Lively Democratic Caucus: ‘Voices Were Raised’
ABC News' Z. Byron Wolf reports: Democratic senators met for a spirited, and at times contentious closed-door meeting today as their leaders set about merging the conflicting committee proposals into a final Senate health reform bill. “Voices were raised, people spoke passionately,” said Sen. Evan Bayh, a moderate Democrat from Indiana who has expressed concern with a public option after the meeting. “Unlike a lot of caucuses this one proved to be rather interesting,” he said. The leaders charged with drafting a final bill projected a unified front after the meeting. “We have that moral obligation. And that is why we are going to pass health care reform legislation this year, and it is why every Democrat will vote for it, and it is why there will be at least one Republican and maybe a couple more who also will vote for it,” said Finance Committee Chairman Max Baucus, who wrote the more centrist of the two committee bills and is working with Senate Majority Leader Harry Reid and Sen. Chris Dodd to write the final bill. The leaders met yesterday with key administration officials, including the HHS Secretary Kathleen Sebelius and White House Chief of Staff Rahm Emanuel. That’s an optimistic prediction from Baucus and Reid did not echo Baucus’ pledge that there would be Democratic unity. “There are many competing views as to how to best move to health care reform. There are different views within my caucus,” said Reid. He also said he spoke today with two Republicans. One of those, we know, is Sen. Susan Collins of Maine, although it unclear exactly what was said. Reid said staffers would work through the weekend on detailing a final bill and the Democratic leaders would reconvene Monday. The break will give Reid a chance to campaign in Nevada, where he is facing a tough reelection fight. He was asked about his dueling roles – passing health reform through the polarized atmosphere of the Senate as opposed to representing Nevadans. “If carrying the load for the Democrats as majority leader helps to end your Senate career in Nevada, will it have been worth it?” a reporter asked. Here’s how Reid answered: “I don't answer hypothetical questions. No, I — I'm — I — everything is going well in Nevada. We have an economy that's very difficult in Nevada and we all know that. But it's going to get better there. I met with the realtors on Friday in Las Vegas, and all of the realtors — the executives, the bosses — they said for the first time in a long time they feel some significant movement in a positive vein. We have — the hotels are loaded on weekends. We still have a little bit of capacity during the middle of the week, but we're doing fine.” “As far as all the work that we've done, all my polling numbers are fine,” Reid said. “They're not from a newspaper in Nevada that you guys tend to focus on. All my polling numbers are fine. I'm continuing to do the best I can for the people of this country and the people of Nevada.” Finding reliable polling this far from the election is difficult. But it seems fair to say that Reid will have a fight on his hands. At the meeting in Washington, participants said various senators spoke about the public option and whether it should be included. Sens. Kent Conrad and Max Baucus defended the proposal that passed out of the Senate Finance Committee, which included a proposal for a series of non-profit co-ops instead of a government-run insurance option. Bayh said he is leaning toward giving states the ability to create a public option, perhaps with federal backing. He called states “laboratories of democracy,” and said that letting states create their own public insurance option would allow for different approaches. “We can’t fully anticipate the consequences,” of reform, Bayh said. “That’s why the state experimental format has appeal.” “Public option” is a term in search of a definition at the moment. It could be a national public option or a state opt-in public option or an opt-out public option. But several senators in the meeting said they seem likely to place some sort of public option in the bill. It’s also unclear what will come of a new Democratic tactic – they will force a vote next week on a permanent fix to planned cuts for doctors who treat patients on Medicare. The so-called Doc Fix, which is made each year by Senators and has ballooned over time, would equal a 21 percent cut in payments to doctors next year. A permanent fix, which is inside other health reform bills, accounts for $245 billion. That’s nearly a quarter trillion dollars. Forcing the vote next week could would make passing a comprehensive reform bill seem much cheaper, but would ultimately be a sort of budgetary shell game. Reid said it would “wipe the slate clean.” “And everyone understand, we address these physician payment cuts every year. This is nothing different than we've done before. This is a flawed formula, and we know we have to fix the problem each and every year so that the seniors are able to see their doctors. That's what this is all about,” he said. “All we're doing is wiping the slate clean by adjusting the baseline to what is current policy. This is not new policy. And we're, in fact, codifying present policy."
Email
Sen. DeMint: GOP Race Could Go Until Convention
Obama Avoids Questions on Contraception Rule
I’m not a Democrat, but I do want the option of buying health insurance somewhere other than from the insurance corporations. I estimate that in my lifetime I and my family have already paid them about 1/2 million dollars in premiums.
Posted by: Mark from atlanta | October 15, 2009, 6:17 pm 6:17 pm
If you don’t want the public option, you must be a racist.
Posted by: Independent | October 15, 2009, 6:56 pm 6:56 pm
The Congress leaders are still trying to come up with a plan to help and protect their insurance buddies while making it seem to the public like they care for Americans.
Posted by: PauJacob | October 15, 2009, 10:15 pm 10:15 pm
Public option is the only option. The insurers have shown they’re greedy and dishonest. Only a public option will force them to use their excessive profits to lower premiums and provide better coverage instead of buying legions of lobbyists, media blitzes, phony studies and filling congressmen’s coffers.
Posted by: hopesprings52 | October 15, 2009, 10:42 pm 10:42 pm
I am a little bit confused at the outcry that insurance companies make an insane profit. Didn’t we just bail out some insurance company because they were going bankrupt? Secondly, Blue-Cross/Blue-Shield, which is one of the largest insurance companies in the country is a NON-PROFIT organization. I also do not know of any business that is in operation for the purpose of losing money, didn’t we just bail out GM and Chrysler because they were losing money? Another argument is that executives make too much money. That is none of the governments business how much any of us make at our jobs. I do not know anyone who would like the government coming into their place of employment and informing them that they made too much money and tell their employer to cut their salary. That is insane to even think that way. When is Congress going to reduce their pay because they make too much for the lousy job that they do. $174,000 minimum. This is $93 BILLION a year minimum paid to this group of people that are only doing what is in their personal best interests, and ensuring that the American people will become so dependent on them that they will always have a job that pays good money. WAKE UP PEOPLE and stop this goverment takeover of everything. Our rights will be the next thing. If we allow the goverment to gain control of our health, they have leverage to control anything else that they want, because if we do not allow them, all they need to do is use it as a carrot.
Posted by: Ken | October 16, 2009, 1:52 am 1:52 am
In terms of the national budget, the Democrat party in Washington DC is out of control on this issue of health insurance reform. The Republican party hasn’t been much better in the past in terms of balancing the budget.
The Govt run Medicare system is almost bankrupt because we are collecting too little tax to fund the benefits given to seniors. We are borrowing 1.4-1.6 trillion dollars just this year which will have to be paid back by the younger adults and future generations.
On top of this, we want to add the costs of healthcare reform which will add a large percentage of a trillion dollar bill onto the backs of the young including all taxes and contributions from states thru Medicaid. Who gets sick and goes into the hospitals? Typically they are older adults. So we are forcing young, generally healthy people to buy and pay for insurance at higher premiums so that the older generations can get affordable healthcare they need.
Young people wake up. This is one huge rip off for your generation. Healthcare reform is a big waste of your money as the Democrats are structuring their bills in Congress so far. You will pay higher premiums for the same coverage.
Instead of another wealth transfer between generations, tell your congress men and women that we can fix the health system by targeting efforts not on taxing insurance companies(they will pass these costs onto policy holders) but on the underlying healthcare costs which are skyrocketing every year. How do we get there?
1. Reward individuals who live a disciplined lifestyle. Authorities say 50-75% of healthcare costs are directly related to lifestyle. People who each too much and are obese, who drink alcohol excessively, abuse drugs, are sexually promiscuous, or otherwise live dangerous lifestyles incur much higher healthcare costs per person due to choices they make. Disciplined individuals should pay 50% or less compared to those choosing to less healthy lifestyles based on risk.
2. Health policies should be written so that consumers have to pay a percentage rather than a flat copay of bills whether doctor, hospital or drugs and there should be independent national reviews of the cost-effectiveness of each medical facility and clinic and drug so that consumers can make informed decisions. Why? We all know that when we have to pay on a percentage basis, we have a vested interest in cutting costs and to shop around. In the state of Washington where I live, most policies are written so that there isn’t sufficient incentive to find the best deal on medical care and there are not enough sources of information. Businesses and consumers need to informed that higher deductible plans typically are less risky for insurance companies and are generally a better value for those who pay the premiums.
3. We need tort reform. The Republicans are right on this issue. Democrats are being paid off by trial attorneys and will not give much more than lip service to this issue. By reducing compensation to reasonable levels for malpractice lawsuits, the health care system would save upwards of $100 billion a year thru reduction of defensive medicine and lower malpractice insurance costs.
Posted by: www.benefitsnw.com | October 16, 2009, 2:45 am 2:45 am
Well, Blue Cross/Blue Shield may be non-profit, but they charge my wife and myself in excess of $50,000 in health insurance premiums a year! And we have a long way to go before Medicare.
They are corrupt and broken companies – and need to be fixed by strong legislation. It does not appear that we have elected a strong enough President to force them to behave (and to force Congress to behave). Unfortunately, we could use a strong leader about now.
This does NOT, however, mean that we need to create a government run health insurance program. It would be a nightmare trying to get healthcare!
Posted by: JCal | October 16, 2009, 2:45 am 2:45 am
I think I liked the idea of a public option .I , who has Federal Blue Cross Blue Shield,just recently had to have a pacemaker and my cost was still over $4,000 so I can just imagine what others must have to pay for the same situation! My deductible has risen from 5% to 15% in the past 5 yrs. and my many doctor visits have risen from $10 to $20 in just a few yrs. This cost is projected to double again in the 5 yrs. I’m retired now and $4000 put a hurting on my pocketbook ,but $8000 would surely would of put me in debt after working 31 yrs. for the government.These costs need to be put back into control somehow and the only way I see that happening is with a public option or some sort of competition that will control costs. I would like to know what others pay with inferior insurance companies .Please post!!
Posted by: Ken | October 16, 2009, 6:02 am 6:02 am
I have Anthem Blue Cross and recently had to be hospitalized where the bill was around 40,000. I paid 75.00 so I question these amounts some of these people say they are paying. My premiums for a family of four is 1,000 a month. I know if this health care passes the costs will be tripled at best and the care for the seniors will be pathetic. This administration wants to cut the health care costs for the elderly because they know thats where the expense is. Basically, they will not approve treatment or expensive medical procedures for the elderly and basically let them die. Now Bacus talks about moral obligation? If placing a price tag on a human being is his and this administrations idea of moral obligation, I reject it and say we all get together and vote these multi million dollar greedy politicians out of office immediately. Maybe these lbs that are all for this public option dont like their mother and father but I think most of do and believe they deserve the best health care they can.
Posted by: randall | October 16, 2009, 6:37 am 6:37 am
Be careful what you wish for.
Posted by: LongT | October 16, 2009, 7:15 am 7:15 am
How can 40 million Americans be without health insurance in the richest country in the world? How can babies at 4 month old be denied insurance because they are to fat? How can a women be denied cancer surgery because she failed to report she had acne? How can anyone paying for what they thought was quality insurance be turned down or charged thousands when they finally need help? These are all true everyday stories that are now being brought out everyday.Something must be done and it must be done this year!! A public option or equivalent must be passed this year or this administration will fail the American people and what they want!!!
Posted by: Ken | October 16, 2009, 9:01 am 9:01 am
So much for promised “transparency”. Ads a nurse practitioner I can tell you that a public option will ruin the best health care system in the world.
Posted by: Downwithsocialism | October 16, 2009, 10:34 am 10:34 am
the best health care system in the world?? I don’t think so! We have millions of people who are uninsured or can’t afford health insurance. Public option is the way to go. My Doctors are very pro active on this subject, they are on the front lines of medicine every day. if we don’t get this under control now – the cost of health care will break the system! Get over yourselves people!
Posted by: cjr | October 16, 2009, 1:49 pm 1:49 pm
Health care reform is just about reforming how things are paid and who pays for them. It does not address the fundamental problem with medicine that people have failed to address for hundreds of years.
Physicians are selected for their ability to memorize, because medicine uses many “if this, then that – if not, then this” scenarios to substitute for real thought and logic. As an example (not exactly correct, but you get the idea), you have bad headaches – you then get a brain MRI to rule out tumors, etc. – if that says nothing – you go to the next diagnostic, etc. These are “acceptable” procedures in medicine – that physicians tend to memorize.
The problem with these “procedures” is that it prevents the Dr. from logical thought or reasoning. Its like their brain is one big sieve – they pour the data in the top – things travel through an “if then/if not” maze – and your diagnosis drops out the bottom.
As a result of this, much in medicine is wasteful, as their procedure tells them to do the un-obvious, not the obvious in many cases. Hunches and educated guesses are not allowed, so we have to go around the board to play the game.
Physicians swear by their methodology – and it is heresy to challenge it. A Dr. would say that what I am writing is idiocy – but it really isn’t. When I was a scientist working in a biomedical field, I routinely saw the MD’s in research follow this kind of logic and get lost, while all of us mortal scientists used reasoning and more human qualities to get the answers. I’m sure I will get lots of crap here for simply writing this.
This is why you take you life in your hand each time you go to the Dr. Since many ailments can be serious or fatal, it is something you cannot avoid. But, IMO, we have not progressed from the thoughts that used leeches and bleeding hundreds of years ago. Too much medicine can lead you to mis-diagnoses, and procedures that hurt you rather than help you. They can be justified in Medicine as long as the “protocol” is followed for your symptoms. But that doesn’t mean that the Dr. is thinking or is correct. Managing costs does not mean the system will get better – it just will manage the costs. Unless we reward the “smart” Dr’s and penalize the stupid ones, we will just see more of the same.
So our politicians are trying to manage a system that probably needs to have it’s fundamentals re-thought to get any different results. If we take all the incentive out of medicine – and cost containment will do this simply by lowering Dr’s earnings from an already low compensation (it is fallacy that they all are wealthy), then we will make the system worse, not better.
So when I hear talk of a public option, I laugh inside – as this will help a whole lot less people than a re-examination of how medicine treats people. Yes, you will get free health care (until we go broke). But that care will still be riddled with danger and bad medicine. I guess the saying goes … “be careful what you ask for”…
Posted by: JonF | October 16, 2009, 3:35 pm 3:35 pm
Hey Ken,
There are only 535 members of Congress. 200K per year times 500 is 100 million, NOT 93 billion!!
I wouldn’t object to lowering Congressional pay, but doing so would do almost NOTHING about our budget deficit or national debt.
Try a factcheck or two before you post your next rant.
Posted by: ML | October 18, 2009, 6:40 pm 6:40 pm