Self-Executing: Seeing blue over green, as process fills another health care void
By Rick Klein: It’d be a whole lot easier to talk policy rather than process if the policy actually existed in an actual document that’s actually available to the public. With a price tag attached and everything. It’s a day to see green, and it’s a day to feel lucky — lucky enough even that President Obama sits down for an interview on Fox News. Yet the health care waiting game stretches into another day of whip counts and parsing and promising and procedural wrangling — just the sorts of things the American public loves to tune in to, and should really love about an overhaul of domestic policy. If you’ve got any magical deficit-cutting solutions, this would be a nice time: Unless the Congressional Budget Office comes back with something workable (read: under $1 trillion) by the end of the day, we’re spilling into another week of health care. And unless it comes back with something that can tell a House member who voted no last time that it’s OK to line up as a yes, it’s going to take longer than that to get to 216. “The final piece of the package was held up by concerns that it would do too little to reduce the nation’s budget deficit,” The Washington Post’s Lori Montgomery reports. “But virtually everything House Democrats want to achieve in their package costs money.” Bloomberg’s James Rowley and Nicole Gaouette: “The Democrats, who had expected a final cost estimate from the Congressional Budget Office as early as last week, have to show that a bill amending legislation the Senate passed in December will reduce the federal budget deficit by $2 billion over the first five years and not add to the deficit afterward.” Soon: “They’ve been giving us numbers all along, trying to come up with a final product. And we expect that soon,” said Senate Majority Leader Harry Reid. “We will do what is necessary to pass a health care bill,” House Speaker Nancy Pelosi said Tuesday. “We think we’ll get the votes,” House Majority Leader Steny Hoyer, D-Md., told George “O’Stephanopoulos” on “Good Morning America” Wednesday. “We think we’ll have the votes when the roll is called.” (And: “We’re going to have a clean up-or-down vote on the Senate bill — that will be on the rule,” Hoyer said. “This is not an unusual procedure.”) “Obviously they don’t have the votes yet,” countered House Minority Whip Eric Cantor, R-Va. “The latest news about this health care bill is perhaps there is an additional cost, that it would push the bill over a trillion dollars, which would result in yet more Medicare cuts for seniors.” Price of pain: “To make the numbers come out right, Democrats said, they are considering bigger cuts in payments to private Medicare Advantage plans, which cover about one-fourth of the 45 million Medicare beneficiaries. And they may ask pharmaceutical companies to pay more to help close a gap in Medicare coverage of prescription drugs,” David M. Herszenhorn and Robert Pear write in The New York Times. More time to see evidence: “A new Wall Street Journal/NBC News poll indicates that 48% of voters consider the bill a bad idea and 36% a good idea, but several other recent polls have showed the margin much closer. And individual elements of the plan, such as requiring insurers to accept customers with existing illnesses, have broad support, Democrats note,” Naftali Bendavid reports in The Wall Street Journal. “They also predict that the aura of victory that would surround passage of the biggest piece of social legislation in decades would boost its popularity,” he continues. “Republicans said Democrats were deluding themselves if they believed voters’ anger toward the plan wouldn’t lead to a November bloodbath.” (And it’s 59-33 wrong-track-right-track, and 57 percent disapproval of the president’s handling of health care, in the WSJ/NBC poll.) Plus: “The survey found a 21-point enthusiasm gap between the parties, with 67% of Republicans saying they are very interested in the November elections, compared with 46% of Democrats,” the Journal’s Peter Wallsten and Jean Spencer report. This is where process matters, again: “An obscure parliamentary maneuver favored by House Speaker Nancy Pelosi (D-Calif.) suddenly ignited Tuesday as the latest tinder in the year-long partisan strife over reshaping the nation’s health-care system, triggering debate over the strategy’s legitimacy and political wisdom,” The Washington Post’s Amy Goldstein writes. “The controversy over an arcane point of procedure is the latest example of how Republicans, though virtually powerless to change the content of the healthcare overhaul, have tried to hobble Democrats by discrediting the legislative process,” the Los Angeles Times’ Janet Hook and Noam N. Levey report. “Throughout the healthcare debate, Republicans have denounced closed-door meetings and horse-trading for votes.” “The attacks by GOP leaders underscore an offensive by Republicans hoping to either derail Obama’s top legislative priority by scaring off wavering Democratic lawmakers, or to bank arguments they can employ against Democratic candidates in this fall’s congressional campaigns,” the AP’s Alan Fram writes. “Instead of arguing over health insurance or costs, lawmakers are now squabbling over concepts like ‘deeming’ and ‘self-executing rules,’ ” NPR’s Julie Rovner reports. “The Republican playbook ranged from attacking the process to focusing political heat on vulnerable Democrats back in their districts to demanding television cameras in the Rules Committee,” Roll Call’s Steven T. Dennis and Tory Newmyer report. First, a vote on the vote… From the resolution being offered Wednesday by House Minority Leader John Boehner, R-Ohio: “Resolved, That the Committee on Rules may not report a rule or order that provides for disposition of the Senate amendments to H.R. 3590, an Act entitled The Patient Protection and Affordable Care Act, unless such rule or order provides for … a requirement that the Speaker put the question on disposition of the Senate amendments and that the yeas and nays be considered as ordered thereon.” And, of course, it’s vote by vote… Rep. Dennis Kucinich, D-Ohio, has a 10 am ET press conference Wednesday to announce his vote — even though he’s already said he’s a no, again: “If he’s been persuaded to vote yes on health care reform this week, he will be the first previous no vote to publicly declare he is flipping to yes,” ABC’s David Chalian reports. And he runs through the math: “There is no margin for error. And this remains somewhat fluid as Pelosi searches for her final handful of votes.” “A small but very significant step towards passing health care in the House,” ABC’s Jonathan Karl reported on “GMA,” filling in a “1″ on his white board for the first potential “no” to become a “yes.” Not enough phone calls yet? “I’ll vote the way my district wants me to vote,”Rep. Jason Altmire, D-Pa., tells McClatchy’s David Lightman. “I am leaning strongly in favor of the Senate bill,” Rep. Adam Smith, D-Wash., said to Time’s Michael Scherer. Good luck keeping track… “Business groups are spending $1 million a day to depict the bill as a job killer in television ads in the home districts of 26 wavering House Democrats. A new ad barrage from supporters of the legislation went up Tuesday in 11 districts, some overlapping. And unions are threatening some of those lawmakers to come through for Obama — or pay the price in the fall elections,” the AP’s Ricardo Alonso-Zaldivar reports. Twisting arms until they break… “We’re having donors, even donors outside of our district, that are being called and asked to urge support” for the bill, a senior aide to a conservative Democrat tells Politico’s Patrick O’Connor and Jonathan Allen. “If you want to play Chicago-style politics, and that’s what this is, then we will come out firmly against it.” “No representative likes to be treated like a potted plant,” Rep. Jim Costa, D-Calif., tells USA Today. Maybe not reading from the same book: “Pelosi and House Democratic Caucus Chairman John Larson (Conn.) have indicated Democrats have the votes, but Majority Whip James Clyburn (D-S.C.) told McClatchy Newspapers that a vote could be postponed until after the Easter/Passover recess. Clyburn pulled back from that statement Tuesday afternoon, telling reporters he was joking,” The Hill’s Jared Allen and Jeffrey Young report. Primary concerns…. “Senior Obama campaign official Steve Hildebrand is eyeing a Democratic primary challenge to South Dakota Rep. Stephanie Herseth Sandlin, a decision he said hinges largely on whether she votes against health care reform later this week,” CNN’s Mark Preston reports. “I want to see how she votes on health care,” Hildebrand said. “If the vote is very, very close and we lose it or come close to losing it, I will take a serious look at challenging her.” Next piece of the sale: “The once-fierce battle between the White House and Fox News, which played out in public last fall, appears to have died down,” Politico’s Michael Calderone reports. “Fox News anchor Bret Baier will interview President Obama [Wednesday] night on ‘Special Report.’ ” Not quite a victory-lap interview…. Sen. Mitch McConnell, R-Ky., is profiled by The New York Times’ Carl Hulse and Adam Nagourney: “In the short run at least, his approach has worked. For more than a year, he pleaded and cajoled to keep his caucus in line. He deployed poll data. He warned against the lure of the short-term attention to be gained by going bipartisan, and linked Republican gains in November to showing voters they could hold the line against big government.” “On the major issues — not just health care, but financial regulation and the economic stimulus package, among others — Mr. McConnell has held Republican defections to somewhere between minimal and nonexistent, allowing him to slow the Democratic agenda if not defeat aspects of it. He has helped energize the Republican base, expose divisions among Democrats and turn the health care fight into a test of the Democrats’ ability to govern.” Tastes of what’s to come: “The U.S. Chamber of Commerce, already one of Washington’s largest lobbying groups, is gearing up to play a major role in this year’s midterm elections on a scale that rivals the nation’s two main political parties,” Dan Eggen writes in The Washington Post. “Modeled in part on Barack Obama’s 2008 campaign juggernaut, the group has built a grass-roots operation known as Friends of the U.S. Chamber of Commerce. It has a member list of 6 million names, aimed at lobbying on legislation and swaying voters to back preferred candidates, primarily Republicans, in battleground areas, officials said.” Defusing some controversy, regarding Israel: “White House chief of staff Rahm Emanuel told House Minority Whip Eric Cantor, R-Virginia, Monday night that it’s not true that Vice President Biden told Israeli Prime Minister Benjamin Netanyahu that Israel’s hardline position on building settlements in disputed territories is endangering the lives of US troop, as has been reported in the media, a White House official tells ABC News,” Jake Tapper reports. Tuesday afternoon, Israeli Ambassador to the United States Michael Oren said: “I was flagrantly misquoted about remarks I made in a confidential briefing this past Saturday.” It’s Census time, and Rep. Michele Bachmann, R-Minn., is serious about her partial boycott: “We plan to fill out in my house how many people that there are in our family and send our form back in,” Bachmann said on ABC’s “Top Line” Tuesday. Tough talk: “The reality is that we will be reading Miranda rights to the corpse of Osama bin Laden. He will never appear in an American courtroom,” Attorney General Eric Holder said on the Hill Tuesday, per ABC’s Jaston Ryan. Annals of friendship — former Gov. Mitt Romney, R-Mass., in Phoenix on Tuesday: “The people who really want to see government brought under control are going to recognize there’s no more consistent advocate for reining in federal spending and ending earmarks and excess than John McCain,” Romney told the Arizona Republic’s Dan Nowicki. “You want there to be some Republican lions in the Senate, and John McCain is one of those.” This will surely make it stop… “Birthers beware: Hawaii may start ignoring your repeated requests for proof that President Barack Obama was born here,” the AP’s Mark Niesse reports. “As the state continues to receive e-mails seeking Obama’s birth certificate, the state House Judiciary Committee heard a bill Tuesday permitting government officials to ignore people who won’t give up.” Tea Partiers win a round — or at least don’t lose one: “A state appeals court today ruled New Jersey’s secretary of state must accept a petition a citizens group filed to recall U.S. Sen. Robert Menendez, but left open the question of whether the removal effort itself is constitutional,” Peggy Ackerman reports for the Newark Star-Ledger. “The three-judge panel stayed its ruling to give Menendez (D-N.J.) the opportunity to appeal to the state Supreme Court.. The senator has 45 days to file an appeal but did not say today whether he would. He called the recall effort a ‘political stunt’ that won’t distract him from doing his job.” A bracket you can believe in? President Obama reveals his full men’s and women’s brackets at noon ET on ESPN — and ABC’s Karen Travers has an early taste. It’s a whole lot of 1′s and 2′s: “The hoopster-in-chief has Kansas, Kentucky, Kansas State and Villanova in his men’s Final Four and on the women’s side, predicts the last four teams will be Connecticut, Stanford, Tennessee and Notre Dame.” The Kicker: “I never stop whipping.” — House Speaker Nancy Pelosi. “There’s only so often you can vote against your constituents before they start voting against you.” — Senate Minority Leader Mitch McConnell, to Fox News’ Greta Van Susteren.
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Dems letting Pelosi and Reid Slaughter this bill is still a vote yes by your party. You will be punished for this crime if you allow it to happen. We are not stupid out here. If we are then you where a mistake we voted for.
Posted by: Jim Rod | March 17, 2010, 9:05 am 9:05 am
I find it interesting that the 1 trillion dollars over 10 years that this health care bill will cost is deemed by some to be too expensive, despite the fact that the Bush tax cuts, (pushed through with reconciliation) cost our country $2.4 trillion over 10 years.
Yep, $1 trillion for health care reform which will grow jobs in the medical field, help small businesses compete, prevent bankruptcies, (60% of all bankruptcies are due to medical bills) save lives (45,000 Americans die every year because they can’t afford insurance) is being fought tooth and nail by the right and the insurance lobby.
On the other hand, that $2.4 trillion spent on Bush’s tax cuts has not helped the economy at all, but has made a lot of rich folks richer.
It all comes down to common sense and a little education about the facts.
Posted by: Lydia | March 17, 2010, 9:15 am 9:15 am
I think we can all agree this has been a disgusting process.
I saw on the news last night that big pharma contributed millions to representatives of both parties to defeat Obama’s move to limit to 7 years the time before generic medicines can compete with the original bio-perscriptions. Now they get 12 years during which they will reap billions in profit.
Yeah, don’t you just love our system?
I hate both parties, but I love Obama, and I believe this reform bill will get everyone covered, lower healthcare costs and premiums, save folks from going bankrupt from large medical bills, help small businesses, and lower the federal deficit.
Posted by: Amy in Maine | March 17, 2010, 9:16 am 9:16 am
The dictatorial approach will be short-lived, as in November, patriots will remove the Dems from office.
Posted by: Rick McDaniel | March 17, 2010, 9:38 am 9:38 am
You know much of the controversy related to the passage of this bill could’ve been avoided if the leadership would follow normal procedures, related to bill passage.
Seperate bills pass each chamber, then the two bills go to committe, and the combined bill is put for a vote in the Senate then in the House, passing it goes to the Presidents Desk.
The Democrats were doing fine, if partisan, up until the conference committe. It was then decided that the Senate and the House couldn’t work together to create a conference bill and after a few weeks longer that the only way to get their plan passed was to do reconcilliation.
The Senate Parliamentarian spoke out against such a plan, stating that the reconcilliation could only affect the parts of the bill related to taxation, and the entire bill would need to be passed before reconcilliation could be used in the process.
And here we are now, and I won’t go into the details of the last few days as we all should know them.
Funny all this legislative gymnastics wouldn’t have been neccessary if the Senate and House would’ve agree to work together to forge a bill instead of one set of Democrats not trusting another set of Democrats.
Almost like they don’t have the ability to govern effectively…
Posted by: bobtherepublican | March 17, 2010, 9:38 am 9:38 am
TRANSPARENCY OR DESPOTISM ?
America is watching and judging !
Is this all but a page from Saul Alinsky’s “Rules For Radicals”
What is a $2 billion reduction when all unfunded liabilities equal $105 trillion and the nation’s net worth of all assets is but $51.5 trillion.
Do these politicians even care? Do they even address it? Could the debt crisis be fixed even if they did care? Why does the media remain silent, is it part of the Cloward-Piven Strategy ?
A lot of questions and no answers it seems !
Posted by: Ed Taylor | March 17, 2010, 9:41 am 9:41 am
Lydia
Excellent post.
I just want to add, I think history will record, the media has done a worse job covering health care than it did covering the run up to the war in Iraq.
How is our democracy supposed to function if the press puts more energy spreading misinformation (death panels) than in examining the actual facts (the big pharma deals?) Does anyone think the media has done a good job explaining the issues?
How do you vote the press out of office?
Posted by: Amy in Maine | March 17, 2010, 9:41 am 9:41 am
amy from maine your still a complete fool i live in mass so far its put us in a hole of about 4 billion dollars in four years so far and counting and and your buddy obama says his monstrosity will mirror our health care in mass their having a hell of a time paying the hospitals alone so in turn their taking the state to court they keep saying were getting subsiy. from the fed tell me where all the money is coming from china because we dont have any wake up competition is the best medicine.
Posted by: natalie from mass. | March 17, 2010, 9:44 am 9:44 am
Amy in Maine; We all should believe in something. I believe many among us have forgotten how to be Americans. Of course that assumes those who have forgotten once knew, which may be a flaw in my argument. From writings of the late 1700′s we can find insight to the mindset of our founders, we can look into their deepest intentions. Ben Franklin for instance envisioned a government that gave little beyond protection to its people. It was his observations of different economic models during foreign travels that prompted him to write about the control over the people, the lack of liberties observed, when the government was the provider. Conversely he observed a sense of pride and an air of productivity among the people of those nations whose government did little for the citizens. It’s a very simple concept and a valid one. People appreciate what they work for and they will provide for themselves what the government doesn’t provide. Life, liberty and the pursuit of happiness are God given rights. God is the provider, not the government. (Yes, that old accused atheist made references to a God who he believed to be the creator, the provider, and the savior of mankind.)When man exercises his God given rights he is capable of providing life’s tangible needs for himself. When the government is the provider, the sugar daddy, the government that provides can likewise take away any and everything including life, liberty, and the pursuit of happiness.
Posted by: gollywiggle | March 17, 2010, 9:50 am 9:50 am
gollywiggle
Most people get their health insurance through their employer, more likely if they work for bigger companies than small businesses. That’s not exactly being “independent” is it?
My brother and nephew are self employed blue collar guys who built their own homes and live “off the grid,” they can’t afford health insurance without this bill. The bill does not “provide” insurance, it enables independent people to buy insurance themselves. This is not government run health care. This isn’t an entitlement program.
Left to their own devices, health insurance companies only cover people in the most profitable way possible. Why do you want to be dependent on a) your employer and b) the insurance industry?
Posted by: Amy in Maine | March 17, 2010, 10:08 am 10:08 am
I sure miss us not starting another useless war. The hell with healthcare. I heard Cambodia has weapons of mass destruction. Lets invade.
Posted by: Jackson | March 17, 2010, 10:10 am 10:10 am
TRANSPARENCY OR DESPOTISM ?
A voice from the past . . . .
“When, in the course of human events, it becomes necessary for one people to dissolve the political bonds which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the laws of nature and of nature’s God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation. “
Posted by: Ed Taylor | March 17, 2010, 10:24 am 10:24 am
This bill does not cure the problem – it only affects a symptom. Until the underlying costs (hospital costs; drug costs) are addressed, insurance costs will continue to rise. Think of your auto or home insurance. It is based on the cost of repairs and is affected by the number of claims made. So, until health care costs are brought under control, health insurance rates will rise. The House plan to pass the reconciliation bill “pretending” the Senate bill has passed has NEVER been done for something of this magnitude – something that will affect 16% of our economy. Furthermore, reconciliation has NEVER been used on a bill that affected 16% of our economy. If this bill was so good and if this bill would actually contain costs (hospital costs; drug costs, etc) then there would be far fewer GOP and the Dems who voted against it – it would be a bipartisan bill. But, this bill does not do that. And, it will be paid only by playing a shell game with the funding – rob peter to pay paul. The only bipartisanship of this bill lies in the side against the bill. Additionally, as has been stated before, if the bill was so good (actually contained costs), then the Dems would have had this passed long ago. But they didn’t – why – because they heard from their constituents – the people they work for!!! We all agree that reform is needed and there are many aspects of the bill that we all can agree to, but in its entirety, it will hurt the American people and it will ultimately bankrupt our country. While I may like chocolate cake, sweet pickles, and red wine, I don’t think I would like it all mixed together. There are good things in the bill, but when combined with everything else in the bill, the bill is a mess. And one last thought – the Dems think that we will only remember the outcome – not how we got there – they must have a short memory – they must have forgotten the backlash regarding the back room deals and the other unsavory actions that have gotten us where we are today.
Posted by: tired of it all | March 17, 2010, 10:25 am 10:25 am
GOP keeps wallowing in the past. Rants against ‘backroom’ deals that the Senate is planning to strip out through reconciliation.
They are just mad that the DEMs will be fixing the bill to eliminate the bad parts, thereby neutralizing the GOP ‘backroom’ deal talkpoint points.
GOP = Sore losers who lose congressional majority and turn around to question congressional procedures that have been in place for decades.
GOPers spend time confusing the public with process talk while avoiding real policy discussions because they have no ideas.
Posted by: New Wave | March 17, 2010, 10:45 am 10:45 am
A still unanswered question – What policies has the GOP ever put in place to make lifes of working Americans better ?
Just like they voted against the stimulus bill and then RAN home to claim credit for stimulus checks, they’ll soon RUN home to claim credit for health insurance reform benefits after it is signed into law.
Posted by: New Wave | March 17, 2010, 10:53 am 10:53 am
The Obama health care plan should be approved if the President correctly picks all of the March Madness bracket winners.
Posted by: tillyerkt | March 17, 2010, 11:22 am 11:22 am
New wave—The tax break given to me by republicans was something that made my life easier.The lie that it only helped the rich was just that , a lie. A man making 50k will lose $1200.00 this year even though B.O. is not raising taxes , just allowing my tax cut to expire. I repeat Not raising taxes I just pay more.
Posted by: scoty | March 17, 2010, 11:29 am 11:29 am
Scoty: Tax cuts will NOT expire for individual making less than $200K and families making less than $250K. So your numbers don’t jive. Try again!
Posted by: New Wave | March 17, 2010, 11:34 am 11:34 am
New Wave — The Bush tax cuts had a sunset claus…. what legislation has been passed to extend those cuts for people under $200,000 or $250,000?
Posted by: TheLoyalOpposition | March 17, 2010, 11:58 am 11:58 am
TheLoyalOpposition: I am referring to the legislation that President Obama has proposed to amend that sunset clause.
Posted by: New Wave | March 17, 2010, 12:05 pm 12:05 pm
New Wave
You are my hero. You post the kind of information journalists should be offering to the public, but can only be found in blog comments these days. I don’t remember the last time I saw a political journalist push back against misinformation and Republican “talking points.”
Posted by: Amy in Maine | March 17, 2010, 12:15 pm 12:15 pm
Wow the audacity of these people!! Does Kucinich think he’s untouchable? Actually I was voting for whomever ran against him (even if it’s the 5 yr old next door)…….always has been an idiot. His pitiful little headquarters in Lakewood, Ohio will be closed…..my heart will break (not) for the little munchkin…….what an idiot
Posted by: lyineyes1956 | March 17, 2010, 12:54 pm 12:54 pm
I am opposed to the current bill because it is too huge and needs to start from scatch. However, I am angry at republicans that say their plan is better. We are currently living with their plan. Medical costs skyrocked during their eight years and they choose to do nothing. That is still their plan – stop democrats from doing something about it.
Posted by: MikeMo1947 | March 17, 2010, 1:18 pm 1:18 pm
Founding fathers create a new goverment in about 25 pages (the Constitution). However, Congress requires hundreds and thousands of pages to revise existing laws. I think republicans and democrats try to include too many clauses to benefit their lobbists.
Posted by: MikeMo1947 | March 17, 2010, 1:25 pm 1:25 pm
Sad to say… people would rather the country fail than Compromise.
way to go GOP
Posted by: DewyB | March 17, 2010, 1:27 pm 1:27 pm
To start we must realize that to insist on the requirement that every American MUST have health insurance is unconstitutional. If the healthcare reform bill in its present state is passed, you can bet the farm opponents will go after this with abandon. And the Supreme court will shoot the requirement of the bill down. This one provision is what proponents of the bill are counting on to keep down additional costs to the American people. They think that the additional healthy people being forced to buy health insurance will offset the costs that are inherent in the bill. Without this provision two other provisions become disastrous. The provision that requires insurance companies to cover those with pre-existing medical problems (eg. End stage renal disorders, diabetes, heart problems) will cause those companies to raise their premiums on all their existing clients. Likewise, the provision requiring insurance companies to eliminate the ’doughnut hole’ will bring about an additional, and substantial, increase in premiums. If the insurance companies can’t add those being forced to have medical insurance to cover their additional costs than existing clients must cover these costs with additional premium fees. We could see existing premiums double or more in the near future. This bill would spell disaster for every American who presently has health insurance .
Posted by: Bill Hammersley | March 17, 2010, 1:55 pm 1:55 pm
Bill Hammersley comment “We could see existing premiums double or more in the near future.” ——- That has already happened in the last 10 years when republicans controlled government most of the time and did nothing to prevent it.
Posted by: MikeMo1947 | March 17, 2010, 2:03 pm 2:03 pm
New Wave=== Give us a break. Marxists Pelosi needs to step down. She, Reid and Obama are 100% ignoring the constitution and making up laws as they go. They are acting like real dictators. It takes VOTES. If pelosi slaughters in health care the Dems cannot say they did not vote for it. The dems allowing Pelosi to slaughter is the SAME as voting for the bill. Pelosi thinks she rules a kingdom. The firing ax will fall as soon as it passes if it does. Also, the DNC needs to give you new material. This is old man real old and we are tired of it.
Posted by: Jim Rod | March 17, 2010, 3:26 pm 3:26 pm
Amy in Maine; Once again thanks for your input. The cost of premiums for healthcare insurance for individuals does eliminate the practicality of buying insurance for many Americans. Most people don’t understand the insurance industry. It’s a for profit industry that helps individuals by hedging against the possibility of unexpected medical expenses bringing financial ruin to someone who needs medical care. Instead of paying a lump sum medical bill when we need medical services we pay an insuror who covers the majority of the bill and we only have to pay a co-payment amount. Insurance actuaries assess the potential risk of insuring someone according to their individual medical history, age, habits etc. and then quote rates accordingly. Healthcare insurance is typically not for basic healthcare only or catastrophic healthcare only. The two concepts are bundled though many won’t use the catastrophic care part in a lifetime. So the healthy already bear the weight of the sickly. If we don’t allow insurance companies to exclude preconditions and force them to insure individuals currently exempted from coverage because of major medical problems insurance rates must go up to cover the additional services the less fortunate insured need and will use. Healthcare insurors operate on a 3% profit margin. Hospitals have a small profit margin likewise. Pharmaceutical companies have amuch larger margin but reinvest much of their profits in research and development. With these things considered the way to bring down cost of insurance is to bring down the charges for services they insure against. Doctors and hospitals and pharmacies need to charge less but the only way they can charge less is to pay less for their own malpractice premiums, conduct less tests, reduce hospital stays, generally speaking be able to practice medicine without thinking about the liabilities of doing so. As for your uninsured relatives, premiums will go up when we insure more people. Whether the government covers them or they buy insurance on the open market makes no difference. Premiums will increase if more people are covered and exclusions and exemptions are prohibited.
Posted by: gollywiggle | March 17, 2010, 3:38 pm 3:38 pm
Those Americans against this bill outnumber those for it 2:1. Parliamentary tricks, closed-door tactics, and political bribery have been used to advance this bill. Other programs such as Medicare have ended up costing over 10x their initial good-faith estimates of cost. By continuing to pass on medical costs to others, this bill encourages NO wise spending of medical dollars by consumers. If democrats were actually interested in reforming this system, they would focus on cost control, such as through tort reform, which would cost nothing and slice off the billions associated with defensive medicine every year. You can complain about the GOP all you want – it does not change the fact that THIS BILL is a bad bill and Obamacare will be spoken of with the same disgust by independents that Iraq was by George Bush haters.
The idea that those who currently have health insurance will be able to pay for tens of millions more to have health insurance, but will not pay more, is ludicrous. This is not a magical fairyland. It is the swamp of political intrigue, and those who view their party with starry-eyed adoration are incapable of adult thinking.
Posted by: SmallBiz240 | March 17, 2010, 3:48 pm 3:48 pm
Amy in Maine: The goal of every American should be to become self insuring. If we have money in the bank do we also need life insurance? If we have money in the bank do we need healthcare iunsurance? If we have money in the bank do we need auto insurance. Our predicament is that we don’t work at becoming self insuring but prefer to either pay insurance premiums or take our chances. So the penalty we all pay is high premiums for the insurances we’re too stupid to provide for ourselves.
Posted by: gollywiggle | March 17, 2010, 3:50 pm 3:50 pm
The key to financial success is to pay yourself first. Save money and stop depending on insurance companies. Have your own emergency fund. Develop self worth. Manage your own assets rather than being a government dependent.
Posted by: gollywiggle | March 17, 2010, 4:03 pm 4:03 pm
Insurance companies work on a 3-4% profit margin. It’s the same margin grocery stores work on. Will the government attack the nation’s grocers next?
Posted by: gollywiggle | March 17, 2010, 4:05 pm 4:05 pm
It’s hard to save or be charitable because the government already takes over 50% of our income through taxation. That will get worse as the government issues more entitlements.
Posted by: gollywiggle | March 17, 2010, 4:09 pm 4:09 pm