As “Jumping-Off” Point for Discussions on Health Care, White House Will Post Senate Democratic Bill + Potential Fixes
As what White House officials call “a jumping-off point” for Thursday’s bipartisan discussion on health care reform, on Monday at 10 am EST, on the White House website, officials will post the Democratic health care reform legislation that passed the Senate on December 24, 2009, and a list of changes they would like to make to that bill.
Some of the changes include more generous subsidies for low and middle income Americans to purchase health insurance, and a removal of the controversial Medicaid subsidies that Sen. Ben Nelson, D-Neb., secured for his state in order to win his vote.
The White House will also include a new proposal from Sen. Dianne Feinstein, D-Calif., that would give the Secretary of the Department of Health and Human Services the power to block insurance company premium increases if they don’t meet certain criteria, for states where regulators do not already have that authority. Feinstein came up with the proposal after news that the largest insurer in her home state, Anthem Blue Cross, was proposing premium increases of up to 39% on individual health insurance plans.
“This is our take on the best way to merge the House and Senate bills,” a senior White House official told ABC News. The official said the proposal was “informed by our conversations from negotiations” before Sen. Scott Brown, R-Mass., was elected, thus depriving Democrats of their 60-vote supermajority, as well as from subsequent discussions.
“We thought it would be a more productive meeting if we brought one consolidated plan to use as jumping-off point,” the official said. “We hope the Republicans do the same.”
By posting their proposals in such a form, White House officials are providing a roadmap for how they think they can best pass health care reform in the new post-Massachusetts Senate race reality: have the House pass the Senate bill, then use reconciliation rules requiring only a majority Senate vote to pass the “fix” to make the bill more palatable.
White House officials are thus signaling that Thursday’s discussion won’t be just a parlor to chat about health care principles, though they insist their minds will be open to incorporate some Republican ideas.
“Maybe we’ll sit across from each other and identify 10 things we can move forward on,” the official said. “We hope new ideas come to the table. The proposal we’re walking into the meeting with is not the same one we will walk out of the meeting with.”
Under the new proposal suggested by Sen. Feinstein, the HHS Secretary would work with state regulators to develop an annual review of rate increases. A new body called the “Health Insurance Rate Authority” would be created and would every year issue a report setting guidelines for reasonable rate increases. If proposed premium increases are not justifiable per those Health Insurance Rate Authority guidelines, the HHS Secretary or state regulators could block them.
The Democratic Senate bill includes a tax on insurance companies for high-cost health so-called “Cadillac” insurance plans, but the White House is proposing as a “fix” offering to everyone the phased-out exemption for union members that had been worked out in post-Christmas negotiations to secure the support of labor unions.
Health insurance exchanges for consumers would be created at the state level, and all Americans would be mandated to have health insurance coverage. The bill expands Medicaid to cover those at 133% of the poverty level, adding 15 million to the Medicaid rolls.
The bill does not include a provision many House Democrats believe to be key to bringing down health insurance costs: a government-run “public option” to compete with private insurers. Rather, the Senate bill empowers the Office of Personnel Management, which administers the Federal Employees Health Benefit Program, to enter into contracts with private insurers so at last two multi-state plans in each health insurance exchange, including at least one offered by a non-profit.
As with the House bill, the Senate bill proposes insurance reforms, such as prohibiting insurers from being able to deny coverage because of a consumer’s pre-existing condition. The Senate bill also would limit the potential profits an insurance company could make by requiring insurers to spend around 85 cents of every dollar from premiums on medical care.
The language regarding abortion, also from Nelson, would allow women who receive government subsidies to purchase insurance policies that cover abortion, but they would have to write separate checks. In some ways this is less restrictive than the House language from Rep. Bart Stupak, D-Mich., that would prohibit women who receive government subsidies from taking out plans that provide abortion coverage.
House Speaker Nancy Pelosi, D-Calif., has signaled to the White House that it’s unclear if there are enough votes in the House to pass the Senate bill.
The House version passed in November by a vote of 220-215, but since then three “yea” votes have vanished: Rep. Robert Wexler, D-Florida, retired; Rep. John Murtha, D-Penn., passed away; and Rep. Anh “Joseph” Cao, R-Louisiana, has signaled he will not vote for the final bill.
That puts Pelosi in a starting-off point of 217 votes which is a majority of the current 433-member House of Representatives, but is also a tough starting line given the prevailing political winds and the lack of desire of many House Democrats to re-enter this discussion at a time when many Americans want the Capitol to focus on job creation.
Other senior Democrats argue that passing nothing will be a worse option, politically speaking, because Democrats have already been branded with the caricature of the bill.
Pelosi believes passing the bill is “possibly doable,” the senior White House official said. “But she may ultimately decide the math is impossible.”
Were that to happen, White House official plan on pushing for a more modest bill, perhaps including the insurance reforms, some tax breaks for small businesses to help provide insurance for employees, a more modest expansion of Medicaid, and the creation of the health insurance exchanges.
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The interesting thing about CA’s health insurance increase is that CA unwisely passed many regulations that mimic the current national health care bill. The insurance industry took a look at the implications of those policies and quickly decided their costs would skyrocket. The increaase is the direct result of very poor government directives and is a preview of what would happen on a national level if the Congress is foolish enough to allow the Obama Administration to jam this health care travesty down our throats.
Posted by: BubblerDad | February 22, 2010, 7:21 am 7:21 am
wow…NOW he’s going to publish the bill? i thought this was supposed to have happened a long time ago…like 72 hours before scott brown was elected…or something like that.
Posted by: davidfrat21 | February 22, 2010, 7:26 am 7:26 am
BubblerDad Said: “about CA’s health insurance increase is that CA unwisely passed many regulations that mimic the current national health care bill.”
====================================
Oh Geeze….. read up on the rate increases will you? It’s going to happen across NUMEROUS states (e.g., Colorado). I guess Colorado, Deleware, etc. all have the same laws as California.
I just love how “right-whiners” try to dismiss actual facts that don’t match up with their political views.
Posted by: GeorgieBushie | February 22, 2010, 7:27 am 7:27 am
So the starting point is exactly whay Obama and the loony left wing want?
How open minded of them.
We are not all ignorant moonbats out here.
Posted by: jonny | February 22, 2010, 7:32 am 7:32 am
It’s all about changing public opinion.
Posted by: smartlillena | February 22, 2010, 7:34 am 7:34 am
The only thing transparent about the latest health care “reform,” is that now that Obama has a hint of what the Republicans want, he’s going to “publish” his NEW ideas. That’s right, you’ll likely see the GOP ideas as part of his NEW post. So why is he now going public? He wants to claim them as his own, forcing any Republican who crosses the line to support their own ideas to give him the credit in public.
Posted by: wantingbalance | February 22, 2010, 7:42 am 7:42 am
Is it me or are the Democrats rather suicidal over pushing a very flawed health care bill? The American public doesn’t appear to hold high value to this, why are the Dems?
Well… as always this is going to be fun to watch.
Posted by: Denbo | February 22, 2010, 7:55 am 7:55 am
I am so sick and tired of paying high cost for my health insurance,rising copays and less coverage.I am a CNA in a hospital,making 14.00 an hour.I have a son with disabilities.Why do I have to pay so much out of pocket?Does Congress have this problem? NO! So stop sitting around picking your noses,and do the job you were elected to do.Help the American people with this weight on our shoulders.
Posted by: MadMom | February 22, 2010, 8:00 am 8:00 am
What about removing all the pork that is attached to this bill?
Posted by: jt | February 22, 2010, 8:06 am 8:06 am
Obama needs to make Republicans an offer they shouldn’t refuse, but will. The GOP is going to walk away from anything for the simple reason that it is Obama and the Dems proposing it.
Say that tort reform and some other centrist measures will be in a final bill and publicize it, then let the GOP deal with the consequences.
Posted by: matt | February 22, 2010, 8:07 am 8:07 am
RE: Jonny
Yes, in fact they do have similar laws — mandating what is covered (don’t want chiropractry? Too bad, you pay for it), staffing (the nurses union got 5 patients per nurse down to 3, now want it to 2), and so much more.
A “right-wing” proposal? Tell insurers they MUST provide “skinny” policies based on age/sex (the norm) and covering a CORE set of care — ie. stuff nobody wants (splenectomy, chemotherapy) and therefore make insurable risks.
Too much of healthcare costs are the result of misaligned incentives — put another way, if you want a Power Chair from the Scooter Store, PAY FOR IT!
Posted by: Thomas Paine | February 22, 2010, 8:09 am 8:09 am
When other high-income nations, like Switzerland and Taiwan in the 90′s, realized their health care systems did not get the job done, they set up commissions, isolated from lobbyists, political posturing, etc. to get the job done and ended up providing universal coverage – in Switzerland’s case with PRIVATE insurance – with comparable quality to the USA and for almost 1/2 the GDP cost.
As long as Congress’s masters among the special interests won’t allow them to let it out of their hands, we won’t get any significant improvement on the costs of health care.
And as long as the American public will continue to support or complain about certain aspects of reforms without having done 5 minutes of googling to understand the positions and possibilities better, Congress is going to be able to make up catchy slogans like “death panels” (never existed) and “private insurance is cheaper than public” (Medicare pays private insurers 13% more per patient to run the alternative Medicare Advantage than the government does for the equivalent Medicare B) and “public option” (some countries like Japan have absolutely NO government insurance and do fine – by requiring non-profits to provide primary coverage). But, people hear what the want to hear, so as long as Congress wants to delay the gouging of Americans by health care for the benefit of the special interests, it will go on.
This “jump-off” point bill will NOT go anywhere even if it was written by a committee of Jesus of Nazareth, Moses, Mohammad, and the Buddha. The GOP is NOT going to give the Dems any victory at all before the November elections.
So the many of you who screamed all last year, “I like my health insurance the way it is,” can expect another huge jump in premiums, a jump in copays and deductibles, and greater restrictions in 2011 coverage in your policy that, in 2010, is already no longer “the way it was” in 2009.
Posted by: The_Mick | February 22, 2010, 8:10 am 8:10 am
Oopsie, when they post this it will be seen clearly that GOP ideas have indeed been incorporated. This will create issues with the right trying to say otherwise. Well, it would with thinking people. Their base will believe anything they are told.
Posted by: secondlook | February 22, 2010, 8:11 am 8:11 am
“If proposed premium increases are not justifiable per those Health Insurance Rate Authority guidelines, the HHS Secretary or state regulators could block them.”
Yay socialism.
Posted by: Jon | February 22, 2010, 8:20 am 8:20 am
Oopsie, when they post this it will be seen clearly that GOP ideas have indeed been incorporated. This will create issues with the right trying to say otherwise. Well, it would with thinking people. Their base will believe anything they are told.
Posted by: secondlook |
—-How about you telling us what ideas from the Republicans have been incorporated???? Were waiting.
Posted by: Billy Bob | February 22, 2010, 8:27 am 8:27 am
Well, did I miss something? I thought the American people already rejected this bill! And from what I understand it will be difficult for it to pass the house. What part of “we don’t want it, Mr. President, doesn’t Obama understand?” That is arrogance! It is saying to the American people: “You don’t know anything! I know better than you do!” And I know the liberal/progressive/socialists believe that, but we don’t!
Posted by: FanDaElis | February 22, 2010, 8:32 am 8:32 am
THIS IS JUST AN END AROUND FOR MORE BIG GOVERNMENT INTRUSION INTO THE LIVES OF THE AMERICAN PEOPLE. SCRAP THE BILL AND START OVER>>>>>>>>>
Posted by: joe averagae | February 22, 2010, 8:36 am 8:36 am
Americans have rejected this type of health care legislation since 1912. The sooner that Obama realizes this, the sooner we can move on to more pressing issues such as JOBS!
Posted by: Alex | February 22, 2010, 8:39 am 8:39 am
JOBS JOBS JOBS sort of a forgoten promise huh.
Posted by: joe averagae | February 22, 2010, 8:41 am 8:41 am
Anyone want to guess how many pages are in this plan?
Posted by: JoeHanson | February 22, 2010, 8:44 am 8:44 am
This is merely a rehash of the mess made by a closed underhanded process. It is interesting that rather than say that Mandated purchase has ever failed to control cost where ever it has been tried (see Massachusetts where ABC reports as much a 40% increase in the cost of policies) and that Mandates are very likely to be found Un-Constitutional. He Proposes a rate board.
What they have come up with is the system that is Bankrupting Massachusetts right now. As a result of this system Ma has the most expensive health care in the nation and the most expensive health care insurance.
If the President were actually serious about Health Care Reform he would acknowledge the following: The process used so far has alienated the american public. The lack of real public forums and use of canned audiences in Phone forums and the fact that many Democratic congressman hid from the people they are supposed to represent have given ( Paul Hodes for example) American as a whole that his version of Health Care reform as little more than a political stunt.
Real reform will come from exploration of the issue in open public forums . Know that it will take a year for the lunatics on either side to stop screaming.
Another year or 2 for a plan that is acceptable to all Americans.
Lastly any plan that does not start with controlling the cost of health care procedures is a PLAN TO FAIL.
Posted by: rick1957 | February 22, 2010, 8:47 am 8:47 am
That is arrogance! It is saying to the American people: “You don’t know anything! I know better than you do!”
—
Oh sheesh. The arrogance canard again.
As Steve Benen at the Political Animal blog for Washington Monthly puts it: “Is it “arrogant” for GOP lawmakers to take positions that run counter to public attitudes? Americans didn’t want to see escalation in Iraq in 2007 and Republicans said, “Well, we’re going to give it to you anyway.” Americans didn’t want to see federal lawmakers intervene in the Terri Schiavo case in 2005 or spend time working on an anti-gay constitutional amendment in 2006, but Republicans said, “Well, we’re going to give it to you anyway.” Americans weren’t especially fond of the bank bailout in 2008, but that didn’t stop Mitch McConnell from voting for it, effectively telling Americans, “Well, we’re going to give it to you anyway.”
The inverse is true, too. Americans support reforming the way Wall Street does business, passing a climate bill, and ending “Don’t Ask, Don’t Tell.” In each instance, McConnell, apparently feeling “arrogant,” has decided to tell the country, “Well, we’re not going to give it to you anyway.”
Even someone of McConnell’s limited skills should be able to understand this — Democrats were elected to tackle health care reform. So, they’re trying to do that. This isn’t “arrogant”; it’s policymakers following through on their promises to the electorate.”
Posted by: political mama | February 22, 2010, 8:52 am 8:52 am
Good try Obama. Lets see if we can take the same old bill and put it in a different box and wrap it up real nice and then maby the American public will be dumb enough to buy it????? DUH.
Posted by: Billy Bob | February 22, 2010, 8:54 am 8:54 am
Lastly any plan that does not start with controlling the cost of health care procedures is a PLAN TO FAIL.
Posted by: rick1957 | Feb 22, 2010 8:47:51 AM
Atul Gawande, a well-respected medical writer for the New Yorker wrote a great article awhile back called Testing, Testing, which undercuts your message and talks directly about the pilot programs included in the Senate health care reform and how they all tackle medical inflation and the cost curve, and may be one of the best ways to do just that. You might want to read it and open up your mind, because there are three major issues– a growing number of uninsureds, cost and, of course, consumer protections. Cost also gets at various inefficiencies.
Posted by: progressive mama | February 22, 2010, 8:56 am 8:56 am
JOBS JOBS JOBS sort of a forgoten promise huh.
Posted by: joe averagae | Feb 22, 2010 8:41:33 AM
Forgotten by the Republicans, for sure, and the broken Senate. The House has already stepped up.
Posted by: deanna | February 22, 2010, 8:58 am 8:58 am
Oopsie, when they post this it will be seen clearly that GOP ideas have indeed been incorporated. This will create issues with the right trying to say otherwise. Well, it would with thinking people. Their base will believe anything they are told.
Posted by: secondlook | Feb 22, 2010 8:11:33 AM
Nice point, secondlook.
EJ Dionne also makes a great point on the whole “trash the bill and start over” nonsense:
“Of course it’s absurd to say that the House and the Senate, having worked for a year to pass quite similar bills, should now give up. But Boehner knows what he’s doing: He wants the Democrats to give up on health care because doing so would be the surest way to prove that they lack the guts and competence to govern.
Republicans hate this summit because if it works, it will keep this from happening, and also because it calls many bluffs at once.
Above all, Obama is trying to force the Republicans to put their own health care ideas on the table. As soon as this happens, the debate is no longer about the flaws, real and imagined, in the Democratic proposals. It becomes a choice between what the Democrats want to do and what the Republicans want to do. That’s a fair fight.”
And of course, there’s nothing Republicans hate and fear more than a fair fight.
Posted by: progressive mama | February 22, 2010, 9:02 am 9:02 am
Re: The_Mick’s comment about healthcare in Switzerland: My sister lives there — she and her husband are certainly not rich but pay $1800 A MONTH for healthcare for their family of four. Yes, they get decent healthcare but pay a lot for it and costs continue to go up — this Administration wants us to believe we can get good quality healthcare for less money. What will happen is we will get less healthcare — if insurance companies are more regulated, they will provide fewer services and quality will suffer. What do you want: good healthcare for more $$ or crappy healthcare for less. Those are your choices!
Posted by: eatb | February 22, 2010, 9:05 am 9:05 am
What do you want: good healthcare for more $$ or crappy healthcare for less. Those are your choices!
Posted by: eatb | Feb 22, 2010 9:05:25 AM
You’re misunderstanding (and misunderestimating, lol) medical inflation and the current premium trend lines. You’re also not figuring likelihood (and cost) of medical bankrupcy. Even AHIP has admitted out loud in public that the system is broken, particularly for individual and small group policy holders.
Posted by: progressive mama | February 22, 2010, 9:08 am 9:08 am
And of course, there’s nothing Republicans hate and fear more than a fair fight.
Posted by: progressive mama
—Of course it is kinda hard to have a fair fight when you are not allowed in the ring for a year (until Scott Brown). Where have you been???
Posted by: Billy Bob | February 22, 2010, 9:09 am 9:09 am
Where are the measures to reduce health CARE costs?…not just reduce cost of insurance.
The president and Congress MUST do something about the amount of money we and the insurers have to pay TO healthcare providers.
I’m not one for conspiracies, but I’m beginning to wonder about Democrats’ intentions. Unless they do something to reduce the costs of health CARE, it will appear they want to bankrupt private insurers AND place an increasing burden on us to pay more for premiums, co-pays, and deductibles.
Maybe that IS what they want. That way, all of us will be FORCED to agree to and join the public option(s) and/or single payer. If so, we can kiss choice in health insurance AND health care bye-bye.
Posted by: malcat | February 22, 2010, 9:11 am 9:11 am
“What do you want: good healthcare for more $$ or crappy healthcare for less. Those are your choices!”
No, actually the other possibilities do exist: good healthcare for less $$, which we all agree is highly unlikely, and crappy healthcare for more $$, which is exactly where we’re headed now if we don’t do anything to reform healthcare.
Posted by: Skip | February 22, 2010, 9:12 am 9:12 am
I stand by my statement — good medical care costs money and if this monstrosity of a plan passes, everyone will pay more via out of pocket costs, higher taxes, poor care. This plan does NOTHING to cut fraud or waste — something this Administration touted as a priority — just like jobs, jobs, jobs.
I am tired of this Adminstration stating that “insurance is broken” “the Senate is broken” blah, blah, blah. You were voted in to fix it . . .please stop talking and do something.
Posted by: EATB | February 22, 2010, 9:15 am 9:15 am
Posted by: malcat | Feb 22, 2010 9:11:06 AM
I mentioned this in a prior post. I highly recommend an article by medical writer Atul Gawande (Testing, Testing, The New Yorker). It talks about the pilot programs designed to do exactly what you mention, address cost, and it explains how these types of programs have led to innovative solutions. He uses agriculture as an example.
Ezra Klein (12/17/09) also lists five cost controls in the Senate bill: bundled payments, prudent purchasing, the Medicare commission, the excise tax on high-value insurance (it doesn’t poll well and it looks like it just gets at premiums but as Ezra puts it: “The key here is that the threshold at which premium dollars begin getting taxed at 40 percent doesn’t rise as quickly as premiums costs generally rise. Now imagine two insurers: One holds costs down quite well, and one holds costs down quite poorly. Within a couple of years, the costlier insurer’s plan is $3,000 over the threshold, while the cheaper insurer remains under it. The tax amplifies the difference between the two. The costlier insurer is suddenly $4,200 more than the cheaper insurer. In this way, plans with more successful cost-control mechanisms get an even larger market advantage.”) And then there’s the individual mandate, which also doesn’t poll well, but it necessary for cost control.
There’s also comparative effectiveness review, health information technology and the interaction between the two.
Posted by: progressive mama | February 22, 2010, 9:22 am 9:22 am
Sorry Skip — when you have people coming to the United States to take advantage of our cutting edge medical services (recently, a high ranking Canadian politican)you must admit that much of the current system is working. If Dems pass healthcare, quality will decline as it has in every country with government run healthcare. Switzerland, which has private insurance which everyone must purchase, monthly insurance premiums are high — same with Massachusetts.
Posted by: EATB | February 22, 2010, 9:25 am 9:25 am
“I realize that liberals such as yourself are incapable of hearing anything positive said by a Republican or conservative”
Well sure, we hear them SAY alot of things, but we don’t see them DO anything. Let’s see if they bring anything serious to this summit. If they don’t, which I entirely expect, I’d say the hour has struck and it’s time for Democrats to act before the opportunity is past.
Posted by: Skip | February 22, 2010, 9:25 am 9:25 am
The Republicans HAVE made suggestions they want included in the health insurance reform. Suggestions that would reduce the cost of health CARE…not JUST health insurance.
Posted by: malcat | Feb 22, 2010 9:18:54 AM
I’ve read every one made available. I actually respect Paul Ryan (though I question a couple of his ideological influences and have a very limited range of actual agreement with him. ) He actually has wonk cred. However, the Republican ideas that have been put out there as receiving full caucus support were laughed at by conservative journals. They were a joke and they missed the rapidly growing number of uninsureds problem entirely. I’d respect Republicans (and here I’m talking about the ones in Congress) if they walked their talk. They rarely do.
Now, I have spoken to some conservatives with fantastic ideas. Funny thing is they aren’t typical rank and file Republicans and they don’t hold office. And somehow, they’re reps don’t seem to be getting their ideas and honestly and proactively bringing them to the table.
Posted by: progressive mama | February 22, 2010, 9:27 am 9:27 am
Well sure, we hear them SAY alot of things, but we don’t see them DO anything. Let’s see if they bring anything serious to this summit. If they don’t, which I entirely expect, I’d say the hour has struck and it’s time for Democrats to act before the opportunity is past.
—
And there it is. Skip is exactly right. All talk, no action. Lots of rhetoric they don’t live up to. Phoney baloneys with very few exceptions.
Posted by: progressive mama | February 22, 2010, 9:29 am 9:29 am
Where have you been???
Posted by: Billy Bob | Feb 22, 2010 9:09:43 AM
Following the gang of six and reading up on Olympia Snowe’s meetings and discussions with the President– and fact checking the tired canard. Republicans lie, you know, google “Republican stimulus hypocrisy”
Posted by: progressive mama | February 22, 2010, 9:32 am 9:32 am
Progressive Mama, I work for a Medicaid contractor as a data analyst. I worked for a Medicare contractor for over 17 years..mostly as a data analyst and fraud prevention.
I know all about programs to reduce costs by coordinating care and managing the patient’s health. But that is not enough….years and years of doing so have shown that clearly.
We need to reduce how much money we and the insurer have to pay for each and every service they do. Instead of paying $200 for an office visit, we need to get that down lower. Instead of paying $100,000 for a hospital stay, we need to get the cost lower.
One way is tort reform…it’s not a magic bullet, but it will reduce the cost of the healthcare provider to do business. We then mandate that the healthcare provider pass on most of that reduction to the patient and insurer by them charging less.
We need to reduce the redtape and hassle for healthcare providers so they can..again..reduce the cost of doing business.
We need to address the high cost of medical supplies and equipment for 2 reasons: (1)reduce costs to healthcare providers and (2)reduce costs to patients and insurers.
This problem is not simple and it won’t be fixed by simple solutions.
Posted by: malcat | February 22, 2010, 9:33 am 9:33 am
“when you have people coming to the United States to take advantage of our cutting edge medical services (recently, a high ranking Canadian politican)you must admit that much of the current system is working”
This point is always pulled out neglecting a basic statistical principle covered in any entry level statistics course. In any to similar samples the larger sample is much more likely to include the extreme values of both combined. In other words while the average standard of care is about the same in Switzerland and the US the best care is much more likely to be here for no other reason than because the US is so much bigger, and for this care those that can afford it will come here. It does not mean the average level of care in the larger sample is better.
Posted by: Skip | February 22, 2010, 9:37 am 9:37 am
One way is tort reform..
—
Yes– its one very small way to get at some of it. And the President in May made an offer to negotiate on that. Nobody took him up on it, and he put very small test programs in there anyway. If Republicans cared about their constituents, they’d bring it to the table again in an honest effort to legislate and negotiate.
I wouldn’t hold my breath– but if they cared about it, they’d move on it. I suspect someone like Paul Ryan will be the only one to take it on intelligently, if the caucus doesn’t put him in stranglehold.
Posted by: progressive mama | February 22, 2010, 9:38 am 9:38 am
This healthcare package is needed so the american people have real honest health insurance. I admit that it isn’t perfect…but nothing really is!!!!!!!! So hopefully it passes and the government can get to the task of creating some jobs for the american people unless the republicans try to block that too!!!!! But surely they have got enough brain left…maybe…to help the jobs situation along!!!! But, I might be giving the repubicans to much credit!!!!!!
Posted by: redman | February 22, 2010, 9:38 am 9:38 am
Well, there are people here who think that Obama has won with this move. I don’t think so! We will see! There are three days for the public to scrutinizy this bill. It is more dead than ever! I thought Obama was going to introduce a reduced bill of 200B with many of the socialists proposals in it. If that was the case, I thought it would be difficult to stop that. However, the same Senate bill with additional democrat changes? I don’t think so! Remember the house, I think passed it by a narrow margin. Now they don’t even have Murtha there. And the Senate bill will have many blue democrats against it, as well as some liberals.
Posted by: FanDaElis | February 22, 2010, 9:40 am 9:40 am
Here’s what I’m talking about with tort reform:
Even with the fine print still vague, Obama made clear that he is looking for a path that would change the remedies for medical mistakes — a priority for Republicans who have worked for decades to limit the liability of corporations and doctors — without alienating Democrats who are wary of restricting patients’ rights. It remains uncertain whether the president’s malpractice ideas will attract GOP supporters to his broad health-care goals or alienate some of his liberal allies.
The two examples the White House gave of state experiments are among a constellation of ideas that have been advocated by the Institute of Medicine, some members of Congress and a growing number of states to reduce the number of malpractice cases that reach the courts. These ideas differ fundamentally from the main way that Republicans want to revise the malpractice system: creating federal caps on the amount of money that juries and judges can award patients who win lawsuits.
In his speech…He alluded to a long and sharply partisan dispute over whether the medical malpractice system makes health care significantly more expensive. “I don’t believe malpractice reform is a silver bullet” to curb medical spending, the president said, “but I have talked to enough doctors to know that defensive medicine may be contributing to unnecessary costs.”
(WaPo)
Now, will Republicans finally shake an extended hand or will they ignore the opportunity to maintain their scorched earth vantage point?
Posted by: progressive mama | February 22, 2010, 9:42 am 9:42 am
What’s wrong with just putting up a bill for each separate component of the current bill and let them each stand on their own merit for s/h votes?
Couldn’t there be a “rule” saying NO add-on’s of any kind could be made thus keeping the bills clean of lobbying and deals?
Posted by: terry | February 22, 2010, 9:44 am 9:44 am
Following the gang of six and reading up on Olympia Snowe’s meetings and discussions with the President– and fact checking the tired canard. Republicans lie, you know, google “Republican stimulus hypocrisy”
———–
Democrats frequently have problems with the truth themselves. And the media is no help. Whenever someone such as yourself refers me to stuff like above, it usually turns out to be by some left-leaning source which fails to tell the whole story.
Soundbites and comments are just that. Twistable and biased. I don’t rely on either the left- or the right-leaning media. I try my best to get hold of transcripts or video of actual speeches and comments instead of having someone else tell me what they said AND/OR meant.
I had the opportunity to listen to the National Governors Association’s discussions about health care yesterday. Very interesting and productive. They had a lot of best practices and suggestions to share and closed with a message to the president and Congress: They need to be included in health insurance reform. They are, after all, the ones struggling to keep their states from going bankrupt with the increasing cost of Medicaid.
Posted by: malcat | February 22, 2010, 9:46 am 9:46 am
This so-called ‘posting’ should completely kill healthcare reform. How DARE this President think he can come into what are supposed to be a true bi-partisan, real start-from-scratch working session and use that to try to force his own version of a beginning to single-payer, government controlled healtcare! And how DARE he think he can get away with usint this as an attempt at calling the Republicans obstructionists. I hope there is a very large shredder at the meeting, so this posted bill can be fed in one page at a time! And THEN maybe we can get down to the REAL business at hand.
The president should just show up at this meeting and then shut up and listen, contributing his own ideas into the mix when it’s appropriate, as just another member of the team. Anything less is absolutely NOT what the American people want or deserve.
No one should give the President the impression he can attach his bill on to a budget bill and shove it through as budget reconciliation. Certainly any legislative vote to allow reconciliation would be the death knell to the careers of any legislator who voted for it. We’re tired of these games. Stop it! Negotiate and work with each other in good faith or go home to your constituents and try to justify your actions to them.
Posted by: Karen Grube | February 22, 2010, 9:50 am 9:50 am
This healthcare package is needed so the american people have real honest health insurance. I admit that it isn’t perfect…but nothing really is!!!!!!!! So hopefully it passes and the government can get to the task of creating some jobs for the american people unless the republicans try to block that too!!!!! But surely they have got enough brain left…maybe…to help the jobs situation along!!!! But, I might be giving the repubicans to much credit!!!!!! ———posted by redman
Posted by: malcat | February 22, 2010, 9:57 am 9:57 am
Ok, let me see if I got this straight. We are going to let the Federal Govt tell those mean and corrupt American Health Insurance Corporations when or if they can raise their prices.
I wonder how long it will be before these nasty old American Corporations will have to go out of business and then the Federal Govt can jump in to save us poor ignorant American Citizens.
I guess the Federal Govt has more power than enumerated in the American Constitution. I looked but was unable to find a single word about health care.
May I make a suggestion? Why don’t you folks pack your bags and move to Europe where Socialism is falling apart. Oh, and please take the dictator Obama with you.
Posted by: Ungreen | February 22, 2010, 9:59 am 9:59 am
Has anyone ever thought that maybe we just can not afford the cost of this healthcare bill at this time? Yes, we need some reform – in several areas, not just insurance -but we [all Americans] haven’t the monies to allow for the cost of the bill now. There’s too much “funny stuff” in the accounting [bill cost extimate] to justify going ahead. Split the bill up and get the expenses down.
Posted by: terry | February 22, 2010, 10:00 am 10:00 am
Amtrak, Post Office, Social Security, Medicare,Freddie Mac and Fannie May. Question: What do all of these have in common?
Answer:
They are run by the Federal Govt and they are all bankrupt.
Fancy That!
Posted by: Ungreen | February 22, 2010, 10:07 am 10:07 am
In his speech…He alluded to a long and sharply partisan dispute over whether the medical malpractice system makes health care significantly more expensive. “I don’t believe malpractice reform is a silver bullet” to curb medical spending, the president said, “but I have talked to enough doctors to know that defensive medicine may be contributing to unnecessary costs.” — posted by progressive mama
———
The NGA’s discussions about health care costs that I listened to yesterday did include tort reform and malpractice.
Every governor that spoke about these issues were FOR tort reform. They are convinced that malpractice suits cause doctors and hospitals to practice defensively, performing far too many tests and procedures than medically necessary.
Two governors, (sorry can’t remember their names) said they have already implemented strict tort reform measures and have seen significant reductions in cost of care.
Tort reform works! The president apparently chooses to listen to lawyers and special interest groups who say differently.
If the federal government claims justification to take the aggressive, even hostile, actions against banks and health insurers, then I think they can do the same to reduce health care costs. But, since the president and many in Congress are/have been lawyers, maybe that’s why they won’t move aggressively in this issue.
Posted by: malcat | February 22, 2010, 10:12 am 10:12 am
I have yet to talk to a *anyone* who is for this giant government plan, and I talk with a lot of people across the Country, with most saying it’s just no do-able, especially during these economic times. With everything else going on in this Country and the world, they *really* need to center on other issues to push….
Posted by: IronManCC | February 22, 2010, 10:26 am 10:26 am
When it is govt’s direct involvement in the system that created every problem facing America today why on earth would anyone want them to ‘fix’ anything unless you are absolutely crazy. The government causes inflation, they have caused health care inflation. They have caused every boom and bust since 1913 including the depression. They have caused the energy shortage, it is they that profit the most from oil. If you read enough and educate yourself and aren’t afraid of the truth you can trace every single crisis and problem in America directly to government involvement and interference.
Posted by: Ferrari5858 | February 22, 2010, 10:40 am 10:40 am
According to the Federal register there are 75,000 pages of federal regulations. Cost of compliance, 1.14 trillion. Gets passed on to you. Every American works 105 days just to pay all of their taxes, federal, state, payroll, excise, sales, corporate, property, capital gains, motor vehicle, license, miscellaneous, estate. Do the math, what if you had the majority of that 105 days pay back in your pocket? Every American could afford to take care of themselves and their families if they just weren’t being robbed by the govt. and that includes making their own best individual choices when it comes to buying and using health care.
Posted by: Ferrari5858 | February 22, 2010, 11:00 am 11:00 am
Taken together, mandates, litigation, and abuse account for 27 percent of the increase in health care costs in this country, more than any other factor. Other lesser factors leading to health care inflation include new pharmaceuticals and medical devices (regulations?) (22 percent), rising hospital expenses (unions, bureaucracy?) (18 percent), general inflation (caused by the govt.) (18 percent), and increased consumer demand by a growing senior citizen population (15 percent).
The PricewaterhouseCoopers study also reveals how 15 percent of the current $67 billion increase in health spending during is directly attributable to laws passed by legislators.
Posted by: Ferrari5858 | February 22, 2010, 11:21 am 11:21 am
Nice post. i accept that.
Posted by: kashem | February 22, 2010, 11:30 am 11:30 am
JT,
The President’s proposal isn’t a “posting of the Senate Bill with potential fixes.”
The presidents proposal is a compromise between the House and Senate bills.
There is a difference.
Posted by: Kevin Nedd | February 22, 2010, 11:48 am 11:48 am
They need to be included in health insurance reform. They are, after all, the ones struggling to keep their states from going bankrupt with the increasing cost of Medicaid.
Posted by: malcat | Feb 22, 2010 9:46:33 AM
And the President is talking to them and listening. Are the Republicans in Congress and if so, are they willing to “act?” You know, actually do something about it? Something bipartisan, as in the actual meaning of bipartisan not the skewed Republican version?
I wouldn’t count on it.
Even Republican governors find the Republicans in Congress to be hypocrites.
As for Democrats, I don’t recall sticking up for their truthiness, though I have no probem saying they’re much better than Republicans and the record bears that out– unless of course you like hypocrites. The Dems actually “do” things and move on what they way they will– and have a whole lot more credibility on domestic and economic issues historically. Its been the case for years. And they’re a bigger tent that actually represents America, not a limited version of it.
As for tort reform “working”, its not a silver bullet and you purposely ignore that the President in fact has listened to doctors, and had to bring up tort reform himself– more than once and publicly– since Congressional Republicans are too weak-kneed to actually legislate or negotiate or, you know, work and do what they’re supposed to do.
Also, the pilot programs in the bills do address costs as does the Medicare commission and the other provisions I mentioned. Being stubborn and a naysayer doesn’t change the facts. Its not enough, but if you look at how health care reform has evolved in other countries and states, getting everyone covered is a big important step in getting to the cost curve and making important reforms in that regard.
Posted by: progressive mama | February 22, 2010, 12:03 pm 12:03 pm
This arrogant looney-tunes (BHO) just doesn’t get it…the American people don’t want this bill in any form…they want Congress to start over…so the DEMS just continue to make every possible attempt to cram this bill through…what the hell is wrong with their hearing..or perhaps its simply their inability to comprehend the will of the people?
Posted by: Ed | February 22, 2010, 12:26 pm 12:26 pm
To progressive mama: If you want to add something of value to the debate, could you please stop just spewing Democratic talking points in all of your posts?
Posted by: Steve from Wisconsin | February 22, 2010, 12:39 pm 12:39 pm
They’ve looked down upon the American people with such arrogant conceit
—
Oh sheesh, that arrogant conceit canard again– with no understanding of what it means to live in a representative democracy, or what it means to be elected on a given campaign promise, or no embarrassment in relation to blatant hypocrisy from those who voted for Republicans in the past? Paraphrasing Political Animal here, Americans didn’t want escalation in Iraq in 2007 and Republicans said, “Too bad.”
Americans didn’t want federal lawmakers to intervene in the Terri Schiavo case in 2005 or spend time working on an anti-gay constitutional amendment in 2006. Americans weren’t into the bank bailout in 2008, but that didn’t stop Mitch McConnell and other Republicans from voting for it.
And then there’s the fact that Americans support reforming the way Wall Street does business, passing a climate bill, health care reform with an insurance exchange including a public option, banning the ability of insurers to deny insurance to those with pre-existing conditions, and ending “Don’t Ask, Don’t Tell.” Are those who vote in obstruction to that “arrogant”?
Americans, at the very least, deserve an up down vote on health care reform– and issue which many Americans have cared about for many years.
Not allowing an up down vote is arrogant, imho.
Posted by: progressive mama | February 22, 2010, 12:42 pm 12:42 pm
If you want to add something of value to the debate, could you please stop just spewing Democratic talking points in all of your posts?
Posted by: Steve from Wisconsin | Feb 22, 2010 12:39:53 PM
Let’s worry about ourselves, why don’t we? You know, that whole self-determined thing. If you want to add something of value, then do so. What I decide to post is up to me.
What’s likely is that I am adding things of value– resources, information about the cost measures in the bill, good points about GOP hypocrisy– and you’d like to change the subject. But shhhh, I won’t tell anyone that’s a worn out tactic used for years, and very transparent. Typically resorted to when the one using it belongs to a party with nothing of merit to say.
Is the Republican bill posted yet?
No?
Oh, that’s right. Republican ideas were spread across several pieces of legislation,and fell far short of the goal of insuring uninsured Americans. The Senate never even came up with an agreed upon plan ad the lame caucus-backed House Republican proposal, merely covered 3 million more Americans.
Posted by: progressive mama | February 22, 2010, 12:54 pm 12:54 pm
Proposed 28th Amendment to the United States Constitution:
“Congress shall make no law that applies to the citizens of the United States that does not apply equally to the Senators and/or Representatives; and, Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States “.
After my review of arguments from both sides everyone should agree with the following.
Nothing seems to have been accomplished to develop a program or means to reduce and control the run away costs of health care through out the health care industry.
I n order to have effective, efficient quality, affordable health care reform there should be one health care system for the entire nation, not two or more systems.
“Congress shall make no law that applies to the Senators and/or Representatives that does not apply equally to the citizens of the United States “.
When congress and other government employees have to pay the same costs as all other Americans the arguments will stop and we will have the reform we need. That will be real meaningful healthcare at every level of our society.
Additionally, every stakeholder in the health care industry from research, pharmaceuticals, hospitals, doctors and all other health care providers must participate and be active components of the national health care reform program.
Call it a Socialist Health Care Program, A government controlled health care initiative or big government wipe out of competition in the free market place. CALL IT WHAT YOU WANT.
The fact remains that the private sector health care industry collectively has uncontrolled, runaway costs that are totally not acceptable. There is no other option to solve the problem.
ROY
Posted by: ROY | February 22, 2010, 12:56 pm 12:56 pm
Here’s something useful.
Where is this cliff they are lining up to jump from?
How high is it?
Is there water below? (please say NO)
Posted by: smartlillena | February 22, 2010, 1:31 pm 1:31 pm
Passing health care reform is crucial to increasing the strength of our nation in several ways. How can small (or even large) businesses create jobs for our citizens if they have to pay outrageous sums for health insurance when companies can announce (gouge!) increases as large as 39% any old time they want? How can working families afford the insurance much less? So obviously health care reform is a necessary first step toward any job creation measures. How can we end tow wars constructively if military personnel cannot be offered the incentive of a well-deserved reward for risking their lives for America a decent jobs with quality health coverage and the same for their spouses and children?! Senator Feinstein’s idea is a great proposal. Bipartisanship is a wonderful dream, but Democrats have already compromised quite a bit. The responsibility for creating bipartisan trust is up to the Republicans. Their entire political vocabulary seems to include tax cuts for the rich, war, reckless deregulation of industries and financial markets, more tax cuts for the rich, hypocritical and jaded divisive social issues rhetoric, more war, and capitalizing on their won failure to securely protect our homeland by scaring the public constantly. Perhaps we as a nation must have partisan courage now by the Democrats in order to have the opportunity for true bipartisan governance in the future. Judging by the behavior of the Republican’s current crop of congressional “leaders” it seems to be the only way. Republicans are stuck in the 1980′s, but untold millions of Americans had higher paying jobs with health care that was muc cheaper then, ESPECIALLY even if adjusted for inflation, and the nation was at peace. If the Republicans were truly realistically patriotic they would insist on better, different leadership that intelligently puts country before politics. Our country is in desperate need of health care reform, more so than at any time in history. If the only way to accomplish this is through partisan, Democratic action then what a shame, but the shame falls on the Republicans, but the U.S.A., particularly the great working families of the middle class will be the winners. Let the Republicans have their say, deserved or not, but let our country have the health care system we deserve first and foremost. If the Republicans can’t handle this then it is they who will pay the political price in the not-so-long run, and then for some time to come. In closing I will simply say I think we progressives and Democrats have shown plenty of patience and restraint in the face of constant obstruction of such a vitally pressing national crisis issue.
Posted by: Stan Hill | February 22, 2010, 3:35 pm 3:35 pm
Unfortunately, I think the fact is that both parties are too wedded to their special interest money spigots that they are not ever going to support any genuine health care reform.
On the positive side, however, a small number of Senators of both parties, about 20 total, actually did have the guts to support a genuine reform bill, the Wyden/Bennett bill.
So it is clear there are a handful in Congress who actually are willing to stick their necks out and do what’s right rather than what fills their money bags.
Maybe someday the good guys will be in the majority.
Posted by: lance sjogren | February 22, 2010, 4:04 pm 4:04 pm
“The bills that have been passed in the Senate and HOR have one glaring problem: they will bankrupt the country.”
Well, that’s one way of looking at it. The other way is, Congress has already pounded so many nails in the coffin of the American economy that what difference does one more nail make? The economy will collapse with or without this bill.
So, one way to look at it is that since the whole thrust of the govt has been to prop up the economy and ameliorate economic pain in the short term, knowing full well that in the long term they have destroyed any prospect of our nation ever being prosperous again, then I think there is a rationale for the health care bill on the basis of the philosophy “live it up today for tomorrow we die”.
On the negative side, however, since most of this new program doesn’t kick in for something like 4 years, our economy may very well no longer exist by then, in which case there won’t even be any short term benefits of this economic coffin nail.
Posted by: lance sjogren | February 22, 2010, 4:09 pm 4:09 pm
On the positive side, however, a small number of Senators of both parties, about 20 total, actually did have the guts to support a genuine reform bill, the Wyden/Bennett bill.
__________
I was so disappointed that Wyden/Bennet wasn’t used as a starting point.
coulda, woulda, shoulda.
Posted by: progressive mama | February 22, 2010, 4:26 pm 4:26 pm
The truth is that we will never have cost containment in health care without addressing the fundamental issue that drives up costs: the disconnect between consumers and prices. Because we have created a system – for good reasons – where most people get their insurance through their employer, most of the costs (70% – 90% depending on the consumer) are effectively hidden to the consumer. Naturally, the consumer makes rational choices based solely on health concerns, rather then cost. Providers – or “doctors” as they used to be known – pass on costs of treating patients who either pay less than cost (see Medicare), or cannot pay at all – to the other customers who pay full price and then some. They also pass on the costs of protecting themselves from litigation in a lawsuit-happy society, which are not insignificant, and the ever-rising costs of their education.
Insurance companies, which are corporations after all, then negotiate and make decisions about what care will be available, based on the prices. But the demand is therefore kept artificially high, which continues to drive prices up, which is then reflected in higher premiums paid by the consumer. It is a vicious circle.
The answer is not in price ceilings or in mandatory care rationing, neither of which are effective solutions (Economics 101 tells us these lead to shortages – and in a way, “death panels”) to rising costs. What we must do is find a way to incent consumers to strike an appropriate balance between the care they think they need, and the prices that are ultimately paid for it. And while neither side has an answer to that, at least conservatives are correct in calculating that doing nothing is at least better than doing something foolish.
Posted by: INTJ | February 22, 2010, 4:56 pm 4:56 pm
And while neither side has an answer to that, at least conservatives are correct in calculating that doing nothing is at least better than doing something foolish.
Posted by: INTJ | Feb 22, 2010 4:56:24 PM
Actually, liberals are more correct. Single payer would get at much of what ails us.
Posted by: progressive mama | February 22, 2010, 5:18 pm 5:18 pm
Hey Regressive Mama, take a look at the Repubs Bill!!!!!!!!!!!!
*****************************
POLITICO Main Content
Live Pulse: Breaking news on the health care fight: Gibbs may need to read the White House website more closely February 22, 2010
During today’s press briefing, White House press secretary Robert Gibbs said he hoped that Republicans would post their reform plans online.
“The president posted ideas of his on the White House website today. We hope Republicans will post their ideas either on their website, or we’d be happy to post them on ours, so that the American people could come to one location and find out the parameters of what will largely be discussed on Thursday,” Gibbs said.
Turns out the House Republicans’ plan has been online since October and already has its own link on the White House website.
The White House encourages readers to “read more about House and Senate ideas from both parties on their websites.” The link sends readers to a House GOP website that includes a one-page summary sheet and the legislative text of their proposals.
Posted by: morphy699 | February 22, 2010, 5:20 pm 5:20 pm
It is freakin hilarious to read comments from single payer cheerleaders. Because that is just what Americans want. A system like England or Canada where being stuck on a waiting list is what they call “access to care”.
Posted by: Obama is Carter | February 22, 2010, 5:33 pm 5:33 pm
take a look at the Repubs Bill!!!!!!!!!!!!
which one?
The point is that its easy to come up with multiple ideas and plans. Its more difficult to align them. Would you like me to look at DeMint’s bill? Or Price’s? Or Ryan’s? Or the one mocked by the American Spectator? (phillip klein, 11.5.09) The latter would be the “house plan”.
Perhaps, you oughta read up. (I’ve actually read the plans and can tell you which ideas I’d use as starting points, but I’d bet money Republicans won’t negotiate in good faith. I’m familiar with Wyden Bennet too though its been awhile since I’ve gone over it). So…anyway… despite the distraction and the namecalling, I stand by what I said, namely that Republican ideas are spread across several pieces of legislation,and fall far short of the goal of insuring uninsured Americans. The Senate never even came up with an agreed upon plan and the lame caucus-backed House Republican proposal merely covered 3 million more Americans.
Posted by: progressive mama | February 22, 2010, 5:39 pm 5:39 pm
Talk about lipstick on a pig.
Take a mind-bendingly complex bill that utterly fails at its chief objective (controlling/lowering costs), i.e., the Senate bill; sprinkly in the worse ideas from the House bill (more growth-killing taxes to support a liberal fantasy of government-supplied healthcare); and then pile on more mandates, costs, ceilingless subsidies and price controls, i.e., the Obama “enhancements.”
And Pres. Obama and his people are parading this thing through the town square?
For an intelligent expression of the bottom line on this folly, read the comment “Posted by: INTJ | Feb 22, 2010 4:56:24 PM”
Posted by: TalkAbout | February 22, 2010, 5:47 pm 5:47 pm
For an intelligent expression of the bottom line on this folly,
—
… when it comes to Republican ideas, specifically, DeMints plan, see Salon’s “Jim DeMint’s amazing crazy health care plan”:
“Between 2005-2010, according to OpenSecrets.org, Senator DeMint received $226,000 from health professionals and another $209,000 from insurance companies. If something like DeMint’s plan ever became reality, those campaign contributions could be considered one of the greatest investments of all time. Because what DeMint is proposing here is a transfer of truly vast sums of money from the federal government straight to the HMO industry. Who needs to nationalize health care? Let’s just give them all our money.
And at no cost to the taxpayer! Or, as the press release puts it, “without adding a single dime to the deficit.”
Posted by: progressive mama | February 22, 2010, 6:07 pm 6:07 pm
A system like England or Canada where being stuck on a waiting list is what they call “access to care”.
Posted by: Obama is Carter | Feb 22, 2010 5:33:54 PM
I think France and Switzerland are better examples.
France’s health care definitely is on par with ours and probably better even without factoring in access.
Posted by: progressive mama | February 22, 2010, 6:09 pm 6:09 pm
Meanwhile, Think Progress reminds us why health reform and consumer protections are so important in a post today about a woman with cancer– and doing nothing is heartless:
“…women face especially high barriers to being approved for coverage by health insurers. The insurance industry has in the past refused to cover maternity care, disqualified women from coverage who’ve had a Caesarean-section pregnancy, and considered domestic abuse a pre-existing condition.
“It is worth noting that the United States is the only developed country without a universal, cradle-to-the-grave health care system. Nowhere else in the industrialized world would a woman have to turn to holding pasta fundraisers to get the money to pay for her chemotherapy. “
Posted by: progressive mama | February 22, 2010, 6:13 pm 6:13 pm
9.7% UNEMPLOYMENT and likely to start going back up! Trillions and trillion in corrupt spending and debt! Now Obama wants to ignore the American people, ignore the message the voters of MA sent him, and force this massive corrupt Government takeover down the throats of the American people. Obama at this point has clearly decided his reelection will be in better shape if he can run against and blame a Republican Congress. I wonder how many Democrats will vote to oblige him!!!
Posted by: valwayne | February 22, 2010, 9:52 pm 9:52 pm
What the “blank” is Obama doing? He offers bipartisanship out of one side of his mouth, and then out of the other side of his mouth declares an even more aggressive health bill before even meeting with the other party.
And he sends out threats of a willingness to destroy all Senate bipartisanship by forcing the democrat-only bill through with a procedural trick (reconciliation).
The rule is for making funding fixes on already passed bills.
Instead of backing off and following the will of the people with a few simple bipartisan health care fixes at a time, Obama has proven he is indeed a total ideologue who has NO desire to compromise. Obama is ravenous to create 100 new government agencies to run every aspect of everyones health care.
He would lock the republicans out and give the finger to the American people.
2010 might just see the biggest sweep in electoral history. Obama has just destroyed the democratic party.
Posted by: Parker1227 | February 22, 2010, 10:33 pm 10:33 pm
Survival of breast cancer victims is better in the US than in countries with socialized medicine.
We have the best medical technology, and provide over half of the medical innovations in the world (you know – new cures and treatments), BECAUSE the government doesn’t micromanage all of the innovation.
Obama wants to tax the heck out of big pharma and medical technology firms.
Where do you think all those magic pills and fancy imaging machines come from people?
Prepare to stand in line and wait 6 months to get sub-par xrays instead of MRIs just like in Canada.
Posted by: Parker1227 | February 22, 2010, 10:44 pm 10:44 pm
When the new 50% tax rate on “rich” people (read: small business), slams the economy into perpetual recession, and even that isn’t enough to cover new health care costs, they will do two things. Put huge taxes on the middle class, and start price controls on all medical procedures.
That means doctors will have to take big pay cuts – which will drive many doctors out of medicine. Why should they be the most educated and least paid professionals?
Hospitals will close due to lack of profitability.
Lines will get longer and longer.
The government will have to recruit sub-par students to go into medicine.
Posted by: Parker1227 | February 22, 2010, 10:56 pm 10:56 pm
Process & Substance.
Process: Judging from the summit spectacle, it’s evident the President has lost the support of virtually all Americans when it comes to health care reform.
If this is what he meant by ‘consensus’, he’s achieved it: moderates, conservatives and liberals are united in their opposition. The ‘reforms’ are variously considered a sham, trivial or an institutionalization of the current disastrous health care system (only with more public subsidies to the insurance industry). The complete and utter cluelessness of this President is all too evident in the drama unfolding in DC, as he seeks ‘bi-partisanship’ for a proposal the voters of neither party support. Pity Obama, the Democrats and the nation.
Substance:
The confusion and endless gyrations evident in the plan (try reading it) are the result of trying to fit ‘reform of the system’ into the system’s current contorted, inefficient and costly contours (in other words, the plan is not a ‘reform’, but more pasting things on to a broken system).
Here’s what the people wanted when the Democrats started:
“A mere seven months ago (that would be around June 2009), The New York Times/CBS poll found that 72% of Americans ‘supported a government- administered insurance plan—something like Medicare for those under 65— that would compete for customers with private insurers.’”
From then until now, Obama has:
1. Rejected single payer;
2. Stiff-armed the government option;
3. Mandated individuals and families pay premiums to private sector insurers;
4. Assured billions in tax payer subsidies for private sector insurers;
5. Stipulated actual health care service at only 80 cents of every dollar, while insurers are allowed to spend 20 cents of every premium dollar on lobbying, ‘sympathetic’ candidates, CEO bonuses, ‘administration’, fighting claims for treatment and, now we can add, participating on the new Federal ‘rate review’ Board.
The substance of the President’s proposal is the current costly, inefficient and ineffective insurance system on Federal steroids.
The process, which the President invited on himself, is becoming little more than the public pillorying of the weakest President since Jimmy Carter.
If Obama wanted to cast himself as a leader, this was surely his last chance, and he blew it with a plan to keep the current system in place, while supplementing it with taxpayers’ money in the form of mandated premium payments and Federal ‘subsidies’. That’s no reform at all. Thanks, but No Thanks.
Posted by: BILL JANES | February 23, 2010, 12:06 am 12:06 am
So Thursday we get to play “Whose Plan Sucks the Most?”
I want less of “Congress-and-its-bright-ideas” in my life, not more.
Posted by: hecowe | February 23, 2010, 12:20 am 12:20 am
A good president would just go with the modest legislation that is planned for a backup rather than forcing legislation the people DO NOT WANT down our throats.
These people are tyrants.
Posted by: victor Gonzales | February 23, 2010, 2:39 am 2:39 am
This approach by the White House doesn’t seem to be a bipartisan approach. Newt said the republicans should walk into that meeting and insist on equal time to present their plan to the people, and if they don’t get it they should walk out…..
Posted by: cooperscopy | February 23, 2010, 10:49 am 10:49 am