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Health Care Reform

  

by: dkmich

Mon Nov 09, 2009 at 13:38:48 PST


( - promoted by buhdydharma )


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According to Dr. Angell on that ;-) right wing rag, the HuffingtonPost, here's what we get with the House bill before the Senate even touches it.

* It enshrines and subsidizes the "takeover" by the investor-owned insurance industry.

* It expands Medicaid.

* It eliminates denial of coverage because of pre-existing conditions, but since it doesn't regulate premiums, the industry can respond to any regulation that threatens its profits by simply raising its rates.

* It does very little to curb the perverse incentives that lead doctors to over-treat the well-insured.

* It is so complicated, it'll cost a brazillion dollars to administer and enforce it.

(more)

dkmich :: Health Care Reform
What does the insurance industry get out of it? (emphasis mine)

If a similar bill emerges from the Senate and the reconciliation process, and is ultimately passed, what will happen?

First, health costs will continue to skyrocket, even faster than they are now, as taxpayer dollars are pumped into the private sector. The response of payers -- government and employers -- will be to shrink benefits and increase deductibles and co-payments. Yes, more people will have insurance, but it will cover less and less, and be more expensive to use.

But, you say, the Congressional Budget Office has said the House bill will be a little better than budget-neutral over ten years. That may be, although the assumptions are arguable. Note, though, that the CBO is not concerned with total health costs, only with costs to the government. And it is particularly concerned with Medicare, the biggest contributor to federal deficits. The House bill would take money out of Medicare, and divert it to the private sector and, to some extent, to Medicaid. The remaining costs of the legislation would be paid for by taxes on the wealthy. But although the bill might pay for itself, it does nothing to solve the problem of runaway inflation in the system as a whole. It's a shell game in which money is moved from one part of our fragmented system to another.

Could somebody please explain to me exactly what the Democrats are celebrating?  No one is even looking at what's in the bill, and they're still clapping, slapping Kucinich and Massa, and whipping the hell out of it.  From what I can see, a Lieberman filibuster would be doing this country and the so called Democratic Party a favor.

Oh yes, and we get prayer therapy, Viagara and more restricted access to abortions.  Let's here it for the Democratic majority's health care reform.  

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Health Care Reform | 42 comments
Imagine fighting that hard for this. n.t (4.00 / 19)


They are, indeed, wasting their energies (4.00 / 11)
To think of all of the good things they could be doing when they're whipping support for this bill...

"Mientras el trabajo sea una comodidad, un mecanismo de extracción de plusvalía y un arma de alienación, el sistema y sus miserias sobrevivirán."  -Peter McLaren

[ Parent ]
This Bill deserves to Fail... (4.00 / 8)


Maybe then an effort can be made to at least let the States have the freedom to pilot their own single-payer reform efforts.

But this current Bill does no good.  It just robs struggling middle-class taxpayers out of even more of their money, and then puts people who are not technically "broke", but still can't afford these absurdly overpriced Insurance Plans under the Collection Office of the I.R.S.

And if you don't pay up, then they can steal your property or send you to Jail, or both.

We're all screwed here.
This Bill must die!!




"All tyranny needs to gain a foothold, is for
people of good conscience to remain silent."
    --Thomas Jefferson


[ Parent ]
If it passes, it will destroy the Democratic Party (4.00 / 6)
for years to come.   Yep, we're all screwed.  

[ Parent ]
And it will pass (nmi) (4.00 / 1)


"Mientras el trabajo sea una comodidad, un mecanismo de extracción de plusvalía y un arma de alienación, el sistema y sus miserias sobrevivirán."  -Peter McLaren

[ Parent ]
Pay to Pray Politics (4.00 / 10)
Oh yes, and we get prayer therapy

Included because the Dems know that after this mockery of a bill passes, we're all gonna need to start praying that we can pay.


Hopefully before next November (4.00 / 10)
enough people will start to realize what they got that it will be Democrats with re-election hopes who will be doing the praying while they scramble to fix what they've done in time for election day while praying for salvation and praying that people really are as stupid as those democrats seem to be stupid enough to believe that people are.

Do I sound cynical?


[ Parent ]
Too bad it doesn't provide Rahm and Obama voodoo dolls. (4.00 / 5)
I could get into some pin sticking.

[ Parent ]
You sound like the pope. (4.00 / 4)
Pass the basket please.  

[ Parent ]
Bless you my child. (4.00 / 4)
Now fork over your Insurance Premium tithe or the IRS is going to send you to Hell.

[ Parent ]
What's deal with those mandates now anyway? (4.00 / 4)
Are there subsidies for low income people?

[ Parent ]
Yeah, a lot of good they will do. (4.00 / 4)
A family of four at 250% of poverty and making $55,000 a year ($52,000 is the medium household income in the U.S.) would likely pay about $4,000 toward their premiums and that would be for a policy with a $1,000 deductible and a maximum of about $7,000 in out-of-pocket costs each year.

At 300% of poverty, which in real life is around $66,150, a family would be required to pay $8,000 in premiums for a policy with a $3,000 deductible! Mother of God!

Now I ask you, how many American families making $55,000 a year or $66,000 a year can you count that could add this huge expense to their already dismal budgets?

It is really no better for a family making 400% of poverty, which comes to around $88,200 a year. This barely-getting-by American family would have to pay $10,600 a year in insurance premiums for that policy with a $3,000 deductible!

Not.


[ Parent ]
What's the fine? (4.00 / 2)
8K in premiums is almost 700 a month.  I guess they could quit eating.   These people in Washington are insane.  Incomes are so stressed and not a damn thing has gone down in value, except assets.  

[ Parent ]
It really is insane. (4.00 / 2)
My income last year was about $7000 total, give or take a few hundred. I'm sure I'm not alone.

[ Parent ]
2.5% of annual income. (4.00 / 1)


[ Parent ]
How to afford it? Its obvious! (4.00 / 1)
You said they are a family of four. They sell one of their children into debt bondage.

Of course, now they are a family of three, and the premium subsidy just dropped, so if I was that advising the remaining kid, I'd suggest finding a kindly aunt or some such and flee.

Support Lesbian creative works, 100% Yuri from ALC Press


[ Parent ]
Sell Death Benefit Futures, Take Up Skydiving (4.00 / 1)
then monetize the income stream by parcelling out Triple A tranches to ... unemployed Merrill Lynch boiler room charlatans with (tattered) $800 glasses and (threadbare) $90 socks!

rmm.  


[ Parent ]
I think basically they, (4.00 / 13)
especially Pelosi, are celebrating getting away with this...

On July 9th, in a harmless-sounding letter to Pelosi, 40 Blue Dogs expressed concern that doctors in the public option "must be fairly reimbursed at negotiated rates, and their participation must be voluntary." Paying doctors "using Medicare's below-market rates," they added, "would seriously weaken the financial stability of our local hospitals."

The letter was an amazing end run around the political problem posed by the public option - i.e., its unassailable status as a more efficient and cheaper health care alternative. The Blue Dogs were demanding that the very thing that makes the public option work - curbing costs to taxpayers by reimbursing doctors at Medicare rates plus five percent - be scrapped. Instead, the Blue Dogs wanted compensation rates for doctors to be jacked up, on the government's tab. The very Democrats who make a point of boasting about their unwavering commitment to fiscal conservatism were lobbying, in essence, for a big fat piece of government pork for doctors. "Cost should be the number-one concern to the Blue Dogs," grouses Rep. Woolsey. "That's why they're Blue Dogs."

In the end, the Blue Dogs won. When the House commerce committee passed its bill, the public option no longer paid Medicare-plus-five-percent. Instead, it required the government to negotiate rates with providers, ensuring that costs would be dramatically higher. According to one Democratic aide, the concession would bump the price of the public option by $1,800 a year for the average family of four.

In one fell swoop, the public plan went from being significantly cheaper than private insurance to costing, well, "about the same as what we have now," as one Senate aide puts it. This was the worst of both worlds, the kind of take-the-fork-in-the-road nonsolution that has been the peculiar specialty of Democrats ever since Bill Clinton invented a new way to smoke weed. The party could now sell voters on the idea that it was offering a "public option" without technically lying, while at the same time reassuring health care providers that the public option it was passing would not imperil the industry's market share.

Even more revolting, when Pelosi was asked on July 31st if she worried that progressives in the House would yank their support of the bill because of the sellout to conservatives, she literally laughed out loud. "Are the progressives going to take down universal, quality, affordable health care for all Americans?" she said, chuckling heartily to reporters. "I don't think so."

The laugh said everything about what the mainstream Democratic Party is all about. It finds the notion that it has to pay anything more than lip service to its professed values funny. "It's a joke," complains one Democratic aide. "This is all a game to these people - and they're good at it."

--from Sick and Wrong, by Matt Taibbi


I saw that. (4.00 / 10)
Maybe we could nominate the whole lot for an Oscar.   We certainly gets lots of drama with nothing to show for it.  

[ Parent ]
Great idea. (4.00 / 5)
Heh. Everything Pelosi ever does should be on camera, and broadcast.

[ Parent ]
dk... (4.00 / 6)
it has been a pleasure to see your handle around the 'net.

"I like irony except I find that if you just toss your clothes in the dryer for a few minutes you hardly ever have to use it."- ek hornbeck

Thank you very much ek. (4.00 / 8)
You have been one of my mentors and that makes your compliment even better.  I am truly glad that I followed you all back to docudharma.    

[ Parent ]
Thanks for that, dkmich! (4.00 / 6)
Dr. Angell has it right!

Maybe, we should start calling the Committee on Health, etc. NOW and tell them to "kill the bill."  We may as well, since it only promises to get worse from here on out.  

I don't think Ms. Pelosi, could ever truly relate to the plight of Americans.  She and her husband are very, very wealthy people!

"At his best, man is the noblest of all animals; separated from law and justice he is the worst."--Aristotle


Thanks for the insight dk... (4.00 / 5)
I can't wait to see the Senate's version...(eyeroll--facepalm)



First I've seen on what the pig in poke (4.00 / 1)
that we bought actually looks like.  Ugly little critter.  

[ Parent ]
she nailed it here (4.00 / 8)
Is the House bill better than nothing? I don't think so. It simply throws more money into a dysfunctional and unsustainable system, with only a few improvements at the edges, and it augments the central role of the investor-owned insurance industry. The danger is that as costs continue to rise and coverage becomes less comprehensive, people will conclude that we've tried health reform and it didn't work. But the real problem will be that we didn't really try it. I would rather see us do nothing now, and have a better chance of trying again later and then doing it right.


"When you realize how perfect everything is you will tilt your head back and laugh at the sky" Buddha

They will destroy any and all reform for (4.00 / 2)
years a century to come.   Once the people find out what Democrats did to them, they'll take it out of their hides.  

[ Parent ]
Yup. After voting 100% Dem in every election since 11/1972, I've decided (4.00 / 3)
I'll sit out '10. Haven't skipped a single election in 37 years, but now I've had it. My rep is Mike McIntyre, a Blue Dog C-Streeter I won't lift a finger to keep in office.  Re '12, I'll decide when the time comes. The "HCR bill" gets worse by the day. But it'll sure include mandates/fines and allow the insurers 1,000 ways to cheat us. This is the Democrats' handiwork. It's what they've given us in return for our loyalty and our hard work electing them. And any day now, here comes Obama's big AfWar escalation announcement. Who needs these idiots anyway?

[ Parent ]
bet on it (4.00 / 1)
Shortly after CBS News' David Martin reported last night that President Barack Obama "intends to give Gen. Stanley McChrystal most, if not all, the additional troops he is asking for" in Afghanistan -- about 40,000 more personnel -- the White House issued this statement from National Security adviser James Jones:

"Reports that President Obama has made a decision about Afghanistan are absolutely false. He has not received final options for his consideration, he has not reviewed those options with his national security team, and he has not made any decisions about resources. Any reports to the contrary are completely untrue and come from uninformed sources."

Regarding the CBS report, CNN says that "two senior administration officials suggested the information is being leaked by Pentagon sources who are trying to box Obama in by setting public expectations that he will send close to 40,000 more troops to Afghanistan as McChrystal requested."

happy holidays.

The president is not expected to announce his decision until after he returns from China the week before Thanksgiving.  


"When you realize how perfect everything is you will tilt your head back and laugh at the sky" Buddha

[ Parent ]
Money is no object when it comes to (4.00 / 1)
wars, banks, pharma, Wall Street, and insurance companies.  Grayson nailed it when he said:  "don't get sick; and if you do, die quick".  Only he should have included both parties instead of laying it off on Republicans.  Massa, Kucinich and Sanders are the only ones up there worth their paycheck.  

Like you, I'm done with them too.  I have mostly voted for Democrats for 30 years, but now I'm voting third party.   If Kucinich doesn't run, I'll write him in.  


[ Parent ]
The stay out of jail tax (4.00 / 4)
So with my non-job and living in mAssachusetts next year I will be 55 which means if I had MassHealth the state could attach my estate to my medical bills.  Well the thing to do here is try and eat right, avoid the doctor, don't get any shots and stock up on the natural health remedies which will vanish this December.

Now vaccinating the health care workers first, well in ten years there will be no health care workers, how is that going to work.

It does not address the non-privacy of "private" medical electronically digitized can be passed around anywhere instantly without your knowledge, consent or can I have a looksee to see what is in there.  You can get your credit report, how about your medical records.  Do you know what is in there, is it accurate, correct?   Will they(some insurance company) assign you to a higher risk group based upon family history, that genetic test you had, the screening for PAD,RLS,FSD,ADHD?  Did you Google your drug of choice first just to see if the search contained legal firms soliciting your business?


Ask not what your country can do for you, ask what your country can do to you.


And don't forget die quick! n.t (4.00 / 1)


[ Parent ]
I think people are finding out (4.00 / 2)
in fits and starts who the real gov't is. Hint: it's not the one you read about in the papers.

[ Parent ]
I'm creating a new word (4.00 / 5)
to explain my psychological condition Obluma.  Combo of Obama and blue if you can't figure it out.

It seems to me we have been and are taking very serious missteps, irremedial missteps, missteps so mistaken that I have only a vague dread notion of where they will lead, which makes it all the worse.

I need to step aside from politics for awhile, enjoy family, friends, art, music a bit more.

"The second teaching from the golden eternity is that there never was a first teaching from the golden eternity. So be sure."  Jack Kerouac



I know the feeling. (4.00 / 1)
There are days my mood is so black, I keep away from the keyboard.  My job doesn't help either.  I go to work and sink into a mire of stupid state and federal politics and regulation while trying to help a million unemployed people with no resources.  The next big scandal should be how the welfare system is imploding and failing as a safety net under the crunch.  People are waiting 3, 4 months for assistance, and they are closing cases for failing to dot an i.  We have a couple with a child that was born missing a part of its brain.  Welfare through the baby off medicaid for some ridiculous reason, and they've been fighting for months trying to get the baby back on.  This country sucks!

[ Parent ]
The people of an individual state will not be able to combine together (4.00 / 3)
to create a universal insurance pool for their fellow state residents. However, these same individuals are compelled by law to purchase insurance from private companies under the threat of a fine.

This is the most illogical nonsense I have ever seen.
I have totally loony Teabagger friends who notice this shit, and how do I disagree?

Increments would have been a lot better e.g. outlaw pre-existing condition rejection and develop a formula that controls the cost of policies for people with disabilities and illnesses etc. And provide subsidies if necessary.

And on top of this crazy bill, the house sets a precedent to further weaken Roe v. Wade. These are Democrats?


You can't disagree. (0.00 / 0)
The difference between us and teabaggers is that we know both parties suck and are willing to say so.    

[ Parent ]
I think it is more than that (4.00 / 1)
I genuinely think the teabaggers are confused. I think they would benefit from the better analysis we provide here and we would benefit from their zeal and concern (I'm not talking about their "leaders" who are hirelings of the corporate state).

I don't know to what degree they could be dissuaded from their toxic militarism and national chauvinism. Or dissuaded from their narrow religious views. But I think the parts of the tea bag movement that are libertarian may well welcome some left-libertarian/anarchists (best description I can come up with) like me.


[ Parent ]
I call myself an eclectic Independent. (0.00 / 0)
I'm all over the board, but I am a populist.    

[ Parent ]
Thanks for the lift, buhdy... n.t (4.00 / 1)


after watching how this thing has come down (4.00 / 1)
It has got to be clear that we need to ally ourselves with the right and say that government is not the solution. Government could be the solution but, at this time, it simply cannot be. Everything that is done from "Defense" to social programs is designed to further the project of creating a neo-feudal order. This must be resisted by creating our own power centers and to encourage the dismemberment of the federal government. We need to work locally to make changes. The Feds are working to make sure that the largest multi-national corporations will literally BE the government -- in fact, this has already happened as far as I can see. Am I wrong? Can we honestly say that any of us trust the Feds?

Look, I just won this game of solitaire. (4.00 / 1)
Sure the house is burning down, but hell if I am not going to celebrate! I so rarely win this version of solitaire.

So time to go into the kitchen and grab a ... damn, the fire's in the kitchen. OK, time to grab a bottle of wine from the pantry and celebrate.

Support Lesbian creative works, 100% Yuri from ALC Press


Health Care Reform | 42 comments
 

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