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Tag: Policy/Politics

Health Care Reform Lite

• 24

J.D. Kleinke

J.D. KLEINKE

“The only constant in health care is change.”  It’s one of those shop-worn things you hear too often on health care’s rubber-chicken circuit; and not only is it not true, but it is exactly untrue.

Of course, there is one thing different in 2009: everybody gets to whine about it on Facebook.

So too health care reform.  When the “journalists” at Fox News, the red-faced demagogues in Congress, and the alarmists in your organization are done ranting about “ObamaCare” and the sky falling, understand that the essence of the health care bill moving forward today is one very simple thing: a violent endorsement of the status quo, paid for with an artfully diffused redistribution estimated to cost, on an annualized basis, less than 4 percent of the system’s annual $2.2 trillion haul.

Under the plan that looks most likely to pass after some classic Capitol Hill 3 a.m. horse-trading – this time between the grumpy far left and poll-sitting centrists on both sides of the aisle – health care “reform” will involve little of substance beyond (1) the long overdue jamming of 46 million people currently outside the system into that system, and (2) an equally long overdue prohibition against health insurers kicking them back out.  For the middle-class taxpaying swing voter in denial of what could happen in 90 horrifically unlucky days at their job and within their bone marrow, i.e., the average voter with coverage they might not be able to afford after simultaneously being fired and getting leukemia, #2 is worth the entire effort – and the reason any politician of calculation if not conscience should vote for the plan.Continue reading…

Medicare and Health Reform: Part II

• 21

baucus

By THOMAS GREANEY

In his closing remarks to the Senate Finance Committee last week, Senator Baucus pointed with special pride to the effect the Committee’s reform bill will have on shaping the health care system in the longer run:

One point I want to make… is about delivery system reform.  We are starting here in this bill to finally reform our delivery system so it’s based much more on quality and patient focus, moving ever so slowly, but inexorably, from fee for service….which causes a lot of the waste in our system. We’re not going to see savings, the benefits, to the system for a while… but after four, five, six years from now, we’re going to see the real benefits of reform.Continue reading…

Let’s Not Lose Sight of the Goals

• 10

By BILL KRAMER

Picture 4

I love Daniel Schorr.  I’ve never met him in person, but I love his voice and his insights about politics on NPR’s Weekend Edition.  But this morning I was disappointed.  After listening to his comments on the Olympics and Iran, I looked forward with anticipation to his thoughts about the Senate Finance Committee’s accomplishments earlier this week on health reform legislation.  When asked whether a “real health care bill” is likely to pass later this year, he said, “Well, it begins to look more [likely] . . . that there will be a bill.  The question is not whether there will be a bill . . . but what will be left in the bill, because so many things have been taken out.”  I could almost hear him sigh.  He went on to talk about the fact that the public option is not a part of the Senate Finance bill, although it might be restored in full or part (through a trigger mechanism or health cooperatives) as the bill moves through Congress. Let’s step back for a minute.  (This is what I usually rely on Schorr to do for us.)  Where were we a year ago?  Although advocates of health reform were encouraged that the health care crisis was getting a lot of attention in the Presidential election campaign, the outlook was not rosy. Obama and McCain were neck and neck, and McCain’s reform proposal was so weak as to be laughable.  The pundits and pollsters were predicting that the Democrats would get about 56 seats in the Senate – not enough to overcome a filibuster.  And there was serious concern that even if Obama were elected, health reform would be crowded out by other major crises – the threat of a serious economic depression, the banking collapse, Iraq/Afghanistan/Iran, energy and global climate change, and who knows what else.  In October 2008, the likelihood of serious comprehensive health reform was probably about 25%.

Continue reading…

Olberman, hysterical hypocrisy expose

• 11

By Matthew Holt

A really fun piece from Keith Olbermann as he shows how the entire Gang of Six and more voted for fully socialized flood insurance and yet seem to have a problem with an independent government run public option.  

Of course, now that a bill has finally left Baucus committee, our meandering towards a relatively inconsequential tinkering at the edges of the health insurance market is a little further down the path. But can we somehow arrange it that the bozos at the NY Times (yes I’m talking about Robert Pear and David Herzenhorn) please stop saying things this dumb:

the Democrats are trying to restructure one-sixth of the economy, writing a bill that will affect almost every American, every business and every doctor and hospital in the country.

The level of exaggeration in that statement is simply unworthy of the paper of record. Would that it were true.

Money-Driven Medicine film now downloadable

• 3

By Matthew Holt

If you want to watch the documentary Money Driven Medicine based on Maggie Mahar’s book, it’s now available for free download at moneydrivenmedicine.org (the DVD is also available for purchase). The free download is part of an ongoing “Watch-In! For America’s Health” — a national viewing party organized in conjunction with the Consumers Union.

I was largely in favor of Swiss-style health care…

• 2

By Matthew Holt

until I found out that the people who the NY Times says are really in favor of it are Bill O’Reilly and Regina Herzlinger…

Actually I’m kidding. I knew Regi says she likes it, and Maggie Mahar ripped her position—(Herzlinger’s position being that she espouses a version of the Swiss system for the US)—to shreds a while back. But would Herzlinger really want to live in a world where there was no easy money to be made trading in the stock of health insurers who are defrauding state governments? But I’ve got to say that Herzlinger and O’Reilly make a interesting couple.…pass the falafel.

Morons like us

• 27

By Matthew Holt

I still read the articles every day that Google and the rest of my searches spit into my inbox. But as the sausage gets made I despair for the country. Not so long ago the NY Times met the Rush Limbaugh fan who decries the government takeover of health care, even though his wife ran up $68,000 in care while she had breast cancer and no insurance. Somehow because his local hospital let him off the charges, he thinks that the system was OK, and drove for an hour to shout at a Democrat who wanted to change it! (Of course the taxpayer absorbed the costs).

Yesterday NPR reported about the Sacramento man who loves his current health insurance. He’s had six or seven surgeries in the past five years—in other words he would be completely uninsurable if he lost his job (post-COBRA). He even sort of understands that.

“I mean you hear horror stories about people who have insurance and then all the sudden get denied coverage down the line because they may have had a pre-existing condition,” Koenig says. He, too, worries that he’s one step away from being dropped from his plan or losing his job and not being able to afford coverage…..And that’s why Koenig is on board with parts of the big push to change the health care system.

And like about half of other Americans, he’s actually been uninsured.

In the early nineties he was laid off and went without insurance for several months. He says it was an uncertain time and he sympathizes with the millions of Americans who don’t have coverage — or could be dropped at any time

So what does he think?

he says the focus should be on regulating the insurance industry and not a government take-over, which he believes President Obama is pushing for.

Let’s quickly review here.

Obama/Baucus/HR3200 all basically keep employer-based insurance as is with a bit of expansion, keep Medicaid as is with some expansion to suck up a few of the uninsured poor, and change the regulations in the insurance market to prevent (some of) the problems the Sacramento man understands. Oh, and they sort of put in place a backstop public plan (well HR 3200 does anyway) which people could buy into if there wasn’t a private plan they liked.

So does this sound like “regulating the insurance industry” or is it “a government take-over”.

I hesitate to remind the Sacramento man that a government takeover means the communists collectivizing your farm and stealing your pigs, and shipping you off to Siberia. What Obama/Baucus/HR3200 is proposing is minor reform of the insurance market.

And yet, somehow that message cannot get itself into the thick skulls of people who those reforms would actually help.

Will Victory on Health Care Reform Mean Defeat for the Democrats?

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By MATTHEW HOLT

Being a futurist is not really about making predictions, but people ask for them anyway.

So here is one: The way things are trending right now, Obama and the Democrats will succeed in getting a reform bill – and it will cost them the Congress in 2010 and possibly the presidency in 2012. Why? Because it will be ineffective at bringing most voters any tangible benefits soon, and ineffective especially at bringing down the cost of health care.

Obama (along with everyone else) repeatedly talks about “affordable” health care. What the bill is most likely to bring is health insurance reform. This is very important, and will bring tangible benefits especially for those who must go without insurance now because they have “pre-existing conditions.” But there is nothing in the bills that are most likely to pass that will really bring down the costs of health care any time soon. Yet the bills demand that the health plans cover many more people, and the providers treat them, while putting in place no mechanisms that would forcefully and quickly control costs – so costs are likely to go up even faster than before.

Continue reading…

Yet another reason to abolish the Senate

• 12

By Matthew Holt

Ezra Klein, feeling a little soft, interviews Kent Conrad—he of the co-op feed stores for health care idea.

My take on the interview is that I seriously believe Conrad's entire knowledge of health care comes from his time being lectured on the vagaries of Medicare reimbursement by a local rural hospital lobbyist, his one visit to a co-op seed store where he found the farmers chatting happily, and his reading the cliff notes (prepared by his staff) of TR Reid's good but not too sophisticated book focusing on the Beveridge v Bismarck distinction—which is high school civics lesson stuff.

Yet he gets to meet 61 times with the Gang of six that was really going to get it all right before time ran out, and he gets to make policy!

And you wonder why the Senate should be abolished.

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