Democrats are the ideologues on health care

In the health-care debate, like the just-begun football season, everything that happened in August was mere prelude to September, when the real games and head-knocking get under way.

As in football, however, there are some lessons from August that we ought to keep in mind going forward. One is just how angry Americans are about our nation’s increasing fiscal mismanagement, and how huge new public outlays for health care would exacerbate that.

Most important is that Americans seem repulsed by the idea that this issue will be settled on ideological grounds. People consider health care far too personal a matter to be subject to someone else’s political philosophy.

Democrats can talk about Republican “intransigence” all they want. But Democrats have all the votes they need for health reform if they can convince the public — not to mention all of their own members — that a government-run “public option” for health insurance is about pragmatism, not ideology.

So far, they haven’t done that any more than Bush-era Republicans convinced the public that their goal of privatizing Social Security wasn’t merely ideological.

Whenever Democrats have set a standard for what their public option would do — reduce health spending, say, or remain budget-neutral — analysis by the nonpartisan Congressional Budget Office has refuted their arguments. It’s not just that the public option isn’t necessary for achieving these goals; it isn’t even helpful.

Ideology is all that’s left.

But there’s also been little recognition of a subtle but important shift in Republicans’ philosophical approach to this issue.

On those rare occasions when liberals deign to acknowledge the existence of GOP health proposals, they would have you believe that Republicans want to stick with the health-care status quo and — voila! — the market will fix everything on its own.

Certainly, I and other free-marketeers think market forces could resolve a lot more problems if not for government-created burdens. But the reform proposal championed by the GOP’s most conservative members is hardly a government-free solution. Some ideology has been shed in favor of pragmatism.

The Republican Study Committee bases its proposal to extend “access to [health] coverage to all Americans” on tax credits. This includes “an advanceable, refundable tax credit (on a sliding scale) for low-income individuals to purchase coverage.”

That isn’t kicking sick kids to the curb. It is government-funded health insurance. Washington would be taking tax revenue from some people and using it to pay for others’ insurance, since that word “refundable” means the tax credit would be granted even to Americans who pay little or no income tax. (If any liberals think filing a return would be too onerous for nontaxpayers, they’re welcome to support tax-code simplification for all.)

Issuing tax credits is not the same thing as lowering taxes, since recipients must use the money in a certain way. It’s essentially new spending that preserves choice for the taxpayer.

The RSC plan also calls for, among other things, covering pre-existing conditions and making insurance portable from job to job — or to joblessness, as the case may be. It would foster competition, making life less comfortable for insurers that are fat and unresponsive.

These would be government-mandated changes to real problems. We’re talking about interventionism that, not long ago, free-market conservatives would have deplored, not proposed.

This is a far cry from being know-nothings on health care, and a significant move toward the middle. So here’s the question for September: When will Democrats follow suit?

119 comments Add your comment

Davo

September 4th, 2009
8:43 pm

“The Republican Study Committee bases its proposal to extend “access to [health] coverage to all Americans” on tax credits. This includes “an advanceable, refundable tax credit (on a sliding scale) for low-income individuals to purchase coverage.”

Still don’t like it…sounds like a ‘meet you in the middle’ proposition that does nothing to stop the advance of UHC…just stop-gap til the 2010 election is past.

Oh well, enough is enough for this week….as Cynthia Tucker reminds us today that socialists have brought us an extra day day of solace, we might as well begin to enjoy it and set this aside for next week.

Michael H. Smith

September 4th, 2009
9:16 pm

I have a big problem with HR 3400 as proposed by Rep. Tom Price.

SEC. 221. EXPANSION OF ACCESS AND CHOICE THROUGH INDIVIDUAL MEMBERSHIP ASSOCIATIONS (IMAS).

`SEC. 3101. DEFINITION OF INDIVIDUAL MEMBERSHIP ASSOCIATION (IMA).

`(a) In General- For purposes of this title, the terms `individual membership association’ and `IMA’ mean a legal entity that meets the following requirements:

`(1) ORGANIZATION- The IMA is an organization operated under the direction of an association (as defined in section 3104(1)).

SEC. 3104. DEFINITIONS.

`For purposes of this title:
`(1) ASSOCIATION- The term `association’ means, with respect to health insurance coverage offered in a State, an association which–

`(A) has been actively in existence for at least 5 years;

This is far to constraining and restrictive to make insurance portable from job to job — or to joblessness, as the case may be, Kyle. The only way portability can be guaranteed is if the “individual” not business or government or only the existing non-consumer owned, ran and administered cooperatives within a state controls healthcare.

No way will I support HR 3400 in its current form without the inclusion of and the expansion of the ability to establish or create new mutual insuring consumer owned, ran and administered healthcare cooperatives within any state.

My suggestion Rep. Price is get out of bed with business and the corporations sir, it is what many conservatives hate about Republicans and the Republican Party presently – yours truly included. This country was not meant to serve government, business, corporations or political opportunists. It was meant and should return in sole meaning to serving entirely the utmost liberty of the “individual U.S. citizen”.

I will remain hopeful of what the gang of six in the Senate can produce in the way of mutual insuring consumer owned, ran and administered healthcare cooperatives without any hidden Public single payer Option Trojan Horse attached under the assigned the name of “Trigger”.

No government owned healthcare, no business owned healthcare. Every individual citizen of this country should own and control their healthcare entirely.

Max

September 4th, 2009
9:26 pm

Hmmm…. The byline says your name is Kyle but I’m pretty sure it’s really “Pot”. I have a someone here you need to meet – goes by name “Kettle”…

Art at Large

September 4th, 2009
9:39 pm

Ah, yes. More of the same when it comes to for-profit healthcare insurance.
Giving Tax Credits once a year is supposed to magically pay 12 premiums a year? The sick, the poor and the unemployed must make these tax savings (or refund) last all that time, in the face of continued unemployment, disability, or poverty? This solution lacks the month-to-month solution these people will need…saving them money in April will not do them any good in October when they are still in dire straits. Even if the Tax Credit took the form of a refund, again the problem remains…a once-a-year stipend will not last. Disability is a year-round problem, not one that comes and goes every April.
The core of your “solution” seems to be the typical Republican “free-market forces” argument, stating that additional competition between existing insurance companies will force them to be more responsive and responsible. And yet, this is the same form of competition that has led to 40,000,000+ uninsured, and a United Healthcare CEO who makes $102,000 per hour.
A public option is the only true way to get behind the wall of crazy money and heartlessness that now rules the system. I fail to see how merely adding to the number of customers available to insurance companies will have any effect on their practices. Adding a public option will result in TRUE competition for those companies, who then really would have to re-think their profit-versus-treatment attitudes. Maybe then, breast-cancer patients would not be denied coverage for not informing the insurance company that they went to a dermatologist 18 years ago for acne treatments. Maybe then, children who need special bone-shaping helmets would not have treatment denied on the grounds that the helmet is “cosmetic in nature” (again, United Healthcare).
AND WHERE IS THE ACKNOWLEDGMENT THAT THE REPUBLICAN PARTY AND THE VARIOUS SHILLS OF THEIR ILK HAVE BEEN MISLEADING THE PUBLIC WITH “DEATH PANELS” AND EUTHANASIA FOR THE ELDERLY AND “RATIONING” AND FORCED ENROLLMENT, AND THE REST OF THE LIES?
No, not a word about the dis-information campaign that has led to violent town-hall meetings, armed citizens in the streets talking about “killing tyrants”, the politics of US VERSUS THEM which pits citizens against each other, the” SOCIALIST” or” NAZI” rantings of the misled, the fearful, the ignorant, and the selfish or the fact that insurance companies are willing to spend millions of dollars to fight reform every step of the way.
No, not a word about the Republican “Party of NO” who offer the same worn-out tax-credit idea which will change nothing; not a word about their political agenda of “Obama must fail at all costs”; not a word about the corruption inherent in insurance-company donations to politicians; not a word about how the U.S. is ranked #37 in world healthcare despite spending more than anyone else; not a word about how we pay the world’s highest prices for prescription drugs available for a fraction of our cost, overseas. Not a word about how George Bush forbad the government from negotiating the cost of medicines for Medicare and Medicaid. Not a word about people like John McCain claiming that our healthcare system is “the best in the world” and in no need of fixing (although it is true that McCain’s healthcare DOES NOT need fixing).
Instead, you again use the Republican tactic of crying “WE ARE VICTIMS” while ignoring the facts; the Republicans had 12 years to do something about healthcare, and what they chose to do was to enrich the rich, allow the poor to suffer and die, accept millions in donations from insurance companies, and let the system become what it is today.
I’m sorry to say (but not sorry for you), but the meager sops you present as a panacea are just more of the same corrupt, selfish, free-market-faith heartlessness that has landed our country in this mess in the first place.

San Francisco perspective

September 4th, 2009
9:55 pm

The problem, Kyle, is that an insurance system designed primarily for profit has incentive to deny coverage, design loopholes, exclude the needy, etc. That is the very logic of a private system. Why shovel tax-money into that via “credits” ? Two answers: 1) the power of the organized interests in that industry and 2) a mindless ideology that refuses to accept that profit motives might not be what you want at the core of a health-care system. If you really believe that a public option is a disaster, then please, please have your Republican friends introduce a bill to privative Medicare. But that would not be “pragmatic” would it, since people actually like public systems once they are in place………..

Chris Salzmann

September 5th, 2009
1:22 am

Kyle,
I’m happy to see that you are no longer citing the Lewin Group in your opposition to Health Insurance Reform. You did that last time you came out against any kind of single payer system. BTW, the Lewin Group, as I’m sure you already know, is owned by United Health, a health insurance company.

That said, tax credits are a sham because how do you expect people who are living in poverty or are unemployed to pay with tax credits for an extended period of time? A for profit health insurance system, implies that the system has to be profitable. That profit is always at the expense of the consumer to the benefit of shareholders. In this case, the consumer is the insured who gets stuck with high premiums, denied care for “pre-existing” conditions, and having rates raised arbitrarily. That’s how it works if you are self insured. Self insurance health policies are a cash cow for insurance companies. I know because I deal with them all the time. I’m, among other things, insurance licensed which includes a health insurance license.

In fact, we spend almost $7,000 per capita already on Health Care in this country with minimal return. That’s more than any other industrialized nation. Twice more than France, the UK, Germany or Canada. Where’s all that extra money going? We excel in emergency care but fail miserably at preventive care. About 20,000 people die in this country annually for lack of health care insurance and over 60% of personal bankruptcies are related to medical costs. Of those folks, 70% have some kind of health insurance but fall through the cracks devised by these companies.

We need to have far tougher regulations on health care insurance. There should be mandates which allow pre-existing conditions and subsidies and cost caps for those who cannot afford to pay for health insurance. There should be a government option that pays a bare minimum coverage but allows pre-existing conditions and which requires people below a certain level of income to enroll in it. Once you cross to a higher income level, you can leave and go to a private insurance company which can provide more bells and whistles (value added policies). You call this socialized medicine but there is nothing socialized about it. Germany, which requires universal coverage and has a government option, has over 200 private health insurance companies which are thriving and profitable. I’m very familiar with that system because I have lived there and have family over there.

BTW, SF perspective is correct. If you are so against a single payer option of any kind,under any circumstances, then tell your Republican friends in politics to come out and call for the abolishing of Medicare because that’s exactly what Medicare is. You cannot oppose any kind of public option on one hand yet mouth servile platitudes about keeping Medicare. That’s a double standard by any standard.

We need an educated debate on options, without the lies and misinformation. Calling something “socialized” medicine or that someone’s encouraging anyone to kill grandma doesn’t help in finding solutions. This plays into the hands of health insurance companies who would rather have no reforms at all. In fact, they’ve enlisted 50,000 of their employees to actively campaign against it.

Brit

September 5th, 2009
3:50 am

The author states in ideological fashion that “Ideology is all that’s left”, implying that the pragmatic necessity of turning the abysmal and embarrassing status of health care of the world’s richest nation into a decent system is just a closed set of belief and not practical!?

I am a USA citizen who has been teaching in New Zealand for 14 years. NZ like EVERY other developed country has a public (single payer) health care system combined with affordable private health options – well to the left of what Obama is considering. Like nearly every other developed country, the major indicators of health care such as life expectancy and infant mortality rates are better than the US – even though the per capital wealth here is 2/3 that of the USA. No one pays more than a few dollars for prescriptions. Rationing exists for those without private insurance, but it is less than de facto rationing in the USA for the underinsured, uninsured and those dropped by the insurance industry.

No insurance forms are needed. Doctors make very good wages. Taxes are low compared to most countries (even the USA when comparing taxes other than Federal taxes). No death panels. Certainly no Castro-like secret police (or Bush style NSA). The government is far less intrusive than in the USA with objectively a far more vital and free democracy.

Indeed, in most of the civilized world, public health care is considered a human right…whether from the left, right or centre. It is no more “inefficient” than the “socialized” military, police and fire departments, libraries or highway departments. Undeniably, without issuance or pharmaceutical interference single payer systems are far more efficient. As in all such countries polls show that most prefer this system over a US privatized system. For Canada’s POV see: http://www.thestar.com/living/article/679824

Who can, with honesty, argue against such systems whose health indicators are far superior to that in the USA?

Trudy

September 5th, 2009
6:56 am

The government is responsible for protecting its citizens. Over 15,000 US citizens die each year because they cannot afford care. That’s five times the number of people who died on 9/11. The GOP wants people to suffer and die.

Tom

September 5th, 2009
7:16 am

“One is just how angry Americans are about our nation’s increasing fiscal mismanagement.” It is amazing how you can spin preventing a new Great Depression into ‘increasing fiscal mismanagement.’ Mismanagement is what sent the financial system into a nose dive last year. But management this year is what has stopped a complete collapse.

Gordon

September 5th, 2009
7:32 am

At least on this blog there is some intelligent conversation about the real issue…well, except for Tom at 7:16.

Gordon

September 5th, 2009
7:32 am

…and Trudy just before him. “The GOP wants people to die.” Good grief.

Gordon

September 5th, 2009
7:57 am

Brit, good post. My concern about H.R. 3200 is that is makes it very difficult for private insurance to survive. Private insurers cannot compete with a government plan that does not have to be fiscally responsible. They have been set up to fail. You call this plan something to the right of what is in New Zealand? Medicare and Medicaid, in their current form, are not sustainable. I don’t take Obama seriously on this issue because he simply is not being forthcoming with what it is going to cost, and includes absolutely nothing on tort reform. If he would get serious, maybe more people would get serious about him. The two choices don’t have to be do nothing, or swallow the crap sandwich that is H.R. 3200.

Gordon

September 5th, 2009
8:03 am

San Francisco Perspective,

People love public medical care because, in the words of George Will, they get 2009 medicine at 1960 prices. Which is why government run health care is absolutely unsustainable. Medicare and Medicare have tens of trillions in unfunded liabilities. What are you going to tell people on public plans when the government simply cannot pay it’s bills?

Michael H. Smith

September 5th, 2009
8:24 am

We need an educated debate on options, without the lies and misinformation.

Didn’t someone already point out the pot and kettle? Thanks for that advanced notice.

That’s how it works if you are self insured.Self insurance health policies are a cash cow for insurance companies.

Really now, it doesn’t work that way for mutual insuring non-profit consumer owned, ran and administered healthcare cooperatives.

Amazing how the self-proclaimed so-called educated debaters NEVER talk about the greedy pharmaceutical industry which are far more profitable than the insurance industry. Funny, they NEVER talk about the greedy trial lawyers. Hilarious is their FAILURE to mention medical device manufactures ranking in the big bucks.

Not so amazing, funny or hilarious is how the self-proclaimed so-called educated debaters NEVER acknowledge the trillions of dollars in unfunded liabilities that the present SOCIALIST BIG GOVERNMENT healthcare programs face?

NEVER a mention of doctors refusing to take on Medicaid patients because these doctors receive less than their full fee?

But when Medicaid patients seek care, they often find themselves locked out of the medical system. In a 2006 report from the Center for Studying Health System Change, a nonprofit research group based in Washington, nearly half of all doctors polled said they had stopped accepting or limited the number of new Medicaid patients.

That’s because many Medicaid programs, straining under surging costs, are balancing their budgets by freezing or reducing payments to doctors. That in turn is driving many doctors, particularly specialists, out of the program.

And these self-proclaimed so-called educated debaters have the gall to suggest yet another SOCIALIST BIG GOVERNMENT healthcare program?

To all those who glory in how great other countries are doing on healthcare you have your PUBLIC OPTION already, all you need do is start moving the two good ones, left and right, you have standing on the ground to reach your grand SOCIALIST’S utopia.

The Swiss have undoubtedly a very good but SOCIALIZED healthcare system (probably the best in Europe) including private insurers but they all pay more than a few dollars with income taxes as high as 50%.

One Voice

September 5th, 2009
8:55 am

What? An article by Bubba Wingfield that’s not about how a “wave” of 11 misguided teenagers just joined the Georgia Young Republicans?

Reforming health care is not a political issue; it’s a moral one. No civilized country should deny anyone health care because they’re too poor to be able to afford to pay insurance companies. And no health insurance companies should be for-profit entities. I can’t believe that Republicans have to be convinced that it’s immoral to make a profit off of other people’s suffering. And most of them call themselves Christians (which may explain their inability to use reason and logic).

All for-profit health insurance should go out of business. When the motive is profit, the strategy, inevitably, is to deny as many claims as possible and to charge people as much as possible for as few services as possible. Our current system already does this and does so with increasingly regularity. It is simply unethical and barbaric. Americans pay the most for health care of any citizens in the world, but we’re not even in the top 35 in terms of quality of care, all while health insurance companies’ profits go up, the percentage of insured Americans goes down, and health insurance CEOs and executives rake in literally multimillions a year.

And the barbarism has been prominently on display by the right. These are people who shout down and insult handicapped citizens at town halls. Senator Tom Coburn suggested that a woman whose husband had a brain injury should resort to begging to cover his medical care (as if begging her neighbors would produce the tens of thousands of dollars necessary for his care). Another lady who was describing her medical condition was taunted and lectured by NRC Chair Michael Steele and accused of being dishonest in order to make good television. All this while their base believes and spreads absurd factual inaccuracies that originated from health care lobbyists.

The bottom line is that this is a profound moral issue for our civilization. All citizens should have health care. No health insurers should be run for a profit. This can be done in a fiscally responsible way and has been done for veterans through the VA and for seniors through medicare. Anything less and our country and its citizens will continue to live in a nation defined by 6th century barbarism where only the lives of the wealthy will be worth saving. Death panels? We already have them and they’re the executives who choose to let people die in order to fatten their paychecks.

Billy Bob

September 5th, 2009
9:37 am

I’m always amused to hear liberals like ‘San Francisco’ who decry ‘The Profit Motive’ in healthcare inusrance as an incentive for companies to deny coverage. Let me get this right – the incentive to make MORE money from additional customers means an insurance company is bound to provide poor service to it’s current customers.

Got that.

So, companies like The Coca-Cola Company and Pepsi have an incentive to fill only every can of soda they manufacture only half-full since their SOLE incentive is to cut costs. Right?

Wrong.

Both companies would love to have ‘San Francisco’s’ management skills if they want to drive their stock price into the gutter. Likewise, a health insurance company would only want to arbitrarily pay out a claim on every other client in order to attract throngs of new, premium-paying customers. Right? Hardly.

Life insurance and Property & Casualty insurance companies have operated profitably for centuries because they provide high quality AND low cost insurance. Insurance against low probability, highly expensive events. There is no reason why health insurance companies can’t do the same for Americans but we must get away from health insurance covering common health insurance events like broken bones, cuts and even minor surgeries. Let health savings accounts take care of that area.

We can find market-based solutions to healthcare but, like our auto, home and other insurance, we must choose the low probability, high cost events that we want to cover and then PAY for our own costs to cover everyday health issues. Let’s hope our legislators see this as the sustainable solution.

Michael H. Smith

September 5th, 2009
9:41 am

All for-profit trial lawyers should go out of business. All for-profit pharmaceutical companies should go out of business. All for-profit medical device makers should go out of business. Only the government and its’ bureaucrats (unionized of course) should profit from healthcare, yada, yada, yada.

Isn’t socialist – communism a beautiful thing? So sad the former unethical and barbaric U.S.S.R. had to self-implode due to a lack of for-profit non-state owned, ran and administered enterprise. :cry:

One Voice

September 5th, 2009
10:11 am

Billy Bob,

So you think profiting from selling Coca Cola is the same thing as profiting from people purchasing health insurance that will keep them and their families alive? This is the type of immoral thinking that typifies the right.

Michael,

Unfortunately, our country is filled with Neanderthals like yourself who don’t understand the difference between communism and socialism and probably couldn’t define either without looking them up on Wikipedia.

You decry government bureaucrats without realizing that the bureaucrats who run the VA and Medicare make tens of thousands of dollars, not tens of millions like the executives at health insurance companies, which is exactly why the VA and Medicare can deliver superior care at much lower costs. The VA system is the most cost effective and highest quality system in the world and would only benefit and become more efficient if more people could buy into it, which is precisely what veterans advocate- expanding the VA system to allow coverage for extended families. This larger pool of customers would lower overall costs and more money could be directed to actual treatment and prevention, which would lower costs even further. There is no reason this program could not be expanded to the general public, which would only magnify all of these benefits.

But reasoning with you is a fruitless endeavor because you’re wrapped up in catch phrases like ’socialism’ (so scary). You might want to take a few history classes before you begin pointing to the economic collapse of the USSR as having any parallel with our heath care reform (and you may want to take some English courses to learn how to conjugate verbs and form contractions).

booger

September 5th, 2009
10:38 am

I think the problems are simple.

1- WE CAN’T AFFORD THIS. Medicare will go broke in as soon as eight years, with social security close behind. We have no plan for bailing these programs out, yet we are ready to implement a giant new government entitlement.

2-depending on the poll, 70% to 85% of Americans are happy with their health care arrangements. This would indicate a fix is needed, not reform of the entire system. If the dems. would limit the scope of their “FIX” to cost control and accessibility, they may get some traction.

One Voice

September 5th, 2009
11:01 am

Yes, the problems are simple:

1- We can’t afford NOT to reform health care. The tremendous costs of health care and the poor return on that investment are crippling the nation’s economy and have contributed to the recession. By eliminating the trillions of unnecessary dollars that go to the middle man (health insurers and their administrative fees, huge salaries, bonuses, etc.), citizens of this country will save vast amounts of money which can then be spent to stimulate other aspects of the economy.

2- More than 70% of people support health care reform, and a solid majority favor a public option (while most of the rest are not well educated enough to make a sound decision- see Michael and Billy Bob above).

3- No civilized nation in the modern world should go without universal health care. The wealthiest nation in the world should be able to provide access to health care for all its citizens, just like other less wealthy (but better educated and more civilized) nations already do.

French leftist management

September 5th, 2009
11:03 am

I was just coming to the scene of this little dust-up to rip Mr. Kyle a new .. you know what … but I see a number of previous commenters have beaten me to the punch, esp SF perspective and Art at Large. Nice job, people. Well done.

Stan

September 5th, 2009
11:35 am

One Voice for WORLD LEADER. It knows everything. It’s highly intellectual. It speaks for all of us because it knows more than any of us. It’s a moral imperative that One Voice make all of our personal choices for us. And correct our homework.

One Voice

September 5th, 2009
12:39 pm

Stan,

Did you have anything substantive to add?

One Voice

September 5th, 2009
12:39 pm

I didn’t think so.

Rick

September 5th, 2009
1:23 pm

If the Republicans had been willing to make a few need changes when they were in power, even a few, then this whole issue would be off the table. Most Republicans are not willing to compromise at all, so it is an all-or-nothing situation. Either the government has control or we keep the system that we have. Most people think that the system must be changed to survive. However, it seems that only Dems. have come up with ideas.

Republicans have really done a poor job over the past decade in this area. In fact, they have done nothing but shoot down ideas that others have developed. This is not leadership. This is lazy politics at best and corruption at its worst. Insurance companies have been pulling the strings in this nation for far too long.

booger

September 5th, 2009
1:48 pm

One Voice,

1-…..Can’t afford not to is wearing a little thin. And trillions of dollars going to Insurance companies? Think this number is a teeny bit high. Also, I have no problem with Obama taking the $500 billion in waste out of medicare and medicaid right now. This would go a long way toward controling costs.

2-…..Vast majority prefer a public option. I don’t think so.

3- I did not say there should not be access for everyone. I said this was one of the problems which need to be fixed. You don’t have to reform a whole system to fix a problem.

Michael Szedon a.k.a. Art at Large

September 5th, 2009
2:14 pm

Hey, Gordon….
Tom, at 7:16 is right. Mr. Wingfield accuses President Obama of “fiscal mismanagement”, but all that spending was necessary to ward off another Depression. When the gov’t is the only one with money, they need to spend on programs or have the economy shrivel and die. The Republican plan of freezing all gov’t spending except for the military, medicare, etc. would have been like bleeding a patient in order to cure fatigue.
Trudy has a point, too. The Republicans don’t give a sh*t how many die from lack of affordable health care. The Republicans were getting their massive donations from the insurance companies, business was booming, and the Republicans were getting theirs, so screw you, jack. Not even the actual physicians who were elected to high office could be bothered to think about the suffering and dying of the poor, the afflicted, and the uninsured.
As for the “unsustainability” of medicare and medicaid, didn’t our former chimp-in-chief George Bush come to office (well, had the office handed to him by SCOTUS justices picked by his daddy) with a budget surplus? And didn’t he blow through that surplus in no time, and then rack up massive debt, and then oversee the collapse of our financial system due to lack of oversight, regulation, and the fostering of pure greed?
Bush did the same thing when he became governor of Texas. He took a budget surplus and turned it into record-level debt, and then he left office early, ensuring that he didn’t have to live with his own irresponsibility.

San Francisco perspective

September 5th, 2009
3:03 pm

Billy Bob, the incentive is not necessarily “more” customers, it is “better” customers. This is why Americans with pre-existing conditions are often left without insurance. Further, because the market is so consolidated and the bargaining power between the parties is so lopsided, companies can and do profit from denying a variety of services.

And to the free-market advocates here, you should all be advocating for a single-payer system. An employment-based private health care system is really quite bad for business. A single-payer system would free workers to take new jobs, go back to school, and start new businesses without worrying about their health care disappearing. There is a reason why no other industrialized democracy is rushing to create an American-style health system……………

Kamchak

September 5th, 2009
4:41 pm

Let me get this right – the incentive to make MORE money from all customers means an insurance company is bound to provide poor service to all customers

FYT

Every penny of profits, is a penny of health care denied.

catlady

September 5th, 2009
5:09 pm

Ideologues? Yeah, I hope so. We need SOMEONE who will think of what SHOULD be–what health care should look like–and then find ways to make it a reality. Better an ideologue than a demagogue!

Dave

September 5th, 2009
5:48 pm

I’ve read a few of your pieces. You or your editors need to tighten up your writing. You seem to start with an idea and jump there, without regard for logical progression.

DannyX

September 5th, 2009
5:56 pm

I think any good Republican should be asking “What would Jesus do?”

Any good Republican knows Jesus would be appalled by the liberal “health care for all!” garbage. Heck if Jesus were to come back now He’d make a killing. Since obviously Jesus would represent Republican family values, I’m sure Jesus would want to get in on the action. I say of course Jesus is a Republican. Duh.

Forget the free miracle bs. More like free market. I’d say Jesus would end up pretty damn rich. Think of the pay days He could bring in.

Jesus’ “Christian Angels Saving Humans,” or CASH for short, would be a hit on the stock market.

CASH price guide:

Return sight to blind…$100,000.00
Return legs to cripple….$100,000.00
Wedding wine service…$10,000.00
Fish for a 1000….$10,000.00

And of course the Main Course….

Bringing the dead back to life….$12,000,000.00

Gotta love them values. Family values that is.

electrician

September 5th, 2009
6:15 pm

Dannyx..you know a lot of dems are christians too…watch your mouth

Southern Man by God

September 5th, 2009
7:14 pm

It is God’s will that we deny healthcare to immigrants, he only truly loves white southerners. Don’t let Obama indoctrinate your offspring with the word of the devil.

In the Middle

September 5th, 2009
9:36 pm

You want real competition that will bring health care costs back to reality?
Have health insurance act like all other kinds of insurance, only to be used in catastrophic and unforseen circumstances. Give all this money to the people, and REQUIRE them to maintain HSAs (along with their own required contributions). They use the money for routine medical care, and insurance for stuff like accidents and serious illnesses. For other, more elective stuff, use credit. Wanna bet people would start shopping around and prices would come down? Nobody shops around right now. Why would they? Someone else is paying for it (the insurance company).
The biggest problem in our system is the “employer-based comprehensive health insurance” infrastructure that our tax dollars currently incentivize. It’s broken, bloated, and one of the big reason why health care is so expensive. Scrap it and start over!

Michael H. Smith

September 5th, 2009
10:29 pm

One Voice

September 5th, 2009
10:11 am

I really like the personal attack, it so reveals the inner two year old within you.

1 – You idiot, government is the ultimate worst MIDDLE MAN imaginable.

2- Knucklehead, the vast majority do not prefer the public option and that same vast majority knows what it dislikes about the inherent problems of healthcare, which is…

3- Lamo, systemic and that means reforming the health insurance industry alone will not correct what is wrong or begin to address all the other parts involved in the healthcare industry that drive-up the cost that has priced healthcare out of reach the average U.S. Citizen.

Now junior, if you have something intelligent to say I’m waiting. – Tough I’ll admit it’s just a poor use of my time. Otherwise, if your intention is to get into a slap down match-up you silly little egotistical humanoid, be forewarned pantie-waste that you are dealing with a crusty old ’struction guy that can make a salty old sailor’s mama cry.

Michael H. Smith

September 5th, 2009
10:45 pm

In the Middle

September 5th, 2009
9:36 pm

That is pretty much what would happen under what I support but what I want would give alot more to the healthcare consumer via mutual insuring non-profit consumer owned, ran and administered healthcare cooperatives: Which under Waxman-Dingle HR 3200 or under Price HR 3400 cannot happen. However, it is under consideration by the “gang of six” in the Senate finance committee.

A model of this can be examined at the link below. (Of course, even this model can be improved, without destroying the private sector healthcare industry or proxy of hidden government owning running and controlling them a.k.a. No Trojan Horse)

http://www.ghc.org/

Unknown

September 5th, 2009
11:49 pm

70% want univeral healthcare? Who are you asking? I have insurance. If the government option comes available what would keep my job from dumping me off on it? It certaintly would be cheaper for them.

Churchill's MOM

September 6th, 2009
8:21 am

As written by Kyle Wingfield in the 9/6/09 AJC

http://blogs.ajc.com/kyle-wingfield/2009/09/04/democrats-are-the-ideologues-on-health-care/

“The RSC plan also calls for, among other things, covering pre-existing conditions and making insurance portable from job to job — or to joblessness, as the case may be. It would foster competition, making life less comfortable for insurers that are fat and unresponsive.”

Is the real rub, If you look at the Bush Drug Medicare program, we are transfering taxpayer money to the drug companies because the drug program war written by the drug companies for the drug companies. Last week Saxby Chambliss at his invitation only speech in Augusta, when asked about what changes he would make to insurance coverages, dodged. None of our Republicans Congressmen are talking about controls over insurance companies. I am not happy with the House’s 5 insurance plans but they at least have a plan, please provide us with a link to the Republican plan to regulate insurance companies.

Saul Good

September 6th, 2009
8:25 am

Tax credits? Amazes me when the republicans (many of which now falsely call themselves Libertarians in these post Bush-Era days) keep going to their same failed policies. Please let me know when the Bush tax breaks are going to kick in. Been years now.

8 long years on power, 6 with total control. Please present to me the health care plan that the republicans presented during that time. You won’t find any. Though what you WILl find is that we added millions more to the uninsured ranks, as well as premiums that have doubled. Add to that the profit margins that increased for the insurance companies during that time. Did they “trickle down” their massive profits and cut rates? Nope, they “rationed” even more to become MORE profitable.

Please do sleak more about

Saul Good

September 6th, 2009
8:29 am

oop! hit send by accident! ;-)

Please do speak more about the privatezation of Social Security (where people were going to be able to invest their own portions in the stock market). If we had gone that route (which Bush and many of the other neo-cons pushed for over and over), there would be MILLIONS right now with worthless accounts and many old people standing inline at soup kitchens just to get a slice of bread.

Republicans (and phony libertarians): always making noise, yet never coming up with a better idea or one that works…but when they had control… they literally train wrecked not only our own nation, but most around the world as well.

hryder

September 6th, 2009
9:11 am

By definitiion, Something is not health insurance if the identical premium is paid by all and those with pre-existing conditions must be accepted for coverage at the same personal cost. Then, when one is unable to pay for the insurance, for whatever reason except not desiring to pay someone else’s bills, taxpayers foot the bill. Yes, this is financing health care but it is not health insurance. This does tno even consider coverage, deductables, etc..

Libtards Blow

September 6th, 2009
9:51 am

The fact that the Democrats won’t allow folks opt out of their health care scheme should tell you something–they’re more interested in controlling you than in making sure you get the kind of health care you want.

One Voice

September 6th, 2009
9:56 am

Michelle Smith @ 10:29

Thank you. That post served to substantiate my assertion that you’re an uneducated Neanderthal. You proved that point much better than I could have.

So you go from using silly catch phrases like socialism (which you think will somehow shock and scare people) to complaining about the government being a middle man. You may want to try to include some substance instead of repeating every cliche you’ve heard from the other uneducated hicks on your construction site. There’s a reason you get paid to stand around with a shovel- your intellect is not advanced enough for someone to pay you for using your mind. And please don’t scare me with the threat of cursing at me over the internet (snicker).

I already explained at 10:11 why the VA and Medicare work and why that model would work on a larger scale. You have done nothing to rebut that assertion. The majority of the country, the 53% who voted for Obama, support a public option. Just because elderly high school dropouts like yourself have been disrupting town hall meetings does not mean you are not in a small minority. If three people yell really loudly it doesn’t magically transform them into 30 million people. It’s still just three people yelling loudly.

Finally, reform will indeed fix problems. That is kind of the definition of reform, not to mention its very purpose. But I wouldn’t expect a construction worker to be able to process the intricacies of the issue. Stick to standing around watching someone else hammering nails. And if you would like to make a point, however daft, you might want to learn to write complete sentences. That’s why you shouldn’t have dropped out of 8th grade.

Gordon

September 6th, 2009
10:01 am

Michael/Art,

I don’t know where to start with your diatribe full of left wing talking points. You are simply full of misinformed hate. There is always people on both sides who offer opinions, and reasonable people can disagree. Then there are people like you who simply take up space on a blog.

Michael H. Smith

September 6th, 2009
10:23 am

I don’t know where to start with your diatribe

Then why did you begin Gordon?

You are simply full of misinformed hate.

According to you Gordon.

There is always people on both sides who offer opinions, and reasonable people can disagree.

Never said or even thought anything differently Gordon. However, if insults are considered fair game, then I can’t play in that ballpark too?

Then there are people like you who simply take up space on a blog.

Then again there are people like you Gordon that make claims that other people’s opinions simply take up space on a blog. Make use of what occupies the space between your ears Gordon and do delight me with posting your diatribe or “thoughtful reasonable opinion” as you might choose to call it on what you see as my left-wing talking points?

One Voice

September 6th, 2009
11:21 am

Booger,

1- If you’re tired of listening to the reasoning for the need for reform, then that may say something about you, but it says nothing about the validity of the argument. The VA (government run health care) provides the highest quality care in the world and does so at far less cost than private insurance. We don’t need to wonder about theoretical circumstances; we have an actual working model in the VA. If it is expanded to the general public the costs will decrease further. That’s one of the most basic rules of economics- higher quantities translate to lower costs- and it’s why Walmart has become the biggest company and biggest employer in the country. But the VA (govt run health care) also provides the best quality as well. It is simply the best and most cost effective option by far.

2- Just because you don’t want to believe that the majority of Americans support reform doesn’t mean it’s not true. About 70% support reform and about 55% support some sort of public option, and 55% has always been considered a solid majority (I used the word “solid”, not “vast”) in political terms.You seem to believe that facts conform to your opinion, when in reality your opinion may or may not conform to facts (in your case not), depending on the facts.

3- I will argue that the current private system is so corrupt and inefficient that it needs a complete overhaul. While we disagree on this, I believe if we get a strong bill passed, years from now it will prove to have been a great turning point in our history.

One Voice

September 6th, 2009
11:29 am

Michelle Smith @ 10:23,

You’re really not the sharpest tool in the shed, are you? (Although you are most certainly a tool.) You didn’t realize that Gordon @ 10:01 was not addressing you, but missed that I was addressing you at 9:56. And you attacked Gordon, who is actually a right wingnut like yourself. Very funny.

You are a perfect example of why the Founding Fathers created a republic and not a democracy (I bet that’s news to you). The ignorant masses would run this country into the ground (see the last 8 years).

Libtards Blow

September 6th, 2009
11:35 am

Michael H. Smith, you want the government to take care of you, don’t you? Be a big boy and pay your own bills. If you and the other Obama acoloytes had been doing this for the last couple of years, we wouldn’t have had this mortgage meltdown.

Azazel

September 6th, 2009
11:53 am

The government should assure that all citizens have access to high quality health care to support good health status. The government should not be a health care provider.

How is it ideological to offer a public health care plan as a choice for coverage?

How is it that health status and well being are considered more preferably as corporate commodities, rather than an individual right?

How much is your life worth to your health insurer with the singular goal of profit maximization?

Michael H. Smith

September 6th, 2009
12:05 pm

Libtards Blow

September 6th, 2009
11:35 am

You are out of your mind if you think I want government control of healthcare. Whatever gave you that impression is certainly wrong!

Swing Vote

September 6th, 2009
12:13 pm

I want a President that wakes up everyday and asks himself two questions: How can I keep America safe (yes, we’re still in a war)? and What can I do to help the economy (hello, we’re in a recession!)? Unfortunately our President is obsessed with this health care mess instead. He’s been a real disappointment so far.

Michael H. Smith

September 6th, 2009
12:21 pm

You’re really not the sharpest tool in the shed, are you?

You wouldn’t even make into the tool shed. The name Gordon used was NOT Michelle. See literacy (reading comprehension) is not a strong point with you.

You are a perfect mindless example of why people like you don’t understand what the Founding Fathers created. We are a “Representative Republic” not simply a Republic. (That would be news to you if only you could comprehend the difference)

The ignorant masses like you used more than the last 8 years to run this country into the ground.

Michael H. Smith

September 6th, 2009
12:24 pm

Swing Vote

September 6th, 2009
12:13 pm

I agree with you and your priorities.

Michael H. Smith

September 6th, 2009
12:30 pm

Azazel

September 6th, 2009
11:53 am

Government should also not be the healthcare administer or manager. In fact government should not be in any business that would compete against a for-profit entity in the private sector.

Reform Will Happen

September 6th, 2009
12:40 pm

As in football, pre-season where the starters play relatively little, bears little resemblance to the outcome of the season. And the Birther-Bircher’s-Nine Finger Bill’s (don’t stick your Repubozo finger in someone’s mouth without obtaining prior consent is apparently not something little Repubozos are taught) bear no resemblance to a football coach trying out his roster.

The new kid, Kyle Wingfield has killed a lot of trees lately to write non-sensical column after column with the Repubozos’ favorite MO–they don’t read and research ANYTHING to back up their wild, fraudulent, delusional, and crazy claims that are pure fiction.

Wingfield writes here:

Most important is that Americans seem repulsed by the idea that this issue will be settled on ideological grounds. People consider health care far too personal a matter to be subject to someone else’s political philosophy…Democrats can talk about Republican “intransigence” all they want. But Democrats have all the votes they need for health reform if they can convince the public — not to mention all of their own members — that a government-run “public option” for health insurance is about pragmatism, not ideology.

So far, they haven’t done that any more than Bush-era Republicans convinced the public that their goal of privatizing Social Security wasn’t merely ideological.
.

“Americans Seem Repulsed by the idea…and Democrats haven’t convinced the public” says Wingfield:

Let’s look at the five latest, largest polls on what Americans actually want, something that Wingfield the Wingnut has displayed he’s completely incapapble of doing.

September 2009 Major Surveys on Public Option: What the Country Thinks of the Repuboputzotards: What does America Really Think Backed up By the Four Largest Polls Recently as opposed to Wingnut’s fiction:

A new study by SurveyUSA puts support for a public option at a robust 77 percent, one percentage point higher than where it stood in June.

* The memo cited a CBS poll from September 1st, saying it found strong support for action. What does it say on the public plan? Sixty percent support, 34% oppose.

* The memo cited a CNN poll done through August 31st, saying it found deep public dismay with the system. What does it say on the public plan? Fifty-five percent support, 41% oppose.

* The memo cited a Kaiser poll from August 11th, saying it found overwhelming support for consumer protections. What does it say on the public plan? Fifty nine percent support, 38% oppose.

Azazel

September 6th, 2009
12:57 pm

Michael H. Smith

I argue that it is, indeed, in the People’s best interests that the government has sufficient influence over: access to health care, quality of health care and sustained health improvement; since the maintenance of health status is not an individual concern, but a national priority. For example, one should not have the right to refuse immunization from a highly virulent and lethal infectious disease, if, say, one infection leads to thirty with seventy-percent mortality.

Since government should not be in competition with for-profit health insurers, then, I will infer from your response, you do not mind having the value of your life “appraised” by actuaries and “bean counters”.

Reform Will Happen

September 6th, 2009
1:02 pm

Coops are dead and haven’t worked in 30 years. In Grassley and Conrad’s state, they were complete failures and died. Triggers are a complete joke–we’ve had a big Trigger since Truman and the other Trigger was a horse and they’re both dead.

Tax credits would do nothing to stop the exponential increase in insurance premiums and deductibles that are causing one bankruptcy every 30 seconds, 430 Georgians to lose insurance per day, 14000 Americans to lose insurance per day when they get sick.

They won’t do a thing to touch the underinsured’s not being able to afford any more increases or the insurance they have now.

They won’t touch the Medicare Part D donut which the Repubozos passed for big pharma in 2003. Wingfield does not realize that the Repubozos and Blue Dogs are hookers taking in hundreds of thousands this summer and millions in their careers from insurance and pharamceutical companies.

The Repubozos and Blue dogs are hookers, and Insurance and Big Pharama are the johns in a Bunny Ranch paradigm that has existed for years.

And the seats that are in jeapordy in 2010 if public option is not passed, aren’t progressive seats at all. Progressives are safe in their districts. The Blue Dogs will be fired if they refuse a public option, and we don’t care. A Blue Dog is as worthless as a Repubozo on the take. Leiberman and Specter vote with Repubozos as do Conrad and the rest of the Blue Dogs.

So it doesn’t matter at all if a Blue Dog or Repubozos win their districts in 2010–they’re completely the same –hookers on the take from their corporate masters.

Maybe Wingfiredl thinks it’s pure accident that Blue Dog Evan Bayh’s wife has no job, but gets a $400 grand income for years simply sitting on the Board of Wellpoint for years.

What’s going to happen is that the Ben Nelsons and Kent Conrads are going to find out how little their power is, and the Senate Finance Six representing 2.2% of the country is going to find out what happens when they come up against Schumner and Dick Durbin who are roomates and the 2nd and 4th most powerful men in the Senate. Considering Harry Reid is polling worse than “mah mommy gave me lunch money to use on mah nookie” Ensign, Durbin may arguably be more poerful than Reid these days.

Breast Cancer in Wingfield’s wife requiring a triad of surgery, chemo, radiatino–she gets’ dropped in a nanosecond

Malpractice caps of 250 grand modestly reduce the doctor’s premium for malpractice insurance per specialty, but they do nothing for an American’s cost of HEALTH insurance, and Texas where there are 250 grand caps has illustrated this perfectly.

The Robert Wood Johnson study on malpractice recently butresses this.

Michigan, and Oregon and 3 other states have seen insurance premium rate increases by the two insurance companies dominating 94% of the US averaging near 30% in the last two weeks as the insurance gougers rush to jack up premiums and deductibles before legislation.

And Kaiser’s large study projects rates to triple within the next ten years if no reform is passed.

The House reiterated to Obama in it’s conference call Friday (Wingfield is of course unaware of this because he can’t dig and cover the news) that progressive are dead serious–no public option no bill.

House Liberals: Don’t Mess With Public Plan–8′3 House Progressives Say Public Option or They Won’t Support a Bill in the House or in Conference:
http://www.nydailynews.com/blogs/dc/2009/09/house-liberals-dont-mess-with.html

Reform Will Happen

September 6th, 2009
1:03 pm

Reform Will Happen

September 6th, 2009
1:08 pm

Wingfireld is a little behind in reading the CBO studies. He should catch up before he contexts them:

New CBO study: Public health care option won’t dominate system

Michael H. Smith

September 6th, 2009
1:08 pm

Azazel

September 6th, 2009
12:57 pm

You infer wrongly about what I do support. We would likely disagree as to the degree of acceptable government influence and certainly we disagree the maintenance of health status is not an individual concern.

Since you obviously haven’t take the time to trouble yourself to find out what I support to compete with private insurers you can review this link below as an example.

http://www.ghc.org/

Shannon, M.Div.

September 6th, 2009
1:15 pm

Reform is needed.

We put more money into health care and get worse results than other wealthy countries in measurable, concrete terms like infant mortality and life expectancy. This is just a fact.

Personally, I want my doctor and Coca-Cola to have differing business models. I don’t care if Coca-Cola exists to make a profit. I don’t want my doctor and my insurance company to attempt to make a profit off my health care for reasons that have been cited here over and over. I want the people involved to be able to make a living wage, of course, but I don’t want them looking for ways to cut costs with my health so they can have more profit.

For me, it boils down to this. The liberals are seeing an existing problem with U.S. healthcare. It’s a very real problem; too many people are uninsured, and even the insured are one major catastrophe away from financial devastation.

The conservatives are afraid of shadows–problems that “might” exist if the government takes over healthcare. Well, I’ll take genuine solutions to genuine problems over sticking my head in the sand, pretending that there is no problem, and yelling that the sky might fall if anyone actually addresses it.

People in those terrible socialist countries are happier with their healthcare than we are.

I have health insurance; by most accounts, it’s comprehensive (Aetna). We certainly do pay a lot for it through my husband’s employer. However, my insurance company has denied coverage of a surgery that my doctors (multiple doctors) feel is necessary for my health. Government healthcare options in other countries generally fund that particular surgery, because they are more concerned with health outcomes than profit. Aetna, on the other hand, wants to make money. It’s hard to fault them for that, but why would we as a society choose this? Because we are afraid of the government? How profoundly sad that we (particularly in the South) have been brainwashed into kneejerk anti-government reactions on principle, despite what is in our best interests.

Who runs government? People.
Who runs private businesses? People.

For some things, government is better; for others, private enterprise. It’s time we make the decision to divorce healthcare from a pure profit motive.

Michael H. Smith

September 6th, 2009
1:21 pm

Shannon, M.Div.

Not many argue against healthcare reforms. A great number do argue against another government run healthcare program, which will lead to a government take over of healthcare.

Reform Will Happen

September 6th, 2009
1:22 pm

We’re passing public option because we’re tired of Insurats nce Company and Pharmaceutical company influence. They have been standing in the way of what we can Rx and how we can apply what we learn in keeping up because they drop our patients when they get sick.

Reform Will Happen

September 6th, 2009
1:24 pm

http://theplumline.whorunsgov.com/


I just got off the phone with Dem Rep. Raul Grijalva, one of more than two dozen House progressives who held a conference call with President Obama today to discuss the public option’s fate.

Says Grijalva: The call left him with no doubt that Obama understands House libs are dead serious about not backing any bill without a public plan in it.

“He understands how serious we are about this,” said Grijalva, one of the co-chairs of the Congressional Progressive Caucus, in describing the tone of the conversation. “For many of us this is not a political dance. He got that point.”

Grijalva says Obama asked how far liberals were willing to compromise on the public option, another sign, Grijalva noted, that he grasps that they mean what they say. He added that Obama asked a number of “frank” and “probing” questions, though he declined to say precisely what they were.

In another newsworthy tidbit, Grijalva says Obama signaled that discussions about the public option would continue even after his big speech before a joint session of Congress next week. That may be an indication that Obama won’t be mentioning the public option in his speech, but doesn’t want liberals to despair at that prospect.

Either the public optioin passes, or there won’t be a bill passed.

Reform Will Happen

September 6th, 2009
1:27 pm

So here’s the question for September: When will Democrats follow suit? Question from Wingnut Wingfield:

We won’t “follow suit.” We clobbered Repubozos in the election and we voted for health care reform and public option. 83 House members signed a letter I linked above saying we won’t have a bill without public option. We don’t have to follow your suit. We beat your candidates by a mile.

Azazel

September 6th, 2009
1:35 pm

My apologies Michael H. Smith, I will follow your link later.
Thank you

Art at Large

September 6th, 2009
1:35 pm

Gordon…
You accuse me of merely taking up space on a blog, but I didn’t insult you the way you have me.
And my “left wing talking-points” don’t come from the DNC…they come from having been priced out of the health insurance market, and losing my job, house, land, and equity after becoming seriously ill and needing a series of operations.
I speak from experience.
Sure, reasonable people can agree…but it is you who has resorted to the insult.
I also notice that you don’t offer any alternatives to the problem of health-care…just negativity.
I also notice that you didn’t comment on my original post. You reply to my second post wherein I support the opinions of people you disagree with.
Sour grapes.

Steve Khalar

September 6th, 2009
2:46 pm

Lets cut to the chase. We all want a better healthcare insurance programjust not the one currently on the table. We need to create laws that include no pre-existing conditions, true portability, and lower premuims. So adopt a plan that reuires all insurance companies to underwrite policies that take into account all 350 million people with no health questions and require all people to have health insurance with a minimum of catastrophic care and include option s for everything else based on sound underwirting policies. this would decrease the cost of insurance for everyone probably around 20%. Have the government subsidize the insurance on a income based scale for lower to middle income people. Keep it in the hand of private industry with government supervision and it will not cost tax payers a penny more.

We currently have an unfunded liabilty of $56 billion for Social Sercurity and Medicare which amounts to $483,000 per household now. What would UHC do? We need to get our Federal house in order before we take on any more unfunded liabilties

Liars!

September 6th, 2009
4:29 pm

As it is, we’re about to get health care reform that measures human beings only in corporate terms of a cost-benefit analysis. I mean this is topsy-turvy — we should be treating health as a condition, not a commodity.

Bill Moyers, September 5, 2009

Liars!

September 6th, 2009
4:32 pm

BTW – that unfunded liability of $56 billion for Social Security would not be there had the government not raided it for pet projects. If we DON’T get health care reform, the costs to people and the rising costs of health care will continue to go through the roof – man is a pig when it comes to making money off anything. See the above quote!

Nick

September 6th, 2009
5:49 pm

Unconvincing argument. Still disappointed in the Republicans version of health care reform.

Sandy

September 6th, 2009
5:53 pm

With adequate funding Medicaid could enroll eligible citizens and health departments charge on a sliding scale so why don’t we use these current methods while some other solution is worked out? Also, health departments treat all comers last time I heard.

Base

September 6th, 2009
6:28 pm

Where is the republican alternative, are is it just say no.

Reform Will Happen

September 6th, 2009
7:20 pm

It is just say duh.

Reform Will Happen

September 6th, 2009
7:27 pm

Bill Frist and the Repubozos put Medicare on track for in the red in 8 years because they played hookers to the johns from Big Pharma with Billy Tauzin as Rahm tried to do this summer. The House has rejected it. Deal won’t fly.

Reason for the Medicare Part D donut is that Medicare can’t bid competitively via consortium like Piedmont, Emory Healthcare and every metro Atlanta and private hospital in the US does.

White House Affirms Deal on Drug Cost brokered by Rahm and the Senate Finznce Sux Six–House Bills wreck Rahm’s Deal and 83 Progressives Won’t Vote for It
http://www.nytimes.com/2009/08/06/health/policy/06insure.html

Reform Will Happen

September 6th, 2009
7:34 pm

Ah goin keep mah babuhs outta school for a week if thet Sociulust Hiphop artist in the WHITE HOUSE tries to indockrinate um.

They kin stay at home and watch DVRs of Hotlanta House Trashinistas and ah goin’ teach ‘em the words to the Ballad of Nine Finger Bill James Giles.

ԒԒԒԒԒԒԒԒԒԒ In du key of G for Billy James Giles a Great Repubozo Amerikun:

“Doncha put yo fingers anywheres near someone’s mouth without askun first.”

Muh kids will be integral to JawJaw’s stayin’ 47th in SATs you betcha and but also.

Reform Will Happen

September 6th, 2009
8:16 pm

Largest 4 Current Polls on Public Option:

A new study by SurveyUSA puts support for a public option at a robust 77 percent, one percentage point higher than where it stood in June.

CBS Sept. 1 Sixty percent support, 34% oppose.

CNN poll done through August 31st,Fifty-five percent support, 41% oppose.

Kaiser poll from August 11th, Fifty nine percent support, 38% oppose.

Me First

September 6th, 2009
9:58 pm

Shannon,M. Div.: “However, my insurance company has denied coverage of a surgery that my doctors (multiple doctors) feel is necessary for my health.” I’m reacting to an post of eight hours ago, but I’m curious. What surgery? You don’t go into much detail. Perhaps the powers at be have decided your life is not worth saving(Obamacare). Just because technology can keep you alive doesn’t mean the resouces should be allocated to it. You may not be worth it.

You think physicians and insurers shouldn’t be allowed to profit? In case you didn’t notice, most physicians are very intellegent. They are not restricted to practicing medicine. They could go onto be lawyers, engineers, hedge fund managers, celebrity chefs, politicians, ect. Do you get my drift? In my opinion the best way to “reform” heathcare is to allow the entire industry to be one big tax free enerprise zone. That will attract real innovation. what are afraid of?

Me First

September 6th, 2009
10:03 pm

Reform will Happen…get real. Our Asian creditors will not finance another debt binge by the U.S.
Treasury. Current outlays are 185% of domestic intake. It will not happen. The USA is functionally bankrupt. All of you are dreaming…………………….zzz.

Gordon

September 6th, 2009
10:26 pm

Michael S.,

Read my earlier posts, when I was responding to people who I diagree with but who weren’t just saying things like the GOP wants people to die. Notice the tone and content of their posts and my response, then compare that with your “ideas” and you will have the answer to your questions.

And by the way, if you are outraged about Republicans getting donations from insurance companies, where is that outrage about Democrats getting donations from trial lawyers, which explains why there is no tort reform in H.R. 3200. And I suppose the financial system problems had nothing to do with the Democrat backed Community Reinvestment Act which forced banks to lend money based on race rather than ability to repay. Or just too many people buying homes they couldn’t afford. We all agree there should have been more regulation, but that is just another failure of the same government you want to run our health care. Since the Democrats had the Congress since 2006, why didn’t they do anything about it? No, it’s all Bush’s fault, the “chimp-in-charge”. Step away from all the emotion and do some thinking.

SL3

September 6th, 2009
11:40 pm

This democrat proposal is just expanding medicare to everyone. Medicare is going through money faster than we can print it. I am tired of hearing about 48 million people without insurance. If anyone of them gets sick or has an accident they will be treated. I doubt the figures thrown out by either side are close to being accurate anyway. I want to know how much coverage the government plan will offer and how much our taxes will go up to pay for it. So far I haven’t heard an answer to either one. Obama says he wants to offer everyone as good a coverage as he and the other politicians have. That’s a gold plated policy better than most of have with our private plans. He’s going to take my tax money and give someone who may not pay any taxes a better plan than me?

ArtatLarge

September 6th, 2009
11:49 pm

I made no distinction between Dems and Repubs when it comes to the effects of industry donations to politicians. The effects of trial-lawyer donations to politicians are just as bad as those from the health-insurance companies.
But, tort reform is simply a bad idea in and of itself…people who have legitimate grievances are subjected to an arbitrary limit on damages. A lifetime of suffering, or a death, would be paid off at a pittance, which the insurance companies would love. They could compensate for permanent suffering or death for the cost of a morning’s work from their CEO.
A Democratic Congress in 2006 did not fix the problem, that’s true. But they were saddled with a Republican President. And wasn’t there also plenty of time for Bush and the Republican Congress to do something, as well? They had 6 years. They also had the advantage of controlling all 3 branches of government, as opposed to a Clinton-era splitting of control. And, don’t forget that Bill Clinton faced a hostile Congress led by the likes of Tom (The Hammer) DeLay. They had the votes to overturn a Clinton veto. There is plenty of blame to go around, but it was during Bush’s tenure that the culture of de-regulation took off.
Much of our financial crisis was caused by credit default swaps, bundles of mortgages very likely to turn sour. The Republican Congress during the last months of the Clinton administration specifically forbad the regulation of these complex and paper-bound financial instruments, which was really the crux of the problem. The Republican ideal of “getting out of the way of business” is what gutted the oversight and regulatory functions. Again, the Republican Congress that did that had the votes to override a potential Clinton veto.
And, finally, it would seem to me that since you are the one who offers insult ( “…do some thinking”), that it is indeed YOU who should step away from all the emotion.

Michael H. Smith

September 7th, 2009
6:04 am

Gordon

September 6th, 2009
10:26 pm

Now that you have made your reply a bit clearer as to whom you are speaking to I suggest you do the same in regards to reading MY earlier comments, ALL of them on this blog and others. The confusion will soon vanish rest assured. I have been staunchly against HR 3200 from the very beginning and remain staunchly against it (this would include any other future government ran healthcare program).

I do not favor HR 3400 either and if you happen to read what I posted on Jay Bookman’s blog about what I’d want to see in healthcare cooperatives you’ll find I went after trial lawyers, Unions and Pharmaceutical companies, etc. none of which the Democrats would dare touch. On the Republican side I went after Insurance companies, HMOs’, and even a better means of funding things like medical savings accounts and medical scholarships to produce the needed doctors that are now and will be even more so in the future in short supply – especially to serve rural areas and in some urban areas as well (all without creating any new taxes).

Step away from all the emotion and do some thinking.

Thanks for the advice but I’ve did that along time ago. As you’ll notice I didn’t drag into the discussion other issues like housing, financing and the incompetence of politicians in allowing my emotions to divert my attentions from the healthcare debate at hand.

Michael H. Smith

September 7th, 2009
6:19 am

ArtatLarge – Have you ever put a young man or young lady through college and medical school?

If you have then you should know tort reform is necessary to limit punitive damages on pain and suffering and why trial lawyers shouldn’t be protected like sacred cows. The dreams of winning at the game of “medical legal lotto” should be forever removed.

Before you ask me if I ever put a young man or young lady through college and medical school, the answer is yes.

Gerald West

September 7th, 2009
6:56 am

All this ranting about “government run health care”, and “competition” in health care is puzzling. No one has proposed government-run health care; all proposals for reform leave health care in the hands of private physicians, clinics, and hospitals.

What is proposed as the public option is a program like Medicare.

Medicare is a government-coordinated health care program that is far more satifactory and efficient than any private health insurance program. Medicare relies totally on private practitioners to deliver health care. Medicare subcontracts claims processing and other clerical functions to the lowest bidders, usually insurance companies. There is no large staff of government employees running Medicare; it works just fine as long as Congress stays out of it.

Private insurance companies have no place in basic health care coverage. They are the problem, not the solution. They make money by denying coverage and rejecting claims, not by providing reliable coverage to all applicants. Their administrative overhead is high compared to Medicare, about 25% vs. 6%.

The solution to the wacky American health care mess is a Medicare-like program for basic heath care, with private insurance companies offering supplemental coverage to those willing and able to pay for it.

I’d don’t mind medical providers (doctors, clinics, HMOs, etc.) competing to provide the best health care, but I don’t want to rely for basic health care on insurance companies that cherry-pick their clients, then try to find ways to cancel my coverage or deny treament if I become seriously ill.

Use your heads, people. Don’t get tripped up by muddled terminology and outdated concepts. Right now, reform is about the way we allocate and pay for medical services, not about medical practice.

Gordon

September 7th, 2009
7:31 am

My comments have been directed at “Michael Szedon a.k.a. Art at Large”. Sorry for the confusion.

Michael H. Smith

September 7th, 2009
7:36 am

Medicare is government owned, ran(managed) and administered program.
I do not want government allocating, re-allocating or paying for my medical services, which has everything to do with the doctor-patient relation in the practice of medicine.

If anything is a dated failed concept, it is socialism. The Public Option is one more step on the socialist pathway.

The Public Option is not required to end cherry picking, preexisting claims, lifetime caps or denial of or limiting treatment. All of these health insurance industry practices could be eliminated in one law without any new government program or one more additional penny sent to the government.

Michael H. Smith

September 7th, 2009
7:37 am

No problem Gordon or need for apology.

Gordon

September 7th, 2009
7:38 am

Gerald,

Do you realize that Medicare and Medicaid are bankrupt? They have tens of trillions of unfunded liabilities. They are unsustainable. And you want to extend that model to everyone? That would be like extended the model of government California uses to the entire United States because the weather is nice out there. Of course people like Medicare – they get something that NO ONE PAYS FOR. We’ve see recently what happens when people get things (houses) that no one pays for. IT DOESN’T WORK!! The vast majority of people are going to have to have significant service reductions (another word for rationing), or the Chinese say enough is enough and stop lending us money. I can’t believe they are still doing that now.

Gordon

September 7th, 2009
7:46 am

The problem with R’s is that they underregulate. The problem with D’s is that they overparticipate. Government should be like an umpire in a baseball game. R’s want the batter to call balls and strikes, and D’s want to give the batter 4 strikes because he is not a good hitter. Neither works.

We should have private health insurance, but government should keep them from dropping people when they get sick, limit how much they can raising premiums on an individual when they get sick, limit how much punitive damages (NOT medical payments) can be awarded, help on the portability issue, etc.

Michael H. Smith

September 7th, 2009
8:22 am

Upon the singing of this bill into law anywhere within the jurisdiction of the United States of America, any entity inuring the health and well being of any U.S. Citizen shall sell health insurance to any U.S. Citizen applicant and shall not be permit to set lifetime caps, cancel health insurance coverage for any reason other than non-payment of premiums or limit in any fashion whatsoever full payment for the treatment of any medical condition as prescribed under the advice and care of a licensed physician within the jurisdiction of the United States of America.

Okay socialist libs there you have it. Your excuse for a socialist government single payer Public Option program and whining about greedy insurance companies has just been taken away. I’ll leave any other legal details to the Congress, while the whimpering lot that remains dries-up those big crocodile tears. (sniffle, sniffle)

Now, want to talk about reforms correcting the trial lawyers and tort reform, BIG GREEDY PHARMA (which is far more profitable than the greedy health insurance industry), medical device makers, waste, fraud and abuse within the healthcare system etc., etc.

Guess not, you guys have not done so to date.

So what?

September 7th, 2009
9:29 am

And what would you call Georgia legislatures like Judson Hill who wants to ban the Federal government from “imposing” health care on its citizens? Obviously Mr. Hill is too STUPID to understand the meaning of the word “option.” He is just another jerk-wad politician trying to score cheap political points by whipping his rabid conservative base up into a frenzy with a lie. So typical. But I doubt Kyle would EVER call out another right wing idiot.

David Axelfraud

September 7th, 2009
9:36 am

The headline should read: Democrats are morons when it comes to health care.

David Axelfraud

September 7th, 2009
9:37 am

So what?, would Jay Bookman ever call out a left wing idiot? Nope.

JD

September 7th, 2009
10:05 am

The posts by “Voice” and “Art” and the rest of the left here are nothing more than an expression of their jealousy and contempt for the successful. “Voice” and his pseudo-intellectual rants citing bogus statistics, along with his personal attacks on anyone who disagrees, are as boring as the speeches from Obama and the “Members” of Congress.

One more, “I don’t want anyone profiting off of my misery…” tirade will be toooooooo much. If any of you have a JOB you are profiting off of someone’s misery. Sell Shoes? Someone does not have shoes and therefore you are profiting from their misery.

Do you want what England, France and the other “socialized medicine” countries have? Doctors and nurses educated in Third World countries who are hardly able to communicate and have far fewer skills than those we are currently blessed to have in the US.

Lawyers are the most egregious examples of “profiting from misery” because their pals in Congress pass laws allowing the rest to avoid tort reform and profit from someone’s MISERY. The state of Texas passed tort reform and MD’s and medical personnel are moving there and health care costs are low.

From “Voice”, “The VA provides the best care…” etc., etc. That is simply untrue. The best medical care in the US is generally accepted to be at the Mayo Clinic. Guess where health costs are among the lowest in the nation? That is right, the area around the Mayo Clinic.

As in most problems, the health care issue is a States Rights issue. The states also have the RIGHT under the Constitution to decide their own solutions to health care problems within their boundaries. The Congress is acting outside the limits set by the Constitution and should not be involved.

California, with the election of Jerry Brown in the 70’s, started the walk down the path the current clown in the White House is attempting to take the entire country. The result? California is bankrupt and people are leaving the state in droves.

What took California down the path to ruin? The answer – public employee unions, green initiatives that would produce thousands of jobs (NOT), cash for clunkers, opposition to the building of power plants, and more and more of the socialist agenda – including initiatives that would require tax increases that would actually produce LESS revenue.

California is an example of the future of the US if the Democrats and Republicans are not voted out of Congress in favor of politicians who not only take an oath to uphold the Constitution but actually abide by that oath.

Each and every incumbent should be defeated in 2010.

One Voice

September 7th, 2009
10:45 am

JD,

I am certainly not jealous of others’ success. I live pretty comfortably, as do most people with advanced educations. However, I am repulsed by people like yourself and the “I got mine so screw everyone else” attitude. That’s exactly the type of immorality I’m talking about. I actually care if poorer people and their families have access to the same type of health care I do. How can you live with yourself?

So you’ve taken a lot of statistics courses? Somehow I doubt whether you have the prerequisite knowledge to discern whether a statistic is bogus or not. Please check the statistics cited at 8:16 and let me know what the methodological flaws in those analyses were. I have a feeling I’ll be waiting a couple years for a response while you take some basic statistics courses.

Your reasoning suggesting that profiting from selling anything is the same as profiting from denying people medical treatment is both obtuse and intellectually disingenuous, which in turn makes it unethical. Shoes are not relevant to the conversation, but simple minds obviously need to oversimplify to the point of distortion (see your post and the town hall meetings).

The Mayo Clinic is a single entity, not a health care system, genius. The VA is the highest quality system in the world and operates at a much lower cost than our current system. Oh, and it’s also a single payer government-run plan.

You have obviously bought into the myth that England has an inferior system to our own. Next you’ll be telling us that Stephen Hawking would never have survived under the UK medical system. Providing health care for all Americans is a moral issue. Having a nation of selfish idiots like yourself who believe in myths and superstitions, who know nothing of science or statistics, and who have perverse views of history and politics is an educational issue. Unfortunately, those issues are intricately linked.

Michael H. Smith

September 7th, 2009
10:52 am

I don’t disagree with much of what you had to say JD. Especially on the Federal government overstepping it constitutional authority in regards to the States and States Rights. However, as one lady, a small business owner in fact, told her disinterested Democrat Representative, there are over 1,300 health insurance companies in the U.S. but in California she can only purchase healthcare insurance from about 13 of these companies. True, it is the Right of the State to license and issue licenses and not that of the federal government or an individual’s right to license anything under the tenth amendment of the U.S. Constitution. However, I will have to side with Rep. Duncan Hunter and the small business lady in California: I and every U.S. citizen should be able to buy their health insurance from any entity that insures the health and well being of a U.S. Citizen within the jurisdiction of the United States of America that is licensed to sell insurance by any State in this union. No differently than when one is buying homeowners insurance, auto insurance or life insurance. I don’t fear honest competition or the creation of more honest competition than presently exists within the capitalist market in order to bend the cost curve on healthcare insurance in making it affordable and potentially improve the quality of healthcare. And I don’t consider government honest competition.

By the way, see Bill Walker’s post in the previous blog – About term limits, etc. – in regards to the Constitutional Convention that should have already been convened under Article Five.

Michael H. Smith

September 7th, 2009
11:14 am

Stephen Hawking fortunately has received medical aid outside of the the UK. Otherwise he would be a silent vegetable, not be able to speak as he does today. His computer voice came from the USA, which makes it possible for him to communicate.

One Voice

September 7th, 2009
12:41 pm

Michelle H. Smith,

Stephen Hawking has lived his entire life in the UK and two weeks ago said that he wouldn’t be alive right now if not for the fabulous care he’s received in the UK (socialist) health care system. Please forgive me if I choose to believe the words of the actual scientist over those of a construction worker from Georgia.

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