Liberal Dems best take this health-care deal

Barring a sudden change of fortunes — either the taxpayers’ good fortunes or those of House Speaker Nancy Pelosi and Senate Majority Leader Harry Reid — liberal Democrats won’t be able to push through the radical remake of the nation’s health care system as they’d proposed.

Centrist Democrats, the so-called Blue Dogs who represent states and districts where the parties are still competitive, balked. In the Senate, three Democrats and three Republicans on the Senate Finance Committee are working a bill that would drop the government “insurance” option in favor of a “nonprofit cooperative” that would sell insurance.  Gone, too, is a provision that invited large companies to dump medical costs onto taxpayers, though high-dollar benefits may be taxed at 35 percent and companies will be taxed to ”reimburse the government” for the subsidies that would go to those whose income is less than 300 percent of poverty.

Insurance companies would be barred from denying coverage to any applicant and they could not charge higher premiums for those with pre-existing medical conditions.

A commission, something akin the the base-closing commission used to eliminate excess military facilities, would be created to curtail future Medicare costs.

The radicals within the Democratic Party are incensed that the Blue Dogs have denied them an opportunity to overreach.  Frankly, what the six Democrats and Republicans on the Senate Finance Committee are proposing is considerably far-reaching.  It creates a huge new welfare entitlement and, for the most part, hides the cost.  Prohibiting insurance companies from denying coverage or charging higher premiums for pre-existing conditions means that those higher costs are spread among other policy-holders.  The subsidies for those whose income is less than 300 percent of poverty,  $66, 150 for a family of  four,  will essentially establish a welfare base that reaches into the middle class. Everybody will be required to have insurance.

The proposal coming out of the Senate Finance Committee is the best chance liberal Dems have of getting ObamaCare this year.  When members of Congress go home and hear from constitutents who are now getting the word on the full impact of what the Pelosi Democrats are doing, support will soften even further.

Democrats don’t need any Republicans to pass the proposed monstrosity.  But I promise you that they don’t want their party’s legacy to be a complete federal takeover of health care in America.

234 comments Add your comment

DB, Gwinnettian

July 30th, 2009
12:15 pm

I’ve actually read this piece from Mr. Wooten in its entirety and still don’t know for sure what the “or else” component is supposed to be derived from its headline.

I guess it’s supposed to be “or else you get no healthcare bill at all,” but such an outcome is predicated on Jim’s conventional wisdom as described here:

When members of Congress go home and hear from constitutents who are now getting the word on the full impact of what the Pelosi Democrats are doing, support will soften even further.

He doesn’t say how he actually knows this to be the case; just that, well, it’s gonna happen because that’s what every elected Republican has insisted will be the case for the past coupla weeks! So there!

DB, Gwinnettian

July 30th, 2009
12:21 pm

One other thing. Jim says:

But I promise you that they don’t want their party’s legacy to be a complete federal takeover of health care in America.

Ok, I’ll bite–which farthest-left-of-the-left Democratic legislator, in the house or the senate, has introduced any legislation proposing such a thing?

The most “extreme” (as if!) proposal I’ve seen are those from guys like Sen. Bernie Sanders and Rep. Denis Kucinich, to support federally funded single-payer health insurance. Nobody, that I know of, has said so much as a word about a “federal takeover” of the actual providers themselves. Nor do I know of anyone who’s claimed it’d be such a great idea, although I guess the UK’s system isn’t terrible.

I just wonder if guys like Jim repeat this stuff because they don’t know any better, or if they’re just making it up. I’d hope it was the former option.

LET'S DRINK OUR WAY OUT OF IT!

July 30th, 2009
1:03 pm

The idiocy of this administration knows no bounds. TOTUS, the professor with anger management issues, and a decent cop are all sucking down suds together today. Isn’t that special. Maybe TOTUS can get with Nannybotox and Reidplugs and drink to a resolution on the out of control spending going on. Nah.

Rasmussen reports:

“Forty-nine percent (49%) now say that America’s best days have come and gone. Just 38% believe they are still to come. Thirty-four percent (34%) say the country is heading in the right direction.”

So, how do you thirty four percenters like your change?

And Charlie “Oops I forgot to pay my taxes” Rangel wants to have a new 5.4-percentage point income tax surcharge. Oh sure, THAT will help the economy. Idiocy!

And the libs at Newsweak have to play up the economy and compare it to the Great Depression and even turn THAT event in our history into a positive. Did these same libs do that during the Bush years, which were a HELL of a lot better than when the Democrats took over Congress two and a half years ago, and especially the White House a half year ago:

http://www.newsweek.com/id/209109?GT1=43002

Oh and look at where the Obamas are looking to vacation! I’m sorry, but the libDims told Bush he shouldn’t take vacations and should park his swaggering butt in DC. I say we uphold the same standards to Obama. NO vacations until he fixes the economy.

“It might have been the golf tee that swung it for President Obama as he looked for a summer holiday retreat — but the 28 acres on Martha’s Vineyard, the swimming pool, private beach and basketball court may just have clinched it too. Mr Obama and the First Family are planning to spend their summer break on a $20 million retreat on the wealthy playground island off Cape Cod and even seem undeterred that the property is owned by a Republican.”

And how’s that stimuporkulus spending working out for you, America? Remember, the libDims promised IMMEDIATE relief and a REVERSAL of job loss!

“WASHINGTON — More than 90 percent of the nation’s largest metropolitan areas saw their unemployment rates climb in June from the previous month. Some of the biggest increases hit college towns, where the annual summertime exodus of students causes bars, restaurants and other businesses to cut staff. The Detroit area, hit hard by manufacturing layoffs tied to the beleaguered auto industry, also got stung in June. Unemployment rates rose from May to June in 348 of more than 370 metro areas, according to an Associated Press analysis of Labor Department data released Wednesday.”

Yeah buddy, let’s just sit down and drink a beer over it. THAT will solve all our problems.

EVIL REPUBLICANS TIME IS UP

July 30th, 2009
1:44 pm

YOU HICKS KILL ME WITH YOUR WE DONT WANT AMERICA TO HAVE HEALTH CARE COVERAGE,WE CAN HELP INDIA,CHINA,AFRICA,ARAB STATES,BUT NO HELP FOR THE AMERICAN PEOPLE,WE DONT NEED IT SAY THE REDNECK HICKS WHO ARE NOW BROKE AND WITHOUT A JOB BECAUSE OF BUSH,KEEP IT UP,YOU WILL SOON NEED SOME SORT OF GOVERNMENT HELP BUDDY!

Raider

July 30th, 2009
1:57 pm

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Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
2:57 pm

From the male Palin Jim Dimwit Wooten: “Barring a sudden change of fortunes — either the taxpayers’ good fortunes or those of House Speaker Nancy Pelosi and Senate Majority Leader Harry Reid — liberal Democrats won’t be able to push through the radical remake of the nation’s health care system as they’d proposed.

Centrist Democrats, the so-called Blue Dogs who represent states and districts where the parties are still competitive, balked. In the Senate, three Democrats and three Republicans on the Senate Finance Committee are working a bill that would drop the government “insurance” option in favor of a “nonprofit cooperative” that would sell insurance.”

Wooten again is displaying his complete ignorance of how Congress will work here. This reminds me of the best of all Wooten columns in 9/08 where Wooten preached that Obama was sinking fast, and Dimwit 1 and Dimwit 2 who never see the light of day in the White House would win and they got crushed hugely.

Wooten never mentions the Senate Rule on Reconciliation because he has never heard of it. Reconciliation means that the Democrats can stuff their plan down the throats and up the cazoo where proctologists do surgery and they will. The House will pass a public option with some of the concessions to exclusions of some small business as has happened this morning and will happen in a few minutes in Waxman’s committee markup on C-Span 3 since you pubtards don’t work for a living and most of us do.

What will happen is the House will pass a public option. The Senate Finance Committee will implode. Democrats will shove the public option down the throats of arrogant Pubtards and up their Kazoo where a proctologist does surgery and the Conference Committee will keep a public option. Democrats don’t need 60 votes. They only need 51 and they have them easily without the Blue Dogs.

The Congressional Progressive Caucus is not going to lie down and get rolled by the Blue Dogs on the Health Care bill. They are having a press conference at 2:30 on the Hill, and they are circulating a letter for signatures. What the letter will contain is unclear, but at this point they are saying they have the votes to defeat the Waxman-Blue Dog compromise on the floor.

From The Hill:

A House leadership deal with Blue Dogs and an aggressive marketing push by Sen. Max Baucus (D-Mont.) shifted the healthcare debate sharply toward centrist positions Wednesday, sparking threats of rebellion from the left.

Liberals aimed to win 50 signatures on a letter to their leaders opposing the deal to make it clear they could defeat the healthcare bill on the floor.

“Fifty is our threshold,” said Rep. Raúl Grijalva (D-Ariz.), a co-chairman of the caucus. “That’ll kill anything.”

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
2:59 pm

Yee haw Wooten; Revel in your ignorance of the Senate and your failure to keep up with Waxman’s markup that happened this morning.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
3:00 pm

Wooten like Palin, revels in his ignorance; doesn’t follow or understand the markup process that took place in Waxman’s committee this morning and right now.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
3:08 pm

Wooten is ignorant of this and he won’t teach it to you so I will:

The Congressional Budget Act of 1974 created reconciliation (See Pub.L. 93-344, § 310; 88 Stat. 297; 2 U.S.C. § 641.) but Congress came to use it in the 1980s. Congress used reconciliation to enact President Bill Clinton’s 1993 (fiscal year 1994) budget. (See Pub.L. 103-66, 107 Stat. 312.) President Clinton wanted to use reconciliation to pass his health care plan, but Senator Robert Byrd insisted that the health care plan was out of bounds for a process that is theoretically about budgets.

Reconciliation generally involves legislation that changes the budget deficit (or conceivably, the surplus). The “Byrd Rule” (2 U.S.C. § 644) outlines what reconciliation can and cannot be used for. The Byrd Rule defines a provision to be extraneous in six cases:

(1) if it does not produce a change in outlays or revenues;
(2) if it produces an outlay increase or revenue decrease when the instructed committee is not in compliance with its instructions;
(3) if it is outside the jurisdiction of the committee that submitted the title or provision for inclusion in the reconciliation measure;
(4) if it produces a change in outlays or revenues which is merely incidental to the non-budgetary components of the provision;
(5) if it would increase the deficit for a fiscal year beyond those covered by the reconciliation measure, though the provisions in question may receive an exception if they in total in a Title of the measure net to a reduction in the deficit; and
(6) if it recommends changes in Social Security.

Until 1996, reconciliation was limited to deficit reduction, but in 1996 the Senate adopted a precedent to apply reconciliation to any legislation affecting the budget, even legislation that would worsen the deficit. Under the administration of President George W. Bush Congress used reconciliation to enact three major tax cuts.

Reconciliation is a legislative process of the United States Senate intended to allow a contentious budget bill to be considered without being subject to filibuster. Reconciliation also applies in the United States House of Representatives, but since the House regularly passes rules that constrain debate and amendment, the reconciliation process represented less of a change in that body.

A reconciliation instruction is a provision in a budget resolution directing one or more committees to submit legislation changing existing law in order to bring spending, revenues, or the debt-limit into conformity with the budget resolution. The instructions specify the committees to which they apply, indicate the appropriate dollar changes to be achieved, and usually provide a deadline by which the legislation is to be reported or submitted.[1]

A reconciliation bill is one containing changes in law recommended pursuant to reconciliation instructions in a budget resolution. If the instructions pertain to only one committee in a chamber, that committee reports the reconciliation bill. If the instructions pertain to more than one committee, the House Budget Committee reports an omnibus reconciliation bill, but it may not make substantive changes in the recommendations of the other committees.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
3:20 pm

And in case you don’t realize Byrd’s intention on a public health care plan, Byrd supports it all the way for his uninnsured constitutents, underinsured constitutents and is very aware of something Wooten ignores, pretends never happened or is ignorant about. In the past 5 years, 20,000 hard working legal American citizens, a large percentage who had treatable cancers were dropped from their insurance companies after they and/or their employers paid all their premiums fully for as long as 25 years or more, simply because they got sick. The insurance companies made $350 million from this move, and thousands of people died because of it.

On “Charlie Rose” on PBS last night, former Reppublican Majority Leader and Lung transplant surgeon Bill Frist debated internist Dr. Howard Dean and Dean mopped the floor with Frist and even Frist distanced himself from the stupidity of Wooten and the idiots here who claim socialized medicine. Dr. Frist, the former Republican leader in the Senate said that this is definitely nothing close to socialized medicine and Frist praised Obama’s move to mandate rewards for outcome rather than the current plan to get rewards for doing procedures and imaging when and if it isn’t necessary. In many years of medicine I have sg een very little of any doctor wanting extra procedures for money. I have seen the regrettable situation where the patient moves, records are delayed, and the physician feels forced to order tests because he or she believes delay could cause significant risk and harm to the patient.

Most physicians could earn far more in less time with less headaches if they applied their incredible focus and devotion to real estate or banking, but they deeply care about getting patients well and preventing illness. We need to do a lot more towards prevention in this country and we will.

Tray

July 30th, 2009
3:35 pm

Wow, the guy above my post must be a Dem-as much typing as he’s done, he must not have a job! As much bad-mouthing of others…

Oh, by the way, a rough estimate of 40% of doctors will retire if Obamacare passes-so those of you who think the 7 month waits for an MRI won’t be true…just wait. Elect a dummy for pres, get dummy policies in return!

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
3:50 pm

The Progressive caucus has 53 signatures on its letter sent to the 3 House Committees insistingon a meaningful real public option to get the damn insurance conmpanies out of my office, my collegues office, and your treatment rooms. They only need 50 votes to win this in the House. Someone cpr Wooten from his delusional Palinesque coma.

And when dimwit Wooten starts trying to talk medicine/politics and tries to use the past perfect or pluperfect tense with me I feel damn good about what I’ve explained above that Wooten is too ignorant to comprehend.

Wooten did a whip count in September 2008 majestically insisting Obama was finished; Obama pals around with Terrrissssts; Obama and Reverand Wright were Siamese twins; and Obama was born in Kenya LOL and the birth certificate on Line and the announcemen in the Hawaii newspapers was a fake. How’d that workout for you pubtards? Still think sick Borderline and moron Palin the uncurious non-reading stream of consciousness Palin is your VP?

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
4:20 pm

Further, the disingenuous, hypocritical Wooten who writes so many pseudo-impasioned articles about the nuclear family and DA Children, wanted to push through a bill that would pull S-Chip funding from 20 states which would deny care to around a million children. This attempt to pull S-Chip is now going to be crushed by the Tri and Progressive Coalition’s now 53 votes in the House, and the Reconciliation 51 votes the Democrats need in the Senate.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
4:47 pm

A stupid amendment by the Republitards requiring birth certificates to be with a patient in the ER for treatment, including the comatose patients and the patients bleeding to death, the C-Spine fractures, the ectopic pregnancies, life threatening arrhthmias, myocardial ischemic patients was defeated and among the defeated were attorney Nathan Deal who will be crushed by Roy Barnes for Governor, and a doctor who has been away from the emergency room long enough for senility to set in, Phil Gingrey.

clyde

July 30th, 2009
5:46 pm

I thought a certain idiot had maybe been hit by a bus.Wrong again.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
6:23 pm

Clear Channel has flatly turned down Carabou Dimwit who pitched them a syndicated radio show. The reason they gave was her untreated Borderline personality because people would destroy her on the radio and she speaks in Jibberish the way Wooten writes about health care.

You can’t get it written for you in radio like you can on the campaign trail when you do no interviews except with softball Gretta.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
6:33 pm

Clyde, as a physician I’d love to hear the Clyde health care plan based on zero medical experience, or the Clyde whip count in the House and Senate. I’ve put up mine. Let’s hear Clyde point out how patient care should be delivered in a country where doctors aren’t able to call the shots and the insurance companies make the decisions. United Health just settled with states and physicians for $400 million in overbilling, but Clyde doesn’t know that or forgot it. I’ll go with doesn’t know it.

Health care costs in the US are growing much faster than the Raegan-Bush Bush economy and the graph I’m looking at from Bureau of Economic Analysis OECD that Dave Leonhardt used yesterday in his column shows that from 1980 to present spending on health care is 300% higher than growth in the economy.

The Dow is at a record high since a year ago in the spring. Whoops Whoops how can that be you pubtards? It will be seen that Obama is cleaning up the mess that was dog s_ited on the ground byBush and the Goldman Sachs alumni in his administration.

LOL Pubtards can fantasize about being hit by a bus because they don’t work and are tethered to Wooten with amens with a Foley catheter. Some of us have a lot going on Clyde.

And notice the pubtards will never discuss an issue because they can’t–they’re walking Palins.

I kin see Russia and it’s for da soldiers goshdarnit.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
6:38 pm

Yee haw haw Jawjaw Hick Racist Pubtards
Shares Move Higher but Fall Off the Day’s High
By JACK HEALY 4:27 PM ET
Upbeat earnings reports and new unemployment data lifted stocks to their highest levels since last autumn.

The cowardly white cop brings his Union head and a lawyert to drink a beer with the President. Talk about white honkey chicken-_its!

Jack

July 30th, 2009
6:59 pm

> “I never said it was.” [a right, health care}

You’ve misunderstood.

You asked me where a right is granted to healthcare in the US constitution. It isn’t. I said “I never said it was.”

You did not ask me “do you think healthcare is a right”, so when I said “I never said it was,” it was not in reply to that question.

> Nah Jack, you all but emphasized it without stating it

Again, you’ve misunderstood. Questioning the statement that “healthcare isn’t a right” isn’t the same as agreeing with the statement that “healthcare is a right.”

>I’m not avoiding your question at all. Maybe you mean this phrase:

So to make sure I’ve understood your answer, you believe that what is or isn’t a right is “self-evident”?

And you also believe that rights are granted by God?

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
7:11 pm

If healthcare werre mandated by the Constitution, it would already be delivered to the entire population. There wouldn’t be multimillion dollar campaigns during the psat and coming months by the insurance companies so they can continue to steal billions of dollars in premiums and then deny medical catre.

It will be mandated by US Code in a few months however, which is one way of delivering the law.

Michael H. Smith

July 30th, 2009
7:30 pm

Darn, you finally got something close to partially right.

If healthcare were a “protected right” under the Constitution – depending on how the amendment was written – then either, any person within the jurisdiction of the United States would have healthcare or every U.S. Citizen and LEGAL immigrant would have healthcare.

Don’t hold your breath, the fat lady hasn’t sung yet. By the sound of her rehearsals she is still hitting alot of sour notes.

Obumer loses round one.

Michael H. Smith

July 30th, 2009
7:35 pm

Liberal Democrats Protest Health Care Deal, Threaten to Fight It

Fifty-three lawmakers have sent a letter to House Speaker Nancy Pelosi and key committee chairmen formally opposing the deal that House leaders struck with a group of fiscally conservative Democrats known as Blue Dogs. The letter calls the agreement “fundamentally unacceptable.”

Party leaders are quickly finding that out that you can’t please all Democrats all the time, as they try to reach an accord on health care reform.

One day after House Democratic leaders struck what was seen as a breakthrough deal with a handful of key moderates, the liberal wing of the party lined up Thursday against the compromise.
Liberal Democrats Protest Health Care Deal, Threaten to Fight It
Fifty-three lawmakers have sent a letter to House Speaker Nancy Pelosi and key committee chairmen formally opposing the deal that House leaders struck with a group of fiscally conservative Democrats known as Blue Dogs. The letter calls the agreement “fundamentally unacceptable.”

Fifty-three lawmakers from the Congressional Black Caucus, the Progressive Black Caucus and the Congressional Hispanic Caucus have sent a letter to House Speaker Nancy Pelosi and key committee chairmen formally opposing the deal that House leaders struck with a group of fiscally conservative Democrats known as Blue Dogs…

http://www.foxnews.com/politics/2009/07/30/liberal-democrats-protest-health-care-deal-threaten-fight/

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
7:42 pm

We have a ton of law that wasn’t mandated by the Constitution divided into caselaw and code section. Only a moron would be surprised at that. Jim Crowley the redneck idiot who arrested someone because he didn’t kiss his whick redneck ass says he’s in an “ordeal.” He’s in an ordeal because he’s stupid.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
7:48 pm

Crowley will get the inevitable book deal with a ghost writer and the usual Palin crowd of morons who will buy it.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
7:54 pm

Not a pibtard jere ever heard of Blue Dog demsa until the health care bill came up lately. The House and Senate Dems have the votes to defeat them, both on the floor and in the inevitable conference commitee where this bill is actually going to be written in secret.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
7:55 pm

Progressives crush Blue Dogs in the House. Reconciliation does it in the Senate. Wooten gets his info from Faux news and Faux is too stupid to know about Reconciliation.

Reconciliation is Comin' Baby Learn it; Bing/Google Senate Reconciliation

July 30th, 2009
8:26 pm

Reconciliation will crush pubtards. Get used to hearing the term. Reconciation. Reconciliation. I gave you a mini tutorial above. The high school level AJC has never mentioned it because they buy their Congressional coverage from the superficial and retarded AP.

Reconciliation. Reconciliation. Reconciliation. 51 votes in the Senate.

The Libtard Vitriol Escalates

July 30th, 2009
9:59 pm

Anyone else notice the increased shrill from the sick left on this blog? What an absolute out of touch, pathetic troglodyte libtard. Obama’s polls are tanking yet this mouth breathing blog drooler thinks the libtard party will increase more wins, especially with over half the nation now fully rejecting government takeover of US health care. When the tards fall, it’s gonna be a hard one – and a real joy to watch.

Hilary

July 31st, 2009
2:57 am

We Gen Xers need to be demanding a secure retirement with health benefits. It’s too expensive to have kids and even if you do have kids, they might be loser turds. Who is going to take care of us when we get old if we don’t take care of ourselves by implementing sensible legislation? The government is not the alien third party that the corporations want us to believe it is. We are the government and the government is us.

Jack

August 4th, 2009
1:18 pm

>Anyone else notice the increased shrill from the sick left on this blog?

I see one very loud incoherent guy spamming, and yes, he’s kind of annoying.

On the other hand you shouldn’t blame all of the people who disagree with you for the actions of the loudest one, nor should you start talking like him yourself. I don’t really see a difference between “the pubtards are going down!” and “when the libtards fall!”

Neither really adds much to the debate.

N.J.

August 7th, 2009
5:19 pm

You lose. In the last few days DOCTORS pushed the House into putting a single payer amendment into HR 3200 and a Single Payer Senate Bill into the Senate. Polls taken in the last few days show that Doctor Support for Single Payer now exceeds 50 percent and opposition is at 32 percent. Up from the 49 percent support for single payer among doctors and 40 percent opposition in 2002.

The medical profession is the sickest of the intrusion of the insurance industry into their practices. of all Americans involved in the current system.

Also polls seem to indicate that the public is less more afraid that the eventual legislation will simply be another giveaway to the insurance industry allowing business to make more money while cutting benefits. Newspapers today are seeing letters to the editor praising the Single Payer options that have been accepted by Pelosi and the Senate in the last two days.

N.J.

August 12th, 2009
8:44 am

Actually they DO want it as part of their legacy.

What are the TWO most popular government programs in U.S. history. Social Security and Medicare. Both Democrat Legacies. So much so that Ronald Reagan had to assert, repeatedly, that he was not going to and had absolutely no intention of touching either. A government optional heath care plan will become the third, and three strikes and the Republican Party is out.

When the Clinton’s were trying to pass Clinton Care, all of the Republican advisors told Congressional Republicans to not go negative on it directly, but to get others to, because if it passed it would turn into the third most popular government program in history and would result in 20 years or longer of complete Democratic control of the executive sand legislative branch. This is not opinion this is well documented history.

Republican advisors are starting to say the same thing now. That if they kill health care reform in the fall of 2009, there will be fewer Republicans in Congress come the fall of 2010.

Obama and the Democrats have great methods of publicly handling this as the vote gets closer. All they need do is show some videos of Republicans asserting the existence of WMD’s in Iraq, and then show photos of the same people making assertions about heath care reform with a caption “This is who you are going to believe”

Republicans may have the public scared now, but it is whoever controls the fear factor during the week of the vote who will prevail.

Already articles are showing how Medicare Advantage carriers are tricking the elderly into signing up and then denying them treatments for colon cancer, telling them to take over the counter ibuprofen for cancer pain to avoid paying for prescription pain medications and tricking them into signing living wills at the same time as they as they sign up, or bullying them into signing them afterwards, leaving the health care provider to make the “end of life decisions” while the family is waiting to take the provider to court.

A simple google on the words “Medicare Advantage” “trick” and “elderly” will bring up many articles many current, but many in 2007 before the current fight over health care reform started.

Other articles show how the largest private employer based insurers falsify data on the costs of out of network provider costs in order to artificially increase premiums from between 10 and 28 percent. The AMA sued this one provider and won almost half a billion dollars in settlement.

Democrats have one fact on their side and bringing it up at the right time will also be very much in their favor. How many times an insurance bureaucrat gets between the doctor and the patient. That every medical consultation has three people in the room. The patient, the doctor and and insurance claims denial specialist. There are tens of thousands of individual cases. I can see a few dozen of them in a commercial at almost any time in the near future.

The same group that is doing commercials opposing health reform, AHIP, recently had to do an article about the wide difference that hospitals doctors and other providers bill for providing the exact procedures but with patients covered by different insurance carriers. AHIP used Medicare prices to try to foist off the blame onto the providers, but the providers were very ready for this. They had documentation that the reasons that the billings were different for each provider was because each provider reimbursed at different low rates, that they denied parts of claims which brought down average reimbursements even further and outright denied entire claims in other cases, plus the additional costs of having to continually try to fight to get more claims and more portions of bills paid for after an insurer had denied the claims. Doctors then stated that they were finding that they were having to drop more and more private insurers because they could be treating patients they could be reimbursed for with the time they have to waste arguing with insurers over the telephone and by mail as well as the insurance experts they have to hire to try to get a higher percentage of claims accepted rather than denied. Then the amount of time they have to wait to get the money from the private insurers. This is something they rarely have to do with Medicare. Medicare coverage, according to doctors is much more transparent, require much less non medically related work on their part to deal with. Medicare still has a higher rate of doctor participation than any single private employer based health care plan, and the doctors are more inclined to drop a private health care insurer when they drop their rates of reimbursement that they are to drop Medicare.

On average Medicare reimburses a doctors and hospitals 48.9 dollars per patient over the complete spectrum of care. Medicaid reimburses them 38.8. Commercial insurance reimburses 88.8, but they deny claims far more often than either Medicare or Medicaid, and doctors lose far more patient contact time with commercial health insurers that the difference between the public health insurance reimbursement and the private employer based health insurance is not large enough for them to worry about accepting all of their private employer based insurers. They will keep their older patients and close the book on the company and not accept new ones. It is much more common to walk into any doctors office in the Atlanta metropolitan area and see signs at the front desk that say “We no longer accept this insurance companies POS plan, or we no longer accept that companies PPO plan as of x date” than it is to see a sign that says the same about Medicare.

I recently read the letter that the 7 top private commercial insurers sent to President Obama stating that they could easily cut costs by 2 trillion dollars over the next ten years to deal with the need to reform health care. Most of the places that they were finding this two trillion was found in some of the most egregiously non medical related fat imaginable. Corporate jets, limos, executive golf courses, original masters paintings for the CEO’s office wall’s multi million dollar housing in the city center where the corporate headquarters was located so the executives didn’t have to drive home to their suburban homes.This makes up a considerable amount of insurance premiums.

In fact as the number of health enrollees has dropped by millions over the last year because of unemployment, the top health providers are seeing record profits, out of premiums at the same time that share prices have dropped. They have dropped enough for the CEO of one insurer to vote himself another 1.6 billion dollars in stock options this year. All paid for with premium increases this year of 40 percent. Employers have little choice but to find coverage that provides less benefits but they will find no difference between any of the companies if they are seeking to retain benefits. There is for all effects an insurance OPEC that controls the prices of health insurance at whim, but unlike OPEC, the price of health insurance never goes down. Demand is down at this point in time, again, because of the high rate of unemployment, but what one would expect in a competitive market is not occurring. Premiums are not coming down to attract more enrollment. They have a captive market and they press that advantage to the max.

Joe Jerome

August 17th, 2009
4:12 pm

It’s always fun to watch all the retarded southerners Sig Heil all the propaganda and lies of the Republican party. This time it’s the poor southerners — without health insurance — being propagandized to be in favor of insurance companies and AGAINST what’s BEST FOR THEM.

I’m truly embarrassed for you.

As a northerner, I’ve never been able to understand why we wasted even one man, during the Civil War, to keep you losers as part of this country. You guys suck! Crawl back into your trailers and shut your faces about health care, and you will get the health care you don’t deserve.

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