Obama Says Senate Vote is a “Big Victory” for Health Care Reform
ABC News' John Cochran, Sunlen Miller and Z. Byron Wolf report:
President Obama today touted the work done in the Senate over the weekend, calling the “historic vote” a big victory for the American people.
“The United States Senate knocked down a filibuster aimed at blocking a final vote on health care reform and scored a big victory for the American people,” President Obama said in the Diplomatic Reception Room this morning. “By standing up to the special interests who prevented reform for decades and who are furiously lobbying against it now, the Senate has moved us closer to reform that makes a tremendous difference for families, for seniors, for businesses, and for the country as a whole.”
At 1 a.m. ET this morning, the Senate voted for cloture against the Republican filibuster, by a vote of 60 to 40 – with all 58 Democrats and the Senate’s two independents voting for cloture.
Bringing up the CBO numbers, Mr. Obama said that the bill will reduce the deficit by $132 billion over the first decade and by as much as $1.3 trillion in the decade after, sending a message to those on Capitol Hill who are against reform saying it is a big spending bill.
“So I just want to be clear, for all those who are continually carping about how this is somehow a big spending government bill, this cuts our deficit by $132 billion the first 10 years and by over $1 trillion in the second. That argument that opponents are making against this bill does not hold water.”
But the deficit reduction number cited by the president has been disavowed by CBO.
When CBO first guesstimated by how much the Senate health reform legislation would reduce the deficit, they said it would be about half a percent of GDP – $1.3 billion, said Democrats.
But on Sunday, CBO Director Doug Elmendorf issued a correction, downgrading the estimate from half a percent of GDP to between a quarter and a half a percent. The reason is that CBO misinterpreted when recommendations from the Medicare Advisory Committee would kick in.
So-called “out year” estimates are notably difficult to make. In order to be more in tune with CBO, however, the president could have said the bill would reduce the deficit by as much as $132 billion. Or as little as half that. Nobody really knows.
-John Cochran, Sunlen Miller and Z. Byron Wolf

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And, a “Big Loss” for the American people…
Christmas coal to the 64% of Americans (liberals and conservatives) opposed to this legislation from your Congress Critters.
The presently in limbo “Cap and Tax” bill will prevent you from using your coal to heat your home in the future, so burn it NOW…
Bah!
Posted by: The Audacity of Copenhagen | December 21, 2009, 12:33 pm 12:33 pm
If my house used the same budget tactics as this Congress where we balance seven or five years of spending with ten years of revenues, we’d be bankrupt.
In Congress and Presidential politics where we rush to have this issue behind us by the time of our next BIGGEST SPEECH EVER!!! major address state of the union, it’s judged a success.
Posted by: Aaron | December 21, 2009, 12:33 pm 12:33 pm
I guess Obama will grade himself an A- now … sigh.
Posted by: Paul | December 21, 2009, 12:38 pm 12:38 pm
Obama makes me SICK!
Posted by: Kelley | December 21, 2009, 12:42 pm 12:42 pm
Hmmm…if his poll numbers don’t go up to 60%, will he still claim it is a victory?
Posted by: Axey | December 21, 2009, 12:56 pm 12:56 pm
If this health care bill is for our best interest, then why will Americans get fined if they do not go along with this plan??? Politicians say they want what best for “our interest”, but in reality they want what’s best for “special interest”!!
Posted by: John | December 21, 2009, 1:20 pm 1:20 pm
Will the Democrats be sending flowers to the American people after what they just did to them?
Posted by: Foghorn Leghorn | December 21, 2009, 1:26 pm 1:26 pm
This is an appalling piece of legislation–the Democrats did not “take on the special interests,” they allowed special interests/big business to write the bill and line their pockets while ignoring the will of the American people.
Yes, we wanted health reform, not more of the same corrupt payoffs and Ponzi schemes. Vote them all out in 2010/2012.
Posted by: Jay | December 21, 2009, 1:31 pm 1:31 pm
How bad is the bill?
- Forces you to pay up to 8% of your income to private insurance corporations — whether you want to or not.
- If you refuse to buy the insurance, you’ll have to pay penalties of up to 2% of your annual income to the IRS.
- After being forced to pay thousands in premiums for junk insurance, you can still be on the hook for up to $11,900 a year in out-of-pocket medical expenses.
- Massive restriction on a woman’s right to choose, designed to trigger a challenge to Roe v. Wade in the Supreme Court.
- Paid for by taxes on the middle class insurance plan you have right now through your employer, causing them to cut back benefits and increase co-pays.
- Many of the taxes to pay for the bill start now, but most Americans won’t see any benefits — like an end to discrimination against those with pre-existing conditions — until 2014 when the program begins.
- Allows insurance companies to charge people who are older 300% more than others.
- Grants monopolies to to drug companies that will keep generic versions of expensive biotech drugs from ever coming to market.
No reimportation of prescription drugs, which would save consumers $100 billion over 10 years.
- The cost of medical care will continue to rise, and insurance premiums for a family of 4 will rise an average of $1000 a year — meaning in 10 years, you family’s insurance premium will be $10,000 more annually than it is right now.
I could go on, but it should be clear: this is not reform. This is a con job.
Posted by: SandWalker | December 21, 2009, 1:37 pm 1:37 pm
I don’t know about the American people, but it sure is a victory to the insurance companies with 30 million new mandated customers.Investors are no dummies- they are buying health insurance stocks like crazy today.This bill stinks,from both sides of the aisle.Legally how can the Federal government assume the Medicaid debt for only one state(Nebraska) while leaving the rest holding the bag?How can Senators from other states support that proposition and still represent the best interests of their states (Hint: Webb,Dorgan,Reid,etc.)?
Posted by: Nephron | December 21, 2009, 1:45 pm 1:45 pm
OK Tierra, jwh539, Ryan C, and the rest of you come defend this massive payoff to private health insurance companys
Posted by: 'Un-American' | December 21, 2009, 2:11 pm 2:11 pm
Posted by: ‘Un-American’ | Dec 21, 2009 2:11:14 PM
There is a ‘massive payoff’ to private health insurance companies because President Obama is a muslim, marxist, commie, redistributor of the wealth to the poor out to destroy capitalism and big business, because he’s studied Saul Alinsky and Reverent Wright and etc, etc, etc.
Posted by: tierra | December 21, 2009, 2:28 pm 2:28 pm
I love the idea of health care reform but I think we are moving in the right direction, but I don’t know enough about the bill to comment on the issue at length.
Posted by: NIKKI | December 21, 2009, 2:34 pm 2:34 pm
I don’t think President Obama is a Muslim(he is agnostic), I don’t think he is a commie(actually a Fabian socialist),I don’t think he is out to destroy capitalism( I don’t think he understands it very well).What he is is naive. In his zeal to get a health care bill in the worst possible way he has one in the worst possible way.My brother is one of the big parasites in one of the largest insurance companies- he loves it, his stock options are worth more by the hour,they still have the anti-trust exemption.
Posted by: Nephron | December 21, 2009, 2:43 pm 2:43 pm
My brother is one of the big parasites in one of the largest insurance companies- he loves it, his stock options are worth more by the hour,they still have the anti-trust exemption.
__________________________________
Greed is what makes American great.
Posted by: tierra | December 21, 2009, 2:54 pm 2:54 pm
Look, the Democrats passed the bill-do they even know what is in it? Do they even realize that they have just given a huge windfall to the same insurance companies that they have been attacking for months as “greedy”?
Posted by: Nephron | December 21, 2009, 2:59 pm 2:59 pm
Look, the Democrats passed the bill-do they even know what is in it? Do they even realize that they have just given a huge windfall to the same insurance companies that they have been attacking for months as “greedy”?
Posted by: Nephron |
You bet they realize it. They’ll be talking about it just as soon as they can figure out how to pin it on the hapless Republicans.
Posted by: Foghorn Leghorn | December 21, 2009, 3:04 pm 3:04 pm
Posted by: Nephron | Dec 21, 2009 2:59:54 PM
The amounts insurance companies must spend on actual health care is set in this bill. If memory serves, 80% of their revenues must be used for their customers’ medical treatment. For the first time, this places limits on the corporate expenses and profits of the health insurance industry – and directs an established portion of premiums towards actual health care for people.
Posted by: tierra | December 21, 2009, 3:07 pm 3:07 pm
Let’s use the Health Care bill as an Obama “teaching moment” — not him ‘teaching us’ but us ‘teaching him’!
This ‘Health Care’ (sic) bill reminds me of the illogic of the Vietnam War:
“It became necessary to destroy the bill in order to save it”
And, in fact, the reason that this illogic applied then in the Vietnam War “abroad”, and now in the corporatist tyranny over health care “at home” is precisely the same reason — that a ruling-elite corporate/financial/militarist EMPIRE makes all decisions, and not the people of America.
As Hannah Arendt presciently warned from her direct experience with empires:
“Empire abroad (always) entails tyranny at home”.
Let’s teach Obama a critical lesson that he needs to understand. The famous old phrase was, “What goes around, comes around”. But today, “What goes around, comes home to roost” as his own minister tried to teach him.
Let’s tell Obama:
“If you are only going to pose as another front-man for the ruling-elite Global corporate/financial/militarist EMPIRE that controls our country — by hiding behind the façade of its two-party ‘Vichy’ sham of democracy — then that’s not the ‘hope’ and ‘change’ that we voted for.
We’ve been fed that old “Okie Doke” (as you called it) since the Vietnam War, for forty years!
Now if you really believe that times they are a changing, and that you don’t need to be a weatherman to know which way the wind is blowin, and that ‘Yes we can’ confront Empire, then why don’t you give us a chance, and help lead us in a second American Revolution for democracy against Empire — cause if you’re not going to lead, then at least ‘get out of the way’.”
Alan MacDonald
Sanford, Maine
Posted by: Alan MacDonald | December 21, 2009, 3:10 pm 3:10 pm
If memory serves, 80% of their revenues must be used for their customers’ medical treatment.
Posted by: tierra |
I thought it was higher but too lazy to check.
I’ll bet you a cat scan that if it goes to 81% they get to raise their premiums.
Posted by: Foghorn Leghorn | December 21, 2009, 3:29 pm 3:29 pm
OK Tierra, jwh539, Ryan C, and the rest of you come defend this massive payoff to private health insurance companys
Posted by: ‘Un-American’ | Dec 21, 2009 2:11:14 PM
There is a ‘massive payoff’ to private health insurance companies because President Obama is a muslim, marxist, commie, redistributor of the wealth to the poor out to destroy capitalism and big business, because he’s studied Saul Alinsky and Reverent Wright and etc, etc, etc.
Posted by: tierra | Dec 21, 2009 2:28:40 PM
Ok….that was weak
Posted by: 'Un-American' | December 21, 2009, 3:44 pm 3:44 pm
Impeach this lying fool.
Posted by: Karen | December 21, 2009, 3:46 pm 3:46 pm
I can guarantee you that these polls will swing very quickly in the next week or two when Americans start learning what is in the bill.
The Republicans keep complaining that they were kept out. What did they expect. Their sole objective has been to BLOCK ANY REFORM and DO NOTHING.
We can now state without equivocation that the GOP is not only the party of NO but the party of hypocrites.
With this bill Dems will increase their majorities in both the House and the Senate in 2010. Mark my words. The Repubs are cooked.
Posted by: Steve_NJ | Dec 21, 2009 3:56:04 PM
Really? If this is so wonderful why do we have to wait until 2013 or 2014 to get. Oh we have to get our taxes raised I forgot. Don’t count your chickens just yet on those election predictions. Once the people find out what is in the bill you could have an opposite effect.
Posted by: 'Un-American' | December 21, 2009, 4:03 pm 4:03 pm
The Republicans keep complaining that they were kept out. What did they expect. Their sole objective has been to BLOCK ANY REFORM and DO NOTHING.
We can now state without equivocation that the GOP is not only the party of NO but the party of hypocrites.
Posted by: Steve_NJ | Dec 21, 2009 3:56:04 PM
“It stinks of partisanship. Not a single Republican will vote for this bill in the Senate. I doubt it will get a single House Republican if the Stupak language is excluded. Partisan Democrats like to think that this is because Republicans are too partisan. That’s ridiculous. Nobody can seriously accuse Olympia Snowe or Susan Collins of partisan hackery. Plus, Orin Hatch has been a major player in health care reform over the years, and Chuck Grassley made a good faith effort this summer to find common ground.
“The fact that the President can’t find a single Republican vote out of more than 200 potential supporters is a strong indication that this is a bad bill. The only people willing to vote for it are people who share with the President interests that are unrelated to health care. The biggest shared interest is their political livelihood: Democrats sink or swim together. But that’s a horrible reason to vote for a bill that will affect so many people in such a profound way.
“Ben Nelson sits in the middle of the Senate. He could be a Democrat or a Republican. If he were a Republican, but everything else about him were the same, would he have voted for this? Of course not. That should tell you everything you need to know about this bill.” – Jay Cost, RCP, 12/21/09
Posted by: Live! From DC! It's Sat Night! | December 21, 2009, 4:15 pm 4:15 pm
I could go on, but it should be clear: this is not reform. This is a con job.
Posted by: SandWalker | Dec 21, 2009 1:37:10 PM
“Yet when it comes to big, wet kisses for entrenched interests, you can’t beat the individual mandate. People will soon have to buy health insurance from private companies, or else face a tax penalty from Uncle Sam. Democrats who think they can come back later to fix this perverse result are kidding themselves. The insurance lobby is already so powerful that Democrats couldn’t get the public option through now – what makes them think they’ll be able to later, after they’ve given insurers 30 million additional customers, and required every last American to do business with them?” – Jay Cost, RCP, 12/20/09
Posted by: Live! From DC! It's Sat Night! | December 21, 2009, 4:18 pm 4:18 pm
confirmed::: Democrats … party of corruption, facism…and prostitution of themselves
Posted by: Obama needs a new mattress to go along with healthcare | December 21, 2009, 4:36 pm 4:36 pm
from CNBC
“This is the biggest giveaway ever for health care … I’ve been saying Wellpoint [WLP 59.95 1.64 (+2.81%) ] since 43, everyone thought the HMOs would be the big losers, they’re the big winners … It’s almost as if the HMOs elected the president and the Congress.
“You buy all the health care companies, Cramer said. “They were clearly the winner. Loser was obviously … well, small business gets clocked. Big business gets clocked.”
time till abc takes this news down 3-2-1
Posted by: Obama needs a new mattress to go along with healthcare | December 21, 2009, 4:42 pm 4:42 pm
“Ok….that was weak”
The bill is indefensible which is why someone can’t defend it. Yesterday, this same poster admitted Obama is a liar. Someone’s world must be falling apart.
Posted by: The Audacity of Copenhagen | December 21, 2009, 4:55 pm 4:55 pm
I’m just waiting for the next election. Obama ain’t gonna be too happy with the results.
Posted by: jan | December 21, 2009, 4:56 pm 4:56 pm
Yesterday, this same poster admitted Obama is a liar.
________________________________
Sure I did, in the sense that if not keeping all of your campaign promises makes a politician a liar – all politicians are liars.
Obama’s record for keeping promises is public information you can find easily on the net – his record of keeping promises is impressive.
Remember when Bush promised he would not only keep the reductions Clinton had made in the deficit but eliminate it and move into surplus?
Anybody remember that? Anybody remember where that got us?
Posted by: tierra | December 21, 2009, 4:58 pm 4:58 pm
“Obama’s record for keeping promises is public information you can find easily on the net – his record of keeping promises is impressive.”
YIKES!!!
“If you tell a lie big enough and keep repeating it, people will eventually come to believe it. The lie can be maintained only for such time as the State can shield the people from the political, economic and/or military consequences of the lie. It thus becomes vitally important for the State to use all of its powers to repress dissent, for the truth is the mortal enemy of the lie, and thus by extension, the truth is the greatest enemy of the State.” – Joseph Goebbels
Posted by: Mary | December 21, 2009, 5:17 pm 5:17 pm
I am very unhappy with this health care bill. The American people have been sold out to the insurance industry. I am no longer a Democrat.
Posted by: Bubbles | December 21, 2009, 5:22 pm 5:22 pm
The PoltiFact website (Pulitzer Prize Winner) has carefully documented and is tracking all of Obama’s campaign promises.
They have him keeping or having in the works moving towards completion 275 campaign promises. He has broken 9.
Do any of you remember Bush’s promise to not only keep the reduced deficit Clinton passed on, but to eliminate it and move into surplus? Do you understand how much deficit and debt he left if his wake, along with the collapsed economy?
Posted by: tierra | December 21, 2009, 5:24 pm 5:24 pm
“Do you understand how much deficit and debt he left if his wake, along with the collapsed economy?”
Not anymore – it has all been overshadowed by obama’s debt, deficits and HIS collasped economy.
Thanks, Boo! sarc/
Posted by: ceeLeelee | December 21, 2009, 5:29 pm 5:29 pm
“Do you understand how much deficit and debt he left if his wake, along with the collapsed economy?”
Not anymore – it has all been overshadowed by obama’s debt, deficits and HIS collasped economy.
____________________________________
Not according to any but the Republican right wing.
You know full well Bush has contributed the majority to the national debt compared to Obama – with his tax cuts, the 2 wars he intitiated, the programs he put in place without taxes to pay for them.
And that isn’t even mentioning the world-wide economic collapse that took place on his watch.
We all wish a magic wand could be waved to fix the mess Bush left – there is no magic wand.
Are things improving – yes. Are we out of the woods yet – no.
And you’d better work your ass off and hope we do get out of the woods; there is not guarantee. Bush certainly proved that.
Posted by: tierra | December 21, 2009, 5:37 pm 5:37 pm
Anybody but a Democrat – that is the new slogan.
____________________________________
It won’t work on a federal level – people remember all too well what it was like having Bush, Cheney, Libby, Rumsfeld and the Republican crowd in the White House.
8 years was way too much for most people. And Obama still tops the Republicans in all of the polling. Democrats are also ahead of Republicans.
All the negativity, fear mongering and smear tactics will come back on the Republicans and the right.
Posted by: tierra | December 21, 2009, 6:18 pm 6:18 pm
Bush, Cheney, Libby, Rumsfeld remind us of what Republican government is REALLY like . . .
And all the fear mongering and hate will backfire on the Republicans and the right; people don’t like the hateful extremism – they won’t vote for it again . ..
Posted by: tierra | December 21, 2009, 6:26 pm 6:26 pm
people don’t like the hateful extremism – they won’t vote for it again . ..
Posted by: tierra |
Does Sheldon Whitehouse know that?
Posted by: Foghorn Leghorn | December 21, 2009, 6:48 pm 6:48 pm
Tierra: “Are things improving – yes.”
Yeah, I’m sure the 50% who are unemployed in Detroit agree wholeheartedly!
Posted by: Mary | December 21, 2009, 7:03 pm 7:03 pm
Mary -
Lol, If I had a quarter for everytime she mentioned those names…
She would do better to take a real, good look at what Obama is doing to this country.
Posted by: ceeLeelee | December 21, 2009, 7:05 pm 7:05 pm
Posted by: Mary | Dec 21, 2009 7:03:03 PM
Mary you seem have quickly forgotten what things were like when Bush and the Republicans were kicked out of the White House.
Something like 700,000 jobs being lost every month, stock market crashing, big banks and financial institutions in crisis collapse …
How soon you Republican right wingers forget . ..
Posted by: tierra | December 21, 2009, 7:11 pm 7:11 pm
A big victory or a tribute to corrupt politics?
Posted by: Zeke | December 21, 2009, 8:36 pm 8:36 pm
Posted by: SandWalker | Dec 21, 2009 1:37:10 PM
Sandwalker, it looks like you gave us a recap of Jane Hamsher’s 10 reasons not to kill the bill. Part of me wants to say “What Alex Pareene said” (wonkette, “News of First Major Progressive Legislation in 30 Years Enrages Liberals”– very good and pretty much describes my thoughts and sentiments) BUT Pareene is irreverent, and I can play the more reverent, sedate route so…
As Igor Volsky at the Wonk Room puts it, “The comprehensive list relies on the competent work of FDL’s team of health care bloggers and some of the critique is not without merit; other points are overstated. For instance, the claim that “many will be forced to buy low quality insurance they can’t afford to use,” is a bit baffling. The newly uninsured would have access to a minimum benefits package that is far more comprehensive than the available options in the individual market. Two-thirds of these “forced” Americans would pay less for more substantive coverage, not more. And the poorest Americans would have their out-of-pocket costs capped.”
I urge everyone to read Igor’s blog post called “Reasons NOT to kill the bill.” It includes a handy a graphic representation of the choice lawmakers face. For example, without reform, 54 million people in America would be uninsured. With it the number is reduced to 23 million.
On another point, Igor notes, “Hamsher claims that the bill “allows insurance companies to charge people who are older 300% more than others.” This is true, but it’s a massive improvement from the status quo, which allows insurers to charge older people as much as 11 times more for equivalent coverage“ (and this issue may be something that can be addressed in conference as the House bill is better in this regard.)
The blog post also has links including one to an article @ Bloomberg back in September called “Obamacare will require concessions by liberals ” by Albert Hunt. (Snip: With few exceptions, sweeping initiatives in the U.S. system start small, are often flawed, and then are expanded, sometimes improved, sometimes not. “If you can’t get a whole loaf,” Joseph Califano, who was President Lyndon Johnson’s top domestic adviser when Medicare was enacted in 1965, said in an interview with PBS’s Charlie Rose on Sept. 9, “take a half, take a third.” )
Posted by: progressive mama | December 21, 2009, 10:19 pm 10:19 pm
A big victory or a tribute to corrupt politics? Posted by: Zeke |
Rather than choosing one of those alternatives, I’d big “great progress” or “an unprecedented step” ( and yes I’m chuckling because “unprecedented” has been overused..) because it won’t be a mission accomplished but it is a very good thing.
As Krugman notes, “. Health care reform does nothing…except for covering 30 million people, ending overpayment on Medicare advantage, making the first real attempt to use medical evidence to guide health care spending, starting up a wide range of pilot projects on cost control while empowering an expert panel to put the results of those projects into effect, providing financial incentives to limit excess coverage, and so on.”
He also quotes Monty Python very topically: “All right… all right… but apart from better sanitation and medicine and education and irrigation and public health and roads and a freshwater system and baths and public order… what have the Romans done for us?”
Posted by: progressive mama | December 21, 2009, 10:28 pm 10:28 pm
“For example, without reform, 54 million people in America would be uninsured.”
Detailed breakdown of that number please.
Posted by: Chuck | December 21, 2009, 10:33 pm 10:33 pm
This is NO victory at all. You have to BRIBE in order to get the vote. More of a Banana republic in the developing countries.
Posted by: sabagan | December 21, 2009, 10:46 pm 10:46 pm
Feels to me like the only “big victory” is for laying the foundation for rationing and socialized medicine.
And a contined march towards fiscal insolvency.
You libs who support this bill realize that fundamental sources of “income” (payment) for this bill come from $500 billion in cuts to Medicare and a 20%+ cut to doctor pay next year, right?
Yeah, this is going to work out just great. Yet another example of an industry in which the U.S. enjoys competitive advantage, but turns to outsourcing due to government interference.
Anyone interested in investing in a hospital with me? I have some contacts in Costa Rica…
Posted by: tjp612 | December 21, 2009, 10:47 pm 10:47 pm
From Plumline regarding a CNN poll:
“It’s become a widely accepted interpretation that the Senate bill, by jettisoning the public option and Medicare buy-in, risks becoming deeply unpopular among rank and file Dems, causing Obama to bleed liberal support and surpressing the base’s enthusiasm heading into 2010.
But the internals of the new CNN poll contain a striking finding: Support for the Senate bill is up among Democratic voters”
“The poll finds that support overall for the Senate health care bill has jumped six points, to 42%, since early December.”
Its jumped 10 points among Dems, and 10 points among young voters. Moreover, Obama’s approval rate among liberals is up to 81%
In other words, he doesn’t appear to be losing his base– or the Democratic/progressive base (which I think are slightly different, as he’s more coolly pragmatic like a chess player than passionately progressive like Dean, and has been all along, imho.)
Posted by: progressive mama | December 21, 2009, 10:51 pm 10:51 pm
“But the deficit reduction number cited by the president has been disavowed by CBO.”
Q: Want a hint to know when Obama is lying? (A: His lips are moving)
Posted by: tjp612 | December 21, 2009, 11:04 pm 11:04 pm
Posted by: progressive mama | Dec 21, 2009 11:02:11 PM
So you support:
- $500 BILLION in Medicare cuts?
- A 20%+ paycut to doctors who see Medicare patients?
Are you familiar with the term “unintended consequences”?
Posted by: tjp612 | December 21, 2009, 11:11 pm 11:11 pm
As if we should trust an outlier poll from CNN.
Progressives know that the Senate bill is a sell-out to the insurance giants. That is why the insurance stocks have went through the roof.
People are forced you to pay up to 8% of your income to private insurance corporations, and you get nailed with a penalty of up to 2% of your income to the IRS if you don’t take their forced insurance. No public option, no buy in to Medicare at age 55. Many of the taxes to pay for this kick in now, yet most Americans won’t see any benefits like an end to discrimination against those with pre-existing conditions until 2014 when the program begins. It allows insurance companies to charge older Americans up to 300% more than others. It grants monopolies to drug companies who will keep cheaper generic versions of expensive biotech drugs from ever coming to market. No re-importation of drugs… and on and on it goes.
The Senate bill is a sell-out. Period.
Obama, Reid, Blanche Lincoln, Nelson, Dodd and company are sell-outs. We have been rolled big time. The only hope now is that the 60 progressive Democrats in the House of Reps will at least hold firm to their promise in the letter that they signed that they will not vote yes on any final bill that does not include a public option. A public option is a game-changer for business- as-usual America and millions of desperate Americans.
If those 60 progressive Democrats don’t keep their word, then they need to be tossed out in November 2010 along with Reid, Lincoln, Nelson, Dodd and company or primaried before then if at all possible.
Posted by: Joe | December 21, 2009, 11:11 pm 11:11 pm
“Obama’s record for keeping promises is public information you can find easily on the net – his record of keeping promises is impressive.”
Obama’s promises all come with expiration dates (many of which have already passed).
Posted by: tjp612 | December 21, 2009, 11:13 pm 11:13 pm
Oops. I redid the top part and somehow botched it.
It should say “You are forced to pay up to 8% of your income to private insurance corporations.”
Posted by: Joe | December 21, 2009, 11:21 pm 11:21 pm
Posted by: tjp612 | Dec 21, 2009 10:47:09 PM
It looks like you’re conflating Medicare and Medicare Advantage, yes? The Senate bill will cut excess subsidies from Medicare Advantage, an alternative to Medicare used by a quarter of seniors. If I’m not mistaken the issue is that under Medicare Advantage, the government pays insurance companies who manage the benefits, providers are paid on a fee-for-service basis AND they get extra money– 14 percent more– because some five or six years ago, Congress thought that extra money would encourage the plans to expand to rural and less profitable markets BUT it didn’t really work out.
According to Austin Frakt, a health economist, cutting the subsidies should be a no-brainer. You can google around and find information about the study he did.
Posted by: progressive mama | December 21, 2009, 11:23 pm 11:23 pm
Also regarding Medicare Advantage, there were good posts at health care blogs last summer, like “The problem with Medicare Advantage” by Maggie Mahar. ” Plus, there is interesting information on the topic at the Center on Budget and Policy Priorities (“Ending Medicare Advantage Overpayments Would Strengthen Medicare”)
Posted by: progressive mama | December 21, 2009, 11:31 pm 11:31 pm
Posted by: Joe | Dec 21, 2009 11:11:41 PM
Okay, you’re repeating the same points that were made earlier– they’re the FDL points that I was responding to @10:19:19 PM.
In addition to Igor Volsky at Wonk Room both Jonathan Cohn (at TNR and Kaiser News) and Ezra Klein (WaPo) provide specific rebuttals.
The vital question is compared to what?
Jonathan Cohn notes, “With the help of some figures supplied by MIT economist Jonathan Gruber, I look at how much it would cost families at different incomes to buy insurance–and how much they might owe in out-of-pocket expenses–under the Senate bill. But then I also look at premiums and out-of-pocket expenses if reform doesn’t pass, and we’re stuck with the status quo.”
Its worth a look. Google “The Senate bill Saves Families Money.”
Bottom line? “Reform reduces the risk of lost income dramatically, particularly at lower incomes.”
Another great place to get information is the Health Affairs Blog. Timothy Jost notes today: “One of the most common complaints about the health reform legislation pending in Congress is that the bills do nothing to control the growth in health care costs or improve the quality of health care. Those who raise this complaint either have not read the bills or are very attached to a particular proposal that was somehow left out.”
He goes through some of the proposals in today’s and yesterday’s posts and that may be worth your time if you’re open-minded at all.
If not, see John Harwood (hallucinogenics) and Alex Pareene (at Wonkette)(said good-naturedly, btw)
Posted by: progressive mama | December 21, 2009, 11:45 pm 11:45 pm
Are you familiar with the term “unintended consequences”?
Posted by: tjp612 | Dec 21, 2009 11:11:11 PM
You referenced a post of mine which is gone now, and I don’t remember what was in it and I’m not sure why it’s gone. Anyway, I think you’re conflating Medicare with Medicare Advantage, yes? See my post @ 11:23:09 PM.
Posted by: progressive mama | December 21, 2009, 11:53 pm 11:53 pm
tjp612 – I agree about “unintended consequences”. Government programs are full of them – healthcare in particular. The introduction of the Prospective Payment System (DRG’s) by Medicare had the “unintended consequence” of creating deliberate manipulation of charges by providers to cover the shortfall of payments by Medicare (something that was part of my job for years) – which caused the “unintended consequence” of insurance companies pushing HMO’s & premium prices skyrocketing.
But -hey – let’s just do more of the same since it worked so well the first time
Posted by: ellsbells930 | December 22, 2009, 6:41 am 6:41 am
tierra – where do you get that things are improving? Because Obama says so? There is nothing improving around here. People still don’t have jobs. My spouse is still making 25% less than he was a year ago. My child’s college tuition is still going up. My electric bills are about to go up 33%. My heating bills are set to go up 10%. And now, my health insurance premiums are going to skyrocket more than what they already are. So what exactly is improving?
Posted by: ellsbells930 | December 22, 2009, 6:45 am 6:45 am
“The Senate bill will cut excess subsidies from Medicare Advantage, an alternative to Medicare used by a quarter of seniors.”
No, we can’t have ANYONE getting anything better than everyone else, so let’s cut Medicare Advantage, a program seniors pay into to receive care at a higher quality than the “average” Medicare receipient receives.
Again, liberal “equality of outcome” on display from liberals.
But going back to my point: Do you really believe that Congress will cut $500 billion in Medicare funds? Do you really believe that Congress will cut physician pricing? I don’t. The “savings” Obama is claiming is based on these assumptions. WHEN Congress refuses to act on these cuts and kick the can down the road (as they have for years with the “doc fix”) the premise of “savings” will fall like a house of cards, debt/deficits/taxes will skyrocket and our standard of living will be eroded.
Just what the liberals want: “equality of outcome”. Achievers are punished in the Age of Obama.
Posted by: tjp612 | December 22, 2009, 9:07 am 9:07 am
No, we can’t have ANYONE getting anything better than everyone else…
—
I’m not sure where you get that Medical Advantage is “better”– particularly if you read the studies. It was implemented to achieve certain objectives and it has not achieved them, hence government funds could be used more efficiently and effectively– and I personally don’t just give fiscal responsibility and fiscal efficiency lip service, I think its a worthwhile goal and I support efforts to work toward that goal, and I use political activism to press (“push”) for achievement of those goals.
Overall, I have a tendency to be on Team Wonk, including in health care reform. That’s why I read wonky blogs and reports.
I believe Congress will need to be pressed to ensure more efficiency and fiscal responsibility is achieved.
If you look at the evolution of other efforts in the direction of universal coverage, more effective cost-curve measures tend to follow takiing the first step or two toward universal coverage. So, I do not believe this is mission accomplished but it’s gotten us on the path with a compass, rather than still flailing about in the woods without a path or a compass.
Posted by: progressive mama | December 22, 2009, 9:29 am 9:29 am
Ezra Klein has a fun little item in his blog this week. He’s asking health care experts what they’d like Santa to realistically add to the bill during conference. this morning Diane Archer said, nationalize the exchanges– and that is an idea I wholeheartedly agree with.
“The federal government should implement the law in a uniform way and relieve the states of the burden of setting up whole new insurance markets and regulatory structures–unless they choose to and demonstrate their ability to–as the House bill provides.”
Posted by: progressive mama | December 22, 2009, 9:33 am 9:33 am
Does Sheldon Whitehouse know that? Posted by: Foghorn Leghorn | Dec 21, 2009 6:48:26 PM
Absolutely. Sometimes a little fire and brimstone rant is necessary and personally I’m glad he slammed Republicans for their “desperate, no-holds-barred mission of propaganda, falsehood, obstruction and fear.” Truth isn’t “extreme” :>)
““When it turns out there are no death panels, when there is no bureaucrat between you and your doctor, when the ways your health care changes seem like a good deal to you, and a pretty smart idea, when the American public sees the discrepancy between what really is, and what they were told by the Republicans, there will be a reckoning. There will come a day of judgment about who was telling the truth.” Sen. Whitehouse
Somewhat related, I thought Jonathan Chait’s “The Rise of Republican Nihilism” piece at TNR was certainly worth a read.
“Whatever the merits of President Obama’s agenda, it is clearly a response to objectively large problems facing the country. The administration has selected three main issues as the focus of its domestic agenda: the economic crisis, climate change, and health care reform. The issues themselves offer a stark contrast with Bush’s 2005 crusade to reshape Social Security. While sold as a response to the program’s long-term deficit, the privatization campaign was actually motivated by ideological opposition to Social Security’s redistributive role. (Bush refused Democratic offers to negotiate a fix to the program’s solvency without altering its social-insurance character.) By contrast, it is impossible to dismiss the problems Obama has chosen to address. In all three areas, the Republican Party has adopted a stance of total opposition, not merely because it disagrees with aspects of Obama’s solutions, but because it cannot come to grips with the very nature of the problems of modern American politics.”
Posted by: progressive mama | December 22, 2009, 10:06 am 10:06 am
“…and I personally don’t just give fiscal responsibility and fiscal efficiency lip service…”
But yet, you avoid answering the following questions:
- Do you really believe that Congress will cut $500 billion in Medicare funds?
- Do you really believe that Congress will cut physician pricing?
If the answer to either is “yes”, on what basis?
Congress has RARELY ever taken positions to cut spending, particularly for entitlements.
These cuts are not going to happen. This legislation will be “historic” in that it will be a significant chapter in the history of America’s demise.
Posted by: tjp612 | December 22, 2009, 10:52 am 10:52 am
tpj, I did answer. Perhaps, you didn’t like the answer :>)
“I believe Congress will need to be pressed to ensure more efficiency and fiscal responsibility is achieved.
“If you look at the evolution of other efforts in the direction of universal coverage, more effective cost-curve measures tend to follow taking the first step or two toward universal coverage. So, I do not believe this is mission accomplished but it’s gotten us on the path with a compass, rather than still flailing about in the woods without a path or a compass.”
In other words, I don’t think congress will make sure the cost efficiency measures are enacted and improved without pressure from above and below. The onus is on us to hold them accountable. I think we should take that on, and make sure it happens.
We create our destiny, n’est pas?
Posted by: progressive mama | December 22, 2009, 11:03 am 11:03 am
So if this health reform Bill is so good why does Reid & Company have to bribe their own guys to vote for it?
Not only that but the numbers in these particular bribes are staggering. Yeah, we all get it – deals are made, compromises struck and the art of politics depends on this process. But, what about the merits of the Bill? Seems to me that we need to keep our eye on the ball. How about asking why Harry Reid granted a concessions to the tune of $1.2 Billion divided up among three or four Senators on the Bandwagon. There are their own guys for chrissake. Is the Bill that weak that he had to prop it up with back room deals that were so big they couldn’t be swept under the carpet? Turns out that $1.2 Billion is still a lot of money. (whew – I was worried after we all started to get used to “Trillion” as something that smacks of a lot of money)
Didn’t the President grease everyone’s palms with the Stimulus Bill? Seems that this was the President’s house warming gift back to the team; was Nebraska and Louisiana somehow not included in the mix there?
Let’s take a look at this Health Bill and see why guys from the home team require being paid off to get aboard.
Posted by: Lone Star Rules | December 23, 2009, 7:57 am 7:57 am
One last comment on this ‘political art-manship’ business that has drawn such controversy (as it should) around the health plan.
Senator Dodd was already on board with the plan yet The leadership threw a $100 Million his way for a hospital as part of the package.
This isn’t political maneuvering or some kind of ‘art of politics’ nonsense: this was flagrant payola for one of the insiders, pure and simple.
There are rumblings that the people of Nebraska are saying ‘thanks but no thanks’ to their $100 Million dollar political payola. I wonder if the people of Connecticut will say the same thing? And, what about Louisiana?
Posted by: Lone Star Rules | December 25, 2009, 7:16 am 7:16 am