By Matt Loffman

Mar 19, 2010 2:04pm

Caterpillar Opposes Health Care Bill, AARP and AMA Support It

As Congress prepares for a final vote on health care reform legislation, an executive from Caterpillar, Inc., notified the Democratic and Republican leaders of the House that the company is asking legislators to vote against the health care reform bill because it will drive up the company's health care costs "by more than 20 percent (over $100 million) in the first year alone and put at risk the coverage our current employees and retirees receive."

Gregory Folley, vice president and chief human resources officer of Caterpillar, wrote to House Speaker Nancy Pelosi, D-Calif., and House Minority Leader John Boehner, R-Ohio, yesterday that requirements that the company provide health insurance and other parts of the bill would put the company “at a disadvantage versus global competitors that are not similarly burdened.”

Two advocacy groups that have long supported the administration’s larger health care reform efforts, meanwhile, specifically endorsed the legislation today: the AARP and the American Medical Association.

In a statement, AARP Board Chair Bonnie M. Cramer, M.S.W., said, “After a thorough analysis of the reform package, we believe this legislation brings us so much closer to helping millions of older Americans get quality, affordable health care.  For too long, our members and others have faced spiraling prescription drug costs, discriminatory practices by insurance companies and a Medicare system awash in fraud, waste and abuse.”

Added Cramer: “We understand that significant work remains even after this package becomes law, but we cannot lose the opportunity looking for a ‘next time’ that is doomed to be ‘too late.’”

The AMA offered what the group called “qualified support” for the current health reform bill, with J. AMA president Dr. James Rohack saying the “pending bill is imperfect, but we cannot let the perfect be the enemy of the good when it comes to something as important as the health of Americans. By extending health coverage to the vast majority of the uninsured, improving competition and choice in the insurance marketplace, promoting prevention and wellness, reducing administrative burdens, and promoting clinical comparative effectiveness research, this bill will help patients and their physicians.”

The AMA took issue with the bill’s failure to permanently repeal “the Medicare physician payment formula that will cut Medicare payments by 21 percent next month” as well as the legislation’s Independent Payment Advisory Board which the group said “could result in misguided payment cuts that undermine access to care and destabilize health care delivery.”

-jpt

User Comments

“WE ARE GOING TO CONTROL THE INSURANCE COMPANIES” Joe Biden

Posted by: Scott | March 19, 2010, 2:14 pm 2:14 pm

Democrats are planning to introduce legislation later this spring that would permanently repeal annual Medicare cuts to doctors, but are warning lawmakers not to talk about it for fear that it will complicate their push to pass comprehensive health reform. The plans undercut the party’s message that reform lowers the deficit, according to a memo obtained by POLITICO.

Posted by: ps | March 19, 2010, 2:22 pm 2:22 pm

This article forgot to mention that 55% of THE AMERICAN PEOPLE oppose this health care bill while only 35% favor it. Shouldn’t the voice of the American people make a better report than a couple of special interest groups?

Posted by: Tom | March 19, 2010, 2:28 pm 2:28 pm

Why no mention of AARP’s lucrative insurance business that will benefit greatly, explicitly and implicitly, from this legislation?

Posted by: Foghorn Leghorn | March 19, 2010, 2:44 pm 2:44 pm

The fact that 55% (or greater!) don’t want this legislation isn’t terribly important to ABC or any of the alphabet networks…it’s what Obama wants and we ALL know who’s in the tank for Obama – or any other Democrat. Right where they’ve been for the past four years.

Posted by: Dell | March 19, 2010, 2:45 pm 2:45 pm

The AMA is supporting it because they’ve been promised a permanent reform of the “Doc Fix”, starting at 371 billion this year in a separate bill. That alone blows away any supposed savings from Obamacare as it relys on cuts to doctors to make its CBO score. Politico is blowing it up.

Posted by: Zaggs | March 19, 2010, 2:48 pm 2:48 pm

Open letter to Members of congress about health care reform :
Dear Members of congress ,
Here are some questions for You :
1 – Why are we the only industrial country on earth to not have health care for all? Look at all of the countries in Europe ,England ,France , Italy ,Germany , Japan , Korea ,Canada,Israel ,Spain , …… Even dictatorship countries like Cuba ,Iran ……offer health care for their citizens .
Do you think we are smarter than the rest of the world? If you say we can not afford it, then why can we afford $ 700 billions a year or $ 7 trillion in 10 years on military ( spent on bombs & guns ) ?
What do you expect people around the world to think of us when they see us bringing an injured Dog from Iraq to the United States for treatment ,while we left 50 millions of our own people without medical care ? For sure, they will think We are insane !!!.
Is your heart breaking when you see thousands of people get in line at midnight under cold weather each time they have FREE check up ? How about a woman, who will never have the chance to see a doctor in 27 years ?
2 – Do you and your family have health insurance? If Yes, then why not 50 millions of your fellow citizens have it ?
3 – How would you feel when any member of your family dies because of having no health insurance ? Think about 45 thousands of your fellow citizens and children dying every year because of the lack of health care .
4 – Children are the future of this country. How can our sick, unhealthy children, and young adults can compete with the Chinese , Japanese , and European children in the future? Our nation will be strong or not depend on their health , why not invest on them for a healthy nation ? .
5 – Millions of people use Emergency rooms as primary care .Thousands of Americans file bankruptcy every year because of health care bills, and at the end we still have to pay for them anyway, so why can’t you find the smarter way out?
6 – Why do we spend the most on health care but still have 50 millions without health care with a broken system?
7- why don’t You learn anything from housing crisis ? Like housing cost in the past. Health care cost now is sky rocket and many experts predict the next big crisis will be health care so millions of our people will die if health care reform failed.
Businesses & companies have to pay too much for health care and our products became more expensive, compare to other countries.
Many talent & skilled people are being wasted because they have to do the job they don’t like for health care.
Many inventions & new ideas never became new business because the system holds people as hostages, and people can not open business because they are afraid of losing their health insurance.
No wonder unemployment is so high because Jobs can not be created.
Once the health care reform pass , many skills & talents will be discovered, and new businesses will be open with new inventions and new ideas .American products will be exported around the world instead of being imported too much from China, and many jobs will be created .
Super powered, special interests have super voices, but millions of families have no voice. Many commented from the Internet ,media may be posted by special interests, and millions of people may not even have Internet access .
Please forget about politic, It can be half empty & half full bottle of water story .
Many people that support or oppose, may not tell the full story . Think about the old times all of us believed the earth was flat. Remember back at the time when many of us believed Women should not be allowed to vote?
Not long ago 80 % of people opposed medicare & social security bill at that time.
After 9/11 80 % of us believed war on Irag was a good idea. Sometimes, special interest controls the story, and tell people the story they want and control the minds of the people, so please forget about politics.
Please stand up and do what is right for the future of our country. I believe if you vote YES on health care reform, history will remember you as hero of our great nation.
Take an action , pass health care reform NOW.

Posted by: keven | March 19, 2010, 2:57 pm 2:57 pm

After reading this bill for the last eighteen hours anyone who thinks it is not going to cost them an arm and a leg and that they will get something for free from the goverment is crazy this bill will destroy the middle class and the working class the cost of a policy will be very high.

Posted by: tickedoff | March 19, 2010, 3:02 pm 3:02 pm

Most people are unaware of the “doc fix” as it’s not being included in most reports of the support of the AMA. Most are probably still thinking “Ha, this bill will show those rich doctors”. If this bill goes through, it’ll be because of the covering up of facts by the media and the widespread ignorance of far too many Americans.

Posted by: Kathy | March 19, 2010, 3:05 pm 3:05 pm

Cattepillar is a pretty large company. Wonder how some of the rest feel? Either they don’t want to appear partisn or their afraid of broken knee caps.

Posted by: david | March 19, 2010, 3:13 pm 3:13 pm

I am seeing allot of rhetoric about the loss of the middle class with this vote.
Seriously, wake up folks…. In Canada the middle class are fine, companies are growing rapidly without government assistance (including their financial institutions) and everyone has health coverage.
Scare tactics are the tools of the ignorant as are hysterics.

Posted by: Mark | March 19, 2010, 3:14 pm 3:14 pm

keven,did you see the memo at Politico? #1We do have health care for all.Everybody that shows up in an ER will get the best care in the world.The problem is who pays for it.People from all of the countries you mention come here for medical care-even Cuba.We also train thousands of doctors from those countries.By the way,nobody claims that we have 50 million uninsured citizens-that statement is false.#3 What is the source for your statement?It is not true.#4 By continuing current vaccination procedures,not following pop-med claims about an autism-vaccine link.#5 Many if not most of the people using ERs for primary care already have insurance.The problem is access to primary care physicians.This bill does nothing to fix that.#6 Myth.The rest of your note ignores the fact that virtually every significant advance in recent medical science has happened in this country,stimulated by OUR medical system.Talk to a practicing doctor-you might learn something.

Posted by: Nephron | March 19, 2010, 3:16 pm 3:16 pm

@mark, Canadians are also waiting in line a hell of alot longer then americans for health care.

Posted by: Zaggs | March 19, 2010, 3:17 pm 3:17 pm

We do have health care for all.Everybody that shows up in an ER will get the best care in the world.
_______________________________
Try showing up at ER for an MRI on your knee, or chemotherapy treatments for your child’s cancer, or a hip replacement, or bi-pass surgery, etc, etc, etc . .. .

Posted by: tierra | March 19, 2010, 3:19 pm 3:19 pm

@mark, Canadians are also waiting in line a hell of alot longer then americans for health care.
Posted by: Zaggs | Mar 19, 2010 3:17:49 PM
__________________________________
How long do Americans without the wealth or the health insurance have to wait for chemotherapy for their child, or bi-pass surgery, or a knee, or hip replacement, etc, etc, etc?
Let me tell you . . . forever. In Canada, they would ALL receive the treatments.

Posted by: tierra | March 19, 2010, 3:22 pm 3:22 pm

We need to **ELIMINATE** the ‘insurance’ corporations, and replace them with a government single-payer system: real health care reform.
Somehow health care reform has been perverted into health insurance reform – this is NOT what we voted for, and the corporate puppets in Congress need to start listening, or start looking for news jobs (presumably in brothels).
Or maybe what we need is a completely new form of government – because a corporate oligarchy by proxy just isn’t working.

Posted by: AC | March 19, 2010, 3:25 pm 3:25 pm

I’m going to burma for my heart bypass – yeahhhhhhhhhhhhhhhh!!!!!!!!!!!!!11

Posted by: Uncle Fester | March 19, 2010, 3:30 pm 3:30 pm

Of course they support it. If you owned a company that insured or treated people wouldn’t you want to see mandatory coverage for 46 million people? Talk about sudden increase in profits. This bill is a horrible idea and being forced down our throats by the democrats who I plan on campaigning heaviliy against in November

Posted by: R D | March 19, 2010, 3:34 pm 3:34 pm

@Tierra, they don’t have to wait. Not tomention places like St. Jude and Shriners hospitals
ALso how many americans will have to call the police because government wards have left them dying of thirst under Obamacare like they do in Britain?
How many americans will die waiting in line for even the simplest of procedures like they do in Canada?
How many with any sort of infectious disease will be separated from the populace like in Cuba?
How many heart patients will be told they cannot have a new heart because obama said they’d be better of with pain pills as Obama’s government take over rations care?
Also who ever said keep the status qou? Oh yeah, no one!

Posted by: Zaggs | March 19, 2010, 3:34 pm 3:34 pm

The story on Politico about ‘doc fix’ is well worth the read. It’s unbelievable the lies and misleadings this administration is willing to put out there just to ‘save’ the Obama legacy.
Now, as far as this article goes, the AARP is nothing more than another liberal organization hiding behind the smoke screen of ‘sweet little grandma’. The AMA, well, as we now see, they are just as easily bought off as anybody. Caterpillar, one of the few American companies that is competing globally, and they get the shaft. Guess the American businesses don’t really matter that much to the WH.
Not to mention, the Democrats seem to be touting the fact that Catholics are supportive of their bill overriding the abortion issue. Since when does a religion that allows young boys to be molested and cover it up for YEARS get to such high status with the US government? They support the bill? I’m not impressed.

Posted by: Shoe | March 19, 2010, 3:36 pm 3:36 pm

With the $500 Billion in Medicare cuts, AARP will make more money selling Medicare supplemental policies. Conflict of interest much?

Posted by: HealthCare Redistribution Czar | March 19, 2010, 3:40 pm 3:40 pm

How long do Americans without the wealth or the health insurance have to wait for chemotherapy for their child, or bi-pass surgery, or a knee, or hip replacement, etc, etc, etc?
Let me tell you . . . forever. In Canada, they would ALL receive the treatments.
Posted by: tierra | Mar 19, 2010 3:22:42 PM
tierra, nobody really cares about your Canadian viewpoint. If you lived in America, we might value your opinion. Since you don’t, why don’t you go smack around a puck or something.

Posted by: Shoe | March 19, 2010, 3:40 pm 3:40 pm

destroy the middle class and the working class
Posted by: tickedoff
republicans have successfully achieved this already, they were working on this since FDR, it took ‘em a while, but they finally got it done..

Posted by: PO'd | March 19, 2010, 3:41 pm 3:41 pm

How many americans will die waiting in line for even the simplest of procedures like they do in Canada?
Posted by: Zaggs
what’s good for the Palin family is good for america

Posted by: PO'd | March 19, 2010, 3:42 pm 3:42 pm

The AMA DOES NOT represent American physicians. Only about 15% of docs are members, and most of those (including me) are now planning NOT to renew our memberships. The AMA is a corrupt organization that represents NO ONE but the fat cats who run it.
The proposed reform bill would be a disaster for our nation. We already spend 3 times what we should on healthcare due to Congress’ past blunders of mandating insurance abuse, and applying price controls and central bureaucratic management to healthcare. Before that, healthcare was less the 5% of GDP, not the 17% it is today!
As a physician, I squander half my time coping with the “cost control” measures inflicted on me by Medicare. Every rule saves somebody a few pennies. But the net effect of drowning doctors in bureaucratic regulations is massive inefficiency and ever-higher net costs. Now Obama wants to bless us with another 2700 pages of the same heavy-handed, misguided policies that created this mess.
The only way to an efficient healthcare system is to end Medicare price controls and central bureaucratic management, and let doctors and hospitals compete on quality and price, as in every other industry. The current system, and everything in Obamacare, strangles innovation and prevents competition on quality and price. To survive, doctors and hospitals are forced to focus on “gaming the system,” not on quality and efficiency.
How well would our auto-repair industry or our food industry fare with Congress and Medicare setting prices and policies? America needs to wise up, before healthcare gobbles up 25% or our GDP, destroying our economic abundance and international competitiveness.
Yours for Better Healthcare,
Dan Jones, MD

Posted by: Dan Jones, MD | March 19, 2010, 3:44 pm 3:44 pm

let doctors and hospitals compete on quality and price, as in every other industry.
Dan Jones, MD
if one is left to ‘buying’ heath care based on ability to pay, they will only be able to pay for cheapest, and not necessarily the quality you suggest.., and be priced out of the best heath care, folks right now can’t afford even the most basic care…..

Posted by: slow iv drip | March 19, 2010, 3:49 pm 3:49 pm

nobody really cares about your Canadian viewpoint
________
I think it important to know what people say about other health care systems. Too many on the Right want to ignore other systems that are popular with the people covered by them. I don’t know if Tierra is Canadian or not,but if so, its valid to hear what she has to say about the health care experience in Canada.
My friends in France and Australia think we’re pretty nutso about health care here. And yes, they’ve spend time here– sometimes years– and can compare and contrast.

Posted by: progressive mama | March 19, 2010, 3:50 pm 3:50 pm

Great, Catepillar opposes U.S. Healthcare while moving the bulk of it’s operations to Canada. Where there is universal healthcare. Same logic as those who carry the signs that read “we don’t want government run medicine” unless it’s medicare, medicaid, military, VA, indian affairs, congressional, and HMO’s. Did I leave anyone out?

Posted by: ws | March 19, 2010, 3:53 pm 3:53 pm

This reform depends on fed. and state goverment doing their jobs right and like that is going to happen.Read the Bill

Posted by: ticked off | March 19, 2010, 4:08 pm 4:08 pm

Canada is starting to open many “Pay-for-service” clinics because they can not be seen by a doctor in a timely manner. What good is this care if you can not be seen in time to stop a tumor from growing…by the time your are seen, you may need to be cut to pieces. This country has the best care and insurance in the world. BO does not want what is best for us or our country. Wake Up!!!!!!

Posted by: June | March 19, 2010, 4:42 pm 4:42 pm

The story on Politico about ‘doc fix’ is well worth the read. It’s unbelievable the lies and misleadings this administration is willing to put out there just to ‘save’ the Obama legacy. ”
Politico has retracted the story since they got the supposed Democratic memo from Republicans sources and GOP leadership are running away from it as fast as they can.
Of course Politico ran it uncritically at first even though it reads like right wing talking points.
The lesson as always? Right wingers lie.

Posted by: Ryan C | March 19, 2010, 4:48 pm 4:48 pm

Posted by: progressive mama | Mar 19, 2010 3:50:51 PM
That wasn’t the point progressive mama. This is OUR tax money, not Canada’s. If she wants to give the numbers, figures, etc. about Canadian healthcare, fine. But she needs to make sure she’s being honest. I read (and posted) an article earlier about the economy and healthcare in Canada, and it did not have the rave reviews she has been touting. Anyway, HONESTLY telling us what goes on in the Canadian system is one thing, but trying to tell us what we need to be doing with OUR tax money is another.

Posted by: Shoe | March 19, 2010, 4:50 pm 4:50 pm

“This country has the best care and insurance in the world.”
Unfortunately we do not.
We are 37th in WHO’s ranking of healthcare systems.
Many right wingers don’t like that access (ie universal healthcare) is a component for that ranking.
However we are 15th even when considerations like access are taken out and that is spending quite a bit more on healthcare than other countries.
We are the only 1st world country without universal healthcare.

Posted by: Ryan C | March 19, 2010, 4:55 pm 4:55 pm

How long do Americans without the wealth or the health insurance have to wait for chemotherapy for their child, or bi-pass surgery, or a knee, or hip replacement, etc, etc, etc?
Let me tell you . . . forever. In Canada, they would ALL receive the treatments.
____________________________________
I don’t see some personal attacks but not any responses to the actual content or the points made.

Posted by: tierra | March 19, 2010, 4:57 pm 4:57 pm

“Anyway, HONESTLY telling us what goes on in the Canadian system is one thing, but trying to tell us what we need to be doing with OUR tax money is another.”
Yes I remember when you were quiet on letting Iraqis determine their own destiny versus our invading, so great is your respect for the concept of sovreignty.
What a lame argument.

Posted by: Ryan C | March 19, 2010, 4:58 pm 4:58 pm

I read (and posted) an article earlier about the economy and healthcare in Canada, and it did not have the rave reviews she has been touting..
______
Okay, Shoe… BUT there are many studies, numbers, articles and so on that can be posted– and have, and are all over the blogosphere and in respected journals– that clearly indicate problems with the system in the United States. A recent example is Amnesty International’s report on deaths during childbirth here in the States. And yet the Right stubbornly clings to the notion we have the best system in the world and polls indicating people are “satisfied.” Given that, its nice to know what real people think, and what their experiences have been, away from the spin of a particular article, as post articles do have spin (since journalists are human and bring their worldview to their writing). Many Canadians, French, Swiss, Australian, Swedish, English, Dutch and German citizens prefer their health care systems to ours. Think the mortality stats are important– as well as affordability, access and the security of knowing they’ll always be able to get health care even if bad things happen to good people.

Posted by: progressive mama | March 19, 2010, 5:10 pm 5:10 pm

Obamamnesty is coming! 20,000,000 newly legalized illegls plus all their family members.

Posted by: Obamamnesty | March 19, 2010, 6:09 pm 6:09 pm

First of all take it from someone that works in one of the largest ed’s in the country. The majority of the “patients” in the ED, are there due to ignorance, or better yet laziness. They are assigned primary docs by the welfare hmo, but they just use the ED, and we run the risk of no payment. Medicare is high scale patients as well, but most of the “aged” medicare patients have a good supplemental ins, the “disabled” patients have medicaid as their secondary. As far as I can see, again, it’s the entitlement folks that are ruining the country, and no—it’s not an entitlement if you have worked for 30 yrs and collect medicare.

Posted by: lyineyes1956 | March 19, 2010, 7:34 pm 7:34 pm

I keep myself in great shape. I own my own business. Now I am going to have to pay ??? for health care insurance at a time when I am trying to keep my business afloat or be forced to pay FINES!!! This is getting ridiculous. This country is great because we have options, not mandates.

Posted by: Dwayne | March 19, 2010, 7:36 pm 7:36 pm

Exactly Zaggs. This is going to benefit many coverage providers. Why don’t we levee taxes on the junk food makers instead? Why not heavier burdens on the corporations that push unhealthy “Anything”. We will still have unhealthy people burdening healthcare this system. How will they control the costs? Who is going to keep them in check, more government?

Posted by: Dwayne | March 19, 2010, 7:45 pm 7:45 pm

This whole argument is stupid I have to pay 800+ a month for just me and my wife if they raise my taxes by 200 dollars a month but lower my health insurence by 500 dollars HELLO DO THE MATH ARE YOU ALL IDIOTS?? Not to mention that the republicans tryed to push this exact reform though during the Bush admin and Bush and the republicans used reconsiliation 3 times to push though tax cuts that drove up the deficit. The republicans are hypocrites and only want to stop everything the democrates want to do because if they do and you stay misrible jobless homeless and without health care they can say look your lives still suck vote for us next election. And they know that you are all to stupid to see that they are the ones preventing any legislation to go though that would make your lives better

Posted by: Mike | March 19, 2010, 8:27 pm 8:27 pm

“…requirements that the company provide health insurance and other parts of the bill would put the company “at a disadvantage versus global competitors that are not similarly burdened.”
vs.
“Catepillar opposes U.S. Healthcare while moving the bulk of it’s operations to Canada. Where there is universal healthcare.”
The logic is perfectly sound. It’s what Caterpillar DOESNT say that is deafening.
The bottom line: the lack of universal healthcare is hurting US competitiveness.

Posted by: Flash Override | March 19, 2010, 9:12 pm 9:12 pm

If the Canadian healthcare is such a good thing, why did the premier of Newfoundland go to Florida for his heart surgery?

Posted by: PJ64 | March 19, 2010, 9:48 pm 9:48 pm

Dear Dr. Dan:
Good post, but judging from the other posts, they’re not listening.

Posted by: Brian | March 19, 2010, 10:41 pm 10:41 pm

I have long quit as a member of AARP, because it shamelessly denied that the h.c. reform is a government run program.

Posted by: austin | March 19, 2010, 10:51 pm 10:51 pm

Poor Mike, you really are confused, aren’t you? What on earth makes you believe that this legislation would reduce the cost of your health care by $500 a month? or even $1 a month? It won’t.
And the republicans, who do not have a majority in either house of Congress, cannot stop this legislation on their own. It is sensible moderate and “blue dog” Democrats who are our hope to prevent the passage of this abomination. They must be, because there are not enough Republicans to stop it. Democrats whining about obstructionist Republicans are either foolish or convinced their audience is foolish enough to believe them.

Posted by: moderate | March 19, 2010, 10:52 pm 10:52 pm

It’s good to see someone from corporate America speak out, even if it appears the people on capitol hill who should be listening aren’t listening. This legislation, if passed, will not improve the financial fix our country finds itself in. It will not inspire companies to hire more workers. It will not reassure nervous small business owners to invest and expand (I know, I’m a small business owner myself). It will not reassure Wall Street and beyond that the federal government is serious about fiscal responsibility.
It will do just the opposite of all those things. This is depressing beyond words.

Posted by: moderate | March 19, 2010, 10:55 pm 10:55 pm

Wow, the AMA statement is mind-boggling:
The AMA took issue with the bill’s failure to permanently repeal “the Medicare physician payment formula that will cut Medicare payments by 21 percent next month” as well as the legislation’s Independent Payment Advisory Board which the group said “could result in misguided payment cuts that undermine access to care and destabilize health care delivery.”
So, the AMA endorses the bill with the qualification that the measure that makes the bill appear to be within the spending guidelines the president set must not come to pass. I agree with the AMA that the “doctor fix” is absolutely necessary. But I do not endorse a bill that is built on the fiction that the doc fix will not happen and the system will continue to function well when all the doctors drop out of Medicare because of the cuts in payments.

Posted by: moderate | March 19, 2010, 11:01 pm 11:01 pm

The bottom line: the lack of universal healthcare is hurting US competitiveness.
Try selling that “bottom line” to someone in Massachusetts or Tennessee or Maine where these structures have been tried and failed MISERABLY- people most hurt were those who relied on the empty promises. Massachusetts is so unsustainable that even the stimulus bailing them out didn’t make a dent in the real mess created there. How competitive are they now- only 4 insurance providers, hospitals going bankrupt and suing the state for not paying for services, people still without insurance even thought they have a mandate and state governemnt going bankrupt under the weight of a program they can’t afford. Sound like a real competitive edge doesn’t it.

Posted by: obieone40 | March 20, 2010, 12:00 am 12:00 am

I don’t have insurance but I am not crying about it. It gives me more incentive to stay healthy. The insurance is part of the problem. They tell a provider that they are only going to pay a percentage of standard rates and hence standard rates go up and up.

Posted by: Dwayne | March 20, 2010, 1:16 am 1:16 am

“If the Canadian healthcare is such a good thing, why did the premier of Newfoundland go to Florida for his heart surgery”
Because he’s a millionaire who wanted a less invasive procedure that was available here in the United States, much like Magic Johnson used to get HIV treatments in France
Health care is great if you’re a millionaire.
Its the rest of us that health care reform is supposed to help.

Posted by: Ryan C | March 20, 2010, 2:48 am 2:48 am

Its the rest of us that health care reform is supposed to help.
Posted by: Ryan C |

How does it help anyone?
What does it cover?
What does it cost?
premiums?
copays?
deductibles?
Without knowing those basic things you can’t even compare it to Charles Manson’s parole hearing!

Posted by: smartlillena | March 20, 2010, 7:50 am 7:50 am

How long do Americans without the wealth or the health insurance have to wait for chemotherapy for their child,
Posted by: tierra

I can’t answer that. I don’t think it is so dire as you make it sound. How long do they have to wait?

Posted by: smartlillena | March 20, 2010, 7:58 am 7:58 am

The bottom line: the lack of universal healthcare is hurting US competitiveness.
Posted by: Flash Override | Mar 19, 2010 9:12:02 PM
Exactly.
Eventually, I hope we move toward untying health care from business all together.
In the mean time, this bill will help small business— as will the jobs bill recently passed. Small businesses like mine will be able to purchase health insurance through insurance exchanges in a couple years– allowing a larger choice of plans and rates based on a much larger risk pool, ultimately providing better coverage at lower costs than what is now available. Small businesses like mine will also get tax credits to help offset the higher cost of providing benefits to employees. And the insurance exchanges will allow people with pre-existing conditions to get away from job-lock to a certain extent– be more willing to start a business or pursue self-employment or whatever.

Posted by: progressive mama | March 20, 2010, 10:23 am 10:23 am

Posted by: obieone40 | Mar 20, 2010 12:00:28 AM
Its interesting that if you read the New England Journal of Medicine, a well-respected journal that uses rigorous polling methods, they’ve found that both physicians and patients (the citizens of Massachusetts) strongly support Massachusetts Health Care reform and system.
In fact, a whopping 70% of physicans support the reform! 72% of all primary care physicians polled support the reforms.
(Physicians’ Views of the Massachusetts Health Care Reform Law — A Poll, New England Journal of Medicine)

Posted by: progressive mama | March 20, 2010, 10:30 am 10:30 am

Please don’t assume that AMA support and physicians support are the same. I’m a physician and as well as all other physicians I know strongly against the bill! AMA support only mean that chief of AMA probably received some kind of special deal for the support like everybody else who voting for it and basically selling the country for personal benefits.

Posted by: Eugene | March 20, 2010, 11:45 am 11:45 am

Its interesting that if you read the New England Journal of Medicine, a well-respected journal that uses rigorous polling methods, they’ve found that both physicians and patients (the citizens of Massachusetts) strongly support Massachusetts Health Care reform and system.
_____________________________________
Isn’t that the same journal that published a survey that 46% of physicians nationwide will leave their practices if this Healthcare bill goes through?!
I also wonder if it’s so popular why are hospitals going bankrupt and suing the state gov’t for payments for services.
Why in the same article you cited (done in 2009 regarding the law passed in 2006) did 50% of doctors respond that their practices have gotten WORSE over the past 3 years (only 23% said they had gotten better)? Also 53% of those docs respond that the impact on the law on costs in Mass for healthcare are hurting. Unfortunatly there is no comparison poll from before 2006 to put these numbers in proper context but the only poll done before this was from emergency room docs who said the reform was putting increased pressure on emergency rooms’ capacity.
Why does Mass have the highest insurance costs in the nation and lost the number of providers now down to only 4 (I thought this gov’t intrusion “increased competition”)? Why has their state treasurer signed an affidavit/budget review to the governor showing that the medical costs have risen 52% since enacted and projections are unsustainable for the state budget?

Posted by: obieone40 | March 20, 2010, 11:49 am 11:49 am

One thing great about this post is that you can be whatever you want to be . We had a doctor post ,a small business owner post ,those who quit AARP because of this . I don’t believe any of the naysayers. They are all probably working for the insurance companies trying to not get this bill passed. As of tomorrow afternoon this will be passed and I betcha the world doesn’t end!!!

Posted by: wdworld51 | March 20, 2010, 12:17 pm 12:17 pm

Caterpillar is a publicly traded company. That $100 million will come straight from shareholder dividends. Seeing that as anything but a negative is foolishness.

Posted by: smartlillena | March 20, 2010, 1:13 pm 1:13 pm

One American dies every 12 minutes for lack of heath care. This bill covers children, veterans and those with hardships. This bill is imperative to Americans and as the republicans drag their feet more are dying. I don’t understand how some Americans are saying the dollar value is more important than the value of life. When a republican puts the all mighty dollar above the life of Americans, I change sides and will most certainly find time to work to help the Democrats in elections. This is a moral vote on integrity.

Posted by: Sharon | March 20, 2010, 3:39 pm 3:39 pm

This isn’t even real health care reform. Requiring us to purchase insurance? How does that help anyone? This is just helping insurance companies that much more. Perhaps a good business to go into now.

Posted by: Dwayne | March 20, 2010, 4:26 pm 4:26 pm

“One American dies every 12 minutes for lack of heath care?” Well now maybe they will die from starvation instead.

Posted by: Dwayne | March 20, 2010, 4:30 pm 4:30 pm

I think if you look closely at the article, 79% of Massachusetts physicians reported being very or somewhat satisfied with their medical practice. While 50% reported that things at their practice had gotten worse over the past 3 years, very few said that the Massachusetts health care reform law was a major reason for changes– either positive (13%) or negative (11%). Moreover, 23% said things had gotten better over the past three years.
What would be interesting would be a comparison to other states where no reform had been enacted. Do physicians everywhere or in particular regions, regardless of reform, feel their practices have gotten worse during the past three years– and if so why.
If you read a lot of medical and health journals you’d likely reason, as I do, that in many specialites and areas the response would be yes — its gotten worse.
I suggest people read the results themselves and drill down into all the questions.
The great thing about it is that it’s a real survey done using rigorous polling methods, unlike the shoddy Medicus “survey”. Some of the responses/findings are counterintuitive, and mixed. But, it remains true that patients and physicans in Massachusetts support their health system. Many are satisfied– or more satisfied than not– and want nothing to do with repealing it and being in the same boat as many other states.

Posted by: progressive mama | March 20, 2010, 4:31 pm 4:31 pm

But, it remains true that patients and physicans in Massachusetts support their health system. Many are satisfied– or more satisfied than not– and want nothing to do with repealing it and being in the same boat as many other states.
_________________________________
I hope they still support it when their state has to start making serious cuts in spendijng and/or services to continue to sustain it. The only way they avoided this last year was by the fed gov’t bailing them out.
Their own treasurer in news articles released this past week (a dem now recently an independent- I think his name is Cahill) said if Obamacare passes (using the structures in the Senate bill- same as Mass) the national economy would be bankrupt in 4 years and that Mass is going bankrupt and unable to sustain their current system (wow sounds a lot like Medicare and Social security- big promises, unsustainable services).
Funny how no one even looks to Maine and Tennessee any more because they are each at the stage in this process where real serious damage has been done and the programs were either abandoned (Maine) or still trying to repair their healthcare (Tenn).

Posted by: obieone40 | March 20, 2010, 4:58 pm 4:58 pm

One American dies every 12 minutes for lack of heath care.
Posted by: Sharon

Please explain such a ridiculous statement.

Posted by: smartlillena | March 20, 2010, 5:45 pm 5:45 pm

One American dies every 12 minutes for lack of heath care.
Posted by: Sharon
.
Well, Sheriff oBama and the DEMOCRAT cavalry are riding to the rescue…. they will just have to wait four years. We’ve got to collect four years of taxes to make the SCAM economics of the bill even close to deficit neutral (10 years of tax collection, 6 years of benefits… Bernie Madoff is consulting for the DEMOCRATS on how to hide this scam for just a few more years).

Posted by: gk | March 20, 2010, 7:01 pm 7:01 pm

Oh, Sharon, where does one begin to respond to your emotional, illogical post? Let’s go over it line by line:
“One American dies every 12 minutes for lack of heath care.”
For openers, this statistic is IMPOSSIBLE to prove. The assumptions in that study are ludicrous and it still takes some major mental gymnastics to infer that it is a ‘lack of health care’ that led directly or indirectly to the deaths attributed to it. This is just fearmongering masquerading as research, and there is plenty of this on all sides of the issue (not just the pro-Obamacare crowd, I want to make clear).
” This bill covers children, veterans and those with hardships.”
Covers them HOW, in what way that they are not covered otherwise? Veterans are already covered and do not need Obamacare to get health care. Children’s coverage was vastly expanded by the expansion of SCHIP last year. “those with hardships”– what does that even mean and how does this particular bill address them? A republican proposal to create a nation-wide pool for such ‘uninsurables’ and to provide government subsidies to cover the cost for those who could not afford it went nowhere.
“This bill is imperative to Americans and as the republicans drag their feet more are dying.”
Poppycock. The Republicans do not have the numbers to stop this bill. You must know that. And if ‘foot dragging’ means people die, why are the measures that will supposedly provide that health care you are ranting about not going to kick in for 4 YEARS? Are folks going to postpone dying for four years? Didn’t think so. This line of argument is unconscionable.
“I don’t understand how some Americans are saying the dollar value is more important than the value of life. When a republican puts the all mighty dollar above the life of Americans,…”
Providing access to good quality health care at affordable prices is the goal of many involved in this debate, including most Republicans. Paul Ryan, for example, tries to explain how this bill does not lower prices and is unaffordable and unsustainable, but folks like you are simply not listening. Damaging our economy, limiting access to quality heath care, discouraging innovative, cutting-edge medicine– those are not things that are going to improve the quality of our lives. Please realize that people who disagree with you, as I do, about the specifics of this bill are equally concerned about improving lives and providing excellent health care to Americans. We disagree with whether this bill improves our ability to do that and whether it does more harm than good. We do NOT value money over human health. Stop demonizing what you do not understand.
“I change sides and will most certainly find time to work to help the Democrats in elections. This is a moral vote on integrity.” That’s lovely. I’ll continue to work to remove those Democrats from office. We’ll see where the majority of americans fall come the next elections. For example, today, when one congressman from my state announced he was a no vote this time, I contributed money to his campaign, even though he is a democrat and I am not. The threats of reduced funding and being ‘primaried’ that he is facing from the left should be, and hopefully will be, counteracted by those of us in the sensible middle as well as on the right on this particular issue.
Seriously, please stop insisting that only people who agree with you on THIS BILL are good people, moral people, people who value all that is best about America. It simply isn’t true. We who oppose this bill also care deeply about this country and the health of all its citizens. You seem to have fallen for the president’s line that the alternatives are this bill, in its entirety, or the status quo. That simply isn’t true. There are alternatives. We should defeat this bill and start working on those alternatives immediately.

Posted by: moderate | March 20, 2010, 8:15 pm 8:15 pm

Poppycock…
Seriously, please stop insisting that only people who agree with you on THIS BILL are good people, moral people, people who value all that is best about America. It simply isn’t true. We who oppose this bill also care deeply about this country and the health of all its citizens. You seem to have fallen for the president’s line that the alternatives are this bill, in its entirety, or the status quo. That simply isn’t true. There are alternatives. We should defeat this bill and start working on those alternatives immediately.
Posted by: moderate | Mar 20, 2010 8:15:05 PM
I included “poppycock” because that just cracked me up and I wanted to say “fiddle faddle” in return.
Other than that, it’s disingenuous to claim that given the Republican ‘tude and tactics and their past history on health care reform, as well as the composition of the Democratic caucuses in Congress, that anything would change significantly if the bill were to be scrapped and they started over. the issue would be kicked down the road. Period. Sensible people get that.
this is a decent starting point toward comprehensive health care reform– and its very much like plans that have been proposed by Republicans in the past, with some progressive elements. Letting the perfect be the enemy of the good prevented Congress from doing anything to regulate Wall Street and the GSE’s during the OO’s and we can all see where that got us (though many on the Right don’t seem to really understand the various problems and what happened– they do see the result.)
Onward.
One day more!

Posted by: progressive mama | March 20, 2010, 9:46 pm 9:46 pm

Aw, progressive mama, surely you don’t really think that this is a case of the perfect being the enemy of the good. This bill is not good. It is jury-rigged with special deals and loopholes galore– which are NOT all removed in the fix legislation. It ignores the good ideas that president said he heard from republicans at the white house summit last month and thought should be included– lip service again? It is financially irresponsible and will harm our economy in both the short and long run.
I guess I’m just more of an optimist than most around here. I truly believe if this bill is defeated, we can get some bipartisan legislation done in an incremental fashion. Tort reform. National pools for high risk individuals. The end of the antitrust exemption. Regulations on matters like pre-existing conditions and caps. Large pools for small businesses and individuals.
We need legislation that the states can afford and that the federal government can afford. We need legislation that actually addresses health CARE costs, not insurance costs. (As the cost of health care continues to skyrocket, the cost of insurance companies paying for that health care must also skyrocket.)

Posted by: moderate | March 20, 2010, 11:20 pm 11:20 pm

I truly believe if this bill is defeated, we can get some bipartisan legislation done in an incremental fashion. Tort reform. National pools for high risk individuals. The end of the antitrust exemption. Regulations on matters like pre-existing conditions and caps. Large pools for small businesses and individuals.
______________
I do not believe we could get a bipartisan bill, or that a bipartisan bill would be better than this legislation. (We’ve seen what the Republicans have to offer, and as a whole, it doesn’t address many of the main problems, including the growing number of uninsureds.) In regards to incrementalism, I agree with what is said about that in a post titled “A Consumer Advocacy Group Refutes The Anti-Health Reform Myths” at the Health Affairs blog.

Posted by: progressive mama | March 21, 2010, 12:24 am 12:24 am

The AARP has done a lousy job with this piece of…well, guess we call it, legislation. Much ado about nothing. ..and some of the insurance companies they support through their “use our name prorams”……..just another insurance giant….not sure just whose side they are on anymore.

Posted by: justj joey | March 21, 2010, 1:23 pm 1:23 pm

moderate, I don’t see how tort reform can influence much, as it is less than 2% of our total health care expenditure. As for the idea of pools for those with pre-existing conditions, by segregating them you would guarantee that their premiums would be sky-high unaffordable. The only way to insure them is to include them in a pool with healthy people, as their smaller number but greater need would be evened out by the larger number of healthy people with little expenses.
Yes, that is the way insurance is supposed to work. I’ve paid house insurance premiums for the last 30 years with no claims because I can rest easy that if disaster strikes, I’m covered. That is how healthy people should look at their insurance premiums. Yes, they are paying for sick people’s bills but when it is their turn to be the sick one, they’ll be covered by the healthy people’s premiums as well.
Passing this health care bill is a huge step in the right direction.

Posted by: Lydia | March 21, 2010, 4:45 pm 4:45 pm

I don’t understand Caterpillar’s stance on the bill. Are they saying that giving their employees health insurance puts them at a disadvantage in the global marketplace? Does that mean Canada and every other major industrial nation with health care for all, has put their companies at a disadvantage? And how far can we carry this competition complaint? There are surely country’s without workers rights and safety regulations which makes their products cheaper to produce, so should we eliminate workers rights and safety rules? Just where would this end?
Hurrah for AARP and the AMA for actually reading the bill and judging it on the world of good it will do for our country.

Posted by: Lydia | March 21, 2010, 4:53 pm 4:53 pm

I think many people are missing the point. This is an insurance mandate. Call it what it is. If you do not have insurance now you will have to or be fined!

Posted by: Dwayne | March 21, 2010, 6:32 pm 6:32 pm

I don’t oppose this bill i HATE it. It will put yet another “wrecking ball” through our country, whether you want to believe it or not. Small businesses will be chased out, and big business will be forced to pay up. Oh by the way, we the people will be forced to pay up, and if we don’t, we will have fines. How is that “change” especially when the unemployed cant get work because their area has a choke hold recession going on! WAKE UP.

Posted by: Bryan | March 30, 2010, 8:43 am 8:43 am

Thank you for this article! I am not sure how I feel about the new health care bill. I think we should be asking the people in places like Pain Center FL after all, who knows more about health and their city than them?

Posted by: Shyloh Pain Center FL | February 10, 2011, 11:45 am 11:45 am

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