Matthew Holt

Ezra says pusillanimousity has won

Now he’s no longer a young punk but an insider of the first order Ezra Klein has come up trumps and got an early copy of the latest Senate Finance committee legislation/trial balloon. It’s not going to make the left happy. In order to ratchet down from the $1.3 billion CBO said that their earlier version was going to cost, the Committee has basically taken out the public plan option, cut back the amount of subsidies, and are relying on what looks like an increasingly unenforceable individual mandate.

Now admittedly this is where I said Obama would end up more than 18 months ago. But, given that with the recession we really had a chance to do something here, this is very very weak.

I got a call from Organizing for America (Obama’s grass roots organization) asking me to support the reform bill the other day. This one is barely worth passing. We might be better off leaving the system and having a proper collapse before we start again in the next recession (which at the rate we’re going might be this one).

It’s looking increasingly like the Democrats on the Committee got rolled, and didn’t even care about that. Perhaps they felt that the risk of passage of something significant was greater than the risk of a quick loss of legislation that no one could get behind anyway.

I’m not allowed to call the Democrats a certain word beginning with P any more (even if John Stewart uses it all the time). But I can call them pusillanimous. And in your treat for the evening, here’s Marina from HotForWords to explain what that means.

Livongo’s Post Ad Banner 728*90

Categories: Matthew Holt

Tagged as:

16
Leave a Reply

16 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
10 Comment authors
Barry CarolLynnDr.Rick LippinHealthcare GuruMD as HELL Recent comment authors
newest oldest most voted
Donald E. L. Johnson
Guest

Sorry, Matthew, but I was writing and speaking and posting on CompuServe every day about ClintonCare in 1993 and 1994. McCaughey’s very accurate article played a big role in defeating the Clintons.

Matthew Holt
Guest

Whoops, yes MD as Hell I’m living in the future I meant of course 1993 & 1994 NOT 2003 & 2004!

MD as HELL
Guest
MD as HELL

Dr. Lippin,
The “restless citizenry” is at the beach n
this weekend, not gining a second thought about this debate.
Matthew, are you off a decade on your dates?

Matthew Holt
Guest

Don. I dont know what you’re smoking this week but even John Goodman’s never claimed that we’re cheaper here than Europe! I would LOVE even a shred of proof that 25 years of health services research is wrong. And you need to get a calendar. Clinton’s reform plan was already on life support by late summer 2003 after he lost the unions on NAFTA and had to scrape the budget through Congress died effectively between Sept 2003 and Dec 31 2003 when he lost industry support (especiually the AMA’s) after proposing big cuts in Medicare to pay for it. The… Read more »

Barry Carol
Guest
Barry Carol

While representatives from all stakeholder groups claim to want reform, or at least think the status quo is not sustainable, in the end, they all wind up paraphrasing the former Senator, Russell Long, with a cry of whatever you do, don’t cut you, don’t cut me, cut that fella behind the tree.
We should be asking every stakeholder group, what’s your (CBO scorable) contribution? Put up or shut up.

Donald E. L. Johnson
Guest

Besty McCaughey killed ClintonCare and she exposes the horrors of the Kennedy bill in today’s Wall Street Journal.
It will be fun to see how Obama deals with this week’s PR disasters on next Wednesday’s Obama News shows on ABC.
Linke:
http://online.wsj.com/article/SB124536864955329439.html#articleTabs%3Darticle

Donald E. L. Johnson
Guest

Matthew, You still want to imprison all of us in a 1990s style Medicaid HMO with powerful gate keepers denying care and angry physicians and providers making patients feel like pieces of meat. Reality shock hit Washington this week. Ted Kennedy’s killer bill not only would kill patients by denying care until many died but also by showing consumers how Obamacare would limit access to care. Most important, Kennedy has produced a bill that kills the chances of Obamacare being enacted because he not only shows how care would be rationed, but also how it would cost many times the… Read more »

Lynn
Guest
Lynn

Matthew–
Only time will tell if Pres. Obama has the “gonads” of Lyndon Johnson in his fight for Medicare (Medicaid).
There isn’t any blood on the floor of committee chambers and the oval office yet.
You obviously have never actually witnessed sausage being made.
We have just completed batting practice with the teams trash talking before the first inning. Give it some more time. Reforming 1/6th of the economy isn’t easy and it won’t be cheap. But you are right to be worried watching the courage of our Congressional “leadership.”

Dr.Rick Lippin
Guest

Matt-
Just because the Congress is wimping out(not unexpected)you are underestimating the power that-
– A popular President can bring to the issue
– A restless US citizenry can bring to this central domestic issue
Ezra Klein and you are premature in your pronouncements of expected outcomes.
Dr.Rick Lippin
Southampton,Pa
http://medicalcrises.blogspot.com

Healthcare Guru
Guest

I am not sure if “pusilanimousity” has won. Because the alternative is far more expensive. The loss is due to proper plan. I for one truly believe that we out to have some sort of tax funded plan – at least the wellness care part. And rest can be private insurance driven or by the system as it is. Here is a portion of that thought… Open community care clinics and make primary care responsible for that. Primary care will not only be a care giver but your health manager. They will decide and manage your wellness. Their incentive would… Read more »

MD as HELL
Guest
MD as HELL

Healthcare “reform” will not work beause our country is about individual rights and freedom. There is nothing either free or individual about a federal system where the words “required” or “mandate” are involved. The Dems will have to cut Medicare and Social Security cost all by themselves without raiding the private healthcare cookie jar. Political hell. Love it.

Peter
Guest
Peter

I’ve repeatedly called Democrats spineless, not as eligant as pusillanimous, but no reason to reach for the dictionary. Just another example here. If anybody sinks Obama it will be his own party.

Deron S.
Guest

I come back to what I was saying when I first started reading this blog last year. The government’s role should be to bring the stakeholder groups within the system to the table. It must ensure that the discussion stays on track, and that each group gives something up in the name of a lower cost, higher quality system. No one can leave until all cost drivers are addressed and dealt with. That is the only conceivable way this can work. Our current government and political system is not conducive to making difficult decisions and devising effective solutions. It is… Read more »

Wendell Murray
Guest

Cowardice among politicians even before push comes to shove? Nothing new there.
Better than the video however is perusal of my favorite reference – the Indo-European roots section of the American Heritage Dictionary: pusill- from pou- cognate of current English “few”, pusus “child” in Latin, -ill (probably same as -ile in puerile) adjectival ending -animus root ane- to breathe.
“To breath like a child” That sounds like a description of talk from national politicians.

Matthew Holt
Guest

Don. As usual logic isn’t your strong suit.
a) we spend 17% of GDP–Europeans spend 10%. Yet somehow those Europeans have doctors for their seniors–even though it’s a greater share of their population. Somehow we should be able to cut spending and cover everybody, but we wont because of the P word
b) We dont count people who are unemployed longer than 6 months and whole lot more–yet we’re at 8.5% unemployed, they’re at 8.6%–counting it properly. http://tiny.pl/34vx
Your touching faith in the free market seems untroubled by recent events 🙂