uou are talking about. But, it ceraitnly seems to be personal for you. I mustve hit a nerve.
LIke I said, if you would like to join the civilized world, check out some of the links I gave you. I hope you never have to find out what it is like to not be able to get medical treatment when you need it.
I have answered every one of your questions several times. I said that they should be on salary, I said that there should not be a for-profit system.
herewegoagain—on a mission from gawd for “poor doctors”...do you think taht you know somethign that they dont??If you’ll give me a website, I’ll have some of then who are friends of mine write to you…but, you would just disagree with them.
This has become personal for you (not the ‘health care issue”—me—or so you think)—mustve hit a nerve.
Report thisBy KDelphi, June 11, 2009 at 12:17 pm Link to this comment
Here is the live link to the Senate Comm on Heatlh, etc. with DODD leading.,..
is anyone is interted. Its nothing new, really.
http://help.senate.gov/Hearings/2009_06_11/2009_06_11.html
Report thisBy Anarcissie, June 11, 2009 at 12:03 pm Link to this comment
My theory is that they are beginning to run into hard price resistance. There are 40 million uninsured people, and many may be uninsured by choice. There are people who will die rather than pay doctors (anecdotes on request). As the medical-care establishments continue to raise their prices, more people will be unable or refuse to pay them, just as the man said.
So what to do? The government has something big insurance and pharmaceutical companies don’t have: guns. The government can force people to pay more. So the ideal thing, from the point of view of these people, is a system that uses government force to extract the money, more and more money, and then sends it to private parties to become profit. This will be called a “mixed” system.
So, what kind of system do you think we’ll get?
Report thisBy herewegoagain, June 11, 2009 at 11:34 am Link to this comment
(Unregistered commenter)
Also, KDelphi, you say you’re “not employed” yet in another post you clearly said you couldn’t work because you had to keep your Medicaid.
Not working = not employed. Unless you’re unemployed under the table. Which I don’t begrudge you doing, if so. I’m just trying to get your stories straight here. You’re all over the place.
There is definitely some resentment you harbor for doctors making a good living. If it was at your own expense, or you really did see children die because a doctor deliberately withheld care on the basis of payment, I can understand why.
But in that case you are lumping all doctors as greedy, while at the same time claiming they’re all for single payer. Again - you’re all over the place.
Report thisBy herewegoagain, June 11, 2009 at 11:15 am Link to this comment
(Unregistered commenter)
KDelphi, yes, you are being melodramatic and at this point, quite predictably.
Also, you refuse to answer a single one of my direct questions. Perhaps it’s a reading comprehension issue for you. Once again: Do you support the profit equation removed from every single worker and profession involved in any way whatsoever with healthcare? I’m talking everyone - people who build hospitals, people who work with medical software, deliver oxygen tanks, you name it, if they’re involved with healthcare, do you want their ability to make profits taken away?
Warning: this question involves some actual thinking on your part instead of a shrieking tantrum. My bet is you’ll succumb to the latter. Again.
Report thisBy KDelphi, June 11, 2009 at 10:38 am Link to this comment
Cathy- I’m listening to him right now, on c-span.org. So far, samo/samo..
herewe goagain(boy, we sure do!!!)—if you had ever worked in the health care field you would NOT say that I am being “melodramatic”. I have seen young people die right in front of me because their medicaid wouldnt cover what they needed to survive, boy are you selfish!! PEOPLE ARE DYING, and you still just do not care.So, I should care about someone else’s profit and you dont care if I die?? Well, I dont think that that is going to happen! I WORKED IN THE FIELD! I SAW IT! Have you listened to California Nurses? Or Physicians for Natl Plan? What is your big concern for doctors, do you think that they are poor or soemthing? They make more here than they do anywhere else in the world. Pay nurses more and doctors less!
IF YOU ARE WORRIED ABOUT DRS PAY THEM CASH! Go to some dr that only takes private patients and make him richer!! I dont care what you do since you dont care about others. YOu should never worry about not being able to buy what you wish in’Merka—you always will be able to, so never doubt your own greed will be able to buy you what you want. It is either a human right or it is not.
Gop ahead. Back a Massachusetts “public” plan.
You dont know my circumstances. I am not ‘unemployed” Yes, this is personal for me, but also professional. Unless youre very fortunate or very rich, it will be for you, too. The insurance companies profit from death. You’ll see someday. Just as many war protestors and single payer advocates had to “see” with Obama, too. Some will never see. Insulting me personally and then calling me a child, is a little ironic, no?
Report thisJust another cog in tthe wheel…
By Cathy, June 11, 2009 at 10:22 am Link to this comment
Well, NPR did it again this morning. They announced Obama’s first Town Hall on healthcare reform in Wisconsin. And, yes, I hope lots of people are there and give him an earful, although I think he’s going to dodge the toughest question: single-payer, and that should be entertaining viewing later. He dodged the question of the Baucus conflict of interest beautifully in a Town Hall meeting, by speaking in generalties of all Americans deserve healthcare, blah, blah, blah, and never answered this question.
So, anyway, NPR did not mention anything about the very, very important single-payer hearing yesterday.
I haven’t clicked on the link here for the Robert Wood Johnson “facts on healthcare reform” on this site. They’re a major, major supporter of NPR. But I have had it. It is time for me to write one of those listener complaints to NPR.
Report thisBy KDelphi, June 11, 2009 at 9:46 am Link to this comment
I just heard Jon Boner say that people would “be offended” by a “public plan” (which is not really what is being proposed anyway), and that although “86% are happy with US healthcare” (wtf did he get THAT number??), he opposes a “public” plan, as “no one wants it”. Well, then, why be worred? Everyone will keep what they have if theyre “happy with it”! The future of the Dem Party depends very much on what is done with heatlh care “reform” , and, I am afraid that the public plan being proposed will just be too expensive and the GOP will be able to say, “I told you so”
However, it would “endanger families choices”. And he keeps repeating, how, in the US, you are “less likley to die” (which is only true for those who are on Medicare , which is a PUBLIC plan)and he and McConnell keep using terrorist words like “die” “cancer”, and, what is this obsession with FAMILIES?! 51% of USAns dont live in what the GOP would consider to be “real families” aNYMORE anyway!
I am VERY offended that Boner and McvConnell dont care if 80,000 USAns DIE every year.
But, that is their rallying call, always, “WE’RE ALL GONNA DIE!!!” (so vote GOP!)
Report thisBy KDelphi, June 11, 2009 at 9:28 am Link to this comment
Purple Girl—Of course the GOP is terrified of a REAL “free mkt”, or any type of level playing field.
They got where they are by being from welfare king subsidized families.
They want us to have the worst of both worlds. Socialism for them, “free mkt” Capitalism for us.
Sadly, it is not just GOP who feel that way. Why in the world are Blue Dogs pushing to pass another “Pay Go” right now??? And why , in the world, is Obama agreeing??
Report thisBy herewegoagain, June 11, 2009 at 8:40 am Link to this comment
(Unregistered commenter)
KDelphi writes: “herewegoagain—No, I cannot talk reasonably to people that allow people to die for profits.”
To which I reply your melodramatic insults do nothing to advance the cause of single-payer, but if they make YOU feel good to sling ‘em around safely ensconced behind your anonymous computer screen, I guess that’s the most important thing here. What a child.
KDelphi writes: “BTW, what 90% iof “whatever it is” is it that you “support”?”
I support removing HMOs entirely from the equation, and support removing employee dependency on employer-provided healthcare, and thus, support single-payer because that’s the most effective way to do the first two.
What I don’t support is your insistence that no one involved in health care should make any sort of profit from their hard work, talents, and investment in their training and education. I think that’s a silly proclamation that probably has more than a little to do with whatever feelings of inadequacy you have of being unemployed (hope you can take some of the insults you dish out pal!)
If you think doctors and nurses shouldn’t make profit or good income from their skills simply because they are related to healthcare, you might as well put the same restrictions on oxygen delivery companies and workers, medical software companies, contractors and their construction workers who build hospitals, and basically any profession and worker who has anything remotely to do with healthcare.
Which isn’t even in place in France, Great Britain, Germany, and other countries where socialized medicine has been successfully implemented.
Report thisBy Purple Girl, June 11, 2009 at 4:30 am Link to this comment
Rove wrote today 5 reasons we don’t need a public plan- all of course highlighting the Repug disconnect from the real challenges the average American faces constantly. But One struck me as the most teltale that Repugs are NOT Free marekt Proponents in any way shape of form.
Report thisAccording to Mr. Turd Blossom with 13,00 health insurance companies already, We have plenty, we don’t need another healthcare insurance option. 13,001 would be Too Many choices,Turd?Too many competitors in the FREE market?
Isn’t that as ludicrous (and UNAmerican) as saying we have too many voters participating in an election? Oh Yeah in Roves Book that does pose a problem, doesn’t it? Gottacha Repugs- You only consider the Free market the exclusive realm of Inc and Corps, those modern day Family Crests we call Logos. Seems, To the Repug Red Caots, access to the Free market for ‘The people’ is limited to only consumerism- not as a provider/competitor as their own collective entity.
I submit quite Adamently that ‘We the People’ have a Constitutional RIGHT to enter the Free Market as Provider of healthcare, not merely the ‘caged’ consumers of Private Industry.
Whats the matter Repugs Afraid of a Little market place competition???
By KDelphi, June 10, 2009 at 2:03 pm Link to this comment
herewegoagain—No, I cannot talk reasonably to people that allow people to die for profits. BTW, what 90% iof “whatever it is” is it that you “support”? I have worked in the medical field., I do not know if you have.
I gave you several links, and plenty of people here have supplied enough information.
If you wont trust people who have worked in the field on this,any plan will be doomed to failure.You cannot base human rights on proft models—-well, you can, and only the US does—look where it has gotten us.
Stop avoiding the issue like a good neo-liberal.
Here is my definition of a neo-liberal—
My definition is someone who supports the policies that the Dems are engineering right now—-billions of dollars to the World Banks (donations! of course—truly Trojan Horses)and so on to “promote democracy”. Neo-libs generally defend Dems to the core , but pretend that they are dissatisfied, but refuse to even vote for anyone but a Dem (Vichy Dems, I like to call thme).(they say things like “what else can we do” or ‘Bush was worse”) They are generally fairly comfortable, economically, which is why they dont really give a rat’s behind about anyone else, until they get sick or something happens to them. They are usually fairly well-educated, but, generally went to an instutution that convinced then that they should be the Masters of the Universe. They believe strongly in “uniquely ‘Merkin” types of “solutions” and refuse to learn from other countries’ experiences, in war or domestic policies, like Baucus’ “go west young man” crap.
Neoliberalism is not just economics: it is a social and moral philopsphy, wholey different from Classical Liberalism. Neo-libs emphasize profit and the “market”. They feel sttongly that they have a “right” to “property”, of almost any kind, including “products” that do not exist; and believe in the self made man, which they almost always think that they are. They think that things like finanaical services (which dont exist) or health care are “services” which should be bartered for, no matter how ill-fit one is to do so. They believe in competition, which means that they believe in Social Darwinism, but they will never say so (there are many paradoxes of neo-liberals). They worship entrepreneurship (“small businessperson!!”)and many think that this is what god wants. They believe that, when people get rich, they must have “deserved it”, except in “one case a million” like Madoff…they love greed, but, pretend that they dont.
Here is a definition by Elizabeth Martinzea aND Arnoldo Garcia: “Neoliberlaim is a philsophy in which the exitence and opertion of a mkt are valued in themselves, separately from any previous relationship with the production of goods and services, and without any attempt to justify them in terms of their effect on the production of goods and services; and where opertation of a mkt or a mkt-like structure is seen as an end in itself, capable of acting as a guide for all human action and substituting for all previously existing ethical beliefs.”
If you would extend the “mkt” to life or death, you are a neoliberal..
The reasons I am so adverse to neo-liberalism, is that, at least neo-cons tell you to your face that they dont care. Neo-libs run around patting themselves on the back , “feeling your pain” and doing the same things, essentially, that neo-cons do. At least be honest about it!
Either that, or you have no experience with illness, the medical profession, and dont know what you are talking about. If so, read up!
http://www.pnhp.org/news/2009/june/the_facts_about_the_.php
Posted on June 9, 2009
The Facts About the Health Insurance Industry
by Jeoffry B. Gordon, MD, MPH
DailyKos
Sun Jun 07, 2009
There was also a hearing ie single payer today, on c-span3.org. Join us in pushing the US towards civilization!
Report thisBy George, June 10, 2009 at 3:26 am Link to this comment
(Unregistered commenter)
I think our chances of genuine health care access are fading. Kennedy’s plan is crap. HR 676 is being brushed brusquely aside. Democrats? They’re foul and corrupt for the most part. They care about money. They bow and scrape and pay obeisance to the repugnican plutocrat fascist-bigots.
Check this out.
http://crooksandliars.com/john-amato/dont-let-third-way-ben-nelsons-or-repub
Money talks. The rest of us are just crap to rob and flush when they’re done with us.
We will get nothing. And more and more will be stuffed into the hands of the stinking rich. Geithner. Summers. Banksters. The “fraud” of insurance. Need I say more?
Without a SERIOUS public action to wage non-violent war on these liars, we’re f cked. And that war? It’s not happening. Nobody gives a crap til they’re sick and then it is too late….and once you’re sick, who has time or energy to advocate for something good?
You’re just made to feel guilty like it is your fault you cannot afford the care and have to go bankrupt.
Because of the insidious lies of Obama’s favorite “Chicago School of Economics.”
There’s no hope because the American people are so used to being used they don’t know anything else.
Report thisBy CJ, June 9, 2009 at 7:24 pm Link to this comment
I suppose Dionne has a sad point regarding big medicine forced to take a seat at the table. Naturally, the reason is founded in the irrationalism that values profits/property over people, who’d be human life forms complete with earthly bodies often requiring some minimal maintenance so as actually to live more or less complete lives prior to being removed to heaven or hell, as the case might be. Or just to dust, or ashes, in my own case. Leave it to humans to conceive of something so nutty as occupying—STILL!—a little piece of the earth after death. From the confines of more or less fancy box. Lest nature occupy a body in process of taking back what never is ever not Mother Nature’s property).
“Sad” BECAUSE profiteers are being allowed a seat at the “table” at all! I’m surprised the form of the table itself isn’t being disputed, as was the one over which Kissinger finally got to talking with Le Duc Tho. So bent is Obama on accommodation. (And not even allusion to “appeasement”—a la Chamberlain—on the part of the [now] loony-Jon-Voight right-wing, Senator Hatch. Where are anti-appeasers when you really need them?)
Well, long as the big medicine makes out okay. Since rather obviously, that’s what most counts. What with not being able to “start[ing] from scratch.” (I heard lately that Taiwan, which has been around long enough also not to have started quite “from scratch” went looking for a model for their own national healthcare system, only to find it in our very own Medicare arrangement. Who knew?)
Goes without saying that we once again intend on trying to have it both ways. Public AND private. Which will mean having it neither way. Anyway, we’ve already got that. Had the public part a long time in the form of Medicaid.
What “reform”? What is Obama talking about?
Well, as Dionne points out, some about controlling costs. Duh. (Even Nixon imposed price controls. Alas, also wage controls at the same time, but… Obama is to the right of Nixon, as are most members of Congress. Any who still doubts the—ideological anyway—damage Ronald Reagan did should look again. He did earthly economic damage too. Unless you were wealthy.)
All I’ve heard from Obama is idea to computerize medical records, thereby rendering them available to any half-way competent hacker. Not that many of us seem much concerned for privacy anymore. My own dental records are already in computer databases, available to be viewed by any with a tooth fetish. And/or with money fetish. (Billing stuff is also computerized.)
Otherwise, I know of no serious proposal, either to provide adequate coverage for all or seriously to cut costs. As big medicine is striving to hold to gains made over many, many decades. Profit margins might drop one or two percentage points, but not more.
Apparently, all rational people will have to wait (hope for) another “leftist” president with another “leftist” majority of Congress to provide what is well known elsewhere to be a fundamental human right. And even for what—in capitalist price-gouging terms— would be some considerable financial savings.
As we Americans continue to dream (individually of “freedom” to be had at a money price), other citizenries around the world have already got done providing for human bodies consisting of bone (including enamel), flesh and blood. And for minds too (speaking of preference for irrationalism, which has always served to excuse what power does).
Not really so complicated soon as one dispenses with irrational both-ways (aka, “American way of doing things”) thinking. There would, of course, be cost for single-payer healthcare, though not nearly so high as the one we’re currently paying.
Report thisBy herewegoagain, June 9, 2009 at 6:17 pm Link to this comment
(Unregistered commenter)
KDelphi, I don’t support Obama/Baucus’s/Dems plan, because quite frankly, I don’t even know what the hell it is. They are doing a piss-poor job of communicating any sort of clear idea of what they have in mind for healthcare reform.
By the way, your indignant view of my posts is rather puzzling. It’s as if I said I could only muster up about 10% of support for single-payer, rather than 90%. Can you not have a thoughtful discussion with people unless they are exactly 100% where you’re at?
Report thisBy herewegoagain, June 9, 2009 at 6:08 pm Link to this comment
(Unregistered commenter)
KDelphi writes: “Youre a neo-liberal, which, in my mind recently, mean that you do the same things as neo-concservatives, you just smile and look pretty while you do it. Oh, and you “feel their pain”.”
Nope, no Clinton fan here. Funny, I was just accusing the Dems and Obama on another TruthDig thread of being neolibs!
Have you really studied what the definition of neoliberal is? I find they somewhat vary, but Mike Lind over at Salon has some interesting explanations. I don’t think I qualify. For one thing, I’m increasingly protectionist because what passes for so-called global “free” trade is quite oppressive, and I hate the idea of permanent war in any form, much less as an economic driver.
I will say that I read an informative book recently, called “Consumed” that puts forth the theory that global democratization is the only way to effectively neuter runaway hyper-consumerism…but I have real reservations about instilling global governments to keep order and regulate things.
Report thisBy KDelphi, June 9, 2009 at 6:03 pm Link to this comment
herewegoagain—If they were “helping people in need” we wouldnt have at least 50- million uncovered.So you are anti-HMO but pro-“health care” industry? I dont get it…who runs HMOs?
You ignore the facts. But, keep it up. Obama counts on people like you.
People are dying in the streets, and, still all you guys can do is argue about doctors salaries. Have you ever been treated under single payer? Why does the entire civilized world agree with me? They are all wrong and you and Obama are right?
What bs. You guys that back these lame plans keep people dying and you should be ashamed.
There is NOTHING that will convince most who have lived under a single payer plan that it does not make sense. It just does. You are wrong.
And, when the Baucus Massachusetts plan costs way too much, and covers far too few, and the GOP saysd, “I told you so”, you may FINALLY come to the table wanting single payer.
20,000 or more will die per year whie they wait for you. But who cares, huh?
Report thisBy herewegoagain, June 9, 2009 at 5:57 pm Link to this comment
(Unregistered commenter)
KDelphi writes: “I do not care if doctors make less money.I care if people die.”
But what if more people die because doctors end up making far less money leading to a serious shortage of doctors? I know that’s not happening in France, but that’s because the lesser salary is offset by no medical school tuition and low malpractice insurance costs. Costs that run in the hundreds of thousands of dollars for almost every single doctor in the US.
If we really are going to enact single-payer in the US, we need to acknowledge some of these possible obstacles. Bleating “I don’t care if doctors make less money!” is not a very useful contribution to solutions-oriented discussions.
Report thisBy herewegoagain, June 9, 2009 at 5:47 pm Link to this comment
(Unregistered commenter)
KDelphi writes: “90% on board—so what 10% would you exclude? Elderly? Disabled” Kids? The poor? thats the answer! The poor, as always in Capitalism.
90%—you Democrats are so non-commital you cant even support what you support!”
My friend, I am “90% on board” with single-payer as in I am not quite convinced 100% it’s the way to go. Not that I think a particular 10% of the US population should be excluded from single-payer!
So moving on…I definitely differ with you in your assessment that healthcare practitioners profit from others’ misery. I feel another perspective that is just as valid is that they profit from healing and treating patients in need.
I do agree that HMOs profit from other people’s misery - literally, because the less healing they allow these people (thus amplifying their misery), the more profit they make.
Report thisBy KDelphi, June 9, 2009 at 5:24 pm Link to this comment
I do not care if doctors make less money.I care if people die.
Medical school should not cost so much. US doctors are too often in it for the money. Most people know that, even if they wont say it. Particularly specialists. ..Poor doctors—we have too many specialists as it is.
The ones at PNHP are not,and , the doctors in the EU make middle class incomes. If you cant be happy with that and you have no conscience, be a Hedge Fund manager or be a lobbyist. Unless you already are…
These countires pay about 1/10th what the uS does for pharmaceutical and med supplies. Only the US is stupid enough to pay top dollar.But, as long as people are stupid enough to trust it, hey, I guess making money off of death is the “Merkin way…what sites do you go to that someone calls you a “pinko”?? I’ll vouch for you! Youre a neo-liberal, which, in my mind recently, mean that you do the same things as neo-concservatives, you just smile and look pretty while you do it. Oh, and you “feel their pain”.
Report thisBy KDelphi, June 9, 2009 at 4:58 pm Link to this comment
herewegoagain—NO, I do not believe that people should profit from others’ misery. as hippi4ever indicates, (she was treated in France)I was treated in Denmark, Noraway and Italy (also Canada) the doctors lived just fine, a little better than middle class. They just cant believe US greed—like when you try to pay them cash!
If you want to make alot of money on someone’s sickness, go be a personal doctor to Cheney or seomthing.
90% on board—so what 10% would you exclude? Elderly? Disabled” Kids? The poor? thats the answer! The poor, as always in Capitalism.
90%—you Democrats are so non-commital you cant even support what you support!
I was a Medical Social Worker (cant work now—have to keep my Medicaid after getting hit by a rich drunk with a good lawyer) and, no I never even made a middle class salary, but, I wouldve been ok, if they hadnt taken my govt peneion to pay for my medical care. NO, no one should profit as a social worker, at the expense of clients. I like to think I saved a few lives. I couldnt have done it without doctors (who were more interested in patients than profits) and they wouldnt have found them without me. They have undying respect of true professionals and clients, and they helped alot of people. But, no they didnt make a monstrous profit. You do know that doctors and nurses , for the most part, back this 100%, not 90%...
With all this emphasis on profits, I can see why you wouldnt understand..but you are wrong—-The World Health Org, the UN, the EU and everyone else in the civlized world says so.
Read how California may balance its budget on the back of poor children. Shame on both parties. They have blood on their hands as surely as the war profiteers—-20,000 a year—I guess you can live with that.I cant.
Here is why focusing on doctors pay is the wrong approach:
Posted on April 14, 2009
Focusing on doctor pay misses point
http://www.pnhp.org/news/2009/april/focusing_on_doctor_p.php
Instead of fixing our health care financing system so that it provides everyone with affordable access to all necessary care, which we can easily do (improved Medicare for all), our leaders want to build on our uniquely American system. Surely other states can help with our budget problems by finding more children to join the ranks of the million uninsured California kids. That would be uniquely American. (I still can’t believe that they’ll go through with this, but the mere fact that it is under discussion shows how sick our health care financing system is.)
California Nurses Association:
For Immediate Release
June 9, 2009
RN Leader to Testify at Congressional Hearing Wednesday on Single-Payer Healthcare Reform
A co-president of the nation’s largest organization of registered nurses will testify Wednesday in the first official public hearing in Congress on single-payer healthcare reform.
Geri Jenkins, RN, co-president of the 86,000-member California Nurses Association/National Nurses Organizing Committee, and a practicing RN at the University of California San Diego Medical Center, is expected to describe how the nation’s healthcare meltdown is a “patient care crisis” and how single-payer reform best meets the goals identified by President Obama for reform of the broken system.
Its tomorrow on c-span.org and 10:30 AM.Watch it and maybe you’ll learn something….
Report thisBy herewegoagain, June 9, 2009 at 4:11 pm Link to this comment
(Unregistered commenter)
jim c writes: “We are the only country that allows profit in health care.”
No, we aren’t. Even single-payer countries buy drugs, equipment, and medical supplies from for-profit manufacturers and service providers.
This “take the profit out of healthcare” declaration is far too general and vaguely defined.
Take the parasitical, non-producing HMOs (and their army of lobbyists) out is more accurate.
Report thisBy herewegoagain, June 9, 2009 at 4:04 pm Link to this comment
(Unregistered commenter)
hippie4ever, as well those French doctors should live comfortably!
They may make less than their US counterparts, but they also have zero tuition to pay back, very low malpractice costs, and no overhead from dealing with a slew of insurance companies and their endless red tape.
The first two factors are something to keep in mind if you’re ever debating with a physician vehemently opposed to single payer. Yes, their income will likely reduce, and while less overhead will offset that some, not nearly as much if they also had the benefits of a free education and low malpractice insurance costs.
I’m just trying to put forth some reality-based perspectives here. There are some valid oppositional points to a US single payer system. Obviously some compelling arguments for, too.
Report thisBy hippie4ever, June 9, 2009 at 2:49 pm Link to this comment
When I lived in France my doctor lived in a 3-bedroom flat which served also as his office. He lived a comfortable, middle-class life, had a nice car, traveled widely on vacation (4 weeks). This was under a single-payer system and the doctor was not suffering.
The drivel so many commit to amazes me. People pontificate about things they know nothing about, even here. Oh well, I think eventually, by dire necessity, the U.S. will finally be forced to join the civilized world in having universal coverage single-payer. And I bet it will be the multinationals who pull it off.
Report thisBy herewegoagain, June 9, 2009 at 2:06 pm Link to this comment
(Unregistered commenter)
KDelphi, most of my Internet debating to date on other sites has inevitably ended with my opponent accusing me of being a flaming liberal, a pinko socialist, etc.
So, it gave me a chuckle to read the equally shrill “free market capitalist!” for a change.
For the record, I’m about 90% on board with a single payer system. You seem to be under the impression such a system automatically removes the profit equation. It doesn’t and it shouldn’t. It does, however, give much more bargaining power to the people so we pay a far fairer price for healthcare, with exorbitant marketing and admin costs largely eliminated.
I am curious if you believe your own profession should have the profit equation removed, and thus, your income/salary drastically reduced? If not - why? Do you do something far more important than saving lives, as doctors and nurses do?
Once again, I am all about spreading ABUNDANCE to those who truly earn and deserve it. You are throwing hardworking healthcare practitioners in with the same group as wasteful insurance companies, which I think is more than a “little ridiculous.”
Report thisBy tropicgirl, June 9, 2009 at 1:52 pm Link to this comment
The sad thing is just how ignorant Obama is. How can you even talk about keeping costs down when you support a for-profit system? Hey stupid man, that’s where the “profit” goes, into salaries and payoffs. Without waste there IS NO profit for them. How can you not get this?
And furthermore, ignorant man, YOU HAVE NO RIGHT TO DICTATE TO A PRIVATE FOR-PROFIT COMPANY, HEALTH INSURER OR OTHERWISE, TO GIVE UP ITS PROFITS. It’s AGAINST THE LAW. IT MAY BE A LESS THAN DESIRABLE LAW, BUT IT IS THE LAW. Boy, are you dumb. This is why you are getting into trouble with the GM and Chrysler bailouts. You either accept big, for-profit business or you don’t. You can’t control them unless you take them over. No court will support this, and they will NEVER “reform” willingly. And this has NOTHING to do with health care providers making salaries, large or small.
Obama, you really need to fail on this. You will be denied a victory because you are a fake, supporting fake reforms. Fake, Fake, Fake. Whatever you do will fail eventually anyway because you are a failure. You have hurt your supporters in the worst way possible.
And, sure, some people may want to keep their private health insurance, especially if their employer is paying. They want to drive SUV’s also, and use too much plastic. But how much better would it be to create ANOTHER JOB? That’s about what the insurance plan costs the company, another salary. THATS ANOTHER THING THIS DUMASS POTUS DOESN’T CARE ABOUT, OR UNDERSTAND. JOBS.
And if you, Obama, think you are going to dump more requirements on struggling businesses or private individuals, then you really deserve the HEAP OF SHAME that is coming your way. You are TRULY a failure, in every way.
By the way, how’s that stimulus coming? And the mortgage help? You stink you utter failure. People are suffering.
Report thisBy KDelphi, June 9, 2009 at 11:31 am Link to this comment
herewegoagain (thats for sure)—To argue over whether you “think they should make a profit” with the kind of money US health industry is making is a little ridiculous—other countries laugh at what out doctors make. We subsidize chosen diseases and products and have the worst outcomes in the so-called free world.
I think that they should be on salary like doctors or nurses Denmark or the uK. Or, like professors here.You are clearly a free mkt Capitalist, so we will always disagree.
I am sick of “the people” being blamed for the “
health industry” being immoral. This is not “another service” like selling clothes!!It is NOT the fault of the people when they get sick (mosts of the time) and if you think that they should be able to take advantage of that, you must love privitized war…the poor suffer the most, and, I guess that that is ok with you.
Why dont they find a way to make money without making people suffer? If a doctor goes into the practice of medicine, mainly for profit I dont think he should be there anyway.
We have the highest infant mortality rate and shortest lifepspan of any country in the civilized world—so much for their “lifesaving treatments”. There are people on this site who have worked in the pharmaceutical idustry who can attest to the fact that the drugs a manufactured for PROFIT!
The pharmaceutical industry in the US is the second most profitable industry on the planet, behing oil.
Please, someone tell me how they are going to institute any decent “reform” when Obama just backed Blue Dogs on Pay as you go—not for the war, of course.
There should be no competition when it comes to life and death—if someone cannot morally understand that, ther;‘s nothing to say.
Report thisBy tp, June 8, 2009 at 4:18 pm Link to this comment
(Unregistered commenter)
“So by all means let’s welcome the drug and insurance companies to the health care bargaining table”???? Hell they’ve been running the show. Not for profit Single payer healthcare hasn’t been allowed at the table. The insurance co’s have been there from the beginning. Sen. Max Baucus said he would not allow any representation of H.R. 676. A number of outspoken Dr.s have gone to jail protesting. There are details at this website:
Report thishttp://www.singlepayeraction.org/blog/?p=690.
There are also new swiftboat advertisements tactics being used to discredit Sen. Conyers H.R. 676 single payer bill. They are saying that a person will not get care as good or as quick as they do now. But the reality is that they will get better care because the insurance middle men will be cut out. There is a FAQ about H.R.676 here: http://www.johnconyers.com/hr676faq
They need all the help they can get. Obama will support this bill if enough people get out and take action and protest the exclusion of the only real change we really need. Over 60 people a day die because of no insurance. This bill will insure everybody and will be 40% cheaper than the broken system we have today.
tp
By herewegoagain, June 8, 2009 at 4:03 pm Link to this comment
(Unregistered commenter)
Kdelphi, do you likewise believe physicians should make no profit/income from their work? Or nurses? Or any company that manufactures life saving or health improving goods and services?
I’m sorry, I don’t. I am all about spreading abundance to those who truly earn and deserve it. The pharmaceuticals over-advertise and over-market to the point that too many people are on non-necessary drugs in this country - however, they and their employees also make some good drugs that do save or extend lives.
They currently enjoy too much power simply because we the people have weak bargaining power. If that changes, I believe outlandish pharma marketing costs and price-inflating will drastically reduce.
Report thisBy MeHere, June 8, 2009 at 3:24 pm Link to this comment
I’ve been trying hard to find the significance of this article but I haven’t succeeded. Yes, we know there’s a huge health care crisis and that the ones invited to discuss reform are the same people who created that crisis: politicians and self-interest groups. Supporters of a single payer system, a legitimate option widespread around the world, have been excluded from these talks. If you believe at all in democracy, that should be the most significant point on this whole subject. But Dionne hasn’t mentioned it. Please, spare us “business as usual” reporting.
Report thisBy Leefeller, June 8, 2009 at 3:05 pm Link to this comment
How about a plan like the ones in Congress have or take away their plan and give them the same plan most citizens in the good old USA have!
Report thisBy KDelphi, June 8, 2009 at 2:40 pm Link to this comment
“So by all means let’s welcome the drug and insurance companies to the health care bargaining table. “
WHY??!! Theyre the ones who got us where we are! Even the Unions first backed natl care.
I’ve seen the Kennedy’s “plan” which is the Romney plan, which is not working. A “public plan” will just become Medicaid on steroids.
C. Curtis Dillon—“Health care should never be about the profit motive. It is fine to let the insurance companies and big pharma sit at the table..”
Why is it “fine”?? Because USAns have been brought to believe that they have to allow it—if you dont want a “profit motive” you have to take out the for-profit corporations. They will take whatever you let them—including your life. In light of this fact, WHY would you want them involved , in any way, in life or death decisions of people at their most helpless??
herewe goagain—“I’m ok with letting the pharmaceuticals joining us,...”
WHY?! Every USAns needs to think very hard about WHY they think that people who make profit from your illnesss and death should be included in the practice of medicine at all…or maybe you guys need to travel. Maybe you need to read up on it—or maybe the middle class just has to suffer some more at the hands of indutry…
USAns are being killed and abused and “reform” of the “industry” is NOT the “answer”...the entire world knows it—-why dont you??
Report thisBy herewegoagain, June 8, 2009 at 10:24 am Link to this comment
(Unregistered commenter)
Mr. Dionne writes: “So by all means let’s welcome the drug and insurance companies to the health care bargaining table. But let’s also remember that they are sitting at that table as a matter of urgent necessity.”
Well, regarding the insurance companies, I wish we’d never invited them to the table in the first place. They contribute no nourishing fare and their presence just sticks the rest of us at the table with a much higher bill.
I’m ok with letting the pharmaceuticals joining us, if they discontinue their practice of inflating the bill by ordering the most lavishly expensive items on the menu.
Report thisBy Jim C, June 8, 2009 at 9:04 am Link to this comment
Health care costs don’t need to be contained , they need to be cut . Every other major country and many not so major manage to supply excellent health care to all their citizens for half what we do . We pay twice what the next most expensive country pays and don’t insure everybody . We are also the only country that has people going bankrupt because of illness , the major cause of financial duress in our country . As far as the inane argument about ” government run health care “; I for one would much rather have the government in control than some greedy , callous , overpaid CEO that considers it to his advantage to supply as little care as possible while charging as much as possible . At least if the government is involved it is in the their interest to keep those who vote them in happy instead of shareholders . So , slow cost growth , no , slash costs and bring us into line with the rest of the world . If we simply have to have insurance company’s in the mix make them go nonprofit , again like the rest of the world . We are the only country that allows profit in health care . But as long as some of that profit is allowed to be put in the pockets of politicians it’s going to be an up hill battle .
Report thisBy G.Anderson, June 8, 2009 at 7:26 am Link to this comment
Yes, the insurance companies are fighting for their lives, how ironic that they don’t fight for the lives of those that look to them for medical care.
And has Paul Krugman said the other day, don’t trust them, don’t trust them, don’t trust them.
They will do anything to sabotabe single payer, and that includes spending billions on lobbying congress against it.
Their solution to everything is always to increase their marketing, and coroporate propaganda, it’s much cheaper than actually doing something different than ripping people off.
Report thisBy John K, June 8, 2009 at 6:54 am Link to this comment
What is broken about the “health care” system is that is isn’t health care. It is disease care and management. The sicker the customers are, the more money the system makes. And they like it this way. They aren’t looking to make people healthy, far from it. Their problem is that there aren’t enough people paying for their overpriced, crappy, service. So now we talk “Socialized” medicine.
We can’t let people lobbying for Pizza Hut and Pepsi get their junk food into the schools and say we care one bit about the health of this country. As it stands now, I prefer to make my own decisions.
Change the incentives - not the method of payment.
Report thisBy George, June 8, 2009 at 5:09 am Link to this comment
(Unregistered commenter)
The need for health care reform is undisputed. The nature of that reform is HOTLY contested. And the insurance companies (and pharma) will do their level best to destroy it in order to preserve profits. Profit and “intellectual property rights” being two notions perverted so deeply at this point that they trump human life.
HR 676 is the reform we need and WE must advocate for. By threatening to kick people like Baucus out of office.
Robert Reich wrote an excellent piece on the kind of “reform” favored by industry that could render any new legislation a shadow, a joke and a lethal waste of life. See:
http://www.politico.com/arena/perm/Robert_B__Reich_8B66186D-6BAF-49E1-9F4C-1D7CA8ED4CB0.html
Open Mic June 6 2009
“Big Pharma and Big Insurance are gaining ground in their campaign to kill the public option in the emerging health care bill” Robert Reich
Robert B. Reich, Professor of Public Policy at UC Berkeley:
Report thisHow Pharma and Insurance Intend to Kill the Public Option, And What Obama and the Rest of Us Must Do
By Lester Shepherd, June 8, 2009 at 4:51 am Link to this comment
(Unregistered commenter)
This article is so much crap. We need single payer WITHOUT the damn insurance and so-called “Health Care” companies. They are thieves.
Report thisBy C. Curtis Dillon, June 8, 2009 at 12:44 am Link to this comment
(Unregistered commenter)
Health care should never be about the profit motive. It is fine to let the insurance companies and big pharma sit at the table but they need to be told that the debate is about providing cost effective and quality care for the American consumer. I’m sorry but like the financial bailout, the government seems too concerned about not hurting the profits of these players and less concerned about the ultimate consumers of the service. Profit should be a secondary concern of these negotiations. I’m not surprised that the insurance companies are panting at the possibility of 50 million new insured ... that’s more profits and more bonuses for the big cat owners and executives. And if the government mandates participation, the insurance companies can charge whatever they want without fearing the individual or company will back out. That is wrong and Obama needs to understand we are not interested in increasing the profits of these vultures even $1. Health care is too important to be left in the hands of the crooks and bloodsuckers of the capitalist world.
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