Feb 27, 2010 8:51am

Obama on Health Care: Time for Compromise is Now

ABC's Sunlen Miller reports: In his weekly address President Obama warns that the final version of the health care bill may not have everything that everyone wants – and there may be some disagreements that cannot be resolved. But, he says, for the sake of compromise Washington should get health reform done. 

The president called Thursday’s Blair House summit a “frank and productive” meeting and accentuated where both sides were in agreement. 

“Both sides agreed that the rising cost of health care is a serious problem that plagues families, small businesses, and our federal budget.  Many on both sides agreed that we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use – that would allow them to pool their purchasing power and get a better deal from insurance companies.  And I heard some ideas from our Republican friends that I believe are very worthy of consideration." 
 
The president went on to say that there were unresolved differences, and called for compromise.

“We disagreed over whether insurance companies should be held accountable when they deny people care or arbitrarily raise premiums.  I believe they should.  We disagreed over giving tax credits to small businesses and individuals that would make health care affordable for those who don’t have it.  This would be the largest middle class tax cut for health care in history, and I believe we should do it.  And while we agreed that Americans with pre-existing conditions should be able to get coverage, we disagreed on how to do that."

The president said that some of the disagreements may be resolvable, and some may not be.

“No final bill will include everything that everyone wants.  That’s what compromise is.  I said at the end of Thursday’s summit that I am eager and willing to move forward.”

The president likened the quest for health care reform to the competition on the world stage at the Vancouver Olympics. 

“If we want to compete on the world stage as well as we’ve competed in the world’s games, we need to find common ground.  We need to move past the bickering and the game-playing that holds us back and blocks progress for the American people.  We know it’s possible to do this.” 

The president said that as the Olympic games come to a close this weekend, he wants to congratulate all the athletes who competed. 

“I especially want to say how proud I am of all the American men and women have achieved over the last few weeks.  Whether it was the men’s hockey team’s stunning upset of the Canadians on their way to the gold-medal game, Lindsey Vonn’s heroic gold-medal comeback from a shin injury, or Apolo Ohno becoming the most decorated American winter Olympian of all time, you can’t help but be inspired by the sheer grit and athletic prowess on display in Vancouver.” 

The presidnet siad it’s not just the medal count that’s inspriring, “though we’ve certainly done great on that score,” but added ,”what’s truly inspiring is the character of the men and women who have won those medals.  The sacrifices they’ve made.  The integrity they’ve shown.”  

The indomitable Olympic spirit that says no matter who you are or where you come from or what difficulties you may face, you can work hard and train hard and still triumph in the end.  That is why we watch.  That is why we cheer.  That is why in the middle of an extremely challenging time for America, we’ve been able to come together as one nation for a few weeks in February  and swell with pride at what our citizens have achieved."

- Sunlen Miller

User Comments

If Obama truly believes that now is the time for compromise (which I don’t believe) then he needs to compromise and START OVER. That is what the MAJORITY of Americans want! The truth is….Obama wants NO compromise….he wants to jamb this through, but he doesn’t want it to begin until 2014 and he doesn’t want the insurance tax to kick in until 2018, because he knows he would be toast if it started earlier. He wants a legacy…to He&& with the American people that will have to pay for it and use it.

Posted by: bo | February 27, 2010, 9:55 am 9:55 am

Just use reconciliation and get it over with. After all, you have the votes, don’t you?

Posted by: ConservativeWoman | February 27, 2010, 10:02 am 10:02 am

MEMO
To: Obama and Congress
From: Unemployed in Florida
Subject: Its Jobs Stupid
RE: Advise doing Subject and RAM it. Healthcare low priority, Jobs High priority. Get it done now!

Posted by: Jim, Florida | February 27, 2010, 10:03 am 10:03 am

i love how “reconciliation” has now become some kind of rallying cry for the left. i suspect most of the people spouting it have little idea what it means. and the retort that bush and the republicans used it improperly is absurd. two wrongs make a right? and what about the next big obama initiative, say, cap and trade? will reconciliation be used for that? and a new stimulus bill? what else? is the idea that we should fundamentally our legislative process? all the america is “ungovernable” and therefore the normal rules shouldn’t apply stuff is such nonsense. as serious an issue as health care is, it’s not as dire as a circumstance would need to be to completely ignore proper legislative processes. we’re not talking about a national emergency…certainly when the administration admits the plans won’t take effect for 4 years. everyone needs to calm down and take a breath.

Posted by: davidfrat21 | February 27, 2010, 10:18 am 10:18 am

i love how “reconciliation” has now become some kind of rallying cry for the left.
______
Its been a rallying cry for quite some time against the special interests who also got to some centrist and conservative Dems with deep ties to the insurance industry.
I think fair is fair. If one team is going to use an unprecedented number of filibusters and scorch the earth in their efforts to derail, delay and make health care the President’s waterloo then the other team has every right to use a tactic that is right there in the rule book as fair and square, particularly if the other team is known for using it. Not that the hypocrisy embarasses them.
I started out thinking filibuster reform wasn’t a great idea, but after Bunning and Shelby admitting he doesn’t even know why he put holds on a bunch of nominations, he doesn’t know if the people are qualified, I think the GOP is on the verge of destroying progress an the ability of the Senate to do anything all together. I don’t know the answers– but I’m sick to death of the GOP.
But so far we’re not talking about changing the process or the nuclear option.
Pass it via reconcilation. Let’s get this done. Americans deserve an up down vote and affordable health care. We also deserve– demand– consumer protections.

Posted by: progressive mama | February 27, 2010, 10:42 am 10:42 am

I still expect law makers to ensure that this health reform bill is legal or will be legal if it goes into law. I expect it to be challenged in the Supreme Court. If the Constitution has provisions that the language in the health care reform bill conflicts with, then it is illegal. Anyone that supports and illegal legislative bill is, therefore, a crook and a criminal. Welcome to Chicago, USA.

Posted by: James L. | February 27, 2010, 10:43 am 10:43 am

If it is time for compromise the one shouting it the loudest should be the one to compromise. I think he has a lot of gall to presume that the public will agree with him. This type of action that will so seriously affect so many people should be put on a ballot for the public to vote on. Not give this tyrant the free hand to determine how our lives play out.

Posted by: BET | February 27, 2010, 10:56 am 10:56 am

They don’t have the votes or this would have been done long ago. I love it when Obama tries to play parent, lol.

Posted by: jennifert7 | February 27, 2010, 11:05 am 11:05 am

Wasn’t Obama the one who said if anyone has any ideas I would like to hear them! He is only listening to himself, like he said the other day- I AM THE PRESIDENT! I think we all know that he’s the president. I think the people who voted for him are made a huge mistake. He has so much to learn and he wants to go down in history!?

Posted by: Carol | February 27, 2010, 11:17 am 11:17 am

NO NO NO NO NO NO NO NO NO NO NO NO Obama, you idiot and crook!!

Posted by: horseforfeathers | February 27, 2010, 11:18 am 11:18 am

Oh ya- and we’re all going to go DOWN in history with him.

Posted by: Carol | February 27, 2010, 11:18 am 11:18 am

where will we get money for health care plan? Look at Canada, most of the tax money go to health care. Health care plan in, other program out and higher income tax. good for people with wealthfare. no good to middle class American.

Posted by: jet9508 | February 27, 2010, 11:20 am 11:20 am

I hope Obama NEVER gives in to the corupt Republicans. The GOP would see every american giving over one half of there paychecks to the insurence companies that pay for there re-election campaines. They dont care one bit about the american people and lie right to your face. There proposals are a smoke screen that will do nothing to lower health care costs and they know it. As long as the health insurance companies enjoy federal anti-trust protection nothing the republicans are putting on the table will work and they know it. Which is why the democrats are trying to remove it and the republicans are trying at all costs to stop them. The republicans where not in fear for the deficit when bush was turning the 200 billion surplus he got from clinton into a 1.4 trillion dollar deficit. Deficits didnt matter when bush was in office the republicans and cheney SAID SO ON NATIONAL NEWS! But now that Obama is in charge republicans say they do matter FLIP FLOP. The republicans are the single largest threat to the american peoples prosparity. The sad part of all of this is that the american people half of them dont even know what the health care bill is all about. They are so lazy that they only listen to the republicans about how bad it is. The american people are to lazy to learn about it for themselves and therepublicans are beting on that ignorence. And as far as reconciliation. The republicans didnt mide bush using it all the time but now that the democrats want to use it NO WAY! The republican party wants one thing and one thing only to regain power in 2012 and they want NOTHING to get done under Obama they want the american people to be as misrible as possible under Obama so they can say look he couldnt get anything done and your lives still suck vote GOP next election. See they dont have to have a plan to fix anything all they have to do is make the other guy look bad.

Posted by: Mike | February 27, 2010, 12:02 pm 12:02 pm

The test of the proposed health
care proposals should be: can a
hobo on the street see a doctor
and have it paid for. When that
happens we have moved on from
“survival of the fittest”.

Posted by: pln0006 | February 27, 2010, 12:05 pm 12:05 pm

The Republicans can’t just sit there saying we have the best healthcare system in the world, with their blinders on. There is a need for change. Obamas plan isn’t perfect either, but does have some important provision. The Republicans need to wipe the smug looks off their face(Mr. Boehner), and start doing their job, and maybe there can be some bipartisn change. As for the job situation; To say healthcare isn’t part of the economy, or job picture is stupid. No.1 There are a lot of unemployed people who can’t get health care. No.2 America is paying every extra dollar they have to oil cos. mortgage cos. credit card cos. and a very large portion to the health care system, with most of it lining the pockets of the wealthy. Until the middle class has a little more disposable income there aren’t going to be jobs. The middle class dollar is behind just about every low, middle, and upper income job out there, and health care is one very major part of it.

Posted by: parma hts gary | February 27, 2010, 12:35 pm 12:35 pm

I for one am not willing to “compromise” until this bill addresses what Rep. Paul Ryan brought up at the summit. 10 years of medicare cuts, increased taxes paid into a program to provide 6 years of benefits. SOunds like a program designed to go bankrupt just like medicare and social security. Until you are able to really show a program we as a nation can sustain (and still sustain the other entitlements we already have or drop them) your “compromise” is just robbing the next generation of their future in the US. I wasn’t as solidly on the side of what the republicans were saying until I saw the summit now I am even more convinced that this plan is like most government programs going to end up hurting the very people is says it’s supposed to help.

Posted by: obiehome40 | February 27, 2010, 12:46 pm 12:46 pm

What a bunch of corrupt ideas presented by the democrats. A bill stuffed with sweetheart deals for the unions. Yes we should all sacrifice for your union supporters! Deals on the side for special state status.We are not all idiots out here!

Posted by: jonny | February 27, 2010, 12:55 pm 12:55 pm

I for one am not willing to “compromise” until this bill addresses what Rep. Paul Ryan brought up at the summit.
_____________________________________
Rep. Ryan’s theory is completely contradicted by the Congressional Budget Office analysis. And, Rep. Ryan had no workable solution.

Posted by: tierra | February 27, 2010, 12:56 pm 12:56 pm

There is a very simple solution here.
Republicans don’t want government run health care and are against all of this wasteful spending. The government should do what other employers are doing. Drop health care coverage for every Senator and Representative, including all of their staff.
As a Republican, you can’t be against this move. It saves the government money. And, it eliminates their current government run health care system. Go out and buy your health care on the open market.
Then, let’s all sit back for a year and see how it goes.
I guarantee you health care reform will be on the front burner next year.
Obama — call their bluff.

Posted by: winpop | February 27, 2010, 1:03 pm 1:03 pm

President Obama needs to realize there is no compromising with the GOP. The Democrats have already weakened the bill to the point they have lost support of the majority that initially supported the reform. The GOP claims of ideas are nothing more than red hearings to stop the bill in its tracks. If Dems say, will take that the GOP will continually come back with we want this. The cycle has already proven to be unending. The Neo-Cons are fighting for the status quo. They are fighting for the continuation of the healthcare industry to fleece Americans. It is a virtual guarantee that IF the GOP wins a majority of seats in the coming election, healthcare reform is dead in the water. They will not start over as they are calling for now, they just simply will force it to die. It does not matter the issue whether it be worker rights, minimum wage, FMLA or whatever. When it comes between unconditional wealth of Corporations and the American people, Republicans are on the side of the former EVERY time.

Posted by: dan | February 27, 2010, 1:13 pm 1:13 pm

Rep. Ryan’s theory is completely contradicted by the Congressional Budget Office analysis. And, Rep. Ryan had no workable solution.
_____________________________
As Rep Ryan and others (including some dems) have indicated CBO’s analysis isn’t including the full 10 years they are only analyzing the beginning I think the first 5 years. Of course this bill is deficit neutral because you are charging people the full 10 years and only paying the last 6. It also doesn’t address the insolvency of medicare and social security and this bill’s impact on them – which at the summit the pres and all his pro this bill side also failed to respond to.
Also Ryan’s workable solution at his website referencing his roadmap for america would be a much better launching point for healthcare than this corrupt, overpriced, roadmap leading to empty promises and economic slavery. If you think what we have with healthcare companies now is bad given the examples of these same types of healthcare legislation in Tenn., Maine & Mass. it is going -IMHO- in the wrong direction and it is not a compromise when you can’t even get your own party to agree on it.

Posted by: obiehome40 | February 27, 2010, 1:17 pm 1:17 pm

The government takeover of health insurance, being rammed down the throats of Americans by unethical means, such as reconciliation, secret meetings and backroom Chicago style political deals has awaken the sleeping giant. Just look at Scott Brown’s victory in Massachusetts. How arrogant of Obama, to hold a “bipartisan”??? health care summit and already have reconcilation plans in the works. Americans are not stupid. Noboby wants this Socialistic Bill rammed down our throats. We don’t want it. Don’t they get it??? They are totally ignorant of the fact that this Bill only has a 39% approval rating. Americans want health care reform. We don’t want government run health care. Any Democratic Congressman who votes for this monstrosity of a Bill, will be commiting political suicide and walking the plank for Obama, Pelosi & Reid. What is happening in Washington right now, with plans of reconciliation, is against the will of the overwhelming majority of Americans and it is wrong. People in America need to stand up and voice their discontent and outrage against this left-wing extremist regime. What is happening here is so very wrong.

Posted by: ken | February 27, 2010, 1:23 pm 1:23 pm

“CBO’s analysis isn’t including the full 10 years they are only analyzing the beginning I think the first 5 years.”
________________________________________
There is no room here for ‘thinking’ something might be true.
The Congressional Budget Office analysis is that the Democratic health care plans REDUCE the deficit. . . by billions of dollars.

Posted by: tierra | February 27, 2010, 1:26 pm 1:26 pm

From the CBO site . ..
“In the previous estimate, which was transmitted on November 6, CBO and the staff of the Joint Committee on Taxation (JCT) estimated that changes in direct spending and revenues from enacting H.R. 3962 would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period. To reflect the change in our assessment of the CLASS provision, CBO and JCT now estimate that the legislation would yield a net reduction in deficits of $138 billion over the 10-year period.”

Posted by: tierra | February 27, 2010, 1:29 pm 1:29 pm

The government takeover of health insurance, being rammed down the throats of Americans by unethical means, such as reconciliation, secret meetings and backroom Chicago style political deals has awaken the sleeping giant. Just look at Scott Brown’s victory in Massachusetts. How arrogant of Obama, to hold a “bipartisan”??? health care summit and already have reconciliation plans in the works. Americans are not stupid. Noboby wants this Socialistic Bill rammed down our throats. We don’t want it. Don’t they get it??? They are totally ignorant of the fact that this Bill only has a 39% approval rating. Americans want health care reform. We don’t want government run health care. Any Democratic Congressman who votes for this monstrosity of a Bill, will be commiting political suicide and walking the plank for Obama, Pelosi & Reid. What is happening in Washington right now, with plans of reconciliation, is against the will of the overwhelming majority of Americans and it is wrong. People in America need to stand up and voice their discontent and outrage against this left-wing extremist regime. What is happening here is so very wrong.

Posted by: ken | February 27, 2010, 1:31 pm 1:31 pm

“The government takeover of health insurance”
___________________________________
You’re first sentence is not true – and sets the tone for your entire post.

Posted by: tierra | February 27, 2010, 1:32 pm 1:32 pm

Pass it via reconcilation. Let’s get this done. Americans deserve an up down vote and affordable health care. We also deserve– demand– consumer protections.
Posted by: progressive mama | Feb 27, 2010 10:42:10 AM
————-
Couldn’t agree more. Let’s take some names! Stand up and be counted. It’s political suicide, of course, so I say let’s get on with it!

Posted by: Woody | February 27, 2010, 1:32 pm 1:32 pm

Once again we see Dem are liars Rep. are liars, stop and think when has a politician told the truth to get elected. Health care that is estimated to cost 1 trill over 10 years or 100 mil a year sounds cheap until you figure what the avg. over budget is with the government. True figures will probably be triple to 5 times the estimate. What is happening is government is jamming something down everyones throat. The people are force to pay for something that should be their choice. Per the articles the Rep.’s are for big corp.’s look and see the top Dem. getting paid vacations by big corp.’s. If you did not know part of the recovery the President Obama has signed into effect is that auto unions will have the government pay their medical and retirement at their going rate if they go under. What about all the people that have lost their jobs. Did he send them a pay check, pay their medical bill/healthcare or make sure they have a retirement fund that pays them many times what social security pays? The people making these decisions get free healthcare and large retirement packages. I agree remove their retirement and healthcare packages and put them on Medicare and Social Security. Reduce their pay, vacation and staff allowance. Let them who are living HIGH ON THE HOG at the taxpayers expense feel the same pinch the taxpayers are feeling

Posted by: Dan | February 27, 2010, 1:34 pm 1:34 pm

” What is happening is government is jamming something down everyones throat”
____________________________________
What’s with this repeated oral fascination? Some kind of repression emerging here?
If you really believe the government is all liars, then the government shouldn’t be doing anything at all – nothing!
Since that isn’t the case, let’s work on this deficit reduction and health care plan – reducing the deficit by over $100 billion dollars is worth SERIOUSLY looking at.

Posted by: tierra | February 27, 2010, 1:43 pm 1:43 pm

My first sentence is very true.
This Bill will ultimatelly evolve into government run healthcare.
Only 39% of Americans want this Bill to pass.
You need to get your sources of information from reliable news organizations and not MSNBC.
There are many reliable unbiased sources on the Web.
I hope you will educate yourself. Good luck to you.

Posted by: ken | February 27, 2010, 1:43 pm 1:43 pm

Yes Mr President now is the time to compromise. Yes you evil republicans you must compromise with whatever I say. That’s compromise Obama style!
And stop bringing up those “talking points”. I know you think they are your ideas, but all of them are just talking points to me, so I just wave them away.
Mr president, we are not all stupid moonbats out here!

Posted by: jonny | February 27, 2010, 1:48 pm 1:48 pm

It appears the President isnt seeking “common ground”, he wants everyone on “his ground” or else he wont play. The way he talks down to people is very disturbing.

Posted by: Charlie C | February 27, 2010, 1:51 pm 1:51 pm

Tierra, are you really the press secretary and not just an Obama fan? You have the administrations talking points down very nicely.
Posted by: Ruth | Feb 27, 2010 1:46:15 PM
____________________________________
All it takes is a little factual research.

Posted by: tierra | February 27, 2010, 1:53 pm 1:53 pm

“The government takeover of health insurance”
___________________________________
You’re first sentence is not true – and sets the tone for your entire post. This is not a ‘single payer’ system; far from it – research it some time.

Posted by: tierra | February 27, 2010, 1:55 pm 1:55 pm

Tierra, A rose by any other name is still a rose. Yes, they are “ramming this Bill down our throats”. Come on now, tell us all the truth. Please answer this question and don’t dodge it. Just a “Yes” or “No” answer.
Is your favorite news station MSNBC?
Yes or No.
???????

Posted by: ken | February 27, 2010, 1:57 pm 1:57 pm

It appears the President isnt seeking “common ground”, he wants everyone on “his ground” or else he wont play. The way he talks down to people is very disturbing.
Posted by: Charlie C | Feb 27, 2010 1:51:42 PM
______________________________________
My observation was the President repeatedly sought common ground – and the Republicans repeatedly retreated to the billigerent catch phrase ‘start again’.
There have been hundreds of bi-partisan committee meetings over the past year; many Republican ammendments have been included in these bills.
The only health care tactic the Republicans really have at this point is – do not the Democrats in any way, or they might get re-elected. Party First. Country Second.

Posted by: tierra | February 27, 2010, 1:59 pm 1:59 pm

Ken,
You are conversing with an Obamatron. Anything and everything Obama does is perfect. For most of us, Obama has positive and negatives. Don’t waste your time.

Posted by: jonny | February 27, 2010, 2:01 pm 2:01 pm

It appears the President isnt seeking “common ground”, he wants everyone on “his ground” or else he wont play. The way he talks down to people is very disturbing.
Posted by: Charlie C | Feb 27, 2010 1:51:42 PM
______________________________________
My observation was the President repeatedly sought common ground – and the Republicans repeatedly retreated to the billigerent catch phrase ‘start again’.
There have been hundreds of bi-partisan committee meetings over the past year; many Republican ammendments have been included in these bills.
The only health care tactic the Republicans really have at this point is – do not the Democrats in any way, or they might get re-elected. Party First. Country Second.

Posted by: tierra | February 27, 2010, 2:07 pm 2:07 pm

“Obama will unveil his healthplan next week” Another attempt at the contemptible “educated class,” left wing of the democratic party to ram the “nanny state” down our independent throats. Obama is a disgrace to truly educated and hard working people in this great country. Hi is a marxist, delusional and only understands his own distorted perceptions of Americans. Having lived all his life in places like Hyde Park (chicago), this is not surprising. What is surprising is that he has made this into a personal vendetta against the (majority) American people (look at the polls and Scott Brown victory and the failed attempt at government medicine in Massachusetts). He is willing to incinerate all his idiot democratic followers along with his personal ambitions for a socialist future. Nancy Pelosi and Harry Reid are already history – do I hear the rest of the democrats in the Senate and House of Reps? Go for it Hussein!!!!!

Posted by: rob | February 27, 2010, 2:08 pm 2:08 pm

From the Congressional Budget Office . .
“In the previous estimate, which was transmitted on November 6, CBO and the staff of the Joint Committee on Taxation (JCT) estimated that changes in direct spending and revenues from enacting H.R. 3962 would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period. To reflect the change in our assessment of the CLASS provision, CBO and JCT now estimate that the legislation would yield a net reduction in deficits of $138 billion over the 10-year period.”

Posted by: tierra | February 27, 2010, 2:09 pm 2:09 pm

Tierra said, “Since that isn’t the case, let’s work on this deficit reduction and health care plan – reducing the deficit by over $100 billion dollars is worth SERIOUSLY looking at.”
Sure I agree. We can start by killing this health care bill now. Oh wait I forgot it will CREATE 4 million jobs. LOL…

Posted by: Denbo | February 27, 2010, 2:09 pm 2:09 pm

“Obama will unveil his healthplan next week” Another attempt at the contemptible “educated class,” left wing of the democratic party to ram the “nanny state” down our independent throats. Obama is a disgrace to truly educated and hard working people in this great country. Hi is a marxist, delusional and only understands his own distorted perceptions of Americans. Having lived all his life in places like Hyde Park (chicago), this is not surprising. What is surprising is that he has made this into a personal vendetta against the (majority) American people (look at the polls and Scott Brown victory and the failed attempt at government medicine in Massachusetts). He is willing to incinerate all his idiot democratic followers along with his personal ambitions for a socialist future. Nancy Pelosi and Harry Reid are already history – do I hear the rest of the democrats in the Senate and House of Reps? Go for it Hussein!!!!!

Posted by: rob | February 27, 2010, 2:09 pm 2:09 pm

There are no doubt some good GOP ideas that should be expanded into any bill– There are also many Dem. Ideas that are good– Dropping the Public Option was/is a bow to the Insurance industry— However — The sweetheart deals for Louisiana and Nebraska must be dropped — and probably a whole host of other ,slipped in, provisions!!! But the Insurance/Pharma. lobbies have infected both the GOP and the Dems– The GOP are a minority who act like a majority — The Dems are a Majority acting like a Minority— What I don’t like in the Partisan divide is the GOP marching in lockstep to their corporate sponsors– Placing ideology over Country — The Dems at least are not all in lockstep– In fact a third of them don’t usually tow the Party line— The Press give the GOP loudmouths way too much airtime and not enough investigative scrutiny—Obstruction is not governing!!!! Both parties waste money — But the GOP solution is kicking the very big can down the Road– They waste on war and Nation Building — elsewhere— the Dems on domestic Social Programs — Their both Spendocrats and both beholden to too many lobbyists!!! Perhaps a Coalition Govt. of 3-4 parties would produce better results — What I find disingenuous about the 19% GOP is their constant talking Points, apologists, and hypocritical positioning- Yet never accepting any blame for any problem!!! IE The Bush Doubling of Govt etc. — Deregulation is not an answer– We all need Laws and Rules ——BiGGGGGG Govt. is not the Problem — Its corrupt Govt , bought and paid for by ideological agendas, that is the problem !!!! To think that the GOP are the fiscally Responsible party — is a lie and the height of Folly!!!!! To be screaming about Govt. Spending — during Recession/ Depression is like debating whether to pay the water bill thats about to be shut off , while fighting a forest fire!!! Not good policy at all !!!! Long Term yes- But why did the GOP say no to earmark reform!!!

Posted by: brian | February 27, 2010, 2:11 pm 2:11 pm

If only the Republican right could distinguish researched facts from parroted talking points . .. fat chance – the Republican right is ALL talking points. Party First. Country Second.
From the Congressional Budget Office . .
“In the previous estimate, which was transmitted on November 6, CBO and the staff of the Joint Committee on Taxation (JCT) estimated that changes in direct spending and revenues from enacting H.R. 3962 would yield a net reduction in federal budget deficits of $109 billion over the 2010-2019 period. To reflect the change in our assessment of the CLASS provision, CBO and JCT now estimate that the legislation would yield a net reduction in deficits of $138 billion over the 10-year period.”

Posted by: tierra | February 27, 2010, 2:12 pm 2:12 pm

Perhaps I didn’t watch the correct meetings or OBAMA wasn;t at the same mneeting I watched? when is this guy going to lead? when is he going to realize the GOP wqants to see him fail? When is he going to get shots of testosterone? Mr PRESIDENT…The time is NOW-go for reconciliation..do something!!!

Posted by: derni | February 27, 2010, 2:13 pm 2:13 pm

As Rep Ryan and others (including some dems) have indicated CBO’s analysis isn’t including the full 10 years they are only analyzing the beginning I think the first 5 years. Of course this bill is deficit neutral because you are charging people the full 10 years and only paying the last 6. It also doesn’t address the insolvency of medicare and social security and this bill’s impact on them – which at the summit the pres and all his pro this bill side also failed to respond to.
Also Ryan’s workable solution at his website referencing his roadmap for america would be a much better launching point for healthcare than this corrupt, overpriced, roadmap leading to empty promises and economic slavery. If you think what we have with healthcare companies now is bad given the examples of these same types of healthcare legislation in Tenn., Maine & Mass. it is going -IMHO- in the wrong direction and it is not a compromise when you can’t even get your own party to agree on it.
Posted by: obiehome40 | Feb 27, 2010 1:17:04 PM
Thank you for your rant. But like the republicans you didnt accually say ANYTHING. How is Ryan going to fix health care again? In your rant about how bad the dems plan is you didnt say ANYTHING about the repubs plan. Is it perhaps becasue they DONT HAVE A PLAN.

Posted by: Mike | February 27, 2010, 2:18 pm 2:18 pm

brian . ..
I agree with most of what you say (and derni too), but I disagree with the “The sweetheart deals for Louisiana and Nebraska must be dropped” . ..
Nebraska ‘yes’, but the adjustments made for Louisiana stem directly out of the difficult and unusual situation that resulted from Hurricane Katrina – very legitimate adjustments.
Unfortunately mis-characterized by poorly informed opponents of the bills.

Posted by: tierra | February 27, 2010, 2:20 pm 2:20 pm

tierra, I see you are working for the Dem party by your comments. I was told about awhile ago that the Dem.’s realized they made a mistake especially Obama and many will not seek re-election and I questioned it but it seems to be true now watching the news. I do not like either party but have to vote one way or the other. If H. Clinton and made it I would have voted for her but now we have to put up with a lot more problems.

Posted by: Dan | February 27, 2010, 2:20 pm 2:20 pm

Some people need to realize that always parroting what the Obama line is, becomes obvious to others. How can anyone take such a person seriously? Even Michelle can’t agree with everything Obama thinks. But some obamatrons sure can! Very pathetic that some can’t think for themselves.

Posted by: jonny | February 27, 2010, 2:21 pm 2:21 pm

Posted by: rob | Feb 27, 2010 2:09:23 PM
Using Obamas Middle name is the best you republicans can do?? I tell you this my freind go to ellis island and read whats over the gates there, then ask yourself am I an american indian? If the answer is no then you have no more claim to be called a true american than anyone else. If all you can muster is name calling then ya you are a true republican.

Posted by: Mike | February 27, 2010, 2:26 pm 2:26 pm

Some people need to realize that always parroting what the Obama line is, becomes obvious to others. How can anyone take such a person seriously? Even Michelle can’t agree with everything Obama thinks. But some obamatrons sure can! Very pathetic that some can’t think for themselves.
Posted by: jonny | Feb 27, 2010 2:21:25 PM
____________________________________
Again, no researched discussion points from the Republican right – just put downs and insults.

Posted by: tierra | February 27, 2010, 2:28 pm 2:28 pm

Speaking of Obamatrons, the obamatron followers were commanded to go out bu=y the leader, to call particualar talk radio shows and “educate” the stupid idiot public (as they see them). I was listening to one such channel and it was hilarious the obamatrons calling!
Can’t these people think for themselves?
Posted by: jonny | Feb 27, 2010 2:27:00 PM
First thanks for making the point and learn to spell. Second you get your opinon from Glen Beck and Fox News so whos the bigger moron?

Posted by: Mike | February 27, 2010, 2:36 pm 2:36 pm

From the President . . .
“Both sides agreed that the rising cost of health care is a serious problem that plagues families, small businesses, and our federal budget. Many on both sides agreed that we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use – that would allow them to pool their purchasing power and get a better deal from insurance companies. And I heard some ideas from our Republican friends that I believe are very worthy of consideration.”
The president went on to say that there were unresolved differences, and called for compromise.
“We disagreed over whether insurance companies should be held accountable when they deny people care or arbitrarily raise premiums. I believe they should. We disagreed over giving tax credits to small businesses and individuals that would make health care affordable for those who don’t have it. This would be the largest middle class tax cut for health care in history, and I believe we should do it. And while we agreed that Americans with pre-existing conditions should be able to get coverage, we disagreed on how to do that.”

Posted by: tierra | February 27, 2010, 2:40 pm 2:40 pm

“Obama on Health Care: Time for Compromise is Now”
Of course the Loser want to compromise…Liar!…Actions speak louder than words.

Posted by: keys2truth | February 27, 2010, 2:40 pm 2:40 pm

Name calling, insults, fear and smear campaigns – the Republicans: Party First. Country Second.
this seems to by a prerecorded statement. Research past bills and watch the back rooms. It would appear that this is only one party. Both Dem.’s and Rep.’s make deals in the back room and point the finger at each other.
If you ever notice any program controlled by Congress (that includes when their buddies are put in charge) is destine to be over budget and failure.
We will start back with Nixon, Social Security was running fine and had a large fund sitting there. It was put in the general fund and guess what. Many times since checks were delayed while politics were played. This is not the only one, do the research and you will see the pattern, it does not make any difference which party is in the majority, they both degrade the programs until they have to make another program to replace something, that if run properly would work. There are already programs in place that could, if properly run, do what everyone is complaining about a lot cheaper. But until the government decides to run the country like a business instead of money pit because they just raise taxes to get the money, nothing will change.
Example: at end of year in any government agency what happens if they did not spend more than their budget? There is a spending frenzy.
Why are not supervisors who do not spend their budget rewarded? They can not raise taxes if everyone remained in budget and left over money’s put into a fund for future use.
This is basically what is going on now.
Name calling, insults, fear and smear campaigns – the Republicans: Party First. Country Second.
should read
Name calling, insults, fear and smear campaigns – the Republicans and Democrats: Party First. Country Second.

Posted by: Dan | February 27, 2010, 2:47 pm 2:47 pm

Nothing in this world is a “right” if other people have to foot the bill for it.
I’d sure love to own a Ferrari, but because I cannot afford to buy a Ferrari, it is not my “right” to own one.
I’d sure love to take a two week vacation to Tahiti, but because I cannot afford to pay for a two week vacation to Tahiti, it is not my “right” to take this vacation.
Anything given to a person who cannot afford to buy it is a “priveledge”, not a “right”.

Posted by: ken | February 27, 2010, 2:59 pm 2:59 pm

Two days after the summit, Rasmussen finds Obama’s approval at an all-time low of 43%. And 22% “strongly” approve, while 43% strongly disapprove.
One wonders who those 22% are.

Posted by: Fascist Hyena | February 27, 2010, 3:31 pm 3:31 pm

Two days after the summit, Rasmussen finds Obama’s approval at an all-time low of 43%. And 22% “strongly” approve, while 43% strongly disapprove.
One wonders who those 22% are.

Posted by: Fascist Hyena | February 27, 2010, 3:31 pm 3:31 pm

Nothing in this world is a “right” if other people have to foot the bill for it.
—-
So, to heck with public education all together, in your humble opinion? And to heck with the services of police and fire departments, or to the benefits of a strong military? The heck with the post office, and public highways, and national parks. The heck with worrying about public health, safety and the common good. We should privatize it all, and pay for those services as one does consumer goods?
If something is made a public service, then those who pay taxes have a right to it. The real issue is whether health care is considered part of the public good, part of the social net, part of the responsibility of a government that has a role in ensuring the safety and well being of its citizens.
In our country, we have set up health care as a privilege, with the best care in the world attainable and affordable by the wealthy — but rather mediocre care, if any, attainable and affordable as you move down to the food chain. Its a benefit, not a right here, provided solely at the discretion of an employer, a government subsidized insurance plan for the elderly or a charitable gift provided based on the goodwill of others.
But it doesn’t have to be that way.
We declare that we are “endowed with unalienable rights, among them are Life, Liberty and the pursuit of Happiness” — and there’s no question that health care contributes to all three.
The “cruel and unusual punishment” clause of the 8th Amendment to the Constitution has been interpreted by the Supreme Court to require prisoners, as part of their humane treatment during detention, to be guaranteed the right to health care– so prisoners do have the right and we pay for it– but our citizens with pre-existing conditions? Nah.
Its interesting to remember that at the time of the framing of the Constitution, health care was generally available to all citizens. There was no major issue of lack of affordability or access. Our country and its health care system are radically different now than at the time of the Revolutionary War.
Flexibility and compassion are important virtues. Its time to move into the new millenium– granted, a decade late– and extend the benefits and advantages of health care that every other first world nation has found a way to provide.

Posted by: progressive mama | February 27, 2010, 3:35 pm 3:35 pm

Obama likes to annoint as “legitimate” or “not legitimate” (or mere “talking points” as he tries to demean) all real criticism of his health deform bill.
Well, his call for “compromise” is just that — a talking point — because he does not really mean “compromise” but rather “just do it my way.” That is a BS talking point, just like his bill.
Neverthess, as Investor’s Business Daily clearly demonstrated in today’s opinion piece, at Obama’s summitless gathering, Obama could only “duck and cover” with his “non-rebuttal” to Paul Ryan, “the Wisconsin congressman who made the most pointed remarks about Obama’s reform proposal. For example:
• “This bill does not control costs (or) reduce deficits. Instead, (it) adds a new health care entitlement when we have no idea how to pay for the entitlements we already have.”
• “The bill has 10 years of tax increases, about half a trillion dollars, with 10 years of Medicare cuts, about half a trillion dollars, to pay for six years of spending. The true 10-year cost (is) $2.3 trillion.”
• “The bill takes $52 billion in higher Social Security tax revenues and counts them as offsets. But that’s really reserved for Social Security. So either we’re double-counting them or we don’t intend on paying those Social Security benefits.”
• “The bill takes $72 billion from the CLASS Act (long-term care insurance) benefit premiums and claims them as offsets.”
• “The bill treats Medicare like a piggy bank, (raiding) half a trillion dollars not to shore up Medicare solvency, but to spend on this new government program.”
• “The chief actuary of Medicare (says) as much as 20% of Medicare providers will either go out of business or have to stop seeing Medicare beneficiaries.”
• “Millions of seniors who have chosen Medicare Advantage (Medicare through a private insurer) will lose the coverage that they now enjoy.”
• “When you strip out the double-counting and … gimmicks, the full 10-year cost of the bill has a $460 billion deficit. The second 10-year cost of this bill has a $1.4 trillion deficit.”
• “The ‘doc fix’ (restoring cuts in Medicare reimbursements) costs $371 billion … a price tag (that) made the score look bad. (So) that provision was taken out, and (put) in stand-alone legislation. But ignoring these costs does not remove them from the backs of taxpayers. Hiding spending does not reduce spending.”
• “Are we bending the cost curve down or are we bending the cost curve up? If you look at your own chief actuary at Medicare, we’re bending it up. He’s claiming that we’re going up $222 billion, adding more to the unsustainable fiscal situation we have.”
“In response to all this, Obama basically talked up the benefits of Medicare Advantage. Call us sticklers, but we expected something a little more, uh, professorial.”
Compromise coming from our Ideologue-in-Chief Obama who can’t even attempt a reasoned response to legit cricism?
Fat chance.
Ideologue:
1 : an impractical idealist : theorist
2 : an often blindly partisan advocate or adherent of a particular ideology.”
Yep, that’s Obama. A 110% ideologue.

Posted by: All Fed Up | February 27, 2010, 3:44 pm 3:44 pm

Just look at this mortgage assistance program. Not enough for some, too much for others, loopholes, fraud, too slow, too big, too expensive, too complex,..now multiply the size of the project many times over, add sick people, remove the word temporary and voila..you have the Democratic healthcare program-but THIS will work out much better…PROMISE.

Posted by: cindy | February 27, 2010, 3:44 pm 3:44 pm

To progressive mama: You said it correctly, when you stated “If something is made a public service, then those who pay taxes have a right to it.”
To those who don’t pay taxes, any government benefits they receive are priveledges and not rights.
In my statement, I never said that we should leave people for fodder who don’t have health insurance. I only intended to make it clear that if a person does not contribute taxes, either because they are at or below poverty level or illegals, then ANY benefits they receive from the government, needs to be classified as priviledges and not rights.
We, as Americans, also have the “right” to determine where our taxes are spent and with only a 38% nationwide approval rating of Obamacare, the majority of Americans are saying that we have the “right” not to pay for this massive blunder of a rushed Socialist Bill.
We are a compassionate Nation and we want the small minority of 10% to 15% of Americans, who do not have healthcare, to be taken care of, but not by a total overhaul and government takeover of the healthcare system.

Posted by: ken | February 27, 2010, 4:00 pm 4:00 pm

more nonsensical responses
“Again, no researched discussion points from the Republican right – just put downs and insults.”
No research is required to observe who is an obamatron.

Posted by: jonny | February 27, 2010, 4:02 pm 4:02 pm

For now, I want one thing clarified. When they say this bill is budget neutral are they in fact counting 10 years revenue and 6 years expenditures? This should be a pretty clear yes or no type fact. Would any SUPPORTERS of the bill please respond.

Posted by: 4civitity | February 27, 2010, 4:08 pm 4:08 pm

Simple Math – The cost of health insurance for 30 million uninsured Americans
What is the average monthly cost per individual for health insurance?
I initiated several web searches to find this number and discovered several estimates.
The lowest cost I found was $250.00 per month, which included sizeable out of pocket deductions.
Under a government controlled “robust” health care system, there will be no required out of pocket deductions,
as the government would, in theory, fully cover the needs of all the 30 million Americans who currently do not have health care.
Therefore, one would have to assume that with no out of pocket deductions, the average monthly cost would be much higher
than $250.00 per month.
For the sake of argument, let’s just say that Obama somehow manages to sharpen his pencil and finds
a way to keep the average monthly cost of total comprehensive no deductible health insurance at a unrealistic
low cost of $250.00 per month.
O.K. then, $250.00 per month equates to a total cost of $3000.00 per year to provide health insurance to
each of the 30 million uninsured Americans.
Now, here’s the simple math:
$3000.00 x 30,000,000 uninsured Americans = $90,000,000,000.00.
That’s 90 billion dollars per year, based on an extremley low unrealistic average monthly cost.
90 billion dollars = 90,000 one-million dollar bills just for one year.
Realistically, you can likely double or triple each of the figures listed above, because it is virtually impossible
to provide total no deductible health insurance for only $250.00 per month.
Then multiply all the numbers by 5 and 10 years.
Do you get the simple math?

Posted by: ken | February 27, 2010, 4:11 pm 4:11 pm

But the Insurance/Pharma. lobbies have infected both the GOP and the Dems– The GOP are a minority who act like a majority — The Dems are a Majority acting like a Minority— What I don’t like in the Partisan divide is the GOP marching in lockstep to their corporate sponsors– Placing ideology over Country — The Dems at least are not all in lockstep– In fact a third of them don’t usually tow the Party line— The Press give the GOP loudmouths way too much airtime and not enough investigative scrutiny—Obstruction is not governing!!!! [..]
Posted by: brian | Feb 27, 2010 2:11:58 PM
_______
Great post all the way around, Brian.
What I admire about President Obama and the Congressional Leadership is that despite the backlash, despite the compromises that have had to be made with more centrist and conservative Dems, despite the mess and imperfection, they are keeping their eye on the long game on health care and other important issues we need to address, even if it costs them the electon– and they are trying to do to their jobs. People like to talk about the GSE’s and blah, blah, blah– but the truth is that the Republicans were so unbendable they were never able to pass legislation, not because of the Dems, but because of their rigidity, their adherence to ideology over country. And its discouraging that so many people applaud some of the complete buffoons in the party while ostracizing those who DO put country over party– like Brown on the jobs bill, Olympia Snowe and so on.

Posted by: progressive mama | February 27, 2010, 4:12 pm 4:12 pm

For now, I want one thing clarified. When they say this bill is budget neutral are they in fact counting 10 years revenue and 6 years expenditures? This should be a pretty clear yes or no type fact. Would any SUPPORTERS of the bill please respond.
Posted by: 4civitity | Feb 27, 2010 4:08:47 PM
You know what buddy. I dont know. What I do know is this. My health care insurence went from 300 to 700 dollars a month in ONE YEAR!!!!! So if I have to pay 100 or even 200 dollars extra a month in taxs to get my premiums lower back to 300 a month I just saved 200-300 dollars a month. Doesnt take a math major to figure out that one does it? This is just one of the FACTS that the insurence companies and the republicans that are in there pockets dont want you to know.

Posted by: Mike | February 27, 2010, 4:16 pm 4:16 pm

Posted by: ken | Feb 27, 2010 4:17:02 PM
Tell me how much do you pay for your health care insurence now? As opposed to 2 years ago then do the “simple math” and tell me how much you will be paying for insurence 5 years from now if reform isnt passed.

Posted by: Mike | February 27, 2010, 4:21 pm 4:21 pm

Mike,
If I’m hearing you right, you support the bill whether it’s budget neutral or not. Is there ANY cost for this bill at which you would say “we can’t affort it?”

Posted by: 4civility | February 27, 2010, 4:22 pm 4:22 pm

But I’d sure love to have my original question answered: when they say the bill is basically budget neutral, are they counting 10 years revenue and 6 years expenses? I especially would like to hear from a supporter of the bill.

Posted by: 4Civility | February 27, 2010, 4:25 pm 4:25 pm

Posted by: 4civility | Feb 27, 2010 4:22:10 PM
Yes if taxes went up so much that it didnt matter that my insurence went back to normal. In other words if it caused my taxs to go up over 400 a month cause thats how much my insurence went up in ONE YEAR!! Oh and by the way thats just for me and my wife no kids and I havent even went to the doctor once in 3 years.

Posted by: Mike | February 27, 2010, 4:32 pm 4:32 pm

Mike,
Are you an Obama supporter? How can this be, since Obama has clearly and eloquently called for an end to partisan bickering and hate–but your posts are filled with these. You’re not worthy of Obama.

Posted by: 4Civility | February 27, 2010, 4:33 pm 4:33 pm

Like I said before it doesnt matter people of this country are generally stupid and will allow whoever has the most money to influence how they think. Bottom line is if I have to pay a 100 dollars more a month in taxes to get my premiums lowered back to the amount I was paying last year a 400 dollar difference in other words then im for it. Thats simple math.

Posted by: Mike | February 27, 2010, 4:36 pm 4:36 pm

Mike,
Are you an Obama supporter? How can this be, since Obama has clearly and eloquently called for an end to partisan bickering and hate–but your posts are filled with these. You’re not worthy of Obama.
Posted by: 4Civility | Feb 27, 2010 4:33:19 PM
The republicans will NEVER agree with ANYTHING Obama wants to do for the american people BECAUSE if the american people are happy and have affordable heath care they WONT VOTE GOP in 2012. Again simple math.

Posted by: Mike | February 27, 2010, 4:39 pm 4:39 pm

My response to: Ken is a true republican He belives that if you simply say the same distrotion of the truth over and over and over and over people will forget logic and just buy into your crap. Hey how about this if the Obama plan is so bad tell me why health insurence companies that stand to lose BILLIONS if reform happends are spending MILLIONS to tell you reform is bad for you. SHOULDNT BE TO HARD TO SEE THAT CONFLICT OF INTEREST IF ONLY MOIST AMERICANS WERENT MORONS!!!!!!
Nothing is free in this world. There isn’t a money tree on the back lawn of the White House. One way or another, you will pay. I don’t want to see the government managing health care. The government can’t even process my auto registration, without taking months to do so.
I want these health insurance companies to be regulagted, so they don’t rape us. I want to see us given the right to buy insurance across State lines, so it forces the insurance companies to become more competitive. I want the government to make certain that any uninsured “American” is not left to die, maybe by providing them with the means, by a voucher, to purchase low cost private insurance. I don’t want the government taking over and running our healthcare system.

Posted by: ken | February 27, 2010, 4:40 pm 4:40 pm

The US is broke! We don’t nor can afford Obama-care. When are the elected officials going to recognize this deterring situation?

Posted by: Albert Friday | February 27, 2010, 4:48 pm 4:48 pm

Nothing is free in this world. There isn’t a money tree on the back lawn of the White House. One way or another, you will pay. I don’t want to see the government managing health care. The government can’t even process my auto registration, without taking months to do so.
I want these health insurance companies to be regulagted, so they don’t rape us. I want to see us given the right to buy insurance across State lines, so it forces the insurance companies to become more competitive. I want the government to make certain that any uninsured “American” is not left to die, maybe by providing them with the means, by a voucher, to purchase low cost private insurance. I don’t want the government taking over and running our healthcare system.
Posted by: ken | Feb 27, 2010 4:40:12 PM
NOW YOUR TALKIN KEN! I think your on the right track. I want that very same thing. Heres the problem with the republicans plan. The plan you just posted. It cant and will not work. Heres why. Insurence companies enjoy ferderal anti-trust protection. So opening up across state lines would do NOTHING because they all the companies can still get together and set prices and share information. Thats the bottom line and Im pretty sure the republicans know this. After all they are fighting the democrats tooth and nail becuase the democrats are trying to strip the anti-trust protection from the insuence companies and insurence companies and the republicans are trying to stop them from doing it.

Posted by: Mike | February 27, 2010, 4:50 pm 4:50 pm

We, as Americans, also have the “right” to determine where our taxes are spent and with only a 38% nationwide approval rating of Obamacare, the majority of Americans are saying that we have the “right” not to pay for this massive blunder of a rushed Socialist Bill.
———–
Actually, this just isn’t technically true, and I’m surprised a conservative or strict constitutionalist didn’t jump on you. LOL. They must cherry pick when it comes to who they pick on. I wrote to Bush and said I didn’t want my taxes going to war. I didn’t receive any assurances that they weren’t.
And where is the commenter who jumped all over me about The Republic and representational democracy?
Hmmm….

Posted by: progressive mama | February 27, 2010, 4:51 pm 4:51 pm

I’d like to take a time out from the debate, to thank Jake Tapper, for writing articles that stimulate healthy debates.
We are all Americans and whether Liberal or Conservative, none of us want to see anyone left to die, for lack of health insurance. We just have different approaches as to how we can best help these people who are truly in need.
Conservatives = Fix the broken system.
Liberals = Government takeover of the system.
Thanks Jake for providing us witth this forum to express outselves and writing articles that inspire us to speak out.

Posted by: ken | February 27, 2010, 4:53 pm 4:53 pm

Posted by: ken | Feb 27, 2010 4:56:20 PM
I would love to fix the broken system. To be honest I dont like the dems plan really cause its to complicated and we wont see real results for at least 2 years. However we will not be able to fix the system regulate or do anything if we dont strip the insurence companies federal anti-trust protection away from them. If we dont do that the only way to lower costs would be a public option. I belive that this is why the ensurence companies have spent nearly all of there lobbying money to defeat those to things.

Posted by: Mike | February 27, 2010, 5:04 pm 5:04 pm

Posted by: ken | Feb 27, 2010 4:56:20 PM
I would love to fix the broken system. To be honest I dont like the dems plan really cause its to complicated and we wont see real results for at least 2 years. However we will not be able to fix the system regulate or do anything if we dont strip the insurence companies federal anti-trust protection away from them. If we dont do that the only way to lower costs would be a public option. I belive that this is why the ensurence companies have spent nearly all of there lobbying money to defeat those to things.

Posted by: Mike | February 27, 2010, 5:04 pm 5:04 pm

We are all Americans and whether Liberal or Conservative, none of us want to see anyone left to die, for lack of health insurance. We just have different approaches as to how we can best help these people who are truly in need.

Hmmm… let me switch that up a bit, because I’m with Grayson… the Republicans in Congress don’t seem to care if people die due to lack of health insurance. They’ve offered up nothing to addresss that issue– the growing number of uninsureds– and what they have offered up would leave more people with fewer benefits. Meanwhile, one crazy dude is making sure unemployment benefits are held up and folks like Cornryn are defending him.
Conservatives = conserve the status quo, particularly the uneven corporate-centered distribution of wealth and power, don’t cover the uninsured; ideology and political expediency over the needs of citizens and the country
Liberals = solve problems, protect the liberal ideals the country was founded on; grow the middle class; equal opportunity; human decency

Posted by: progressive mama | February 27, 2010, 5:15 pm 5:15 pm

I don’t trust the government to run anything.
They historically do a lousy job of anything they have run!
I’d much rather see the government give the insurance companies a good kick in the ass and keep them on the straight and narrow.
There are ways to provide assistance to people who truly cannot afford health insurance, without a government takeover.
The only thing that Congress does well, is ensuring that their own health insurance is top of the line and that their pensions are fat and intact.
Other than that, they do a lousy job at everything they lay their greedy little hands on, whether it be DEmocrats or Republicans in Office!

Posted by: ken | February 27, 2010, 5:15 pm 5:15 pm

Can somebody please help me out? I’ve posted the following question on several forums and gotten NO response:
“When they say this bill is budget neutral are they in fact counting 10 years revenue and 6 years expenditures? This should be a pretty clear yes or no type fact. Would any SUPPORTERS of the bill please respond.” I’ve getting the impression that folks don’t care about this significant financial point; or else I have bad breath.

Posted by: 4civility | February 27, 2010, 5:43 pm 5:43 pm

Liberals = Government takeover of the system.
Posted by: ken
I keep on hearing about it, but,
I’m still curious as to what exactly is being ‘taken over’

Posted by: XXX | February 27, 2010, 5:56 pm 5:56 pm

Response to 4civility:
It doesn’t take a rocket scientist to conclude that they are “sticking it to you”.
Another fact, is that Congress, the Senate, the President & Vice-President will continue to keep their current top of the line, state of the art, health insurance, should Obamacare go through.
They figure it’s good enough for you, but not good enough for them.
This bothers me.
Can you picture either Nancy Pelosi or John McCain sitting in a Doctor’s office waiting room, waiting for you to finsh your medical exam?
Ain’t gonna happen!
You can be assured that their health insurance coverage will continue be the best in all the land.
If this Obamacare is so darn good, you would think that they would be more than willing to give up their own current five star coverage and enroll in Obamacare, right?
As I stated, it ain’t gonna happen!
They take care of themselves first and we get the bread crumbs.

Posted by: ken | February 27, 2010, 5:58 pm 5:58 pm

If this Obamacare is so darn good, you would think that they would be more than willing to give up their own current five star coverage and enroll in Obamacare, right?
Posted by: ken |
maybe you can provide some clarity and describe what ‘Obamacare’ really is

Posted by: XXX | February 27, 2010, 6:04 pm 6:04 pm

to XXX – In their perfect world, it will ultimately “evolve” into a system similar to Canada & Great Britain’s socialist health care system, where you wait for hours in waiting rooms and months for government approvals for surgeries.
Ask your own Congressman (or Congresswoman) if they would be willing to give up their current excellent health insurance and join all us other Americans to enroll in the Obamacare plan.
In fact, don’t ask if they would be willing to do so, but insist that they do so.
They are Americans, just like us.
I can understand the President &
Vice-President requiring private care for security reasons, but for all members of Congress and the Senate, what’s good for the goose, should be good for the gander.

Posted by: ken | February 27, 2010, 6:16 pm 6:16 pm

Posted by: 4civility | Feb 27, 2010 5:43:41 PM
CBO hasn’t scored the current “plan” but rather the two separate bills.
Budget neutral means “The Congressional Budget Office (CBO) must project that the bill be at least deficit neutral over the 10-year budget window, and deficit reducing thereafter. Covering tens of millions of currently uninsured people will increase spending, but the draft health reform legislation contains offsetting savings sufficient to cover those costs and the seeds of further reforms that will lower the growth of spending. Deficit neutrality over the first decade means that, even during the start-up period, the legislation will not add to our deficits. After the first decade, the legislation should reduce deficits.” (NYT)
I’m not really sure I understand your question as the reforms start immediately, as do some benefits.
“Within six months, the Senate bill approved last week would allow dependent, unmarried children to remain on their parents’ policies until their 26th birthday; the House bill would allow an additional year of dependent coverage, until the 27th birthday. Right now it varies from state to state.
The Senate bill would also bar insurers from denying coverage to children under 19 years of age based on pre-existing medical conditions. And the House bill would require insurers to cover reconstructive surgery for children born with deformities.” (NYT)
Also funding for community health centers, short term expansion of state high risk pools, no annual or lifetime limits, closing the Medicare drug donut hole, barring recision, small business tax credits, COBRA extension through 2013, patient protections regarding emergency care,
This may be what you’re getting at:
New federal subsidies to help moderate-income Americans afford coverage would not begin until 2013 under the House bill, and 2014 under the Senate bill. A new requirement that nearly all Americans obtain insurance would take effect at the same time that the subsidies become available.
On the flip side, many of the new taxes and fees that will help pay for the legislation would take effect much sooner. For this reason, some Republicans have criticized the bill as akin to legislation on a layaway plan: pay now for benefits later.
The concept, however, is not unprecedented. In 1965, when Medicare was created, the payroll tax began six months before the insurance coverage began for Americans age 65 and over.

Posted by: progressive mama | February 27, 2010, 6:23 pm 6:23 pm

Obama is obsessed with getting his way and passing this no-good health care plan onto us who do not want it. At the same time he pays lip service to solving the unemployment problem! Here’s a novel idea, help the unemployed get jobs so that they can get health insurance.
Instead we’re going have another government program forced upon us. How many fed programs have worked well and actually saved money?
I can’t wait until November!

Posted by: Steve | February 27, 2010, 6:25 pm 6:25 pm

“Many on both sides agreed that we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use – that would allow them to pool their purchasing power and get a better deal from insurance companies.”

Posted by: tierra | February 27, 2010, 6:25 pm 6:25 pm

When Obama says “both sides”, is he talking about the liberal wing of the Democrat party and the ultra-liberal wing of the Democrat party? He can’t be talking about Democrats and Republicans because everyone knows the Republicans have been told to go pound sand. Just wondering.

Posted by: Woody | February 27, 2010, 6:31 pm 6:31 pm

Tierra,
First off, members of the Congress & Senate think of themselves first and have conveniently excluded themselves from this “wonderful” plan.
As I stated, try to picture either Nancy Pelosi or John McCain as Obamacare recipients, sitting in a Doctors Office waiting room, patiently waiting their turn, with 6 patients ahead of them.
In your wildest dreams, this will never actually become reality.

Posted by: ken | February 27, 2010, 6:34 pm 6:34 pm

” . . . we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use . . . “

Posted by: tierra | February 27, 2010, 6:44 pm 6:44 pm

As I stated, try to picture either Nancy Pelosi or John McCain as Obamacare recipients, sitting in a Doctors Office waiting room
___________________________________
The insurance company does not determine how long your Dr. makes you wait. If Pelosi or McCain are getting in ahead of others, it is the Dr. who lets them.

Posted by: tierra | February 27, 2010, 6:46 pm 6:46 pm

First off, members of the Congress & Senate think of themselves first and have conveniently excluded themselves from this “wonderful” plan.
Posted by: ken | Feb 27, 2010 6:34:01 PM
I found it laughable that during the summit the President repeatedly referred to the proposed insurance pool as “just like the one Congress enjoys.” Someone figured out a way to counteract the anger that Congress is pushing a plan they are unwilling to participate in themselves.

Posted by: For the Record | February 27, 2010, 6:46 pm 6:46 pm

“which members of Congress would also use”
BTW, I ain’t buyin’ it. Agreeing about it and signing into law are way different.

Posted by: For the Record | February 27, 2010, 6:48 pm 6:48 pm

” . . . we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use . . . ”
Posted by: tierra | Feb 27, 2010 6:44:06 PM
“Many on both sides agreed…” It never happens and he looks like a hero. Nice move.

Posted by: For the Record | February 27, 2010, 6:51 pm 6:51 pm

Posted by: 4civility | Feb 27, 2010 5:43:41 PM
If they were to only spend the amount they are projecting then yes it would in fact be budget nutral over the next 10 years however this just wont be true. It like any other goverment or for that matter civilian contracting job WILL go over budget. Thats the nature of the beast. The question we need to ask is are we willing to spend the money in a taxed goverment program to lower our civilian free market premiums. Because I can garentee you that if we dont insurence companies will raise rates so high that we will be deciding weather to buy food or buy health insurence. My premiums have gone from 300 to 700 a month in the last year and there is about NOTHING I can do about it. The insurence companies enjoy federal anti-trust protection. So there is no such thing as compitition and there never will be in the free market health care insurence system.

Posted by: Mike | February 27, 2010, 6:59 pm 6:59 pm

First off, members of the Congress & Senate think of themselves first and have conveniently excluded themselves from this “wonderful” plan.
Posted by: ken | Feb 27, 2010 6:34:01 PM
Well you are all wrong about this issue really. All congressmen and senators enjoy health care that is payed for by you and I. We pay for there heath care through our taxes just like we pay there saleries. They pay absolutly zero ddollars for health care. We the tax payers pay for there health care and thats the bottom line. The GOP gets free health care compliments of the US taxpayer. But they sure as hell dont want you to have it. Because that would put the people that pay for there re-election bids out of buisness namely the free market health care insurence industry.

Posted by: Mike | February 27, 2010, 7:05 pm 7:05 pm

As I stated, try to picture either Nancy Pelosi or John McCain as Obamacare recipients, sitting in a Doctors Office waiting room
___________________________________
The insurance company does not determine how long your Dr. makes you wait. If Pelosi or McCain are getting in ahead of others, it is the Dr. who lets them.

Posted by: tierra | February 27, 2010, 7:28 pm 7:28 pm

However this might all be a GOP conspiracy to force people into the military and there by build up the militarys numbers. Think about it make health care insurence so unbealevibly expensive that no one could afford it. Unless you join the military and then you would have affordable tri-care insurence. Is this the GOP plan? Most military members vote republican so perhaps this is there plan. Of course I think the plan is plain to complicated for them to have came up with it lol

Posted by: Mike | February 27, 2010, 7:33 pm 7:33 pm

As I stated, try to picture either Nancy Pelosi or John McCain as Obamacare recipients, sitting in a Doctors Office waiting room
___________________________________
The insurance company does not determine how long your Dr. makes you wait. If Pelosi or McCain are getting in ahead of others, it is the Dr. who lets them.
Posted by: tierra | Feb 27, 2010 7:28:46 PM
As I said before they haev free health care compliments of you and I. Also as members of congress they are seen by the best doctors at john hopkins military hospital. All for free thanks to you and me the american tax payers.

Posted by: Mike | February 27, 2010, 7:36 pm 7:36 pm

If you are going to write about the health insurance members of congress have, you should read up on it. The Federal Employees Health Benefits Plan(FEHBP) is not itself a health insurance plan. It is an ‘insurance exchange’, run by the OPM which is supposed to run the insurance exchange in both the Senate and House bills. In this plan, federal employees can choose from about 400 different private medical insurers/policies. The exchange itself is an extremely small operation that simply negotiates and certifies private plans for the federal employees to choose from.
In that sense, that is exactly what the health insurance reform bill does. By grouping a large number of people into this exchange, and by having competition for the pool, they have obtained premiums that have risen much more slowly than the rest of the private market, in which the same premuim is charged to all regardless of age and other risk factors.
This insursance market system is the entire basis of Obama’s proposal.

Posted by: Flash Override | February 27, 2010, 7:47 pm 7:47 pm

” . . . we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use . . . ”
Tierra, I’m assuming this is an Obama quote you are putting forth?
Is this quote as credible as “Were gonna let the C-SPAN cameras come into the room, so everyone can see the negotiations.”
Well, when Pelosi & Reid were drafting the Bills in secret rooms, behind closed locked doors and there were certainly no C-SPAN cameras in the rooms. After the Bill was all said & done and Obama was critisized for weeks about the C-SPAN cameras, he had this recent dog & pony show on camera and at the same time was making plans for reconciliation of the Bills already put together in secret rooms.
The healthcare summit meeting was a farce.
He lied then and he is lying now.
Talk is cheap.

Posted by: ken | February 27, 2010, 7:54 pm 7:54 pm

The concept, however, is not unprecedented. In 1965, when Medicare was created, the payroll tax began six months before the insurance coverage began for Americans age 65 and over.
_______________________________________
Yes and we can all see how close to budget and sustainable a program medicare has been. Same with social security. Now in that same vein let’s add another entitlement we can’t sustain. That CBO even says will increase premiums 10-13% in the individual market which is the very place most current uninsured would be shopping for it.

Posted by: GO | February 27, 2010, 7:56 pm 7:56 pm

” . . . we should give small businesses and individuals the ability to participate in a new insurance marketplace – which members of Congress would also use . . . ”
Because many of you dont understand the system that members of congress (and 8 million other federal employees) have, this sounds to you like a new idea. It isn’t, its already in the insurance reform bills.

Posted by: Flash Override | February 27, 2010, 8:00 pm 8:00 pm

“Talk is cheap”
Especially when it’s Republicans talking. The Republicans have no intention whatsoever of making any attempt to reform healthcare. They are operating solely in the interests of the insurance industry to kill any reform at all. Even if all their demands were met they would vote against them.

Posted by: Skip | February 27, 2010, 8:10 pm 8:10 pm

Wow, does this mean other people get to participate now…??? Nah, I didn’t think so. Obama is screwed either way. Pass it and lose the country or Kill it and lose his base, who is the only support he has, at all. Looks like a one term deal for O’bomba… Surely Cousin Cheney and Jimmy Carter can talk him through it.

Posted by: jafo | February 27, 2010, 8:13 pm 8:13 pm

“If you are going to write about the health insurance members of congress have, you should read up on it”
But that just makes way too much sense Flash.

Posted by: Skip | February 27, 2010, 8:15 pm 8:15 pm

After the Bill was all said & done and Obama was critisized for weeks about the C-SPAN cameras, he had this recent dog & pony show on camera and at the same time was making plans for reconciliation of the Bills already put together in secret rooms.
The healthcare summit meeting was a farce.
He lied then and he is lying now.
Talk is cheap.
Don’t be so niave.
Posted by: ken | Feb 27, 2010 7:54:24 PM
????????????????????????????????????????????????????????????????????????????????
It has become abundantly clear that no matter what President Obama says or does there is a group of people who will always be negative. They will always doubt his sincerity. Will never, ever give him the benefit of the doubt. Will never, ever give him a chance.Will never give him credit. I wonder why that is?
Many Americans did not like George Bush’s policies. Many Americans felt his and the Republican policies would ruin our country. WE WERE RIGHT, but never, ever was George Bush treated this way. Now I realize that a lot of you will deny that but then I wouldn’t expect for you to agree. Bottom line, you people need to get over it. This Summit showed the American people that Republicans have no intentions of voting for health care reform. Reading the various post and blogs since this debate began, it is clear that there are a lot of very selfish negative people out there who seem to only care about themselves and what is best for them and the heck with anyone else who has not had the same luck and success and experiences as you. Good luck to you because by the grace of whoever you believe in you or your family could wake up one day and really need that government help.

Posted by: catmom | February 27, 2010, 8:17 pm 8:17 pm

Especially when it’s Republicans talking. The Republicans have no intention whatsoever of making any attempt to reform healthcare. They are operating solely in the interests of the insurance industry to kill any reform at all. Even if all their demands were met they would vote against them.
____________________________________
So then is the answer to let the liberal dems (not all the dems or it would have passed by now) fleece the country with bad legislation. Really this line of thinking is not helpful. It’s the same reasoning that says pass anything just anything well anything can very well make it worse and the direction this legislation goes in I think will make it worse.
There are and have been some VERY good proposals from both sides of the aisle, by some very knowledgeable and sincere legislators (all of which were suspiciously absent from all those closed door meetings) that have not seen the light of day on the floor because the congressional leadership (along with the white house)is SO COMMITTED to this increased government only “reform”.
To call this compromise is rewriting not just history but the dictionary as well.

Posted by: GO | February 27, 2010, 8:23 pm 8:23 pm

Posted by: Flash Override | Feb 27, 2010 7:47:52 PM
You are right as I am right and you proved my point we pay for there health care. Tax money pays there saleries yes? So anything they buy to include goverment subsidesed healthcare is in fact payed for by the US taxpayers

Posted by: Mike | February 27, 2010, 8:25 pm 8:25 pm

“That CBO even says will increase premiums 10-13% in the individual market which is the very place most current uninsured would be shopping for it.
Posted by: GO | Feb 27, 2010 7:56:08 PM
————————————
Shame on you.
The CBO said that fairly well off people in the non-group market will be paying 10-13% more, partly because insurance companies will be required to actually cover people (, and partially because (the CBO estimates that) people will buy more insurance because its a better deal than it was.
The same report stated that 57% of the people in the non-group market will be paying less than half what they are paying now for premiums.
Two additional things to keep in mind about the CBO. The CBO doesn’t include estimates for what people’s actual health care costs will be under the plan. This would be another adjustment upward since what wasn’t covered previously was paid out of pocket.
Secondly, over the last few decades CBO has consistently overestimated the costs of health insurance reforms, and underestimated the savings from cost control measures.

Posted by: Flash Override | February 27, 2010, 8:26 pm 8:26 pm

“So then is the answer to let the liberal dems (not all the dems or it would have passed by now) fleece the country with bad legislation”
Of course you’re going to say it’s bad legislation, but regardless of how good you think Republican proposals are it doesn’t matter because they’re never going to pass them. The Republicans are totally wasting our time grandstanding and stalling. If the you think the reform legislation is going to fleece us just wait till you see how bad the insurance industry is going to fleece us if we don’t do anything about it.

Posted by: Skip | February 27, 2010, 8:38 pm 8:38 pm

Obama is obsessed with getting his way and passing this no-good health care plan onto us who do not want it. I can’t wait until November!
Posted by: Steve | Feb 27, 2010 6:25:11 PM
????????????????????????????????????????????????????????????????????????????????
Oh for goodness sakes ! President Obama campaigned on getting affordable health care for ALL Americans. He has an agenda just like every other President and he is working towards achieving his goals. Why would you say he was obsessed when he is following through on his campaign promises?
You people are obsessed into turning his Presidency and this country into a failure so you can prove what ever point you haters are trying to make. President Barack Hussein Obama won the election plain and simple. The majority of Americans voted for him. Please stop saying what you think about the American people. The American people I know want the BS to stop and the health care reform to begin.
You can’t wait until Nov. Perhaps you gullible people will vote against your own best interest, your bad. You voted for George Bush twice that worked out quite well. Considering the shape our country was in after eight years of George Bush and Republican policies, I’d be careful for what you wish for.
Republicans do not want our country to move forward, to succeed. They want want us to remain stagnant and be like the good old days. For some, the good old days under Republican leadership sucked. Republicans are holding up progress for the country and the American people and some of you seem to think that is great. Question though, hat do you expect to happen if Republicans take over Congress in Nov? Surly you don’t expect for the country to go back to the very same polices that ruined our country during the past eight years when Republicans controlled everything? Oh, and guess what? President Obama will still be President regardless of what happens in Nov.

Posted by: catmom | February 27, 2010, 8:43 pm 8:43 pm

Progressive Mama,
Thanks for your response. It’s the only one in a couple days of posting to directly address my question.
The end of your post does in fact address my worry:
federal subsidies to help lower income folks buy insurance begin in 2013/14; but tax and fee collection takes place much sooner. The observation that this is a “pay now for benefits later” sort of deal is not a Republican delusion, then, but a simple fact.
Maybe this sort of deal is just fine; and it’s interesting to note precedents. In my mind it puts an asterisk next to the “budget neutral in first decade” claim.

Posted by: 4civility | February 27, 2010, 9:14 pm 9:14 pm

Teleprompter or not, Obama follows the script. Call for compromise but don’t give an inch. Claim you are going to make insurance available to all Americans while your cronies are writing a law that can put people in prison for not taking out an insurance policy. Degrade the opposition’s ideas at the same time you are blasting McCain for pointing out how this bill was developed in secrecy. The more things change, the more they stay the same.

Posted by: wantingbalance | February 27, 2010, 9:20 pm 9:20 pm

Ya know what Im tired of the debate. Im tired of getting riped off buy privit health care. Im going back into the military. Nation Guard. Then I will qualify for tri-care reserve. Its only 180 a month and its full coverage health care for me and my family. I accually wont be able to pay for health care any other way. So everybody get on the band wagon. Join the national gaurd or reserve. Its the only way you will be able to pay your bills and pay for health care too. Sad thing is I make 28 dollars an hour and I cant afford health care any other way except for going into the national gaurd.

Posted by: Mike | February 27, 2010, 9:27 pm 9:27 pm

“Claim you are going to make insurance available to all Americans while your cronies are writing a law that can put people in prison for not taking out an insurance policy”
Right-wingers don’t want a government option for people with pre-existing conditions but when the insurance industry says they can afford to cover people with pre-exiting conditions if everybody pitches into the pool they don’t want that either. In order to have real healthcare reform we need to have protections available for people with pre-existing conditions. It’s just more evidence that right-wingers don’t want healthcare reform.

Posted by: Skip | February 27, 2010, 9:36 pm 9:36 pm

The CBO said that fairly well off people in the non-group market will be paying 10-13% more, partly because insurance companies will be required to actually cover people (, and partially because (the CBO estimates that) people will buy more insurance because its a better deal than it was.
______________________________________
Right so someone who can’t really afford it is going to get such a great deal that now instead of not buying insurance they will spend 10-13% more than what they would have spent. Also what number defines “fairly well-off” because once the gov’t starts deciding it can slide that range any way it wants. Are you going by income- $75,000 is a LOT of money in Mississippi but what about New York or LA?? what if someone has high income and is caring for elderly parents or a family member with an illness?? high income but has a home based business so income and business are intertwined??? Such illogical approaches no wonder people on both sides of the aisle are not supporting. Are you going to have to file and itemize just to decide what kind of healthcare the gov’t thinks you ought to be entitled to.
Also who is going to decide the “great deals” that these people now will get because what they purchase is going to be mandated.
Also if you look at Mass. they said the same things about healthcare and their prices are SKYROCKETING. The state is overwhelmed and people, even with the mandate, are still not buying it.
Do you even buy your own insurance or is this whole thing completely theories and numbers on a page. Before you start shaming people maybe try understanding some legitimate concerns. Name a program any program that the federal government has run on budget, with mass efficiency that has fully done what it was promised/intended to do.
Would you put your healthcare in even more control of the hands of someone with the fed gov’t's track records on entitlement programs. Anyone who is putting all their hope in Obama- he can only be pres for 2 terms, then what.

Posted by: GO | February 27, 2010, 9:40 pm 9:40 pm

Posted by: wantingbalance | Feb 27, 2010 9:20:12 PM
Again you point to no Republican suggestions for bettering the health care bill – you just whine about the Democrats.

Posted by: tierra | February 27, 2010, 9:42 pm 9:42 pm

“Name a program any program that the federal government has run on budget, with mass efficiency that has fully done what it was promised/intended to do”
Let’s start by asking all the Republicans on Medicare.

Posted by: Skip | February 27, 2010, 9:45 pm 9:45 pm

Two additional things to keep in mind about the CBO. The CBO doesn’t include estimates for what people’s actual health care costs will be under the plan. This would be another adjustment upward since what wasn’t covered previously was paid out of pocket.
Secondly, over the last few decades CBO has consistently overestimated the costs of health insurance reforms, and underestimated the savings from cost control measures.
____________________________________
What was the original budget estimate they said in Congress for medicare in 1965?
What is the actual cost of medicare??
“In fact, the federal government’s lead actuary in 1965 projected that the hospital program (Medicare Part A) would grow to only $9 billion by 1990. The program ended up costing more than $66 billion that year. Even after adjusting for inflation and other factors, the cost of Medicare Part A (in constant dollars) was 165 percent higher than the official government estimate, according to the actuary who produced them.1 (In unadjusted dollars actual costs were 639 percent above estimates.) Just three years after Medicare was passed, a 1968 Tax Foundation study found that public spending on medical care had nearly doubled in the first few years of Medicare.” According to an article on the institute for health freedom website. It doesn’t become less as time goes on it gets much worse.
Pick any other government entitlement program what is the original budget estimate then the actual cost. Do you see a trend?? Trying to say these costs are estimated too high is pure fiction and keeping our heads in the sand is not going to help.

Posted by: obieone40 | February 27, 2010, 10:04 pm 10:04 pm

Let’s start by asking all the Republicans on Medicare.
________________________
Hey Skip let’s start by asking reps AND dems why social security has been a slush fund to raid since it’s inception and why medicare while continuing to be over budget for over 40 years has not been reformed but has more money just dumped into it from the general fund of the treasury.
PLEASE get a grip and look at the issues and not the d/r game it’s not only lame but irrelevant.

Posted by: obieone40 | February 27, 2010, 10:08 pm 10:08 pm

“let’s start by asking reps AND dems why social security has been a slush fund to raid since it’s inception”
I’d love to keep everybody’s hands out of Social Security. When I see a single Republican agree to vote for any healthcare reform I’ll be glad to debate issues with Republicans. But issues are meaningless when one side is just using them for diversion. I’m not buying the standard line government program bogeyman argument. If the private sector was capable of protecting our citizens without conflicts of interest we wouldn’t need expensive social safety nets.

Posted by: Skip | February 27, 2010, 10:26 pm 10:26 pm

But issues are meaningless when one side is just using them for diversion.
Posted by: Skip | Feb 27, 2010 10:26:39 PM
________________________________________
Are you talking about the republicans or the dems because in 2009 according to basic math the dems were the one side that couldn’t agree on the healthcare issue. The repubs were irrelevant again according to basic math regardless of the diversions they used.

Posted by: obieone40 | February 27, 2010, 10:59 pm 10:59 pm

Again you point to no Republican suggestions for bettering the health care bill – you just whine about the Democrats.
Posted by: tierra | Feb 27, 2010 9:42:39 PM
Control fraud.
It’s never a Democrat’s priority since so many Democratic (self) interest groups rely so heavily on it.

Posted by: For the Record | February 27, 2010, 11:08 pm 11:08 pm

Posted by: wantingbalance | Feb 27, 2010 9:20:12 PM
Again you point to no Republican suggestions for bettering the health care bill – you just whine about the Democrats.
Posted by: tierra | Feb 27, 2010 9:42:39 PM
_____________________________________
The President’s addressed “compromise” wasn’t about the republicans ideas it’s about the Senate’s bill with a bigger price tag and a few tweaks.
Have you even looked into some of the other proposals by reps and dems or do you continue to buy the line that because the leadership says there weren’t any (that is any they let go to the floor) they didn’t exist. Why do you think people are “whining about the dems” it’s because they have done a terrible job enacting this reform. They’ve done it on process AND substance and now they are trying to force it through. Even the President, who is claiming a 2008 mandate, isn’t following the promises he campaigned on regarding healthcare. So if he had a mandate then why isn’t he pushing for what he campaigned on??
To say the republicans don’t have a plan that I see so we have to accept legislative garbage is selling the american people short and is not really good healthcare reform.
I say take it back and put together something better this is not good enough.

Posted by: obieone40 | February 27, 2010, 11:09 pm 11:09 pm

Why can’t we open the market across state lines?? With a degree of regulation this would certainly end the 50 monopolies (plus fed gov’t underpaid entitlements to docs & hospitals that everyone else picks up in their costs) we currently have developed. I have yet to hear a reasonable response to this.
What about giving individuals tax credits when they purchase their own insurance the way businesses are given them for purchasing it for their employees??
What about moving it to a more individual based rather than employment based system so you don’t have to have it tied to your job?
What about picking those things which have broad based support and try pushing those through on a truly bipartisan basis??

Posted by: GO | February 27, 2010, 11:17 pm 11:17 pm

“I say take it back and put together something better this is not good enough”
Yeah right, stall until November comes, win a few more Republican seats, and kill healthcare reform for another 10 or 20 years…best health insurance industry scenario.

Posted by: Skip | February 27, 2010, 11:21 pm 11:21 pm

Yeah right, stall until November comes, win a few more Republican seats, and kill healthcare reform for another 10 or 20 years…best health insurance industry scenario.
Posted by: Skip | Feb 27, 2010 11:21:52 PM
_______________________________________
The sad part is the Republicans couldn’t care less if they’re taking the country down with them. They proved that during the Bush administration with their ‘deficit spending is our right’ posture – and they prove it again now with their ‘we oppose everything’ agenda.
Despicable.

Posted by: tierra | February 27, 2010, 11:24 pm 11:24 pm

If the you think the reform legislation is going to fleece us just wait till you see how bad the insurance industry is going to fleece us if we don’t do anything about it.
______________________________________
You miss a fundamental and important difference- if the insurance companies fleece us we have the gov’t to check and balance them (which would indeed be good government policy) however if the fed gov’t fleeces us with this legislation who is going to check and balance them?? That is the problem when you blend economic heavywieghts and government heavyweights into one entity- no checks and balances.

Posted by: GO | February 27, 2010, 11:25 pm 11:25 pm

“With a degree of regulation”
Without complete regulation the insurance companies will simply operate from the states with the least customer protections which will offset any advantages.

Posted by: Skip | February 27, 2010, 11:26 pm 11:26 pm

“however if the fed gov’t fleeces us with this legislation who is going to check and balance them??”
We are….theoretically we’re supposed to do that at the ballot box.

Posted by: Skip | February 27, 2010, 11:33 pm 11:33 pm

We are….theoretically we’re supposed to do that at the ballot box.
______________________________________
So you’re gov’t has mandated by law that you pay social security from your paycheck and then used that money for other things the program is now insolvent how have you used the ballot box to address that?? How nuch timne do you think it will take if you do decide to use the ballot box to address that?
What about medicare a program that has outspent it’s budgets and been funded by the general fund of the federal treasury since at least the 1980′s (15 years into it maybe sooner). HOw have you used the ballot box to address that. When you do what time frame do you think it will take to have changes enacted??
I agree the ballot box is a useful and necessary check and balance but we have so many more now -why remove them. You can currently civilly and criminally litigate an insurance company. You can actually affect an insurance company through the press. If they’re bad enough you may even do it with a group of others. Do you think that will take more or less time to address then if you had the same problem with federal laws?

Posted by: GO | February 27, 2010, 11:47 pm 11:47 pm

Yeah right, stall until November comes, win a few more Republican seats, and kill healthcare reform for another 10 or 20 years…best health insurance industry scenario.
Posted by: Skip | Feb 27, 2010 11:21:52 PM
_______________________________________
The sad part is the Republicans couldn’t care less if they’re taking the country down with them. They proved that during the Bush administration with their ‘deficit spending is our right’ posture – and they prove it again now with their ‘we oppose everything’ agenda.
Despicable.
__________________________________
First if the reps do get back in in Nov they will be shortlived if they do ignore healthcare reform.
Second if taking the country down with deficit spending is our right then it is really sad because that unfortunately has not is not changed in this Bush third term on steroid spending we are in. Sorry but if you cringed at Bush’s deficit spending and are not cringing now then that is just intellectually dishonest.

Posted by: GO | February 27, 2010, 11:51 pm 11:51 pm

“You can currently civilly and criminally litigate an insurance company”
Good luck with that! You might win if you live long enough and don’t die of whatever condition you have that you need them to pay for, after you spend every last dime you have left after the medical bills.

Posted by: Skip | February 28, 2010, 12:06 am 12:06 am

“Sorry but if you cringed at Bush’s deficit spending and are not cringing now then that is just intellectually dishonest”
It’s also intellectually dishonest to intentionally fail to acknowledge the advice of a majority of economic experts who say you just can’t reduce spending during an economic crisis without a real risk of exacerbating it.

Posted by: Skip | February 28, 2010, 12:12 am 12:12 am

Good luck with that! You might win if you live long enough and don’t die of whatever condition you have that you need them to pay for, after you spend every last dime you have left after the medical bills.
_______________________________________
You didn’t answer the question. Nice bogeyman hypothetical which at times has indeed happened outside of a John Grisham novel. Really have you ever been through an insurance litigation?
Regarding the comparison with private insurance company vs. federal gov’t which was the point- about how long would trying to address those problems with the federal gov’t/law using only the ballot box? You think you’d live longer because it’s the gov’t? Also I forgot to mention you can change healthcare companies (especially if some reforms are passed regarding preexisting conditions- you may even end up having your new company sue your old one) can you change your federal laws as easily?? Some healthcare legislation and regulations I am strongly in favor of and so are shhh even some gasp republicans and other non democrats. To make it seem like it’s all this one bill full of some real garbage or throw people to the wolves leave the status quo is the biggest straw man out there. Most people I think on both sides of the aisle know it’s going in an unsustainable way which is why most people are upset that the only solution is to “compromise” on another unsustainable way.

Posted by: GO | February 28, 2010, 12:24 am 12:24 am

It’s also intellectually dishonest to intentionally fail to acknowledge the advice of a majority of economic experts who say you just can’t reduce spending during an economic crisis without a real risk of exacerbating it.
_______________________________________
How is pushing cap and trade related to this you think it’s going to help the crisis or exacerbate it?? Making people’s energy bills “necessarily skyrocket” during an economic crisis that’s not going to exacerbate it? What about pushing very quickly and early on for using any and all energy resources here in the US- oil, gas, yes wind, solar you think if the stimulus had been directed to grow the energy industry to the fullest extent one that could sustain itself without continuous subsidies. You know like the school districts that accepted money and EXPANDED their programs only to now need more infusion of cash to sustain their overspending. Do you think it could have helped and that wouldn’t have helped rather than exacerbated it. I understand our economy has gone from being based on producing to consuming so yeah they wanted to keep up the “consuming” that won’t fix it long term and tell me all economists agree on that- they don’t. Because in order to sustain the debt incurred by this spending those liabilities will outgrow our GDP. I haven’t heard anyone besides Paul Krugman advocating that. Who fixes overdrawing their checking account only by continuing to write bad checks at some point it will catch up with you.

Posted by: obieone40 | February 28, 2010, 12:36 am 12:36 am

Making people’s energy bills “necessarily skyrocket” during an economic crisis that’s not going to exacerbate it?
Posted by: obieone40
then why are oil speculators and corps like ENRON allowed to distort the market and bleed citizens of their money?

Posted by: XXX | February 28, 2010, 12:57 am 12:57 am

“To make it seem like it’s all this one bill full of some real garbage or throw people to the wolves leave the status quo is the biggest straw man out there”
We’ll just have to see about that won’t we? My bet is there will not be a single Republican vote cast in favor of any healthcare reform bill regardless of what’s in it.

Posted by: Skip | February 28, 2010, 12:58 am 12:58 am

I dont get it pay 10 years for 6 years worth of coverage and coverage doesnt start for 3 or 4 more yrs,hello how is this fixing anything and plus it doesnt cover everyone which was why they said we needed to do this.I wasnt born yesterday this is the dumbest bill in history.

Posted by: stanbo | February 28, 2010, 7:25 am 7:25 am

Let’s start by asking the Republicans on Medicare.
later.. “asking reps and dems why social security has been a slush fund to raid….why medicare while …over budget for over 40 years has not been reformed but has more money just dumped into it from the gereral fund…
obienone40 appears to be starting to understand something. One error s.s. had it fund dumped into the general fund during the Reagan administration and is therefore broke.
spending more money on a new healthcare will be just the same.
reform of both social security and medicare would result in less money spent and better care than proposed. both would have to be BY LAW set up to obey present laws governing the insurance industry in healthcare and retirement. their funds would no longer go into the general fund where everyone would spend them but have their own fund which can not be touched except by the fund.
HOW TO FUND THESE PUT ALL MONEY SPENT ON GOVERNMENT RETIREMENT AND HEALTHCARE INTO THESE FUNDS AND MAKE THE GOVERNMENT USE MEDICARE AND SOCIAL SECURITY FOR THEIR RETIREMENT AND HEALTHCARE.
IN Doing this there would be a savings on moneys spent by the other funds, less money spent trying to start up a plan and you would have healthcare available to everyone with existing regulation. Private healthcare may not like it but I thought the idea was to help the people of this country not private interests.
The Dem’s claim to be for the people (except for those taking paid vacations by big corps) the reps and Congress will be doing what they claim to have been trying to do “REPAIR MEDICARE AND SOCIAL SECURITY” …..OR HAVE THEY BEEN LAIRS ALL THIS TIME…tierra????
AM I DAYDREAMING OR WOULD THIS MEAN REFORM

Posted by: Dan | February 28, 2010, 8:12 am 8:12 am

We’ll just have to see about that won’t we? My bet is there will not be a single Republican vote cast in favor of any healthcare reform bill regardless of what’s in it.
__________________________________
It doesn’t matter in this Congress. The House could pass the Senate bill (which is the basis only with a few tweaks of the White House’s proposal) without a single republican vote without even using reconciliation- they have a HUGE majority in the house. The big reason it isn’t passing is because the DEMS don’t have the votes from the DEMS to pass this. Kind of tells you how bad it is doesn’t it.
AM I DAYDREAMING OR WOULD THIS MEAN REFORM
___________________________________
Securing those funds is an excellent start for social security although what has been raided should be put back with interest. However the only problem with this is that unlike social security which has been raided, medicare has been over budget exponentially since it was enacted into law in 1965. SO even if the money is secure (which this bill actually raids/pillages) it’s funds, they have repeatedly needed to raid other government funds (usually the general fund of the treasury fromwhat I’ve read)to pay for this going over budget. That’s why more government healthcare is such a problem they haven’t been able to make it work the past 40+ years. That is also why Medicaid is bankrupting the states. Increasing government (taxpayers) responsibility for paying for healthcare without trying to lower the costs of healthcare services is the root of the problem. Arbitrarily assigning values for services like these government programs currently do has actually made those services costs increase for people not using the programs so taxpayers are getting hit twice with the costs- once to fund these gov’t services and second in elevated costs to see docs & hospitals. Why do you think a lot of docs have needed to drop medicare patients? Is it that they’re so greedy or they can’t sustain their level of care or practice and still be underpaid by the government. That is why the current bill is on an unsustainable path it uses this already unsustainable path as a framework just like every other government entitlement.
To follow the Pres’s olympics analogy it’s like a downhill skier who works REALLY hard at learning how to go down backwards- think they’ll get the gold even though they’ve worked so hard. This “compromise” doesn’t even come close to a bronze and in no way does it deserve to be compared with a gold. It is more of the same and we have already seen how those things have worked out. That’s why they can’t pass it because even though the dems have the numbers in the house to pass it they don’t have the votes.

Posted by: obieone40 | February 28, 2010, 8:42 am 8:42 am

How can obama do this????? He can barly find his way to the bathroom by himself!!! What an embarrassment he is to America!

Posted by: Richard | February 28, 2010, 9:21 am 9:21 am

And where is the commenter who jumped all over me about The Republic and representational democracy?
Hmmm….
Posted by: progressive mama

I don’t know that you’re referring to me but I have mentioned that earlier. They can vote any way they want, that’s what the next election is for.
That’s what ubama didn’t say but what every member of congress knows.

Posted by: smartlillena | February 28, 2010, 10:33 am 10:33 am

There you go again LaMarr
On This Week’s show this morning you kept spreading the story that premiums would rise under the President’s plan.
Fact is CBO said they would rise ONLY FOR THE 10% OF AMERICANS WHO BUY THEIR POLICIES INVIDUALLY, BUT THEN the subsidies in the Plan would help these Americans SO THAT THERE WOULD BE NO RISE, maybe a reduction. [And did these Americans do any better with recent Corporate increases?]
CBO ALSO SAID that for 90% OF AMERICANS, premiums would fall or remain the same.

Posted by: droppem | February 28, 2010, 11:07 am 11:07 am

Federal subsidies to help lower-income folks buy insurance would begin in 2013/14; tax and fee collection would take place right away. This is clearly a “pay now for benefits later” sort of deal which demands a big asterisk next to the “budget neutral in first decade” claim.

Posted by: 4civility | February 28, 2010, 11:44 am 11:44 am

Posted by: droppem

The caps in your post were dropped just before the word ‘SUBSIDIES’ and picked up afterwards. Any reason for that? If voters are to believe the CBO (and they don’t), where do these subsidies come from? Federal Gov’t (taxes), maybe?
If ubama wants to come off as genuine he would speak in $figures$ rather than %percentages%. If his plan is so great he could talk of the BENEFITS rather than saying ‘similar’. If this farce ever passes it will set the bar for benefits offered by private insurers. Even if that insurance is paid for with other people’s tax money (subsidies) or not those benefits will be lower.
What will those benefits include?
How much will the unsubsidized policy cost?
How much will this subsidie pay, exactly?

Posted by: smartlillena | February 28, 2010, 12:24 pm 12:24 pm

The best thing that President Obama can do right now is “STOP”/”CANCEL”/”NIX” all of his efforts to inact health insurance reform legislation in OUR country!
According to Medical News Today, health insurance premiums climbed 76% between 2000 and 2006 while I was President. Plus, Blue Cross is already planning to raise all of their rates this year between 20 and 39%.
So… doesn’t Obama get it??? The American people want and DESERVE those rate hikes! They like their health insurance rates to climb about 20% each year! This is evident by all the screaming and shouting that was going on during the town hall meeting last summer, and by all the tea party rallies.
President Obama… rising health insurance rates, at LEAST 20% every year is the American way. Please, please do not mess with the American way!
…hehehe!

Posted by: GeorgieBushie | February 28, 2010, 12:46 pm 12:46 pm

I have to wonder about what is not being said on this Health Care deboggle….Is the common sense person expected to pay the price for people who make bad choices in their life. Carefully the dems have avoided the AID’s epidemic that is rampant in the free living segment of our society. With the “PUSH” to cover pre existing conditions, I want to know how much I will have to pay for segment of society who are so self indulgent they throw caution to the wind and end up with terminal ills. How much will it cost the tax payer for the drug addict? How much will it cost for the sex addicts? How much will these high risk patients cost the person who pays attention to health, weight, safe sex? How much will these “free spirits” cost the individual who takes the time to protect themselves from social ills?

Posted by: cjvwise1 | February 28, 2010, 12:47 pm 12:47 pm

I watched the entire Barack Obama off-Broadway production of Healthcare…the Unknown Version” last week. First, Nelson was NOT the only senator to pick up a sweet deal from Obama and Rambo Reid…what about the others?…and our leader came across as a petulant and arrogant child who couldn’t wait for the bell to ring. This is a disaster in the making…with the help of Pontius Pelosi, of course.

Posted by: justj joey | February 28, 2010, 12:55 pm 12:55 pm

I have to wonder about what is not being said on this Health Care deboggle….
Posted by: cjvwise1

Don’t wait for the Bleeders & Huggers here to attempt an answer to legitimate questions.

Posted by: smartlillena | February 28, 2010, 12:59 pm 12:59 pm

“Don’t wait for the Bleeders & Huggers here to attempt an answer to legitimate questions”
Now that you mention it—who is more likely to honestly care about and operate in the public’s best interests?—”Bleeders and Huggers”, or corporate stooges who are dedicated to protecting insurance industry profits?

Posted by: Skip | February 28, 2010, 1:14 pm 1:14 pm

I imagine in a good bipartisan discussion each side can acknowledge a good point the other side is making–always focusing on facts and leaving out the insults. I’m generally opposed to the bill, not because I hope the Poor suffer while the Rich kick butt, but because I worry the Bill will bankrupt the country. I could be wrong.
I’ve got a point on the table I hope a bill supporter will acknowledge:
“Federal subsidies to help lower-income folks buy insurance would begin in 2013/14; tax and fee collection would take place right away. This is clearly a “pay now for benefits later” sort of deal which demands a big asterisk next to the “budget neutral in first decade” claim.”
Any bill supporters have a similar assertion they believe a rational person, even one opposed to the bill, should acknowledge? I’ll try to play fair.

Posted by: 4civility | February 28, 2010, 1:31 pm 1:31 pm

justj joey Said: “…and our leader came across as a petulant and arrogant child who couldn’t wait for the bell to ring. This is a disaster in the making…with the help of Pontius Pelosi, of course.”
======================================
LMAO! Clearly don’t understand how health insurance reform is related to the economy, nor to the national debt/annual deficit.
Yeah, lets remain on the course that we’ve been on under 12 years of Republican leadership, where we allowed health insurance premiums to climb 76%. You know what….I hope we don’t do anything. Then, people like you will “really” see the disaster that happens as we sit and watch the status quo eat away at more and more of our nation’s GDP. Good for you!

Posted by: GeorgieBushie | February 28, 2010, 1:34 pm 1:34 pm

Health savings account were not even mentioned. These handle the day to day healthcare costs. Catastrophic insurance covers the big ticket items. Catastrophes have a lower probability of occurrence and are cheaper to insure.
Thre have been proposals from Harvard Medical school for this. Totally disregarded. The people running the country are selling us out to insurance companies.

Posted by: welldirected | February 28, 2010, 1:49 pm 1:49 pm

“I’ll try to play fair”
OK…besides the fact that there is no consolidated bill yet to argue about, would it be fair to paraphrase your position as being that there is a significant risk the bill we may end up with will end up costing alot more than the CBO predicted for the individual proposals it has actually evaluated? So why should we believe you instead of the CBO?

Posted by: Skip | February 28, 2010, 1:56 pm 1:56 pm

Obama’s idea of a compromise is “it’s my way or the highway”.
I still can’t get over how immature he sounded when he sniped at McCain. Obama, the permanently frozen campaigner, had the audacity and backyard bully tactic of using the forum to belittle McCain for the very thing Obama does everyday.

Posted by: EPU | February 28, 2010, 2:07 pm 2:07 pm

This health reform bill is just like global warming legislation: pass it, pass it now, pass it right now before anybody can study it long enough to understand it.

Posted by: EPU | February 28, 2010, 2:11 pm 2:11 pm

This health reform bill is just like global warming legislation: pass it, pass it now, pass it right now before anybody can study it long enough to understand it.
Posted by: EPU | Feb 28, 2010 2:11:30 PM
_______________________________________
Where have you been for the past year? There have been hundreds of bi-partisan committee meetings, hundreds of town halls, hundreds of amendments worked out, the bills have been posted on line . . . it goes on and on.
You’re not being truthful. Why is that so easy for the Republican right? Sleazy tactics.

Posted by: tierra | February 28, 2010, 2:15 pm 2:15 pm

“lets remain on the course that we’ve been on under 12 years of Republican leadership, where we allowed health insurance premiums to climb 76%.”
___________________________________
This is why the President continually tried to bring the discussion back to the real issues of health care.
And yet the Republicans barged on with their agenda to score political points. For the Republicans, its Party First. Country Second.

Posted by: tierra | February 28, 2010, 2:18 pm 2:18 pm

Posted by: 4civility | Feb 28, 2010 1:31:34 PM
Interesting that you’re pretending it hasn’t been acknowledged, using sleight of hand to misdirect, and then asking everyone to play “fair.” LOL. It doesn’t put an asterik next to budget deficit neutral, its not unprecedented, and anyone who has ever started up a business should understand the concept fairly easily. Moreover, you have to limit the notion of “benefits” to federal subsidies and leave out coverage for pre-existing conditions, closing the Medicare drug donut hole, barring recision, small business tax credits, COBRA extension through 2013, patient protections regarding emergency care, funding for community health centers, and other provisions previously mentioned in my post at | Feb 27, 2010 6:23:52 PM
And then there are the pilot programs that get at the issue of cost, which we really must address as a nation.
Moreover, several good points have been made about doing nothing– points that relate to the uninsured, the growing number of uninsured, medical inflation trends, other first world nations, and so on. Republicans and lobbyists have been blocking movement on the issue for years and lack any credibility when it comes to a desire to do anything that tackes affordability AND access. Comparing and contrasting CBO reports clearly shows that Dems have taken a broad and long game approach to the problem– and their plans cover more people at lower cost. Under Republican plans, the poor and middle class will continue to get fewer benefits for more money– the people who need the most help, get the least and the people who need the least help get the most.

Posted by: progressive mama | February 28, 2010, 2:45 pm 2:45 pm

.Is the common sense person expected to pay the price for people who make bad choices in their life.
—-
Yes. Its part of the deal. We’re all paying for the bad choices made by Bush’s admin, and the bad choices of the voters who put them in office.
We all pay for firefighting and police services.
We all pay for the poor habits of the people you mention right NOW– as well as those who don’t exercise, eat junk, drink heavily and so on as it is –via medical inflation.
The point is that sometimes bad things happen to good people. Those good people deserve a safety net. Its ridiculous that the only people with the right to health care in this country are prisoners. Let’s get with it. Despite what Rand and Beck say, greed and selfishness aren’t virtues.

Posted by: progressive mama | February 28, 2010, 2:50 pm 2:50 pm

who is more likely to honestly care about and operate in the public’s best interests?
Posted by: Skip

If you guys wouldn’t get so darned carried away with everything you touch you’d be surprised at some of the support you’d get. At least, from me. Just be honest about it and don’t hide behind words like ‘deficit neutral’ and ‘subsidies’. Or ‘public option’. We’re talking about FORCING everyone in this country to spend a LOT of money or incur a fine/jail time if they don’t. Yet NO ONE will say how much we’re being FORCED to spend or what that money buys.
Stop the sob stories and put it into dollars and cents. To say that a ‘public option’(whatever that means)won’t have an effect on the benefits offered by private insurers is foolishness. Saying those who can’t fully or partially afford it will magically recieve a subsidy without acknowledging any subsidies have to come from somewhere is foolishness.
What EXACTLY is this public option?
How much is this subsidy?
Whose taxes will be increased to provide it?
Those are a few of the legitimate questions that deserve to be answered. There is nothing sinister about asking them. So pardon me, but ‘honestly caring about and operating in the public’s best interests’ is not an answer. Nor is it discourse. It is a dodge.

Posted by: smartlillena | February 28, 2010, 2:54 pm 2:54 pm

OPEN MEDICARE TO EMPLOYERS will save medicare, solve preexisting conditions and compete with private health insurance all in one stroke. Think about it and pass it on.

Posted by: hybridhealthcare | February 28, 2010, 2:54 pm 2:54 pm

I don’t know that you’re referring to me but I have mentioned that earlier.
Posted by: smartlillena | Feb 28, 2010 10:33:52 AM
I wasn’t referring to you– you’re actually the only conservative/Republican that has been honest on that issue and not hypocritical (on that issue, lol). I’m sure they know who they are. Not expecting a response from the culprits, as its par for the course

Posted by: progressive mama | February 28, 2010, 2:55 pm 2:55 pm

We all pay for the poor habits of the people you mention right NOW– as well as those who don’t exercise, eat junk, drink heavily and so on as it is –via medical inflation.
Posted by: progressive mama

ROFLMAO! It’s a little odd that you don’t mention smokers.

Posted by: smartlillena | February 28, 2010, 3:02 pm 3:02 pm

Posted by: smartlillena | Feb 28, 2010 2:54:16 PM
If you are not going to bother to educate yourself, why should I?
It seems to me that you are happier to be ignorant, otherwise you would have read the available literature.
What public option are you talking about? Unfortunately, there is no ‘public option’ in either the Senate or House bill, nor is there one in the outlide presented by Obama.
Seems to me that either you are ignorant or willfully deceitful.

Posted by: Flash Override | February 28, 2010, 3:35 pm 3:35 pm

The most medically harmful ‘bad habits’ are not those of individuals, they are the result of policy. Pollution causes more medical expense than any other ‘bad habits’ you mention.

Posted by: Flash Override | February 28, 2010, 3:36 pm 3:36 pm

Progressive Mama,
Believe it or not, I’m just a regular middle aged guy trying to be a good citizen by a) trying to understand this stuff and b) encouraging people to debate civilly and learn from each other. I’ve stared at many pages of forums over the last weeks and I’ve seen lots of insults and bravado and almost zero posts in which anyone learned from anyone else or conceded a point. We’re alot like Congress in this regard, and I hope both groups can be better.
You seem like an intelligent, thoughtful person but even you, the best of the bunch, seem fairly eager to LOL and smash unhittable returns. You probably have a high IQ. Congratulations!
I’m going to ponder the info in your posts and see what I can learn from them.

Posted by: 4civility | February 28, 2010, 4:09 pm 4:09 pm

Mr President please Wake Up!
The Senate Healthcare Bill as it now
stands is Unconstitutional!
Neither the state nor the federal
governments can require any citizen
of this country to buy a specific
product or service!
The Auto Insurance comparison is
Bogus as everyone is NOT required to
buy auto insurance nor is everyone
required to drive a car!
You, Mr President, cannot order or
force U.S. citizens to buy health
insurance if they don’t want to or
can’t afford it!
As a constitutional lawyer you should
know that!
Scrap this illegal bill and start over
with Republican input.

Posted by: reaganfan | February 28, 2010, 5:18 pm 5:18 pm

“So pardon me, but ‘honestly caring about and operating in the public’s best interests’ is not an answer. Nor is it discourse. It is a dodge”
“the bill that is so worshipped by a minority of this country just MIGHT be faring a little better if voters trusted those presenting it”
If you’re going to frame the acceptance of a bill as a matter of trust then asking who we think will honestly serve the public better certainly IS relevant discourse.

Posted by: Skip | February 28, 2010, 5:42 pm 5:42 pm

If you’re going to frame the acceptance of a bill as a matter of trust then asking who we think will honestly serve the public better certainly IS relevant discourse.
Posted by: Skip

We no longer have my post as a reference anymore. Evidently I hurt someone’s feelings by repeating their own words back to them. Maybe I should offer a ‘deficit apology’? NOT!
What seems to be more relevant has been the wordplay and deceit that have been wrapped around this whole issue. The voters have made it crystal clear how they feel about the vote-buying and backroom deals.
I didn’t intend to frame anything. I only noted that the more double talk spouted on this subject the stronger it’s rejection by the voters.
I’d happily trade ‘relevant discourse’ for some straight answers.

Posted by: smartlillena | February 28, 2010, 8:18 pm 8:18 pm

I still can’t get over
Posted by: EPU
try harder, maybe it will help you also get over losing the election

Posted by: PO'd | March 1, 2010, 12:07 am 12:07 am

Government interference in the health care market is the very thing that has caused health care (and by extension health insurance) to become so expensive.
Medicare doesnt pay full cost for services and so medical providers recoup the difference by shifting the cost to everybody else.
Get government out of the health care business entirely.

Posted by: Joe White | March 1, 2010, 12:53 am 12:53 am

Believe it or not, I’m just a regular middle aged guy trying to be a good citizen by a) trying to understand this stuff and b) encouraging people to debate civilly and learn from each other.
… You seem like an intelligent, thoughtful person but even you, the best of the bunch, seem fairly eager to LOL and smash unhittable returns
posted by: 4civility | Feb 28, 2010 4:09:54 PM
Well, first, thanks for the compliment. You also seem intelligent, which is why another intelligent person would question why you’d say, after my first post in response to your question:
“The observation that this is a “pay now for benefits later” sort of deal is not a Republican delusion, then, but a simple fact.”
Are you following my logic in that? I pointed out it wasn’t a “simple fact” without resorting to saying anyone was deluded– and my response was perfectly civil, and in that case not anti-GOP or particularly partisan. Calling it a simple fact after that is boiling down complexity into sound bites, and in politics that’s usually done for a reason, yes?
If you were truly for civility and not engaging in that same thing, you would’ve been, imho, less dismissive of the information I offered up in your boiling it down.
As someone who has watched Republicans engage in this for years, sometimes up close, I’m not interested in giving equal time to propaganda and “sound bites.” When people at CPAC, the Republican VP choice, and others on the Right side of the political spectrum declare war by naming me and people like me as their “enemy” — then I’m not particularly interested in dressing up their wish for the left to act like some sort of doormat as “civility.”
Last, a friendly FYI, forums aren’t the best place to get answers and learn much about the legislation or the issues. Better to watch C-SPAN, read a wide variety of partisan and non-partisan sources– primary sources as much as possible — and write your representatives. Good luck in your search for good information.

Posted by: progressive mama | March 1, 2010, 2:02 am 2:02 am

I WOULD LIKE TO THANK CONGRESS FOR HAVING A “GREAT” YEAR IN 2009. THEY GOT NOTHING DONE. AND THAT IS A “GOOD THING” FOR AMERICA. LET’S HOPE FOR THE SAME ON 2010!!!!

Posted by: Tom Barnow | March 1, 2010, 5:57 am 5:57 am

“The observation that this is a “pay now for benefits later” sort of deal is not a Republican delusion, then, but a simple fact.”
Are you following my logic in that? I pointed out it wasn’t a “simple fact” without resorting to saying anyone was deluded–
Posted by: progressive mama
There you go again, attempting to twist the simplest, plain as day, aspects of this legislation into something else then running from the actual question as fast as you can. Politics is being played on both sides, as well as places it should never be played. And it is a sorrier sight to see in the latter than in the former.
You are advocating this fiasco as the best thing since sliced bread. Stop dodging legitimate questions with double talk. I’ve been shocked, I’d convinced myself long ago that obamacare was inevitable. The fumbling and mishandling of this legislation has increased the public’s focus and rejection more everyday. Right now it appears you guys have reached concensus that answering the questions hurts more than avoiding the questions. That’s too bad for Democrats because a deciding portion of this country isn’t as rabidly partisan as you and I and might be convinced by some straight answers.

Posted by: smartlillena | March 1, 2010, 8:35 am 8:35 am

and might be convinced by some straight answers.

Depending on the answers.

Posted by: smartlillena | March 1, 2010, 8:39 am 8:39 am

You are advocating this fiasco as the best thing since sliced bread.
—-
I don’t think its a fiasco or the best thing since sliced bread– I’m not even fond of sliced bread, particularly white flour bread–so there *YOU* go with the usual tactics.
Being precise in the messaging would help all sides. For example, you could say pay now, subsidies, exchanges and the mandate start later but in the mean time funding for community health care centers, temporary assistance in the form of extended COBRA benefits and high risk pools, and many insurance reforms kick-in so far PART of the benefits, its pay now, without receiving the full benefits of the legislation, which has precedent and makes sense if you think about financing a start up business. The Republicans are exaggerating as they usually do, given they are working with lobbies– oil, insurance, Wall Street- to kill bills and have made it clear their strategy until the midterms is to deny and derail AND make health care Obama’s Waterloo.
Moreover, if you look at the Republicans history on health care reform, it is not something they want done–and here I’m talking about the party rather than individual voters or independents who lean hard right– despite skyrocketing medical inflation and the growing number of uninsureds.
Finally, if you look through the threads since the debate on health care began several questions have been answered exhaustively. Google political punch for health care and read the blog posts and comments. In addition, there are several progressives who have blogs that go into detail helping others understand the legislation. Ezra Klein has chats at his and answers questions. You can also read health care blogs– and health economist blogs. Kaiser has a lot of information available, too.
I hardly RAN from the question, btw– I’m the one who answered it.
I think health care reform is a necessity, and I don’t apologize for that. I’m a small business owner who knows real, live people who own businesses and/or have pre-existing conditions and can see the writing the wall. I also saw the writing on the wall with the housing market and the economy early– back in 2006– and think it would be a huge mistake to repeat history, let the perfect be the enemy of the good, and continue to kick cans down the road, pretending they’ll disappear.
Lastly, imho, the “depending on the answers” says it all.Flash was right:
“If you are not going to bother to educate yourself, why should I?”
This has been going on for over a year, and detailed answers are available.

Posted by: progressive mama | March 1, 2010, 9:13 am 9:13 am

Politics is being played on both sides, as well as places it should never be played. And it is a sorrier sight to see in the latter than in the former.

Where is that then, and who is doing it? If you want straight answers, start by being “straight.” Be the change you want to see, and people will respond in kind.

Posted by: progressive mama | March 1, 2010, 9:15 am 9:15 am

It seems obvious to me that the health care plan would solve a number of problems.
45,000 Americans dying every year because they lack affordable insurance is too heavy a burden for society and families. For those of you who only think in tax dollars, think about how many of those were breadwinners, paying taxes in, who once dead not only can’t pay into the system but their families might be now eligible for public assistance of some kind, including social security payments monthly for each dependent age child. And that isn’t counting the people who end up permanently damaged and unable to work and thus add to government aid costs through their need for monthly checks or worse case scenario, end up in a nursing home because they can’t care for themselves.
Also, by allowing older folks to buy into Medicare earlier, there will be many new retirees, opening up jobs for unemployed Americans. I personally know many people 55 thru 64 years of age who can afford to retire except there is no affordable insurance available for that age group. Letting them buy into Medicare, they won’t get it for free, will also help Medicare fund itself longer as the younger age group won’t use up as many dollars as those 65 and older.
The above are just three common sense reasons why health care reform is needed now.

Posted by: Lydia | March 1, 2010, 9:50 am 9:50 am

Firstly, don’t accuse me of not being straight with you or calling the idiots on my side as I see them.
You continnually mention benefits; what ARE these benefits! (depending on the answers)
How much will they COST INDIVIDUALS? (depending on the answers, again)
Where does this sliding scale begin?
Answer the questions with $$$, 130% of poverty is bunk. Poverty in New York City is a far cry from poverty in Mississippi.
Some of these questions can’t be definitively answered but, instead of being content with putting them in generic terms, an honest attempt can be made. That has not happened.
People worry for their own household FIRST, that’s not going to change. Especially when dealing with a gov’t that has an ‘arithmetic deficit’ it’s not even ashamed of. Most household budgets in this country are streched thin enough as it is. They’d like to know what ubama has in mind so they can triple that figure as to be closer to reality.
Do NOT blame this administration’s ineptness on me or republicans, they shot themselves in the foot. The majority of this country does not like or want this bill. You can beat on republicans all you want but the real goal is to not offend and lure back the Independants who voted for borak ubama. They’ve disowned him because of this bill. That is the truth and, admit it publicly or not, they know it. Everyone in this country knows it.
So, vote on it and let the bleeding start. That (the bleeding) is why this hasn’t been voted on yet.

Posted by: smartlillena | March 1, 2010, 11:09 am 11:09 am

Republicans continue to misunderstand that many Dems don’t like the bill because they don’t think it goes far enough. They want a true public option or even a Medicare for all.
Dems, even if you want a public option this bill will solve a lot of problems right now.
It will get most of the uninsured affordable insurance with the exchanges letting them join pools.
It will give really poor people insurance.
It will keep everyone else’s premiums from skyrocketing. With 45,000 Americans dying each year because they don’t have insurance, let’s focus on changing that a.s.a.p. Support the health reform bill and those who vote yes in the next election.

Posted by: Lydia | March 1, 2010, 11:37 am 11:37 am

don’t accuse me of not being straight with you or calling the idiots on my side as I see them.
—-
haven’t seen it once. What idiots are on your side? What have they done? Why are you willing to vote for them again? Why can’t you follow the numbers in each bill, and the numbers in the CBO reports and other analyses? And why do you keep asking questions that you know can’t be definitively answered?
I believe the Republicans have proven they are much more inept than this admin and the last Democratic admin. Problem is the diehard Republicans are too deep in the tank to admit it or want to talk about it.
If you can’t learn from the recent past, or the past 30 years, you’re not interested in learning.
Also, as an aside, the evolutionary psychologists who found that liberals have higher average IQ’s than conservatives also found they tend to care about other people. (see CNN report on the study)

Posted by: progressive mama | March 1, 2010, 11:44 am 11:44 am

Adding on, last week Lamar Alexander said, “We don’t do comprehensive well.” That’s true for Republicans– they do not. There is a big gap between Democrats who think we need something approaching a solution and Republicans who would content themselves with much, much smaller interventions that do nothing about the uninsured and very, very little about cost.
Personally, I think the job of Congress is to address chronic problems, as much as the GOP would prefer not to.

Posted by: progressive mama | March 1, 2010, 11:59 am 11:59 am

“Also, as an aside, the evolutionary psychologists who found that liberals have higher average IQ’s than conservatives also found they tend to care about other people”
Mainstream conservatives = selfish idiots?
That can account for alot of their behavior unfortunately.

Posted by: Skip | March 1, 2010, 12:04 pm 12:04 pm

Republicans continue to misunderstand that many Dems don’t like the bill because they don’t think it goes far enough.
Posted by: Lydia

This one does, and is thankful for it.(Why do you think I constantly remind y’all it’s the bill that’s unpopular?) That’s just another sector dems are scared of in November and another reason the bill hasn’t been passed already. They’re going to get hammered no matter which way they jump. And good enough for em. I REALLY think the democratic party REALLY needs to promote some public option/single payer rallies. That’ll get those independant voters back in line.
Of course that doesn’t say anything about obama’s phony COMPROMISE threat. The rest of your post/plea is probably too late in coming. As Juan Williams says, rahm emanuel couldn’t get em to eat the dog food!

Posted by: smartlillena | March 1, 2010, 1:25 pm 1:25 pm

If you can’t learn from the recent past, or the past 30 years, you’re not interested in learning.
Also, as an aside, the evolutionary psychologists who found that liberals have higher average IQ’s than conservatives also found they tend to care about other people. (see CNN report on the study)
_____________________________________
Could you please apply that same brilliant logic to medicare and how it has been way over budget since it was passed and then ask yourself why people would want a notional healthcare policy based on those very same structures. Those who don’t learn from history are destined to repeat it.
This healthcare bill is based on more of the same policies that have not delivered to the very people they say it’s supposed to be helping. Ask Maine, Mass., Tennessee. Maybe try the Canadians who have universal coverage and come here for all kinds of treatments from maternity through end of life becuase the waiting time for treatments and quality of care a real issues. The fact that this bill (the senate one with it’s bigger price tag and tweaks from the white house) does NOTHING to address costs of healthcare services but increased the taxpayer responsibility to pay for those same service is the fatal flaw here. It is unsustainable just like medicare has been. It is not healthcare reform it is merely irresponsible big government.

Posted by: obieone40 | March 1, 2010, 1:27 pm 1:27 pm

This isn’t about my side. Nor is it about 30 years ago. This is about TODAY and a failed campaign(ineptness) for a health care bill this country does not want.
Why can’t I follow the numbers ?
#1)You’re trying to convince me.
#2)I asked for more than just numbers (poverty comparisons, benefits)
#3)I want a benchmark figure in DOLLARS & CENTS.
Reps don’t need dems’ vote, dems need reps’ and inds’ votes.
The burden is on democrats.

Posted by: smartlillena | March 1, 2010, 1:47 pm 1:47 pm

If you can’t learn from the recent past, or the past 30 years, you’re not interested in learning.
Posted by: progressive mama

That sounds more like someone trying to recruit members to the dem party than someone reaching across the aisle for support.

Posted by: smartlillena | March 1, 2010, 1:53 pm 1:53 pm

Mainstream conservatives = selfish idiots?
Posted by: Skip

No, selfish idiots are everywhere. That is why any kind of tort reform will be bogus.

Posted by: smartlillena | March 1, 2010, 2:00 pm 2:00 pm

“Could you please apply that same brilliant logic to medicare and how it has been way over budget since it was passed and then ask yourself why people would want a notional healthcare policy based on those very same structures”
First I ask myself why the Republicans are falsely claiming that one of the reasons these reform proposals are bad is because they cut Medicare.

Posted by: Skip | March 1, 2010, 2:07 pm 2:07 pm

“Could you please apply that same brilliant logic to medicare and how it has been way over budget since it was passed and then ask yourself why people would want a notional healthcare policy based on those very same structures”
————————————-
First I ask myself why the Republicans are falsely claiming that one of the reasons these reform proposals are bad is because they cut Medicare.
Posted by: Skip | Mar 1, 2010 2:07:08 PM
_________________________________
Good point Skip. The Republicans are not interested in consistency or solutions – they’re interested in scoring political points.

Posted by: tierra | March 1, 2010, 2:43 pm 2:43 pm

“Could you please apply that same brilliant logic to medicare and how it has been way over budget since it was passed and then ask yourself why people would want a notional healthcare policy based on those very same structures”
————————————-
First I ask myself why the Republicans are falsely claiming that one of the reasons these reform proposals are bad is because they cut Medicare.
Posted by: Skip | Mar 1, 2010 2:07:08 PM
_________________________________
Good point Skip. The Republicans are not interested in consistency or solutions – they’re interested in scoring political points.
___________________________________
My point wasn’t about cuts to Medicare although they are indeed in this legislation and will hit that overbudget under reformed program really hard. My point was that the structure of Medicare has made it unsustainable for the past 40+ years. It has exponentially gone over it’s budget since it’s inception and te federal gov’t has had to “rob Peter to pay Paul” in using money from the general fund of the treasury to try to offset the overbudget expenses) and as the boomers hit 65 it is going to skyrocket in costs. Like Medicare this “healthcare reform” bill does nothing to address healthcare costs only gov’t/taxpayer payment of those services regardless of costs. It is unsustainable which as what has happened in Maine and Tenn. and currently in Mass. is that people expecting coverage will not get it and quality of care will come second to trying to pay the heavy burden. It’s not about scoring political point for me (not a rep but an independant) it’s about real, effective, long term, sustainable solutions.

Posted by: obieone40 | March 1, 2010, 3:21 pm 3:21 pm

OBAMA, PELOSI AND REID HAVE TOLD ENOUGH LIES. THEY NEED TO START OVER. Obama simply cannot do his job. He can’t keep priorities straight: JOBS, LESS SPENDING, LOWER TAXES, HOMELAND SECURITY, ETC. He has plenty of “BRIBE” money left. I’m sure he, Pelosi and Reid will have their 51 votes soon, regardless of the fact that we don’t want government-run healthcare. They’re still having “back room meetings” and making deals at the cost of American taxpayers.

Posted by: I LOVE OLD GLORY, MOM'S APPLE PIE AND BASEBALL! | March 1, 2010, 3:42 pm 3:42 pm

That sounds more like someone trying to recruit members to the dem party than someone reaching across the aisle for support.
Posted by: smartlillena | Mar 1, 2010 1:53:33 PM
I’m not interested in supporting the GOP in any way, shape or form. I think “reaching across the aisle” in this political environment is a huge waste of time. I’ve never claimed otherwise. Giving Republicans equal time after the past decade is short-sighted, gullible and, just, dumb. I’m more interested in turning the two party system into a four party system and giving independents without ties to special interests a chance. I don’t like concentrated power and the corruption that it leads to. I urge conservatives not to let the Republicans hijack their party. I’ve said this time and again. I urge progressives to nominate progressive candidates with fresh ideas and guts.
i don’t care much for the major parties– but I do like that liberals are both more intelligent and compassionate than conservatives, per recent studies and that the Dem party is the party big enough to have many liberals within it. Our country was founded on liberal ideals that I support. Dems represent those ideals better than Republicans do.
And, btw, I’m not trying to convince you of anything. You don’t get my intent. At all. It has nothing to do with you. It has to do with progressives and independents, who are sick of what is happening, sick of the GOP, sick of the lobbyists, sick of movements that resort to extremism when it comes to race and tolerance. Sick of the failure to grapple with chronic problems. Some are sick of the GOP and the Dems but think they have no choice. They do. But in the mean time, don’t halt progress by making the same mistakes again. The Republicans are a disaster, and they will never do anything to move health care reform. They never have.
Also, for me, it IS about health care. Reminding journalists that are plenty of us who support reform. If the squeaky wheel gets the attention, I’ll squeak. I’m sick of conservatives and Republicans thinking they are the only ones allowed to be bold and loud, while they try to ruin our beloved country.
Finally, just an FYI, you’re the one who brought up “your side”, not me. Funny that you’re running away from that.)

Posted by: progressive mama | March 1, 2010, 7:05 pm 7:05 pm

I urge conservatives not to let the Republicans hijack their party.

Oops, I meant “movement,” not party. Its intriguing that another independent movement has started up. In contrast to the Tea Party, the Coffee Party USA focuses on civility and solutions. I don’t know what I think about the Coffee Party yet, but I like that there’s a good possibility that the first one of these groups that figures out how to be INclusive instead of EXclusive might actually be able to displace one of the Big Two– or join them– in a way the Libertarian party or the Green Party never had a chance at doing, as they the latter aren’t big enough or inclusive enough, and maybe they don’t really keep the fruit loops and extremists under wraps enough. In that regard, when it comes to ideas and independent thinking, I am inclusive– former GOP-ers could certainly apply to my clup and I’d be tolerant and open-minded. But the GOP in my mind needs to be held accountable and go through a metamorphosis– and basically they’ve just put on a hat and are pretending they actually are conservative, and blah, blah, blah. In reality, its the same old same old.

Posted by: progressive mama | March 1, 2010, 7:21 pm 7:21 pm

Here’s another interesing tidbit on topic, from Medical Tourism magazine (Carolyn Lochhead):
“Critics of health care reform often point to desperate Canadians who head south for surgery to escape waiting lists. But a trend closer to home points the opposite direction: Americans heading overseas to escape the high cost of U.S. care.
In an office just minutes away from George Bush Intercontinental Airport, Reve Medical Tourism coordinates travel — and surgery — for more than 150 American patients every year.
The company sends clients to the Dominican Republic, where a network of Reve-affiliated hospitals can do everything from hip replacements to liposuction for thousands of dollars less than procedures in the U.S.
Reve’s patients represent a tiny fraction of Americans who cross borders for medical care every year. Deloitte Consulting estimated that 560,000 U.S. residents went abroad for care last year — and the number likely will rise to 1.6 million by 2012.
Once a cottage industry, medical tourism may be on the cusp of major expansion as governments from India to Singapore invest in state-of-the-art hospitals, vying for a global market.”
Something to keep in mind.

Posted by: progressive mama | March 1, 2010, 7:25 pm 7:25 pm

Progressive Mama,
I was in the middle of writing you a long, thoughtful response. You saved me the trouble with your recent posts: “reaching across the aisle in this political environment is a huge waste of time;” and “I’m not trying to convince you of anything..it has nothing to do with you.”
Responsible Americans, led by President Obama, are concerned about partisan bickering and our lack of respect, give and take, and constructive dialogue. Apparently you are not in this group that cares.
You preach the Gospel with arrogance and pride. No one follows you to Jesus; and you don’t care. You’re just happy to sling your intelligent, hard sayings in the face of well-meaning people and leave ‘em in the dust.
Of course, you’ll have an edgy, smart response to this in which you see absolutely nothing wrong in anything you’ve ever done. It was all someone else’s fault, eh?

Posted by: 4civility | March 1, 2010, 10:01 pm 10:01 pm

“Critics of health care reform often point to desperate Canadians who head south for surgery to escape waiting lists. But a trend closer to home points the opposite direction: Americans heading overseas to escape the high cost of U.S. care.”
_____________________________________
That’s actually a point which supports many critics of this healthcare bill. Because most have said the main problem with this bill is that it doesn’t address the costs of healthcare in the US. It merely increases taxpayers responsibilities to cover those costs (insurance). Also it doesn’t seem as though a lack of healthcare insurance is keeping those people from getting the treatments they want since I would be willing to bet a lot of those procedures in those locations are “out of network”. There are also a lot of people who do go out of the US for procedures not approved of here in the US that they think are helpful- again those would also be uninsured procedures. All really reasons that seem to support critics of this healthcare bill.

Posted by: obieone40 | March 1, 2010, 10:31 pm 10:31 pm

Apparently you are not in this group that cares.
You preach the Gospel with arrogance and pride. No one follows you to Jesus; and you don’t care. You’re just happy to sling your intelligent, hard sayings in the face of well-meaning people and leave ‘em in the dust.
—-
So all that condemnation and judgment is considered “constructive” where you’re from?
LOL.
You’re right. I’m not interested. If you actually have an idea– like fair tax or nuclear power or something– I’ve open to engaging. But the same b.s. is the same b.s. — and hypocritical self-righteousness is the same b.s.

Posted by: progressive mama | March 2, 2010, 12:44 am 12:44 am

Also it doesn’t seem as though a lack of healthcare insurance is keeping those people from getting the treatments they want since I would be willing to bet a lot of those procedures in those locations are “out of network”.

Fair points. One of the arguments I always here as to why we shouldn’t change anything about our system is that its the best, and people from other countries come here– but now due to cost we’re going elsewhere. I hear ya on the cost thing. Its one of the reasons I favor a system akin to France’s– single payer with private providers.
I read that today Buffet said that while he prefers the senate bill to doing nothing or the status quo, if he had the choice, he’d start over and write a bill that tackled cost. The problem is that its the cost and fiscally responsible measures in the bill that have created some of the greatest controversy. From what I understand systems evolve over time– or at least they did in the other countries that have attempted to tackle the problem. Often insuring the uninsured comes first, and then pressure comes to bear on tackling cost more boldly.

Posted by: progressive mama | March 2, 2010, 12:49 am 12:49 am

I wanted to double check on this, but there are some areas where the bill/proposal that is likely to pass addresses cost. First, Atul Gawande writes about the pilot programs and cost in an article called Testing, Testing for the New Yorker. Then, also, the Health Care blog addresses Medicare fraud provisions, Comparative Effectiveness, and prevention. Further steps will need to be taken, but its a start. Some of the rhetoric suggests “cost” isn’t addressed at all– and it is.

Posted by: progressive mama | March 2, 2010, 1:26 am 1:26 am

Posted by: progressive mama

Keep that anger coming, it’s not bothering me. It is hillarious that all them thar smarts won’t let libs see it has wrecked their crown jewel.

Posted by: smartlillena | March 2, 2010, 7:02 am 7:02 am

“Testing for the New Yorker”
LOL, is that similar to a monthly emissions test?
“Some of the rhetoric suggests “cost” isn’t addressed at all– and it is.”
Surely you’re not talking about me. Cost certainly is addressed, to the tune of a TRILLION $$$. Tell us more.

Posted by: smartlillena | March 2, 2010, 7:24 am 7:24 am

Then, also, the Health Care blog addresses Medicare fraud provisions, Comparative Effectiveness, and prevention.
__________________________________
These were actually the same things that were said to control costs specifically in the Tenn experiment and the Mass. The fraud actually grew in Tenn and in both cases the savings have not materialized and the costs have literally skyrocketed. We are looking for real cost saving not just soundbites to “sell it”.

Posted by: obieone40 | March 2, 2010, 8:20 am 8:20 am

The fraud actually grew in Tenn and in both cases the savings have not materialized and the costs have literally skyrocketed. We are looking for real cost saving not just soundbites to “sell it”.
Posted by: obieone40 | Mar 2, 2010 8:20:38 AM
If I’m not mistaken in Massachusetts the real cost push has just begun– and Ezra Klein has written some wonky responses to the difference between state and federal plans. One issue at the state level has to do with overall structure and balancing budgets. My claim isn’t that we’ve found the answer but all three issues (or goals or strategies) have merits– pilot programs, comparative effectiveness, eliminating fraud.

Posted by: progressive mama | March 2, 2010, 8:55 am 8:55 am

Keep that anger coming, it’s not bothering me. It is hillarious that all them thar smarts won’t let libs see it has wrecked their crown jewel.
Posted by: smartlillena | Mar 2, 2010 7:02:10 AM
One person’s “anger” is another’s passion and commitment, but bygones. Self righteous condmenation and hypocrisy never works with moi, but it doesn’t surprise or shock me either. Moreover, *Of course*, its not bothering anyone. In fact its being used as an excuse not to address issues or offer “thoughtful responses”, isn’t it? LOL.
I think about slavery, and other black spots on American history. Would I really have given its proponents equal time as if their position was defensible or hashed out a watered down compromise?
Nope. And my conscience is good with that.

Posted by: progressive mama | March 2, 2010, 9:03 am 9:03 am

If I’m not mistaken in Massachusetts the real cost push has just begun– and Ezra Klein has written some wonky responses to the difference between state and federal plans. One issue at the state level has to do with overall structure and balancing budgets.
________________________________
If their cost push is just beginning why are they getting infusions of cash from the stimulus to offset the overbduget costs now. They aren’t paying that stimulus money back. I think the structure and balancing of budgets at the federal level are real disfunctional issues as well. I did actually read Klein’s article this am but some of his analogies omit key (especailly that house/roof analogy) details and even he points out that one needs to continues to assume the gov’t practice of double counting gov’t money (that Rep Ryan pointed out) in order to make the numbers in this bill work. Klein’s article was only limited to a critique of a few Ryan’s Summit comments but not a full assessment of the impact of this bill and the other entitlements. For example if you take money out of social security and medicare to pay for this bill yes this bill appears to be deficit neutral even saves money but then either you need to get the money from somewhere to replenish Medicare and SS or you don’t pay out those benefits where are you going to get it from it’s a gamble (borrow or produced from some new whatever). Klein never addresses where that will materialize from he just leaves it out there. Ryan was pointing it out in relation to this bill because this bill is taking money from there and it’s irresponsible to raid those funds (which have been for years and are in bad shape) for this bill and not address the impact it has on Medicare and SS. One last point in Klein’s article is the doc fix. While yes it was reform passed by Republicans in ’03 and punted down the road by both reps & dems it isn’t being included in the overall numbers for healthcare reform. Yes it needs to be addressed whether this bill passes or not but it is a serious part of the cost (both money and medical resources) of healthcare reform and it’s price tag/impact ought to be included.

Posted by: obieone40 | March 2, 2010, 9:29 am 9:29 am

If their cost push is just beginning why are they getting infusions of cash from the stimulus to offset the overbduget costs now. They aren’t paying that stimulus money back. I think the structure and balancing of budgets at the federal level are real disfunctional issues as well.
—-
Okay, lets take Massachusetts first. The goal was to provide universal coverage. That was the goal and it was achieved, pretty much. Cost per enrollee came in under budget in 2007, by about $2 a month. Initially, what was underestimated was the number of enrollees. The program was operating efficiently, but covering more people than anticipated. The problem now is medical inflation and the economy. All states are suffering. So, now, as the NYT puts it “the state’s pioneering overhaul has entered a second, more challenging phase….the state’s pioneering overhaul has entered a second, more challenging phase….
government and industry officials agree that the plan will not be sustainable over the next 5 to 10 years if they do not take significant steps to arrest the growth of health spending.”
So now the state is implementing a igh-level state commission to revamp the way public and private insurers reimburse physicians and hospitals.
Again, as the NYT puts it, “If Massachusetts becomes the first state to make this conversion, health policy experts argue that it would be as audacious an achievement as universal coverage.”
Ezra Klein has written articles about Massachusetts too– but that is the basic gist. Massachusetts has followed many first world nations in addressing universal coverage first, and then cost– that’s the usual evolution, and in many cases its been imperfect and messy. The pressure on state budgets during economic recession adds some strain on state plans that can be alleviated at the federal level with deficit spending– though now we’re in extraordinary times with an extraordinary deficit.
Okay, in response to the second part of your post which goes into Ezra Klein’s response to Paul Ryan– what’s interesting about Paul Ryan is that I do think he takes the deficit seriously and between the health care plan and his plan to tackle the deficit, there is a vision that makes sense. I don’t agree with the overall vision, but I consider him serious and intelligent and his ideas to have merit given the number of conservatives we have in this country. Part of our tradition is this tension between those who are more to the Right and those who are more to the Left. My concern is that his political plans are politically infeasible. While the caucus is backing him in summits, it wasn’t his ideas set forth when the House offered up a plan and with all the chest thumping on Medicare, I don’t see any responsible action being taken by Republicans. I have a trust deficit, a huge one, if you will.
I think Klein make a couple of points worth pondering, in reference to how the accounting works:
“What isn’t fair is to suggest that this is about the health-care bill. This is how the government does its accounting…. This was true when Rep. Ryan voted for the Medicare Prescription Drug Benefit and the Iraq War, and it’s true now.
And many budget experts think it’s the right way to do things. Though it’s true that the trust fund will have to be repaid either through spending cuts or tax increases, the trust fund will be repaid. Otherwise, the government defaults and everything goes to hell. This assumption that the government will pays its debts is not only necessary for accounting purposes but also for, say, investing in Treasury bonds, or in the stock market, or any other facet of American economic life that presumes the continued fiscal soundness of the American government. You can argue, they say, that the government shouldn’t use trust fund money to do other things, but that’s not the same thing as saying the accounting shouldn’t presume repayment.”
Good point. I also think this comes into play, per Ezra:
“whether you think the accounting is right or its wrong, it’s not playing fair to change it on the fly. By the rules that both Republicans and Democrats use, the bill cuts the deficit.
“Wherever you fall on double-counting, $124 billion isn’t much money in the scheme of this thing. Ryan gets his big money a few paragraphs later, when he makes a much more dishonest argument. The play here is simple, and it’s beneath a politician of Ryan’s reputation: He attaches the cost of fixing the Medicare Sustainable Growth Rate to the health-care reform bill.”

Posted by: progressive mama | March 2, 2010, 10:19 am 10:19 am

So now the state is implementing a igh-level state commission to revamp the way public and private insurers reimburse physicians and hospitals.
______________________________________
Sounds like rationing is coming to Mass. per the NICE committee in England. Already gov’t underpays for services (this is currently happening with Medicare arbitrary fee setting to the detriment of care for people in those programs) again this seems to be trending in the same way Tenn did in the 90′s (as well as Canada and England where you have universal coverage but sub par care). This does NOT lower/address the cost of services it undercuts the reimbursement for them- square peg meet round hole. It doesn’t fix anything it drives docs and hospitals out of business and lowers quality of care. Coverage first then cost has not worked for medicare (it’s been well over budget since enacted in ’65. Do you buy a house you can’t afford hoping to one day get a job to afford it?? Why not give addressing costs then coverage a reasonable try for once.
*******************************
Regarding double counting Klein might say like most people think these days if one side did it before the other can do it now. If it’s fiscally harmful (which I think double counting is and has proven to be because look at where our economy has been and is heading with all this double counting nonsense) at some point the grown ups (whichever side they come from) need to step up and say enough. Also per Klein’s article in the paragraph before your quote:
“The money flowing into the trust funds is continually used to pay for other government priorities. And borrowing for other government priorities is not built into trust fund estimates, even though that borrowing also competes with the trust funds in the future (live by unified government accounting, die by unified government accounting).”
It is a gamble. You are gambling that you will have the money to pay back. It has been a gamble the fed has been doing for years and there is current legitimate concern about the solvency of those funds (they to date have not been paid back from all the raiding both parties have done over the years) and now the largest entitlement to come down the pike (one that has proven everywhere it’s policies have been done to exponentially exceed budget estimates) decides to use raiding those as a means for funding. Also the “borrower” (fed gov’t) has increased exponentially increased their deficits (ie maxing out their credit cards). At some point banks decide a borrower is not a good investment due to their poor use of money. In the US that bank is the US taxpayer and the gov’t is the borrower in the form of forced taxation and over spending.

Posted by: obieone40 | March 2, 2010, 11:00 am 11:00 am

Coverage first then cost has not worked for medicare (it’s been well over budget since enacted in ’65. Do you buy a house you can’t afford hoping to one day get a job to afford it?? Why not give addressing costs then coverage a reasonable try for once.

With Medicare we’re dealing with a higher risk age group.
Moreover, the house analogy doesn’t work as I don’t consider health care a good or commodity. A better analogy is fire departments or community waste removal or the police department or military.
But anyway, the other article by Atul Gawande I’d recommend– besides Testing, Testing– is about McAllen Texas(not sure on spelling of the town but the name of the town is in the title of the article) Overutilization or overtreatment and the way we pay doctors both are problems that we must
address. There are huge differences in the way medicine is practiced.
Gawande writes in a follow up to the McAllen Texas article: “Analysis of Medicare data by the Dartmouth Atlas project shows the difference is due to marked differences in the amount of care ordered for patients—patients in McAllen receive vastly more diagnostic tests, hospital admissions, operations, specialist visits, and home nursing care than in El Paso. But quality of care in McAllen is not appreciably better, and by some measures, it is worse. Indeed, studies have shown that the care for patients in the highest-cost regions of the country tends to go this way—with more high-cost care across the board, but less low-cost preventive services and primary care, and equal or worse survival, functional ability, and satisfaction with care. The cause that I found locally was a system of care that was highly fragmented for patients and often driven to maximize revenues over patient needs. And I pointed to positive outliers across the country..”
Note Texas has tort reform laws.
As for rationing– we’re already rationed. And there is a gap in access to good care.
In regards to double counting, my position isn’t that its okay because the other side did it. My position is that you have to reform it for everything, not just one issue you’re not into– and it is hypocritical for Ryan to act like he’s always been concerned about it. Moreover, if you’re going to reform it for everything– then find the political back up for that, and lets go. Otherwise, you’re just showboating on one issue.
I actually don’t have a problem with the accounting. For me the issue is using trust fund money to do other things– sometimes the issues get conflated but not using the money to do other things isn’t the same as saying the accounting shouldn’t presume repayment.
As for the “gamble” — I can’t really relate. I’m a business owner. So is my husband. All business, life, investment is a gamble, yes? There are no absolute guarantees. Look at what has happened to the economy.

Posted by: progressive mama | March 2, 2010, 12:47 pm 12:47 pm

Why not give addressing costs then coverage a reasonable try for once.

I agree that would be preferable! Not politically feasible but much, much, much preferable.

Posted by: progressive mama | March 2, 2010, 12:56 pm 12:56 pm

Although.. technically, without addressing coverage at the same time you wouldn’t be adequately addressing cost.

Posted by: progressive mama | March 2, 2010, 12:58 pm 12:58 pm

I basically agree with Warren Buffett:
“If it was a choice today between plan A, which is what we’ve got, or plan B, the Senate bill, I would vote for the Senate bill. But I would much rather see a plan C that really attacks costs.”

Posted by: progressive mama | March 2, 2010, 1:02 pm 1:02 pm

One last comment, and this has to do with the political feasibility of true fiscal accountability and Ryan’s roadmap to fiscal health– check out TPM, Love it, Lukewarm or playing coy?

Posted by: progressive mama | March 2, 2010, 1:16 pm 1:16 pm

In regards to double counting, my position isn’t that its okay because the other side did it. My position is that you have to reform it for everything, not just one issue you’re not into– and it is hypocritical for Ryan to act like he’s always been concerned about it. Moreover, if you’re going to reform it for everything– then find the political back up for that, and lets go. Otherwise, you’re just showboating on one issue.
I actually don’t have a problem with the accounting. For me the issue is using trust fund money to do other things– sometimes the issues get conflated but not using the money to do other things isn’t the same as saying the accounting shouldn’t presume repayment.
______________________________________
I would be surprised- nay shocked- if that political backup isn’t coming in Nov. 2010.
The fact Ryan used it before with Medicare Part D and is railing against it now doesn’t make me disagree with him now (skeptical some) but not full blown disagree -you look at what people do. That would be the same for anyone now who was a big spender and changed their ways but actions need to match words. That’s how I approached it after 2008′s election. Regarding the Iraq vote I know the controversy over whether to go in or not it’s a whole other post. I will say the one thing I would bend rules on deficit spending for is national security. Most people killed on 911 had healthcare (85% of americans do) what they needed was security from wartime enemy lunatics flying their planes into our buildings. What enables those unusual (I think they ought to be by law) times of deficit spending to happen is keeping things in order otherwise. The double counting accounting is a tool used to justify exactly the thing you say you don’t condone think about it. What if you ran your business that way- I can borrow from my payroll to experiment in a new product this month great if it works out but what if it doesn’t how are you going to make your payroll. Or you use your health benefits payments to make payroll.What if that pattern happens again and again and again- it’s unsustainable at some point. My point is the gov’t run by both parties have pushed increased spending without making priorities and spending cuts. OK if healthcare coverage by the gov’t is so important what do we cut to offset that added expense? Also how do we set it up in the most sustainable way rather than have it die under the weight of itself in under 10 years (for universal- longer for other programs Medicare/Medicaid but still unsustainable) and further damage/hurt the very people it’s supposed to be helping. How can we best address first the costs that is HUGE and primary since it has hurt every attempt to help people in this area. Then what else are we spending on that while good things are not as important as this. The government really can’t fund everything. National Endowment for the arts? Infrastructure? Outlaw pork barrel spending? Cut federal grants in all variety of fields? All of the above, no we rob the trust funds of SS and medicare and there is a big deadline coming up with boomers hitting 65. Like I said I hope the political backbone for this is coming because it is about more than just theories and ideas it is really going to hit in a practical way.

Posted by: obieone40 | March 2, 2010, 1:37 pm 1:37 pm

Posted by: obieone40 | Mar 2, 2010 1:37:55 PM
Obie,
I hear ya on Ryan– and I’d my issue is less with him than believing he’ll get full caucus support from the GOP. I mentioned that article at TPM, but also, the House didn’t offer up his plan, you know, they offered an alternative, and I read conservatives critiques that led to me believe his and Coburn’s plan wasn’t even politically feasible on the Right right now. I do find Coburn and Ryan to be more credible on health care, and Ryan on budget, than many others in their party, even though I do disagree with their perspective and goals in some instances.
I’m split into a bout five pieces on this issue. First there’s the compassionae side– the me who believes that if prisoners receive health care as a right so should our hard working poor– and we do have hard working poor in our country. So, also should those with pre-existing conditions. I find some insurance practices heartless and cruel, even though I understand them from a business perspective.
Then, there’s the medical inflation issues– and portability. As I said I agree with Buffet. And frankly my first choice was single payer, and somthing akin to France’s system. My second choice was Wyden Bennet.
I also worry about the deficit.
But, ultimately, I think moving ahead is the right thing to do. On multiple fronts, even imperfectly. And I don’t trust the GOP. At this point, I’d have to seem some genuine good faith ACION beyond one or two good guys who have little chance of moving their bills.
Bruce Bartlett wrote a good column in Forbes last week about Paul Ryan’s roadmap — and why he agrees with some of it, but finds it politically ludicrous.
I do support reforming the system so one can’t borrow funds from Medicare and SS. The question is will any of our Representatives back us up on that when it comes time to actually do it?
And in the mean time can we do something about our chronic problems?

Posted by: progressive mama | March 2, 2010, 2:58 pm 2:58 pm

Nope. And my conscience is good with that.
Posted by: progressive mama

I don’t question your(need for?;))committment or your conscience. I question your tactics. I feel obama would tell you the same thing I would tell the tea partiers- GET SOME PERSPECTIVE! Or, DON’T, that’s been playing out just fine AFAIC. But, you guys have dessimated this bill AND this presidency to the point that soon obama’s gonna hate every bleeding-heart, tree-hugger on this planet.

Posted by: smartlillena | March 2, 2010, 6:06 pm 6:06 pm

I question your tactics…
Posted by: smartlillena | Mar 2, 2010 6:06:16 PM
Okay, so… you question my tactics and worry for me that Obama will be mad at me?
Shrug.

Posted by: progressive mama | March 3, 2010, 2:24 am 2:24 am

Obie and Mama,
Thanks for the great discussion you have provided over the last couple days. I’m many steps behind you but was able to learn alot from your clear, concise, collegial posts. I believe that if we all (including Congress) consistently talked to each other in this way, we’d pass plenty of great legislation.

Posted by: Sometimes4civility | March 3, 2010, 5:55 am 5:55 am

Obie and Mama,
Thanks for the great discussion you have provided over the last couple days. I’m many steps behind you but was able to learn alot from your clear, concise, collegial posts. I believe that if we all (including Congress) consistently talked to each other in this way, we’d pass plenty of great legislation.
Posted by: Sometimes4civility

What a crock. It is clear that informed voters do not want this bill. That reconciliation article is closing in on nearly ONE THOUSAND ONE HUNDRED (1100) ANGRY RESPONSES to this bill. Some weeks ago was the time for discussion. Your suggestion could’ve been helpful THEN by giving voters some ACTUAL personal costs and ACTUAL personal benefits of this bill. Unless those ANSWERS wouldn’t have been helpful to an already unpopular, despised, bill?
(accomplished writers aren’t very good at hiding that skill ;-) )

Posted by: smartlillena | March 3, 2010, 7:30 am 7:30 am

Closing in on ONE THOUSAND SIX HUNDRED (1600) responses. How about some great discussion?

Posted by: smartlillena | March 3, 2010, 7:32 pm 7:32 pm

“Closing in on ONE THOUSAND SIX HUNDRED (1600) responses. How about some great discussion?”
Smartlillena,
Since Smart is actually a part of your name, I can’t believe you think all of those 1600 responses represent great discussion. Most of them are full of caricature, insult, and prejudice. If there’s one thing conservatives and liberals can generally agree on it’s that the quality of discussion in our people and in our legislators is not very good these days. It seems EVERYONE bemoans a lack of respectful give-and-take discussion.
I believe this issue of how we talk to each other is more important in the long run than whether Bill X passes or fails. I don’t think democracy just automatically works. We’ve got to get better at learning from each other and finding common ground.
How do you define great discussion in a diverse democracy?

Posted by: 4Civility | March 3, 2010, 7:54 pm 7:54 pm

I can’t believe you think all of those 1600 responses represent great discussion
Posted by: 4Civility

Of course not. They represent the ANGER of the american people about this issue. They represent the ANGER of the american people partly because of the arrogant manner they are being treated.
Articles may have 10 responses, or 30, occasionally 100, that one got SIXTEEN HUNDRED in less than 24 hours !!!
Does that tell you anything?

Posted by: smartlillena | March 3, 2010, 9:43 pm 9:43 pm

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