President Obama Tells Congressional Leaders of GOP Ideas He’s Willing to Add to Health Care Reform Legislation
In a letter to the Democratic and Republican leaders of Congress delivered to Capitol Hill Tuesday afternoon, President Obama signaled that his mind is open to several provisions raised by GOP lawmakers during last week's bipartisan health care reform summit, including medical malpractice reform, combating fraud, and killing off the special deal for Florida seniors secured by Sen. Bill Nelson, D-Florida.
“No matter how we move forward,” the president wrote, “there are at least four policy priorities identified by Republican Members at the meeting that I am exploring.”
Among them, the president said the health care reform bill he posted at WhiteHouse.gov last week already included ways to combat “fraud, waste, and abuse” but he was intrigued by an idea raised by Sen. Tom Coburn, R-Okla., a practicing ob-gyn, that “we engaged medical professionals to conduct random undercover investigations of health care providers that receive reimbursements from Medicare, Medicaid, and other Federal programs” to ferret out other abuses of the system.
The president suggested that while he had already directed Health and Human Services Secretary Kathleen Sebelius to award $23 million in grants for state-level demonstration projects to resolve medical malpractice disputes, he would be “open to including an appropriation of $50 million in my proposal for additional grants.” The current directive is an “authorization,” not an “appropriation,” so there is no guarantee the grants will be funded. This would change that and more than double the amount in grants.
Sen. Chuck Grassley, R-Iowa, last week raised the concern that Medicaid reimbursements are too low in many states, and the health care reform bill’s proposal to expand Medicaid to millions more Americans would therefore be problematic since it’s unclear there are enough doctors to treat these new Medicaid patients. The president said he would be open to increasing doctor reimbursements in a “fiscally responsible manner.”
The fourth priority would be to ensure language allowing high-deductible health plans in the proposed health insurance exchanges, which combined with Health Savings Accounts, many Republicans believe “are a good vehicle to encourage more cost-consciousness in consumers’ use of health care services,” the president said.
The president also noted that the Senate bill included provisions “that shouldn’t have been” added. One of these provisions was called the “Cornhusker kickback” – the federal government paying for Nebraska’s Medicaid expansion, a provision secured by Sen. Ben Nelson, D-Neb. – which the president announced last week he would remove from the Senate bill.
The president also agreed to eliminate what critics call “Gator-ade,” the provision to shield Florida seniors from cuts to the Medicare Advantage program, secured by Sen. Bill Nelson, D-Florida. The president said “my proposal does not include the Medicare Advantage provision, mentioned by Senator McCain at the meeting, which provided transitional extra benefits for Florida and other states.”
In his letter, President Obama criticizes the Republican advice of a more “incremental” approach to health care reform, saying he believes “piecemeal reform is not the best way to effectively reduce premiums, end the exclusion of people with pre-existing conditions or offer Americans the security of knowing that they will never lose coverage, even if they lose or change jobs.”
-jpt
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What about the Union exemption?
If the President can see that the Florida and Nebraska deals aren’t fair then surely he knows the Labor deal isn’t fair either.
Do what’s right not what’s expedient, dump the Labor deal too.
Posted by: Noz | March 2, 2010, 1:38 pm 1:38 pm
Obama compared the government option in healthcare to the USPS/UPS co-existence. A good comparison since UPS makes money and the USPS loses money.
The latest projections reveal that unless congress approves, and the public accepts, rationing the USPS will run some $230 billion in the red over the next decade with costs exceeding the inflation rate by 25%. Part of the problem is energy costs, so just imagine how “cap and tax” (that Obama promotes) would further impact the USPS deficit!
This is merely the “handwriting on the wall” for what will happen should Obamacare become law!
Posted by: Ed Taylor | March 2, 2010, 1:39 pm 1:39 pm
no money. we got no money.i already pay 15k plus a year for my health care and never use it. under the obama plan now im gonna pay more and be taxed on it and aint gonna use it. why is this so? somethin is very wrong here.how can you be stupid enough to buy this bag of bull. give people a check so they can buy whats out out their and call it welfare cause thats what it is.
Posted by: catman | March 2, 2010, 1:39 pm 1:39 pm
How about we put off Obamacare until the President leads by example. Follow the doctor’s orders, Obama. According to reports they ask you to stop the cigs and lessen your alcohol and fatty-food intake. Quit the cigarettes, alcohol, and fatty foods. Show some backbone and show Americans, and kids, that one can quit dangerous lifestyle choices and addictions.
On 2nd thought, I hope he continues. I dont want someone with their finger “on the button” and dictating national policy to be going through withdrawls, irritability, sleeplessness, etc!
Posted by: Ed | March 2, 2010, 1:41 pm 1:41 pm
I like all of these ideas. The last paragraph please me the most. We should not do incremental health care reform, we are already decades late for many Americans. With 45,000 Americans dying every year because they don’t have health care insurance, time is of the essence. Affordable health insurance will enable people with the funds to retire earlier, thus freeing up jobs. Bankruptcies due to medical bills should be lowered dramatically. Small businesses will be able to hold on to their workers, as many now leave to find jobs that can offer health insurance. Many jobs in the medical field will open as all Americans get the preventative and necessary health care they need.
Health care reform is an idea long overdue and will bring our country up to par with other advanced nations in health care.
Posted by: Lydia | March 2, 2010, 1:42 pm 1:42 pm
Are we making pig slop? Just throw in some Republican ideas for good measure? Delicious!
Posted by: Paul | March 2, 2010, 1:50 pm 1:50 pm
Obama’s agenda has been totally wrong for this country. he has come out with sorry excuses for following in the footsteps of FDR, with his programs, almost none of which have worked, because he really doesn’t understand the difference in circumstances, between the Great Depression, and this depression.
At the same time, he is trying to grow entitlement programs, at a time, when there is no way to fund them. (How stupid is THAT?)
He continues to press on an issue that is NOT a major issue, in this economy, and ignores the issue of jobs, which in fact, is the primary problem the country faces at present, BECAUSE, Washington allowed all US Corporations, to send all their manufacturing offshore……basically bankrupting the job base in the country.
Obama had demonstrated a real lack of understanding of economics.
Posted by: Rick McDaniel | March 2, 2010, 1:52 pm 1:52 pm
Health care reform is an idea long overdue …
Posted by: Lydia | Mar 2, 2010 1:42:50 PM
Ditto to your entire post. Well said.
From my perspective it makes it much more difficult to suggest with any authenticity or credibility that the Obama administration is driving a merely partisan process and bill with no input from the GOP when the president keeps accepting Republican proposals. As Pelosi, it can be a bipartisan bill and effort, without Republicans ultimately voting for the bill (particularly given their strategy– to delay and derail and make this Obama’s “Waterloo.”
Posted by: progressive mama | March 2, 2010, 1:52 pm 1:52 pm
Obama had demonstrated a real lack of understanding of economics.
Posted by: Rick McDaniel | Mar 2, 2010 1:52:49 PM
From my perspective, anyone who thinks health care has nothing to do with either the economy or the budget– or the middle class and small business– hasn’t demonstrated an understanding of economics or the reality of health care costs.
Posted by: progressive mama | March 2, 2010, 1:54 pm 1:54 pm
So lets re-cap the incompetence of Democratic healthcare reform —- First it was “we’re going to pass OUR BILL and you can’t stop us” — then “Ok, fellow democrats, we’ll remove these provisions so you’ll vote yes” — then “OK, fellow democrats, we’ll give you this bribe to vote yes” — then “watch out, we will use the nuclear option” — then, finally… “Hey, Republicans, if we put in some of your ideas in the bill, would you please vote for this, pretty please??”!!
Posted by: TheLoyalOpposition | March 2, 2010, 2:00 pm 2:00 pm
Since we’re just throwing in stuff and declaring the recipe delicious, how about:
- A modified tort reform that limits lawyer fees (limit lawyer fees / rewards), not patient rewards
- Prescription drug pricing reform that assures Americans get best price in the world instead of worst.
- Fraud prevention that imposes severe penalties for Hospital overcharges ($1000 toothbrush or $140 Tylenol pill, for example).
Posted by: Joe Smith | March 2, 2010, 2:01 pm 2:01 pm
It doesn’t matter if any of these bills get passed. If they include a mandate for American citizens to buy health insurance, it is UNCONSTITUTIONAL. The constitution does not give the federal government the right to mandate that Americans buy anything….including health insurance.
Posted by: bo | March 2, 2010, 2:02 pm 2:02 pm
Theloyalopposition…..you summed it up nicely.
Posted by: bo | March 2, 2010, 2:04 pm 2:04 pm
Posted by: TheLoyalOpposition | Mar 2, 2010 2:00:44 PM
A bill shaped by long debate and exchange of ideas is not a bad thing despite some peoples’ desires to badmouth anything.
Posted by: tierra | March 2, 2010, 2:05 pm 2:05 pm
Good for Obama! Incorporate the best of the GOP ideas into the bill. Of course, still not a single Republican will vote for it. But hey that’s their problem.
The American people know what the Republicans are up to and will remember in November.
Posted by: hopesprings52 | March 2, 2010, 2:06 pm 2:06 pm
What exactly does he mean by “exploring” this Pres is an expert at parsing his words to convey all things to all people. After the whole you can keep the insurance you have lie there is a huge trust deficit here. There is also a lot more questionable legislation in this bill like if you do loose your current insurance you have to go on the gov’t plan. Also what about the 40% excise tax on people’s benefits (that sweet union deal), the tax credit for individuals buying their own insurance, mandating people buy insurance (as defined by the fed gov’t), addressing costs, abortion coverage. Also more funding (wow all roads lead to throwing more money at stuff) for a committee to continue to investigate something that’s been investigated for years is a smoke screen at best!!! The time for real tort reform is now. These are good points to talk on but there is much more work to be done before this goes down as a good move for the US. Whatever he says he’s “exploring” I wouldn’t go for it without a pledge in writing and publicly stated to veto anything not clearly committed to already or fight it.
**************************************
With 45,000 Americans dying every year because they don’t have health care insurance, time is of the essence.
_____________________________________
That number at best is a questionable figure. The study was run by a prof from Harvard, Dr. Steffie Woolhandler, that founded a group which lobbies for national single payer healthcare (aka public option) and a group in Cambridge (Cambridge Health Alliance) that runs private gov’t funded healthcare in Cambridge, Mass. A group that was given huge stimulus money (Around $800 million) at the time that number was concluded in their study. That number according to the study itself is a guestimate at best and is sighted in the conclusions by those people (already mentioned) running the study Coverage AND QUALITY OF CARE are separate but seriously important pillars in healthcare reform.
Ruining 85% of people’s healthcare to get poor care to not quite the 15% that don’t have it based on that number would be a cruel, gross injustice. I want it done right not slapshod in a wave of emotional manipulation.
Posted by: GO | March 2, 2010, 2:09 pm 2:09 pm
How about forcing everyone in the medical industry (doctors, nurses, pharmacists, medical researchers, lawyers, etc) to work for minimum wage. That will reduce costs. :D
Posted by: Tom | March 2, 2010, 2:10 pm 2:10 pm
Republicans who are the freakin “minority” are still demanding there way. This president is too nice. He needs to display the same arogance that Bush displayed when he claimed Iraq had WMDs and took us to war. Mr. President please tell the GOP the hell with you and put the public option back on the table.
Posted by: Peoples_Pres | March 2, 2010, 2:13 pm 2:13 pm
I’m a 2010 census worker. We need this bill soon or me and about 600,000 other census workers will be back on unemployment in 10 months.
Posted by: ACORNRocks | March 2, 2010, 2:16 pm 2:16 pm
The Fact is The US rates as # 37 in the world for Quality of care — Somewhere near Costa Rica== If you enjoy paying double what the rest of the world pays for 37Th place — That sounds like republicanism to me— Spin Spin Spin — The Status quo is Great !!!!!!!
Posted by: brian | March 2, 2010, 2:18 pm 2:18 pm
We may be #37 according to your liberal sources, but Canada’s ruling elite don’t like their own dog food and sneak into America to get heart surgery.
Posted by: Paul | March 2, 2010, 2:20 pm 2:20 pm
Other than the increase in moeny to a committee to research tort reform and undercover docs to find waste, fraud and abouse is there anything hefty in this bill at addressing the costs of healthcare itself before we put the US taxpayer in charge of paying everyone’s bills? If not this is going to be unsustainable at best. Also does this letter from the Pres change any of the structure in funding this which currently is questionable and deeply affects Medicare funding? If not then it’s still a fatally flawed piece of legislation IMHO.
Posted by: obieone40 | March 2, 2010, 2:22 pm 2:22 pm
We may be #37 according to your liberal sources, but Canada’s ruling elite don’t like their own dog food and sneak into America to get heart surgery.
Posted by: Paul | Mar 2, 2010 2:20:32 PM
___________________________________
Foolish to close your eyes and pretend everything is alright – when it clearly isn’t. Republicans are opposing everything this administration does for one reason – their first priority is to get re-elected. Party First. Country Second.
Posted by: tierra | March 2, 2010, 2:24 pm 2:24 pm
We may be #37 according to your liberal sources, but Canada’s ruling elite don’t like their own dog food and sneak into America to get heart surgery.
Posted by: Paul | Mar 2, 2010 2:20:32 PM
How good our health care system is relates very directly to how much money you have. Its the gap, lack of universal access, and number of people living in poverty compared to other nations that brings down our rating. Meanwhile, medical tourism is UP– meaning Americans are going out of country to have procedures done. I mentioned this on another thread.
And Canadians like their health care well enough. Ask them. The French, and Swiss like their systems, too.
Posted by: progressive mama | March 2, 2010, 2:25 pm 2:25 pm
Finally Obama is listening to most of the country. I know his moonbat legion don’t want him to. They want the democrats to be the party that doesn’t listen to the American people.
So whine away
Posted by: jonny | March 2, 2010, 2:26 pm 2:26 pm
That number at best is a questionable figure.
Another way to look at it was offered by the Prescriptions blog at the NYT (Deaths Rising for Lack of Insurance, Study Finds, Michelle Andrews):
“a new report warned that without comprehensive legislation, more than 275,000 adults nationwide will die over the next decade because of a lack of health insurance. Nearly 14,000 of those deaths would occur in New York State.
An earlier study by the Institute of Medicine estimated that 18,000 people died prematurely in 2000 because they lacked insurance; the Urban Institute updated that figure to 22,000 in 2006.
…The new report estimates that currently 68 adults under age 65 die every day because they don’t have coverage. Absent a significant change in coverage, the figure will climb to 84 by 2019, the study projects.”
Posted by: progressive mama | March 2, 2010, 2:29 pm 2:29 pm
***How about forcing everyone in the medical industry (doctors, nurses, pharmacists, medical researchers, lawyers, etc) to work for minimum wage. That will reduce costs. :D
Posted by: Tom | Mar 2, 2010 2:10:25 PM***
Actually that would just reduce the number of health care workers, unless we found a way to reduce the cost of training the health care workers themselves.
I believe it came up early last year in a forum that the President held where a graduating doctor said her entire tuition cost for becoming a physician was around 320k(it was either the entire cost or it was how much in student loans she had to take out).
What we would see after such a change is a turn back to the era of personal physcians for the upper class and, charitible institutions for lower classes, with some municpalities paying for the training of doctors that agree to work in the town for a time.
Posted by: bobtherepublican | March 2, 2010, 2:31 pm 2:31 pm
Dont waste your time Mr President. The party of “No” has a one word vocabulary unless they personally get something out of it, like Shelby and Bunning. They do not give a darn for the millions of unemployed or the millions of men, women and children without access to medical care.
Posted by: Mark from atlanta | March 2, 2010, 2:36 pm 2:36 pm
Obama is trying to take a pig and make it look good by adding some lipstick and makeup. Its still a pig.
Posted by: Billy Bob | March 2, 2010, 2:37 pm 2:37 pm
Let me rephrase that. Obama is trying to take a pelosi and make it look good by adding some lipstick and makeup. It is still a Pelosi.
Posted by: Billy Bob | March 2, 2010, 2:39 pm 2:39 pm
Go, why is the 46,000 American deaths figure so unbelievable to you or anyone else. With 46 million Americans now without insurance, why is the idea that a tenth of one percent will die because of it not in the realm of possibility?
It isn’t much of an argument to say you don’t personally believe it.
Joe Smith, I love all your ideas. Hospitals will say they overcharge to make up for their losses to the uninsured. When this bill passes, they will have lost that excuse. So away with those $140 Tylenols!
Posted by: Lydia | March 2, 2010, 2:39 pm 2:39 pm
For this bill to have any real meaning or sincerity, it MUST have the provision removed, that blocks or disallows, any future way to change the law once it’s passed. How are we going to adjust any unforseen situation that could more streamline, or reduce costs, as we experience it in real time application?
So far it’s been accept, without question, the WH edict and political doctrine. The WH side deal with the major durg producers, is bad. Cost of drugs are a major, major reason for health care costs rising. Canadian drugs are the same, if not better, so why use them as well for true cost containment?
All of obamas side deals must be removed. so far only the LA. & Neb. Medicade bribes, have been stripped.
Now, kill the drug industry gift, and any repressive segment of the bill that blocks/prohibits future amenments/adjustments to refining the intire system for the good of all Americans, not just the uninsured. It MUST be equal for all. Punishing seniors with massive Medicare cuts, is a cheap trick and a double cross to the majority of the population, who have paid Medicare taxes since 1965.
Posted by: DHK | March 2, 2010, 2:41 pm 2:41 pm
Why not start over? If this bill is a piece of dung, putting a couple of Republican chocalate chips on top doesn’t make it any more appetizing.
The Democrat bills contain a lot of ideas. The Republicans have some good ideas too. So, we have the ground-work for putting together something much better.
Start over using the best of these ideas as the ingredients. Don’t be cynical … we all know the current system is unsustainable. We need to know the best way forward. A hard-earned consensus is something worth achieving, and will result in a much better bill for all. A one-party bill will simply get underfunded and handcuffed in the future when the other party takes control.
Posted by: John | March 2, 2010, 2:41 pm 2:41 pm
Every one of us knows the Republicans will not vote for any healthcare bill. Starting over would be stupid. Regardless what the GOP says, they will stick with their strategy vocalized by Demint that to defeat healthcare is to defeat Obama. The GOP doesn’t care about people, the GOP only cares about power.
Posted by: Rick | March 2, 2010, 2:47 pm 2:47 pm
Let’s just take the Bible and call it the healthcare bill. At least it will be 1200 pages shorter, at least a few people have read it, and it will probably be a lot more help to folks too.
Posted by: PelosiFixedEverythingIn100Hours | March 2, 2010, 2:51 pm 2:51 pm
Every one of us knows the Republicans will not vote for any healthcare bill. Starting over would be stupid. Regardless what the GOP says, they will stick with their strategy vocalized by Demint that to defeat healthcare is to defeat Obama. The GOP doesn’t care about people, the GOP only cares about power.
Posted by: Rick | Mar 2, 2010 2:47:34 PM
___________________________________
I fear you are right Rick. The Republicans have adopted the tactic that the only way they stand a chance to get re-elected is to oppose and demonize EVERYTHING the Democratic administration tries to do.
We can hope they grow up for the sake of the country. The country fell apart under their last president – you think they could at least behave with some decency.
Posted by: tierra | March 2, 2010, 2:57 pm 2:57 pm
Tierra and Rick—-To say the GOP doesn’t care about the people while we the people 2 to 1 reject this insurance bill passes no common sense test. But, if you’re into party bashing, I am sure it makes you feel good to do it.
Posted by: lfrichar | March 2, 2010, 3:03 pm 3:03 pm
To the defenders of the GOP, the most conservative decision financially is to emulate the German, Swiss or Japanese healthcare systems (all private but the health insurance companies are nonprofit). We could reduce our overall expenditure by about 6-8% of GDP, freeing up those resources to pursue more lucrative ventures. It would be off-budget. This would give the resource-saving results to which Warren Buffet eludes. These systems are very different from the UK’s system.
Posted by: Rick | March 2, 2010, 3:06 pm 3:06 pm
For this bill to have any real meaning or sincerity, it MUST have the provision removed, that blocks or disallows, any future way to change the law once it’s passed.
Posted by: DHK | Mar 2, 2010 2:41:44 PM
______________
Good point DHK … but I don’t think other Congresses are going to be held hostage to it. When Republicans take control, they will simply get another law passed that overrides this one. Any high-ground the Democrats might claim will be countered with “it was a Democrat law, not an American law”.
Posted by: John | March 2, 2010, 3:07 pm 3:07 pm
SickofStupidPeople, try to understand the logic of this one part of the bill, and perhaps you can see why the cumulative whole will work out well for all Americans. If I had more space I’d explain every piece.
Those people now buying private insurance individually because their company doesn’t offer any, or they work for themselves, have to pay lots more for their insurance. By putting them in a pool of others like them, (through a government exchange) they will be able to save big bucks on their insurance. At the same time, many of the uninsured are going to be able to buy insurance by joining one of these pools. Setting up these exchanges isn’t going to cost taxpayers much money, but we will get huge numbers of uninsured buying affordable insurance on their own.
The very poorest people who can’t afford insurance of any kind will get taxpayer help to buy insurance coverage but even that saves us money in the long run, as they won’t be using expensive emergency rooms for minor illnesses and injuries but visiting their much cheaper personal doctors. Minor illnesses caught early will also save huge dollars. Pneumonia for instance, simple anti-biotics will cure early on, but not seeing a doctor can land you in the emergency room and then the ICU, the most expensive place of all. (And we’ve all been paying for this as a hidden charge on our premiums, as the hospital passes the cost on to every paying customer’s bill, just like any business does for loss to theft, etc.)
All these changes will keep everyone’s premiums from rising astronomically as they have the last ten years. Unless you are an insurance company exec or own insurance stock, this bill will lower health costs for you.
Posted by: Lydia | March 2, 2010, 3:08 pm 3:08 pm
“”"”"The Fact is The US rates as # 37 in the world for Quality of care That sounds like republicanism to me— Spin Spin Spin –”"”"
Posted by Brian
Talk about spin? Here’s the truth Brian and it has nothing to do with our quality health care. It is only ranking system and efficiency. This is a direct quote from a moderate Democrat. “”"”US ranks 37th in comparison to other countries in terms of healthcare systems and their efficiency “”"”"
Posted by: lfrichar | March 2, 2010, 3:09 pm 3:09 pm
The great thing about owning is a business is that you have employees, and you write your own schedule to some extent. And I’m trying hard to keep them all busy so I can rehabilitate an injury and they can continue to work toward raises and keep their health care during turbulent times.
Not only do I pay taxes, I pay health care premiums. Go figure. I have some skin in the game, and I like the idea of exchanges and bigger risk pools.
Posted by: progressive mama | March 2, 2010, 3:09 pm 3:09 pm
Ifrichar, the current public opinion is the result of a smear campaign which was intentionally misleading. The US has the most rationed healthcare system in the developed world yet we pay much more for it than our counterparts. The argument is about elections and power, not about people.
Posted by: Rick | March 2, 2010, 3:09 pm 3:09 pm
Posted by: lfrichar | Mar 2, 2010 3:03:00 PM
The Republicans have adopted the tactic that the only way they stand a chance to get re-elected is to oppose and demonize EVERYTHING the Democratic administration tries to do.
We can hope they grow up for the sake of the country. The country fell apart under their last president – you think they could at least behave with some decency.
And lfrichar you know perfectly well the majority of Americans support the various elements in these bills – and THEY DON’T EVEN KNOW what is in the final bill YET. How could YOU know they don’t support it? Answer: you don’t; you’re making it up.
Posted by: tierra | March 2, 2010, 3:10 pm 3:10 pm
Brian: “”"”"WHO’s health care rankings are constructed from five factors each weighted according to a formula derived by WHO. These are:
1. Health Level: 25 percent
2. Health Distribution: 25 percent
3. Responsiveness: 12.5 percent
4. Responsiveness Distribution: 12.5 percent
5. Financial Fairness: 25 percent
Posted by: lfrichar | March 2, 2010, 3:11 pm 3:11 pm
How long are we to suffer under this bland, blind leadership? This administration has the wisdom and pizzazz of a Cook County trial…..awful…awful….and guess who is suffering because of their ineptitude….you and me…..guess we are allowed to be tortured until we agree to the magic 51 vote…..hold on, gang….our legacy is to get rid of this FatA’d bill.
Posted by: justj joey | March 2, 2010, 3:13 pm 3:13 pm
Lydia—- So can you tell me what will happen when the health care costs continue to rise? Where are the cost controls for health care costs in this bill? It does not address actual health care costs or controls.
Posted by: lfrichar | March 2, 2010, 3:13 pm 3:13 pm
Tierra and Rick—- They wish they could run a smear campaign that well. This bill is our government spending at a time when they should be focussing on jobs and the economy. Instead, they are using the same “scare tactics” our previous administration has used. Jobs, jobs, jobs and the economy while they hash out a good plan.
Posted by: lfrichar | March 2, 2010, 3:16 pm 3:16 pm
Rick, I agree with your idea of non-profit insurance companies running the show as a good thing. One has to be careful about regulating them, as many non-profits in this country are efficient only at giving huge salaries to their execs. A cap on salaries, bonuses and perks might work. The health of our citizens should not be put at risk by some exec with a big bonus in his mind’s eye, denying treatment for the ill.
Posted by: Lydia | March 2, 2010, 3:16 pm 3:16 pm
So if the President signed a health-care bill today … when will it kick-in? I’ve heard it won’t be for several years? Won’t that be letting 46,000 a year die by delaying it’s start?
Posted by: Paul | March 2, 2010, 3:17 pm 3:17 pm
“”"”"”The US has the most rationed healthcare system in the developed world yet we pay much more for it than our counterparts. “”"”"
Posted by: Rick
A very good reason to control health care costs not just insurance premiums don’t you think? This bill, in any form, will not derail the rising costs of health care.
Posted by: lfrichar | March 2, 2010, 3:18 pm 3:18 pm
GOP to America: “Nothing to fix.
Just shut up and get your xxx out of my personal elevator!”
Posted by: hopesprings52 | March 2, 2010, 3:21 pm 3:21 pm
Rick and Lydia_____ Non profit health care? Your idea is to revamp our insurance system to a non profit system? OK, as health care costs rise, those non profit organizations will have to raise rates due to rising costs, so how do you stop the rising costs? Health care costs drive insurance premiums, not the other way around.
Posted by: lfrichar | March 2, 2010, 3:21 pm 3:21 pm
“”"”"”How could YOU know they don’t support it? Answer: you don’t; you’re making it up.”"”"”
Posted by: tierra
I am sorry polls do not play into your hand, but that is all we have as a meter right now. So, please show me your proof the majority want this bill.
Posted by: lfrichar | March 2, 2010, 3:22 pm 3:22 pm
The bill will not lower health care costs. It will force you to buy what the Government says you need,go to the doctor the government tells you to see,and gives you a free blood pressure test,than sends you back to the bridge you live under. Till you can get a job of sorts.
Posted by: stormerF | March 2, 2010, 3:23 pm 3:23 pm
This bill, in any form, will not derail the rising costs of health care.
Posted by: lfrichar | Mar 2, 2010 3:18:31 PM
__________________________________
I don’t think you’ve got this right. How do you know this to be true?
Posted by: tierra | March 2, 2010, 3:23 pm 3:23 pm
ifrichar, there is a ton of cost-savings measures, as well as improvements in the quality of care given.
One idea is bringing technology into play with computerized records. This alone will save us big in duplicate procedures.
Preventative care included in everyone’s insurance will definitely keep costs down. ‘A stitch in time saves nine’ sentiment.
The other big idea I like is medical people actually researching which treatments work best. Right now, for many injuries and illnesses doctors tend to do what the others in their geographical areas do, whether that is the best solution or not. Yes, copycatting is alive and well everywhere. So an injured back in the South will get a completely different treatment plan than someone in the West or Northeast, rather than the best idea tried first, all because no one knows what is best! This research will save so much money, as well as get patients better faster.
Wish I had more room and time to talk.
Posted by: Lydia | March 2, 2010, 3:25 pm 3:25 pm
tierra — I have read over 2000 pages of the bills and some of the changes. Please show me anywhere in this bill that has any cost control or cost cutting measures tied directly to health care costs, not insurance (they are completely different)and I will gladly retract my statement.
Posted by: lfrichar | March 2, 2010, 3:29 pm 3:29 pm
-A cap on salaries, bonuses and perks might work. -
Maybe Barry could start with Fannie, Freddie and GM…
Posted by: 6Mil | March 2, 2010, 3:32 pm 3:32 pm
Posted by: lfrichar | Mar 2, 2010 3:29:23 PM
The portions related to the pilot programs,community health centers, comparative effectiveness and fraud.
Its not enough but its a start.
Posted by: progressive mama | March 2, 2010, 3:34 pm 3:34 pm
stormerf, the government isn’t telling you what insurance to buy, it is just setting minimums for what can be sold. Too many insurance companies sell premiums that do not adequately protect patients, thus 60% of our bankruptcies are due to medical bills, even though most of these people had medical insurance.
Posted by: Lydia | March 2, 2010, 3:34 pm 3:34 pm
tierra — I have read over 2000 pages of the bills and some of the changes. Please show me anywhere in this bill that has any cost control or cost cutting measures tied directly to health care costs, not insurance (they are completely different)and I will gladly retract my statement.
Posted by: lfrichar | Mar 2, 2010 3:29:23 PM
___________________________________
I think Lydia already pointed out some measures you missed.
Posted by: tierra | March 2, 2010, 3:34 pm 3:34 pm
Lydia —- When we speak of “preventative care”, the doctor’s will still be paid. Now, I like computerized records, but that is not going to have any effect on health care costs. This bill has been called insurance reform by Obama himself and Rangel called it “National Insurance”, and I will site the health care bipartisan debate, as well as, Obama’s own web site. If we solely focus on insurance, we are not addressing the simple fact we pay double for our health care costs over any other country. As those costs rise, insurance premiums either rise or they go out of business. This will lead to massive unemployment throughout our insurance system and a burden for the government subsidized insurance which will drive us way beyond the $1 trillion estimate.
Posted by: lfrichar | March 2, 2010, 3:34 pm 3:34 pm
Reforming health care will require cost controls (profit margin caps?) in the industry including doctors, lawyers, pharmaceuticals, med machines, procedures and equipment, med schools. It will require immigration reform also. Now, this is political suicide as these are your major contributors and votes. The tough decisions have to be made or we are wasting our money. Is this administration ready to make unpopular decisions? This legislation will give insurance companies 3 years to price gouge, just as the credit card legislation gave them 8 months.
Posted by: lfrichar | March 2, 2010, 3:39 pm 3:39 pm
One idea is bringing technology into play with computerized records. This alone will save us big in duplicate procedures.
Preventative care included in everyone’s insurance will definitely keep costs down. ‘A stitch in time saves nine’ sentiment.
—
Yes, Lydia’s right. There’s also preventative medicine and Medical IT, which got a boost via the stimulus as well.
Ezra Klein on cost controls:
“The first comes from the excise tax on high-cost health insurance plans. The idea here is simple enough: you’re taxing any growth in health-care premiums that’s faster than the rate of growth in GDP plus one percentage point, which is going to make people a lot less accepting of premium increases and unchecked growth. This is, in the simplest sense of the term, a cost control. In theory, it controls costs by taxing one of the drivers of cost growth into submission. It is, by far, the policy economists are most united on, and the one that works in the most straightforward and blunt way.
The second comes from the newly formed Medicare Commission, which is a lot stronger than people realize. The idea isn’t simply that a panel of experts gets to dream up interesting reforms to try out in Medicare. It’s that they are charged with making sure that Medicare hits certain growth targets, and their package of reforms has to achieve that goal. Those reforms are then sent to Congress, where Senate debate is limited to 30 hours, and amendments must be both budget neutral and “germane.” This report, in other words, is exempt from the filibuster. So far as anything is ever easy to pass, this is easy to pass. If Congress cannot manage action even within this streamlined process, then it simply cannot cut health-care costs at all, and our federal government will go bankrupt.
The third is the delivery-system reforms. The House bill has these too, though they’re a bit weaker. They key alchemy, however, is the interplay of the delivery-system reforms and the MedPAC commission. The Senate builds in a lot of pathways by which an idea that starts in Medicare through the commission and proves successful can be brought to pilot and then brought to scale across the health-care system. Medicare serves as the laboratory, but other institutions created in the bill serve as the factory.
All three of those stories make sense, and any of them, on their own, would represent the most significant effort at cost control in a generation, if not ever. ” (WaPo)
Posted by: progressive mama | March 2, 2010, 3:42 pm 3:42 pm
“”"I think Lydia already pointed out some measures you missed.”"”"
Posted by: tierra
I didn’t miss them, as a matter of fact I like preventive and med records electronically. Now again, where are the cost control measures designed to reduce health care costs? The lower the costs, the lower our insurance premiums.
Posted by: lfrichar | March 2, 2010, 3:43 pm 3:43 pm
tierra — I have read over 2000 pages of the bills and some of the changes. Please show me anywhere in this bill that has any cost control or cost cutting measures tied directly to health care costs, not insurance (they are completely different)and I will gladly retract my statement.
Posted by: lfrichar | Mar 2, 2010 3:29:23 PM
___________________________________
I think Lydia already pointed out some measures you missed.
______________________________________
Excellent observation on costs and the short answer- it doesn’t even come close to addressing costs. It rips off medicare, raises taxes and has no cost controls other than price fixing which really isn’t a cost control but a quality of care nightmare (references see Medicaid and Medicare). That’s why it won’t help the uninsured and injures the economy and most people are against it. It’s actually structured in a way to go well beyond it’s projected budget and put the US taxpayer on the hook for even more unchecked spending while continuing to increase other government programs as well.
Posted by: GO | March 2, 2010, 3:44 pm 3:44 pm
progressive mama — Those are premium cost controls not health care cost controlas. A medicare commission???? How’s the post office doing? Amtrak, Social security, MEDICARE?????? Our meedicare is going broke so we will use the very entity that ran it into the ground, our government? Thisk about that for just a moment.
Posted by: lfrichar | March 2, 2010, 3:46 pm 3:46 pm
GO — Thanks for the back up but many seem to be mixing insurance premiums with actual health care costs. Why is an MRI $2,000? Why is Tylenol $20 in a hospital? If we limit profit margins in the entire industry, this will lower costs, but our politicians know it’s political suicide. While Obama says he has tough/unpopular decisions to make, he will not make them.
Posted by: lfrichar | March 2, 2010, 3:49 pm 3:49 pm
Tierra—- What this administration has done is completely demonized the insurance industry even though their profit margins are below that of McDonalds. I don’t like them dropping people for pre-existing conditions or anything else which can be regulated. The truth about our health care SYSTEM, is we pay double over any country. So, it would be total common sense to go after health care costs while reforming the insurance industry. Anything else will do no good to the system and be a huge waste of money.
Posted by: lfrichar | March 2, 2010, 3:55 pm 3:55 pm
Surely, no one can seriously doubt this president’s sincerity about wanting to have a cooperative effort on health care reform and his resolve to get something worthwhile done. Shame on Republicans for their willingness to extend the status quo of suffering and waste for political advantage.
Posted by: Kent | March 2, 2010, 3:59 pm 3:59 pm
It’s interesting that the quotes from Warren Buffet on Politico at certain points are almost word for word what the Pres is quoted here as putting in his letter to Congressional leaders regarding special deals (except of course the union deal, the Louisiana deal and any others “snuck” in there). I wonder if they will also really take to heart Buffet’s advice on addressing costs first as well.
Posted by: obieone40 | March 2, 2010, 4:05 pm 4:05 pm
ifrichar, your logic is confusing. How can paying a doctor for preventative care not be a cost saving measure? Just keeping up on immunizations saves so many illnesses and hospitalizations. Finding out your anemic, for example, and treating that, can save you from serious illness.
And why wouldn’t computerized records save money? No more duplicate tests alone with the high costs of tests today would save a lot. Not to mention avoiding allergy interactions and other adverse side effects, which may require e.r. visits and hospitalizations, not to mention death.
As for insurance companies raising their premiums to reflect their rising costs, that is a fallacy proven by the recent news of premiums rising 15 to 30% by the same companies with record profits. It’s the same malarkey excuse the oil companies used to fleece us with high gas prices two years ago.
Your negativity, not based on facts, seems to be the attitude someone would take who has something to lose personally, (insurance stock gains?) when this bill passes. In which case you should respectfully take yourself out of the discussion, as a biased rather than unbiased citizen.
We, as a nations cannot continue our present course of health insurance/no insurance. It puts our businesses at a disadvantage nationally and internationally, it puts our small businesses in jeopardy of closing, it bankrupts too many of our citizens and outright kills almost 46,000 of them a year. This shouldn’t be about those profiting today but about the health and well-being of all our citizens and our economy.
Posted by: Lydia | March 2, 2010, 4:10 pm 4:10 pm
Kent —- You can believe what you want — I think Obama has been backed into a corner — Spending 14 months on FAILED healthcare reform looks bad on the resume!! —- So lets re-cap the incompetence of Democratic healthcare reform —- First it was “we’re going to pass OUR BILL and you can’t stop us” — then “Ok, fellow democrats, we’ll remove these provisions so you’ll vote yes” — then “OK, fellow democrats, we’ll give you this bribe to vote yes” — then “watch out, we will use the nuclear option” — then, finally… “Hey, Republicans, if we put in some of your ideas in the bill, would you please vote for this, pretty please??”!!
Posted by: TheLoyalOpposition | March 2, 2010, 4:11 pm 4:11 pm
Those are premium cost controls not health care cost controlas.
—
First, not fully– are you familiar with the pilot programs (around p. 621 of the senate bill) or the meaning of “health delivery system reforms”. As for the others, yes, but….
Insurance plans set up PPO’s, conduct medical necessity review, write the insurance contracts AND reimburse the plans. They have failed to innovate in those regards. Capping premiums would force them to innovate or die.
A Medicare commission that looks at reforms and innovation also has real possibilities. Its funny that people trot out the usual suspects when it comes to goverment but fail to mention that much innovation comes from federally funded research (see Pharma, NIH)or the military.
In regard to the potential of the pilot programs, Atul Gawande draws a thought-provoking analogy to agriculture 100 years ago, and how government interventions which seemed like a hodgepodge converged into a whole, transforming productivity and cost.
He also points that almost half the bill– all those many pages– is devoted to finding and testing ways to decrease cost and improve quality.
The problem with Americans nowadays is that we panic at inconvenience, dislocations and sweeping change– and for this issue, there isn’t a simple way to find the best route or best solution. Hence,it makes sense to test and experiment– and to get the private industry involved via premium controls, forcing their hand a bit.
Posted by: progressive mama | March 2, 2010, 4:13 pm 4:13 pm
Surely, no one can seriously doubt this president’s sincerity about wanting to have a cooperative effort on health care reform and his resolve to get something worthwhile done.
_________________________________
These things are being “explored” not actually tacked onto the partisan, backroom legislation nearly a year after it’s initial push in the midst of explaining (supposedly on Wednesday) the need to do this through reconciliation I think people have seriously, reasonable evidence to doubt the “sincerity” regarding “cooperative efforts”. That’s only coming from an independent I don’t know what a republican thinks.
I also think if there is someone extending the “status quo” please point them out because so far I’ve just seen competing ideas on reform.
If anything the more status quo is coming from the dems in how they’re expanding a new program based on policies that have failed when applied repeatedly in smaller formats (ie states) and don’t address costs as well as their raiding Medicare and SS funds while they are going insolvent.
Posted by: obieone40 | March 2, 2010, 4:14 pm 4:14 pm
ifrichar —- right on the money —– If the healthcare reform doesn’t have COST control provisions, we might as well fast-forward to “single-payer”, because that is what it will evolve into!!! —– Hey, gosh, you don’t suppose the Dems know this and…….
Posted by: TheLoyalOpposition | March 2, 2010, 4:16 pm 4:16 pm
Bottom line —- The liberal arm of the Dems will accept anything they can get at this point — but the overall goal will not change, it will just take longer to get there (they hope)—- So they will accept erecting the statge and suffering through the “warm-up” period, hoping tho get the “main act” on stage in the future — But their quandry… have they used up all their “political capital” to get this far… and will enough of them be around after November to try again???
Posted by: TheLoyalOpposition | March 2, 2010, 4:23 pm 4:23 pm
I also think if there is someone extending the “status quo” please point them out because so far I’ve just seen competing ideas on reform.
—
Slowing down and inplementing miniscule interventions that don’t address the uninsured issue or the affordability issue or cost sounds like extending the status quo to me. Under the Republican House plan, those who really need reform get fewer benefits for more money, while those who don’t need reform get more benefits for less money. That sounds vaguely like the rich get richer and the poor and middle class get poorer– which has been the status quo for the past decade.
Posted by: progressive mama | March 2, 2010, 4:25 pm 4:25 pm
ifrichar, one last point on the health insurance companies profits, you stated they make less profit than McDonalds.
I think the real problem is their overhead. Medicare runs their insurance at a 4% overhead, while private insurance runs a 12 to 30% overhead. That is a lot of dollars not spent on direct health benefit.
4% overhead sounds a lot better to me and anyone else paying too much for premiums.
I’m off for now. Good night.
Posted by: Lydia | March 2, 2010, 4:28 pm 4:28 pm
“”"”"Your negativity, not based on facts, seems to be the attitude someone would take who has something to lose personally, “”"”"
Posted by Lydia
Hmm, negativity? So you wouldn’t suggest health care industry cost controls? This bill will run the insurance industry down. Furthermore, please show me in any of my posts where I didn’t have facts and I will give you my site.
Posted by: lfrichar | March 2, 2010, 4:33 pm 4:33 pm
ifrichar, your logic is confusing. How can paying a doctor for preventative care not be a cost saving measure?
_____________________________________
One reason as has been done with other government insurance coverage the gov’t under pays the doctor or hospital for his services. The doc in order to survive has to charge other patients more to make up the difference. Often the medical errors in these programs exceed those with private insurance due to these underpayments. Actually gov’t programs are the least flexible when it comes to preventative measures. They also don’t even try to cover any other kinds of less expensive care options like chiropractic or homeopathic treatments.
________________________________________
We, as a nations cannot continue our present course of health insurance/no insurance. It puts our businesses at a disadvantage nationally and internationally, it puts our small businesses in jeopardy of closing, it bankrupts too many of our citizens and outright kills almost 46,000 of them a year. This shouldn’t be about those profiting today but about the health and well-being of all our citizens and our economy.
_____________________________________
Which is why creating an unsustainable government program that leads to putting docs and hopsitals out of business by underpaying them isn’t going to help solve the problem either.
Lastly where is that 46000 number from thin air? I have heard a questionable 45,000 number/year cited very often coming from the ideologically one sided pro-national healthcare Cambridge study quoted but that’s a new one. How many have died due to being gov’t insured and have poor quality of care? According to one quote HealthGrades (a great website that rates docs & hospitals) released a study that 224,537 Medicare lives could have potentially been saved during 2006 through 2008″ if all hospitals across the country had performed at the quality of care levels of its top-ranked facilities. That’s 5x that number. So just pushing through some gov’t coverage with gov’t price fixing isn’t going to just save those lives it may actually make that number go up as most people will be forced out of their private care (something the Pres addressed as being true before the republicans a few weeks ago) and into a less quality program.
Posted by: GO | March 2, 2010, 4:37 pm 4:37 pm
Lydia — Maybe you haven’t noticed small businesses are not hiring because of the threat of this bill and cap and trade?? You have given into the same tactic Bush used, fear, but the boogieman here is we will go bankrupt. Computerized medical records are a good idea as I said. I carry my records if needed to avoid duplicate tests (maybe a little responsible huh?). Anyway, this bill does not directly address health care industry costs and without that, you have insurance reform only.
Posted by: lfrichar | March 2, 2010, 4:37 pm 4:37 pm
we might as well fast-forward to “single-payer”
—-
The left is large, and there may be many who don’t feel that way– but, as for me, yes. Or innovate in another truly American direction that gets health care benefits off the back of business while offering citizens cradle to grave affordable care.
Posted by: progressive mama | March 2, 2010, 4:38 pm 4:38 pm
“”"”Capping premiums would force them to innovate or die.”"”"”
Posted by Progressive Mama
This is true and exactly my point. With health care costs rising and our limiting the insurance companies, they will soon lose all profit margins and perish, adding millions of people to a government subsidized insurance program. Probably the 1st step to single payer. This bill talks on insurance reform cost controls not health care industry cost controls. We need cheaper med schools, incentives for more doctors, cheaper equipment, procedures, pharmaceuticals, tort reform, etc. Regulating insurance without regulating/containing health care costs is not reform, it’s death to the insurance industry and all who work for them. This will swell the government program and blow the estimate way out as it has with every government run program. Ask yourself this, “is it smart to take the very owner of a mismanged program and let them try to create a new program to fix it?”
Posted by: lfrichar | March 2, 2010, 4:45 pm 4:45 pm
GO — People don’t die from lack of insurance unless they just don’t go to a hospital, they can’t be turned down. These numbers remind me of “created and saved jobs” from the stimulus. If you die from an OD, smoking or alcohol, that’s your fault not insurance. If your homeless and don’t care for treatment, that’s on oyu. I don’t believe the numbers anymore. I also don’t agree with our government having our medicare system so badly mismanaged and using it to create another huge entitlement program. That’s like having a roofer that left holes in your roof come back out and fix it.
Posted by: lfrichar | March 2, 2010, 4:51 pm 4:51 pm
I’m all for getting healthcare off the backs of businesses and back into the hands of individuals so you can separate your job from your healthcare package. Setting up a structure where individuals can more easily afford the healthcare they want to try and get (with no federal mandate to purchase a federally outlined package) is actually something Pres Obama campaigned on in 2008 and but hasn’t even come close to trying to fight for in office.
Definitely not for putting health insurance in the hands of the federal gov’t on so many levels. Universal coverage on paper sounds good and says universal access but not when, how or what you have access to. It is truly a red herring. Long term it really affects the quality of care, lacks sustainable funding and for that you merely need to investigate everywhere it’s been applied from states to countries. After nearly 80 years of full commitment to this type of care in the USSR the prevailing medical advice was if sick head to Finland even for a splinter and that was from nationals. It may be great for a hangnail or the common colds but certainly nothing serious.
It’s truly commendable and important to help people in US get health insurance. I personally think we can certainly do it and in a much better way than this bill.
Posted by: obeione40 | March 2, 2010, 4:53 pm 4:53 pm
“Often the medical errors in these programs exceed those with private insurance due to these underpayments.”
This is a good example of confusing cause and effect. The correlation between medical errors and underpayments in Medicaid is explained easily by the fact that Medicaid since 2008 stopped payments for preventable medical errors.
‘Preventable serious adverse events are not medically necessary and therefore, for inpatient services at acute general hospitals, these events will not be paid for under the Medicaid fee-for-service program.’
Preventable serious adverse events are those that could have been anticipated and prepared for, but that occurred because of an error or system failure at the hospital.’
Posted by: Flash Override | March 2, 2010, 4:55 pm 4:55 pm
“GO — People don’t die from lack of insurance unless they just don’t go to a hospital, they can’t be turned down. ”
This is a very serious misunderstanding, but I have heard it before, so I will enlighten you.
You can indeed by turned away from a hospital, and people are every day. Hospitals are under no obligation to treat indigent patients unless their condition is deemed an emergency.
Posted by: Flash Override | March 2, 2010, 5:06 pm 5:06 pm
“HealthGrades (a great website that rates docs & hospitals) released a study that 224,537 Medicare lives could have potentially been saved during 2006 through 2008″ if all hospitals across the country had performed at the quality of care levels of its top-ranked facilities. That’s 5x that number. So just pushing through some gov’t coverage with gov’t price fixing isn’t going to just save those lives it may actually make that number go up as most people will be forced out of their private care (something the Pres addressed as being true before the republicans a few weeks ago) and into a less quality program.”
Posted by: GO | Mar 2, 2010 4:37:16 PM
_______________________________________
Did you even read what you posted? I suggest you re-read it and then go read the actual webpage.
It is crystal clear that the study compared Medicare patients at low-ranked vs. high ranked hospitals, not Medicare patients vs. other patients.
One of the most vexing problems in this debate is the lack of any real hard evidence on medical error rates to begin with. This bill should have included mandates to report medical errors, and to break that report down by facility.
Posted by: Flash Override | March 2, 2010, 5:15 pm 5:15 pm
With health care costs rising and our limiting the insurance companies, they will soon lose all profit margins and perish, adding millions of people to a government subsidized insurance program.
—-
OR… it could break up the stranglehold large companies have on the market, force them to lower overhead and suspend their insane lobbying expenditures, give innovative entrepreneurs in the field an opportunity to focus on patient care and come up with something that changes the direction.
Never underestimate our entrepreneurial ingenuity once the corrupt market giants lose their favored class and special treatment.
Another possible direction, is a vibrant supplemental market with a strong basic plan administered via single payer, but I like the idea of true innovation better.
Posted by: progressive mama | March 2, 2010, 5:18 pm 5:18 pm
This governemnt sucks, they cant even help the poor. instead they give money to the rich and help the rich get better. Where there are people in NEED of help, like money to survive and Money to make ends meet. The only things I have seen this president do is spend money where it had no business going. What about the homeless or the people STARVING Here in the US. I dont see that happening. I dont see anything coming to US POOR. YOU SUCK OBAMA and I hope that your regulations parish soon.
You help no one but yourself. You Suck as a president and I hope you get impeached soon!
Signed the POOR!
Posted by: Nonamenoreply | March 2, 2010, 5:21 pm 5:21 pm
Just outlaw insurance. Watch the medical costs plummet.
Posted by: Paul | March 2, 2010, 5:24 pm 5:24 pm
Clearly Obama is trying to play the role of adult in a city full of children in Senators clothes. While the Senators sat there like stubborn children, Obama was listeining and understanding the complaints and general disagreements. Like an adult, he is willing to discuss the real differences dispite all the nonsense.
That’s what a leader does.
I just hope it works.
Posted by: Wayne | March 2, 2010, 5:27 pm 5:27 pm
The idea to put caps on medical malpractice awards is a terrble idea. It has done nothing to lower the costs for health care in states that have the caps. It is against our system of trial by jury to those who have been harmed by bad doctors, bad hospitals and bad medical practices. Once again, it makes it easy for the big corporate hospitals, insurers, etc. to have it their way and does not allow the little guy or gal their day in court.
In addition, it is foolish for the president to consider any of the Republicans plans because they have no intention of going along with any kind of health care plan proposed by this president. Also, the Tea Party folks won’t be happy with anything coming from the Democrats or Pres. Obama.
I wish the president would just get on with pushing this bill forward so this country could move on to doing something about all the other problems created by 12 years of the same gang of “do nothings” who can only whine and complain now!
Posted by: findlayway | March 2, 2010, 5:43 pm 5:43 pm
He’s been receptive to bipartisan ideas right along, but Republicans made it unanimously clear early on that they have no interest at all in any form of health care reform. It’s the same old story with the GOP for some time, on all matters. Money must be spent on the wealthy (such as Bush’s several major tax cuts rammed through via reconciliation), rather than anything benefiting common folks in need down at the grassroots level.
Oblivious egocentric and hypocritical Republicans a step or two below the ruling caste are typified on this particular issue by those who proclaim they don’t want any government-run health care–and also don’t want anyone messing with their Medicare. Duh!
Posted by: Tom Camfield | March 2, 2010, 5:51 pm 5:51 pm
Vote congress out one member per state at each election. Replace them with honest men and women who will taketheir Oath of Office seriously. Within 4 years this country would get back on track. Then just don’t forget and leave them in there too long again.
Sputnik
Posted by: Sputnik | March 2, 2010, 5:54 pm 5:54 pm
God help us if even one more republican gets into congress, although the stupid democrats are making it easy for those jerks. one thing i have not heard one word about is dissolving all the artificial trade barriers between health insurance providers. all i hear about is “free market capitalism” being endangered by health care reform. how come health insurance cos., one of the free market’s richest beneficiaries, are exempt from COMPETITION, a bulwark of free market capitalism? didn’t kill the phone co., just made the rates far more affordable for millions more people. i guess the poor little health insurance industry would have to suck it up and fight to survive, just like the rest of us; how tragic! how unfair!
Posted by: moiraregis | March 2, 2010, 6:17 pm 6:17 pm
It’s amazing how much money Insurance companies donate to the Democrats.
Posted by: Mac | March 2, 2010, 6:42 pm 6:42 pm
Thinking out of the box to reduce medical costs:
- No one gets medical insurance. 100% uninsured. Everyone pays out of their own pocket.
- Hospital fees must be posted.
- Doctor fees must be posted.
- Limit lawyer fees in malpractice suits (not the victim’s).
Insurance no longer becomes the issue.
Posted by: Paul | March 2, 2010, 7:01 pm 7:01 pm
Caps on medical malpractice would be
a farce and boondoggle to insurers. Would they give MDs lower rates? Does the sun ever disappear from view? But Pres. Obama is putting the nation first and also offering the GOP a demanded
program. He has blocked Ben Nelson’s gift to Nebraska. If necessary Joe
Lieberman’s protection of health insurers will not be guaranteed.
He can include a provision eliminating
aliens from coverage. Pres. Obama
is taking the lead. Will the GOP
continue to stall and block? Yes.
But let the public speak out no and
tell the GOP to not wait for Hell to
freeze over.
Posted by: alan kardoff | March 2, 2010, 8:37 pm 8:37 pm
alan kardoff wrote: “Caps on medical malpractice would be a farce and boondoggle to insurers. ”
.
But just think… no more John Edwards type scam artist making a total killing on the backs of “victims”.
Posted by: gk | March 2, 2010, 9:04 pm 9:04 pm
The politicians all agree that reform is needed. They should use diplomacy and decency to make it happen. So many smart people and we will never all agree on the approach, I only ask that they not walk away from the table just because or their party affiliation. Every month I see audits performed on employees, if they miss their hourly average of what qualifies them for company insurance, they loose the insurance and have to struggle with the stress of not having it now. If they loose a job due to layoffs they can continue with insurance, but have to pay $500 plus a month to keep it; you just lost your job, you will pay your bills before you pay a $500 dollar insurance bill that you may or may not use that month. Now they are forced to play Russian Roulet with their lives physically and financially. Grow up Democrats, Republicans, Tea Partiers, Conservatives. This is much bigger than us all! Now follow that domino effect how negatively it can effect us all whether directly or indirectly. Grow up America! Everyone is watching or go to your room until you can learn to play with others.
Posted by: Deval769 | March 2, 2010, 9:31 pm 9:31 pm
For the record you really ought to go back and read it.
Sorry for my confusing sentence. It being both my original post and the article.
Posted by: GO | March 2, 2010, 9:48 pm 9:48 pm
My origianl point is that more people “(2-3x) currently on a gov’t funded healthcare insurance plan die from preventable medical errors than from being uninsured and there is nowhere near the same outcry or legislative push to fix quality of care in a program the gov’t currently runs and now they want to enlarge that to “help” a much smaller number.”
That is true as far as it goes, except that you are just as likely to die from medical errors if you DO have private insurance. You are absolutely correct on this important point: medical errors are extremely costly, both in lives and money. And, they are not being adequately addressed in this legislation.
you are wrong, however, on there being no push to fix this in Medicare – first of all because you imply that there is a push to fix this in private insurance, which there isn’t. Secondly, there are Medicare reforms in the bill that do address the issue, though in my opinion, inadequately.
Another thing to think about: 87% of doctors who have lost five or more malpractice claims against them have received no professional sanction.
Posted by: Flash Override | March 2, 2010, 10:05 pm 10:05 pm
Go, your point about the studys statistics is also a totally valid one. The point I was making is that you can’t compare it to the private systems, where in half the states, there is NO medical error reporting at all, and most that do, don’t issue reports by facility. It is generally agreed based on a comprehensive survey that is now almost ten years old, that about 98,000 people die each year from medical errors, and another 99,000 per year from infections they pick up in the hospital. This would be two to four times the number of people who are estimated to die each year for lack of insurance. In alot of ways, though, this bill would do alot more about care for people with insurance than people without it. It is, in essence, an insurance reform bill, and not a health reform bill.
Posted by: Flash Override | March 2, 2010, 10:15 pm 10:15 pm
Compromise this. How are you going pay for all this, Bamy? The middle class will pay for any and all increases in Health Care and/or Insurance with higher costs on each and everything you’re going to change. Is that not right, Mr. President? We’ll have larger government, higher costs in medical care, higher costs in script meds, higher costs in Social Security and Medicare/Medicaid. Is this not so, Mr. President? How is the middle class supposed to do all this with higher taxes, hyper-inflation “and” the influx of all the illegal aliens that you’ve still failed to address, Mr. President? Mr. President? Are you paying attention? I thought not. Somebody get us a leader for a President and get this Kenyan, South Chicago Lawyer Community Organizer out of our White House, Please? We need a leader Not a thief that thinks we’re so stupid to not see what he’s doing and/or has already done.
Posted by: WhatChange? | March 3, 2010, 5:22 am 5:22 am
It’s amazing how much money Insurance companies donate to the Democrats.
Posted by: Mac | Mar 2, 2010 6:42:05 PM ****************************** Shhhhhhhhhhh, don’t tell the lefties. They think their President and Congress are doing them a favor out of the goodness of their hearts. Dreamers! Each and every one of them will come to realize that they’ll pay through the nose with an even greater tax burden than before that all the goodness being legislated in DC.
Posted by: WhatChange? | March 3, 2010, 6:02 am 6:02 am
GO — People don’t die from lack of insurance unless they just don’t go to a hospital, they can’t be turned down. ”
This is a very serious misunderstanding, but I have heard it before, so I will enlighten you.
You can indeed by turned away from a hospital, and people are every day. Hospitals are under no obligation to treat indigent patients unless their condition is deemed an emergency.
Posted by: Flash Override | Mar 2, 2010 5:06:21 PM ***************************** You can peach all you want but you’ll not change their minds. It’s hopeless to try and change the mind of a dreamer. They think we’re part of the dream. Pity!
Posted by: WhatChange? | March 3, 2010, 6:04 am 6:04 am
I want to know, if we get Health INSURANCE Reform will the doctors, phapmaceutical, and medical suppliers still have the same inflated rates they now justify by blaming the uninsured, or will the costs be justified in some other way. With medical technology you can have a gall bladder removed lapriscopically, and sent home the next day, for thousands more than it used to cost for major surgery, and an extended stay. I could go on for hours about all the high costs passed on with one excuse of the other, but there is a lot of blame in the medical community, ALONG with the insurance cos.
Health CARE Reform supporter.
Posted by: parma hts gary | March 3, 2010, 7:10 am 7:10 am
Mr. O still does not get it. The only way Republicans are going to get involved with this legislation is if the 2700 page bill is scraped. I do not see any real reason this is not possible. What is the big deal? The Democrats worked a full year and still do not have anything. That tells me they are on the wrong track and there is something wrong with the bill. So scrap the bill and start fresh with the Republican help and I am sure that it would be done within months or less.
Posted by: Lara | March 3, 2010, 7:39 am 7:39 am
I want to know, if we get Health INSURANCE Reform will the doctors, phapmaceutical, and medical suppliers still have the same inflated rates they now justify by blaming the uninsured, or will the costs be justified in some other way.
________________________________________
No the rates will actually go up as the gov’t continues to pay low ball prices for expensive services. Private insurance costs will shoot up to absorb the costs that are set up to keep the docs & hospitals afloat (right now it’s like 3-5 private for 1 medicare patient). The mandated rate cap Obama puts into affect so private insurance companies can’t raise their rates much will cause private insurers to go out of business and the gov’t insurance operating overbudget with it’s unending income source (you the tax payer) will continue to underpay for services (or deny/ration them) while docs and hospitals will either go out of business or cut back on their level of care due to expense. Voila single payer, gov’t run care a la wherever comes to the US. This bill does not address healthcare costs/inflation/wide scale abuse it just increases who pays for healthcare insurance.
Posted by: obieone40 | March 3, 2010, 10:07 am 10:07 am
GOD HELP US…a little advice from someone who understands “politics” and who doesn’t “constrict his thinking”. As long as the conservatives and Republicans can create “fear and hysteria” among your “ranks”, you will always “vote against your own best interests” and your socio-econmic status will continue to deteriorate. Why do you think that under conservtive/Republican rule the middle class has lost so much ground?
Posted by: CND FOX | March 3, 2010, 11:28 am 11:28 am
I think that the thing that amazes me more than the partisan politics of congress and the current and past presidents is that the comments of most people on this blog seem to reflect the same attitudes as those in government. That is not only amazing, it’s scary.
Posted by: Bill Downs | March 3, 2010, 12:10 pm 12:10 pm
Bill Ayers? Oh he’s just a guy from my neighborhood…..LIE…..Obama is a liar, once a liar to the American people and not held accountable by the media, he wil lie and lie again.. Obama is a disaster for the Unted States.
Posted by: Peter Smith | March 3, 2010, 1:58 pm 1:58 pm
I thought they passed this bill last September – to prevent the great depression.
Posted by: DontGet818OnMeNow | March 3, 2010, 2:02 pm 2:02 pm
So now I can buy a car from Obaba, healthcare from Obaba and get my student loan only from Obama. When will Obama give me food, too?
Posted by: Mac | March 3, 2010, 2:03 pm 2:03 pm
I wish the Dems would quit lying. Obama said AMericans do not have good Health Insurance and health care. Well, I’m an American, I have affordable Health Insurance and get GREAT care. But I guess I don’t count since I’m not pandering to their take-over agenda.
Posted by: Mac | March 3, 2010, 2:05 pm 2:05 pm
I often go to Church and never listen to what my Pastor preaches about.
Posted by: Mac | March 3, 2010, 2:26 pm 2:26 pm
The Death of America and the birth of the Nanny State.
Posted by: Mac | March 3, 2010, 2:28 pm 2:28 pm
If you like our postal service you are going to love our national health care!
Posted by: Ed Taylor | March 3, 2010, 4:56 pm 4:56 pm
Will “our” government stop at nothing to assume more control of our lives?
Will it stoop to new levels to achieve “its” purpose?
Can it not read the polls, the TEA parties, the GOOOH movement and just the general atmosphere outside the beltway?
Is this Obama a puppet of the Cloward-Piven strategy to take down our nation?
Does it realize their isn’t enough free capital to resolve the some $60 to $70 trillion of unfunded liabilities the government (democrat and republican) has incurred?
Did it read and comprehend the CBO report that Obamacare will raise insurance premiums for the average American? Does it even care?
The bottom line, ” IS THE OBAMA/PELOSI/REID TRIDENT “DUMBER THAN DIRT”, OR DOES IT JUST WANT ABSOLUTE CONTROL AT ANY COST?
The postal service is about to ask congress for permission to RATION its services, does anyone believe that Obamacare will not invoke rationing as it is realized that it has increased healthcare costs instead of reducing them?
WAKE UP AMERICA THE NANNY STATE IS NOT SUSTAINABLE!
Posted by: Ed Taylor | March 3, 2010, 5:05 pm 5:05 pm
Cndfox, I couldn’t agree with you more. As the far right tries to scare folks with exaggerations and outright lies, they get their agenda through.
Folks, this is all about the insurance companies wanting to continue their 15 to 30% overhead, including big pay and bonuses for their ceos. They aren’t spending millions advertising and employing lobbying firms for the consumer’s good, but to keep things just the way they are.
Hey,46 million out of 300 million have no insurance. 45,000 of those uninsured will die this year because they lack insurance. More will be added to the rolls of the uninsured this year and every year if we don’t change the rules they follow. You’ve read the news about premiums rising 39% this year for some folks, how much longer will you be able to afford your insurance?
Don’t believe the insurance industry lackeys, think about it. Insurance rates doubling in the last 10 years, did your pay double? You can see where this is headed if we don’t control them.
Posted by: Lydia | March 3, 2010, 5:14 pm 5:14 pm
I think goverment should pay more attention on medicare, so that, the poor and hurted people can have a better life.
Posted by: jennyjuan | March 3, 2010, 9:07 pm 9:07 pm
lydia wrote: “Hey,46 million out of 300 million have no insurance. 45,000 of those uninsured will die this year because they lack insurance. ”
.
So democrats are going to let 135,000 die while they twiddle their thumbs with their health care takeover? They have to collect taxes for 3 years before any changes take place (just a little Enron style accounting here to make the books balance).
Posted by: gk | March 3, 2010, 9:14 pm 9:14 pm
Sorry, but I can’t pass this one by. At 2:26 “MAC” said “I often go to churck and often never listen to what my Pastor preaches about”. LOL… I don’t believe that one Mac because I can tell a robotized closed minded thinker when i see thier “printed works”. You walked into that one yourself. Does Ed_Taylor often attend with you too? LOL…LOL
Posted by: CND FOX | March 3, 2010, 9:17 pm 9:17 pm
Sorry, I was laughing so hard I had two typos on my last post; “church” and “words”.
Posted by: CND FOX | March 3, 2010, 9:18 pm 9:18 pm
In his letter, President Obama criticizes the Republican advice of a more “incremental” approach to health care reform, saying he believes “piecemeal reform is not the best way to effectively reduce premiums, end the exclusion of people with pre-existing conditions or offer Americans the security of knowing that they will never lose coverage, even if they lose or change jobs.” —- Americans #1 priority seems to be jobs, not gov. healthcare – why should Americans believe gov. will do any better than it has been doing with social programs —-
WHY are people considering a sweeping overhaul of healthcare, -that mentions little of actual reform, -it seems people forget the gov. bureaucrats, and their social programs, have never saved America money, rather they waste money – as shown by much mismanagement of stimulus, and people see more debt getting dumped on us – when will we wake up and understand there are consequences for our actions – will we wait til our Republic is so poor, that the gov. has total control of our finances, and our lives through mandated reforms. Health services needs reform, NOT healthcare, -the fact that private enterprise does not have the severe mandates offered in this healthscare scheme is why Americas healthcare is better quality than gov. controlled healthcare.
This healthcare/”reform” scheme was never about helping the people – it’s about government POWER & CONTROL – the problem is people have forgotten the PEOPLE are supposed to have the power & control NOT the gov.
Since certain unions have been given special treatment with the stimulus bill, GM restructuring, HEALTHSCARE SCHEME, and other gov. deals – the relationship between gov. and certain unions apparently should be broken – so the common people can make their own decisions without gov./union mandates. Visiting the SEIU website, shows support of healthscare, and c*ap & tax. Card check is another way for the current administration to gain more power & control. The remaking of America – seems to mean more gov. mandates/socialism – this seems to be evident by comparing the Chamber of Commerce website with SEIU website. The Chamber of Commerce consists of around 80% small business, but it was not at the HealthCare summit; the unions apparently were – the unions have been favored over private entities may times The jobs bill will probably have mandated handouts to Service Employees International Union. SEIU and ACORN apparently are also partners in crime. A recent visit to SEIU website shows that this union looks like it is cheerleading Obama and his administrations seek and destroy (capitalism) mission – healthscare, c*ap & tax, and other devastating bills/big labor & gov. schemes are made to look like a saving grace for us poor folk – one reason were poor is because of the tax and spend mentality now inappropriately masqueraded as reform, or what the people want. What is going on now is Progressiveism (not all progressives are corrupt) at a fast forward speed – into the twilight zone – the socialists and Marxists don’t care if we want their bills – they now have a chance to reign in the power and control they have tried to steal from people for more than a hundred years.
It’s not impossible to understand what’s going on – researching history will show this has happened before (maybe not with as much arrogance/critical as now being displayed) – We the people must stop this – trusting the gov. to take care of us hasn’t worked in the past, and won’t work in the future. The people are supposed to control the gov. NOT the gov. control the people.
PLEASE know what your reps are doing, and vote for the reps that support sensible bills.
Posted by: katesuf | March 3, 2010, 11:39 pm 11:39 pm
ANOTHER UNECESSARY TAX
The SCHIP bill sounds great – State Children’s Health Insurance Program. This program expands public health coverage to many children who would otherwise have been enrolled in a private health insurance program.[1] This is another way the current administration is almost secretly getting what it wants/moving coverage from private insurers to public insurers. Of course judging by history, the government is always better at providing for the common person than the private industry – and you can count on the gov. to never charge too much for a service – they’ll just mandate everyone pay for the same, inefficient service, and tax us whatever they want – ins’t that fair – spread the wealth. The poor should be taken care of – some research shows that the poor ARE taken care of – it’s the person too busy WORKING, to get involved in politics, that’s not taken care of – much of the current stimulus went to HHS, and other health services to prepare for gov. takeover of healthcare not healthcare REFORM. And much of the stimulus went to friends in crime/ACORN. With ACORN, healthscare, SCHIP, and other programs, the corrupt in the current administration are hiding behind a pleasant facade – masquerading something evil, as something good. Evidently a 61 cent increase in cigarette tax went to the SCHIP program.[2] Taxes are being forced on the less poor/poor to help the less poor/poor, and the gov. gets what they want – POWER AND CONTROL by forcing taxes on people to cover their pet projects/programs. Our founding fathers were very smart – their system of gov. has worked so good that many citizens don’t have to get involved – as a result socialists have been able to force their agenda on the Republic. People need to ask who the Progressives are, because they have caused much of the problems we’re now forced to deal with.[3] Please know who your reps. are, and what they are doing to help the Republic.[4]
1. -heritage-org january 26, 2009 the new SCHIP Bill: The Senate Must Protect Private Coverage
2. -ryorevolution-com SCHIP Expansion Bill Will Devastate Roll Your Own!; also history of SCHIP, etc.
-Feb 4, 2009 – Obama Signs SCHIP bill
3. -*.lewrockwell-com/The Progressives’ 100 Years War
-glennbeck-com April 16 2009 American Progressivism Who were the Progressives, and why are they important? R.J. Pestritto Shipley Professor of the American Constitution at Hillsdale College
4. -*At Thomas.gov website click on House of Representatives/Congress to get e-mail, phone, address of reps for area code entered.
-*opencongress-org track bills, issues, and votes on your personal profiles; Use social networking to share the best infor. About your interests; Vote and comment on bills you support or oppose; contact your elected officials with your opinions; help build public knowledge about Congress!
-dotearth-blogs-nytimes.com March 2, 2010 Fuel Taxes Must Rise, Harvard Researchers Say ($7/gal)
-Worldnetdaily-com Weather Channel founder: Warming ‘greatest scam in history’ November 08, 2007
-Wnd.com Extremists gone wild on ‘green’ energy bill February 09, 2010
-apolloalliance-org Clean Energy Is Foundation of Proposed Stimulus January 15, 2009
-hotair-com/greenroom/archives/2009/08/25/who-really-wrote-obamas-stimulus-bill
-Type in search box -discoverthenetworks APOLLO ALLIANCE (AA)
-* .healthtransformation.net Right to Know Petition
-HR3962 Sponsor: Rep Dingell, John D. [MI-15] (introduced 7/14/2009)
-chinapost-com. U.S. gov’t paid US$47 billion in questionable health claims
-wnd-com ELECTION 2008 Obama cited Ayers job as qualification to run
-wnd-com/ ELECTION 2008 Obama-backed ally forged pact with radical Muslims
-* scaredmonkeys-com/2009/11/24/democrats-tongue-tied-as-they-try-to-justify-300-million-pay-off-to-sen-landrieu-as-56-of-americans-oppose-obamacare/
-Center for Individual Freedom not-for-profit constitutional advocacy organization with
the mission to protect and defend individual freedoms and individual rights.
-*Congressman Paul Ryan – Creating Jobs and Generating Economic Growth – “Roadmap for America’s Future”
TYPE IN SEARCH BOX -
-Empowering Patients First Act – a 130 page plan – Tom Price GA
-Health Care Freedom Plan – 41 page proposal – Sen Jim DeMint S.C.
-Patients Choice Act of 2009 – 130 pages formed by bicameral coalition of Republicans in House and Senate Rep.Paul Ryan WI
-Healthy Americans Act S391
-HR2630 Protect Patients and Physician’s Privacy Act – The bill states that all individuals shall have the ability to opt out of any federally mandated, created, or funded electronic system for maintaining health care information. He also is offering HR 2629 the “Coercion is Not Health Care Act’” which forbids the Federal Government from forcing any American to purchase health insurance, and from conditioning participation in any federal program, or receipt of any federal benefit, on the purchase of health insurance.
-S.1324 : A bill to ensure that every American has a health insurance plan that they can afford, own, and keep.Sponsor: Sen DeMint, Jim [SC] (introduced 6/23/2009) Cosponsors (2)
“…Lynn points out that, contrary to Democratic claims that the Republicans are simply the “Party of No,” the GOP has offered an alternative called the Empowering Patients First Act. This legislation, HR 3400, (Congressman Bob Lattta is a co-sponsor) would 1) make access to coverage affordable for all Americans; 2) make coverage truly owned and controlled by the patient; 3) improve the healthcare delivery structure; and 4) rein in out-of-control costs, including through robust liability reform.”
-* rallycongress-com patients-first hands-off-my-healthcare-sign-petition
-10 facts every american should know about speaker Pelosi’s 1,990-page gov’t takeover of health care John Boehner (R-OH)
*Campaignforliberty-com Stop Obamacare Now 7 23 09
-*lattahouse-gov congressman bob latta health care oped Washington Aug 9
We, the undersigned, join with Democratic Senators Bayh, Lincoln, Pryor, McCaskill, Landrieu, Nelson, Lieberman and Webb in urging Washington policy-makers to require that a complete copy of any bill or legislation, along with its CBO scoring, be posted online for citizen review at least 72 hours prior to any vote being taken
-*heritage-org Why government spending does not stimulate economic growth
-*healthtransformation.net stop fraud first petition
-*house.gov John Boehner Democrats’ Spending by the Numbers October 21st, 2009 –( $104,094: The share of the national debt owed by every household in the U.S.)
Posted by: katesuf | March 3, 2010, 11:40 pm 11:40 pm