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May 19, 2013
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Phantom of the Health Care Soap OperaPosted on Aug 17, 2009By Marie Cocco I missed the hot fun this summer. While much of America seemed to be screeching over the incredible—in the truest sense of the word—notion that angry citizens could tote a gun even to a town hall meeting with the president of the United States, I was pondering the relative merits of bike ride versus beach walk. The brouhaha that has stripped away the thin veneer of good will that greeted the start of Barack Obama’s presidency is over health care revision, and specifically over something the media keep calling the “Obama health care plan.” That one stumps me, too, because there is no “Obama health care plan.” Nor has there ever been one. That’s part of the problem. The Obama political strategy has been that the White House would not propose its own health care legislation, lest it meet the same fate as the Clinton initiative of the early 1990s. The Obama political operation believes the death of the Clinton plan was foretold because President Bill Clinton sought to impose a White House blueprint on Congress, rather than letting lawmakers do their own thing. Yet red-faced people are now hurling the same falsehoods (it’s socialized medicine, communism or a death sentence for Grandma) at the nonexistent Obama plan that they hurled at Clinton’s plan—and Harry Truman’s national health insurance proposal, and Lyndon Johnson’s Medicare. So the theory that somehow health revision would glide through Congress if only the president would let the lawmakers grease their own skids has been pretty much debunked. Advertisement But the foundering has as much to do with schoolbook civics as it does with contemporary politics. The president and vice president are the only leaders elected by Americans as a whole. Obama won 53 percent of the popular vote last year, carried states in every region and won support among most demographic groups. Members of Congress can’t claim to be such unifying figures. They are by definition creatures of their home states and districts, compelled to meet the needs of their constituents, correctly sense their pulse and accommodate their wishes—or risk losing re-election. That’s why moderate Democrat Kent Conrad of North Dakota has such wildly different ideas about health care than does liberal Democrat Henry Waxman of California. And don’t bother to wonder aloud about the divide between Democrats and most Republicans. With no White House plan to serve as a political marker, it’s been every member for his or her self. That’s why there are competing Democratic plans, and rifts within rifts in the party. Vacationing lawmakers have no single plan to defend or even explain to the throngs of detractors—and, sometimes, supporters—who are turning out in the heat to harangue them. Without the president even setting out clear lines about what will or won’t win his signature, there is no political penalty to be paid by any Democrat who crosses Obama. And who can even tell when he’s been crossed? The White House is now in retreat from the president’s often-repeated support for a public insurance plan to be offered to consumers who currently lack insurance, or who are unable to afford what they now have. It hasn’t said publicly which of the competing tax proposals it will accept as payment for expanding coverage, a minefield set to explode in the coming months. Thus far, the Obama White House has stood firmest behind its own agreements—reached in secret, without public hearings or congressional input—with lobbyists for the drug industry and hospital groups who have promised to deliver cost-savings at some unspecified time in the future. It even has backed the drug industry’s insistence that Democrats be prevented from writing legislation that would allow the government to negotiate discount prices, a congressional goal since the Medicare prescription drug benefit program emerged from Capitol Hill as a slush fund for industry profits. The phantom Obama health care plan eventually will take form, no doubt with a lofty title and some gesture to the ailing Sen. Ted Kennedy. Those who have hoped for more substance than sentiment are likely to be disappointed. Marie Cocco’s e-mail address is mariecocco(at)washpost.com. Previous item: Playing Defense Isn’t Working Next item: Troy Davis and the Meaning of ‘Actual Innocence’ 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 Blackspeare, August 20, 2009 at 10:43 am Link to this comment
In unfettered capitalism the almighty dollar reigns supreme and the shareholders come first, customers second. Economics 101 is in order. For-profit health insurance companies have several ways to make money and increase profits and usually to the detriment of their clients.
1. Secure a large enough pool of customers such that sufficient funds are always available to pay claims while maintaining profitability. When administrative costs, salaries, profits, etc are kept in check this business system works fairly well.
Report this2. However, when greed steps in, competition is compromised, premiums rise, high-risk individuals are eliminated, deductions and exclusions increase, and covered percentage decreases.
3. HMOs and Co-operative enterprises have reduced some of the costs, but choices are limited and pre-existing conditions are still restricted.
4. Universal, governmental, public option or whatever you want to call it is the only option that can reform health care in the USA.
5. Initially, the public option, if indeed implemented, will be populated by the poor, the unemployed and those who cannot get insurance otherwise. The rates will be considerably less than the private carriers, but there will be regulations in place to prevent companies from unilaterally dropping employee coverage and restrictions to prevent individuals from dropping their health insurance in favor of the lower cost public option——it will be based on the percent of income spent on health insurance. If the cost of private insurance exceeds a threshold you will then be able to subscribe to the public option.
6. In any event, it is known by physicians, the medical insurance industry, the pharmaceuticals, and the hospitals, that the public option will eventually lead to their demise in dictating medical practice.
7. Referring to No. 1, the public option will need a very large customer pool to moderate costs and will eventually lead to private customers leaving their carriers for the public entity which will supply the same medical package a la Medicare. Individuals on company sponsored plans will follow and no complaints there.
8. However, Medicare is not a cheap venture, just cheaper than private carriers. With the extra insurance for the 20% not covered and the doughnut hole, Medicare runs between $4000-$6000 per year. Of course, once an individual has less than $2000 in assets, then Medicaid steps in, but don’t count on A1 care——just adequate.
9. 20 years from now when government run health care is the norm physicians will be there because they want to be and not for the money, though the pay will still be quite good, but not extravagant. Sort of like teaching was in the first part of the 20th century, before it became a relatively lucrative profession populated by poor performers.
By Triton, August 20, 2009 at 6:59 am Link to this comment
(Unregistered commenter)
Just another botched execution. Once again the American people are dangling at the end of a rope. It was not a quick snap of the neck so we are slowly being strangled to death. The gallows was built by the health insurance industry and Big Pharm. The rope was supplied by the Congress and the noose was tied by the President who thought he was just prepairing a neck tie. When health care reform is confirmed to be dead by the American Medical Association the rope will be cut into small pieces and auctioned off to the Wall Street Bankers. The oligarchs will have the choice seats for this display of democracy in action and the country will sink deeper into a pit of its own making.
Report thisBy Schneb, August 19, 2009 at 12:18 pm Link to this comment
(Unregistered commenter)
Just in case someone stops by this story—
Robet Reich has called for a march on Washington, on Sept. 13, to support a
public option. Here’s the link:
http://www.politico.com/news/stories/0809/26224.html
There’s a facebook group/event/etc. for this, and a website as well:
http://www.marchforhealthcare.com
—-but with time short, if this is going to happen, we need to get going NOW
Report thiswith planning and spreading the word. Please tell whoever you think could help
with that aspect and/or whoever would be willing/able to go—and note: Reich
also offered the prospect of marching on state capitals for those who might
not be able to get to DC.
By ChaoticGood, August 19, 2009 at 1:08 am Link to this comment
This is hilarious, we are attacking the “puppets” and not the puppeteers.
You want change folks…simple
Let the puppeteers know that you will not buy their products and services until they tell their puppets to give us universal health care.
——————————————————————-
Recipe to turn America around…....
Get the names of the biggest contributors to Republican elections off the internet. They are easy to find. Then don’t buy their stuff.
Just change your habits and you will scare the puppeteers to death
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Just who do you think runs this country anyway!
Report thisBy felicity, August 18, 2009 at 11:20 am Link to this comment
I still argue that health-care reform is NOT the issue; it is merely the catalyst to restart the right-wing diatribe against Obama which began the moment he became the Dem nominee.
An article in “The New Yorker,” Sept., ‘08, ‘The Obama Nation’ - Obama “is a corrupt, enraged, anti-American, drug-dealing, anti-Israel, pseudo-Christian radical leftist black-militant, plagerist, and liar, trained as a Muslim and mentored by a menagerie of Marxists, Communists, crypto-Communists and terrorists.”
Sound just a tad familiar?
Report thisBy Night-Gaunt, August 18, 2009 at 10:58 am Link to this comment
The problem I see with many libertarians is that you get their gung ho capitalism but not the end Drug War, end the Sex war that they claim they are for too. Too often they are just republicans with nicer rhetoric. Like Reagan who sounded so good in his speeches but was a destroyer of our country. [I should say he started us on this tobbogan run to ruin we are at now.] I didn’t buy it because it contradicted what he had done as governor of California. [Raised taxes on everyone but the wealthy, called in the IRS to get them and increased the bureaucracy by a factor of 2.]
Obama is just like him and Clinton who say one thing but do another. He was no liberal or progressive. He is a Regressive in Progressive-like clothing. A very good mimic but the claws do come out and the sheep do die. How many more will die before the herd demands the wolf-sheep stop killing?
Report thisBy Kay Johnson, August 18, 2009 at 7:35 am Link to this comment
Hulk2008,
On TV, I watched people in your part of the country standing in line.
And, I certainly share your frustration, a word that is probably far to weak to describe how you really feel.
Report thisBy Hulk2008, August 18, 2009 at 7:23 am Link to this comment
In Indiana, there are no 3rd party candidates allowed for Pres. It’s a struggle to get a Dem on the ballot, much less Nader. In Johnson County in fact there are almost as many Libertarian candidates as Republican - but NO Democratic candidates. The Libertarian candidate for governor was, at least, a bit colorful, if misguided on social issues. Talk about your vast wastelands.
Report thisWe stood in line for many hours to vote - almost a complete waste of time except “in principle”. We do get tired of “moral” victories over the years.
By Kay Johnson, August 18, 2009 at 7:02 am Link to this comment
“Those who have hoped for more substance than sentiment are likely to be disappointed.”
Disappointment doesn’t even begin to cover the way I feel about whatever “health insurance reform” plans are floating around. I have always seen Obama as more of a manager than a leader, and he continues to prove me correct.
Instead of health care reform, “we the people” will be forced to feed the beast as health industry CEOs and other executives salivate over the fact that they will be taking in even higher profits, and it’s just another upward shift of wealth to the already too-wealthy!
As stocks tumbled yesterday, August 17, 2009, health-care stocks held their own, and went up in value. “We the people” have been handed over to the corporations with the blessing of almost all of our elected officials—Republicans and Democrats.
I will continue to vote for third party candidates.
Report thisBy thekingofcheap, August 17, 2009 at 10:51 pm Link to this comment
(Unregistered commenter)
Every day brings more disappointment, yet I read every article with more bad news. Health care reform in the US is like a pileup on the highway with blood-stained glass on the road—I hate how it’s happened, but damn if I’m not awed by the spectacle.
Report this