An Economically Created Health Care Disaster
And your state is sure to be suffering:
"Medicaid rolls are surging, by unprecedented rates in some states, as the recession tightens its grip on the economy and Americans lose their employer-sponsored health coverage along with their jobs." In many states, Medicaid rolls grew by 5 to 10 percent in the last year, often double the growth the previous year. Congress is likely to extend Medicaid aid to states in the upcoming stimulus package.And, as early as March, Obama will be moving forward on health care reform, according to the Politico:
The move signals Obama's intent to keep one of the most ambitious and politically crucial campaign promises at the top of his agenda. On the campaign trail, Obama pledged to provide universal health care by the end of his first term, but the severity of the economic downturn has raised doubts about how quickly he can deliver on that promise. Obama and his point person on health care, former Senate Majority Leader Tom Daschle, have staffed up like they plan to push forward with it, lining up a roster of communications and policy strategists to assist in the effort.I wrote last week on a Tom Daschle statement that could be taken as a signal of which way Obama wants him to go:
Be still my single payer heart...If this is the starting point of the health care debate than it is already over... (And, for a change of pace from the last 8 years, America wins!) Anok, over at identitycheck, expanded on what this looked like to herself.Via DCblogger at Corrente and emphasis mine:
Mercury NewsHere, not only do we have the right wing Chamber of Commerce health care Czar telling you flat out that the for profit health care providers can not compete in a free market with Medicare, a government run single payer program... But the fact that it starts with a Tom Daschle hint of things to come that damn near made me have a heart attack.Daschle, the point man for Obama's campaign to revamp the health care system, supports the concept of "a government-run insurance program modeled after Medicare." It would, he says, give consumers, especially the uninsured, an alternative to commercial insurance offered by companies like Aetna, Humana and WellPoint.Why would employers object to a public plan that would be better and cheaper for their workers?But the proposal is anathema to many insurers, employers and Republicans. They say the government plan would have unfair advantages, like the ability to impose lower fees, and could eventually attract so many customers that private insurers would be driven from the market. "The public plan option is a terrible idea -- one of our top concerns in the health reform debate," said James Gelfand, senior manager of health policy at the U.S. Chamber of Commerce.
Meanwhile, President Obama has this up at the White House website:
HEALTH CAREIn the boldly reddened part the key part of the plan is the opening up of the plan available to Congress members. The Federal Employees Health Benefits Program (FEHBP) offers many different choices for people that all include prescription drug benefits. While wildly varying in co-pay costs depending on the plan, the FEHBP offers no savings over a plan such a MedicareOn health care reform, the American people are too often offered two extremes -- government-run health care with higher taxes or letting the insurance companies operate without rules. President Obama and Vice President Biden believe both of these extremes are wrong, and that's why they've proposed a plan that strengthens employer coverage, makes insurance companies accountable and ensures patient choice of doctor and care without government interference.
The Obama-Biden plan provides affordable, accessible health care for all Americans, builds on the existing health care system, and uses existing providers, doctors, and plans. Under the Obama-Biden plan, patients will be able to make health care decisions with their doctors, instead of being blocked by insurance company bureaucrats.
Under the plan, if you like your current health insurance, nothing changes, except your costs will go down by as much as $2,500 per year. If you don't have health insurance, you will have a choice of new, affordable health insurance options.
Make Health Insurance Work for People and Businesses -- Not Just Insurance and Drug Companies.
Reduce Costs and Save a Typical American Family up to $2,500 as reforms phase in:
- Require insurance companies to cover pre-existing conditions so all Americans regardless of their health status or history can get comprehensive benefits at fair and stable premiums.
- Create a new Small Business Health Tax Credit to help small businesses provide affordable health insurance to their employees.
- Lower costs for businesses by covering a portion of the catastrophic health costs they pay in return for lower premiums for employees.
- Prevent insurers from overcharging doctors for their malpractice insurance and invest in proven strategies to reduce preventable medical errors.
- Make employer contributions more fair by requiring large employers that do not offer coverage or make a meaningful contribution to the cost of quality health coverage for their employees to contribute a percentage of payroll toward the costs of their employees' health care.
- Establish a National Health Insurance Exchange with a range of private insurance options as well as a new public plan based on benefits available to members of Congress that will allow individuals and small businesses to buy affordable health coverage.
- Ensure everyone who needs it will receive a tax credit for their premiums.
The Obama-Biden plan will promote public health. It will require coverage of preventive services, including cancer screenings, and increase state and local preparedness for terrorist attacks and natural disasters.
- Lower drug costs by allowing the importation of safe medicines from other developed countries, increasing the use of generic drugs in public programs, and taking on drug companies that block cheaper generic medicines from the market.
- Require hospitals to collect and report health care cost and quality data.
- Reduce the costs of catastrophic illnesses for employers and their employees.
- Reform the insurance market to increase competition by taking on anticompetitive activity that drives up prices without improving quality of care.
A Commitment to Fiscal Responsibility: Barack Obama will pay for his $50 - $65 billion health care reform effort by rolling back the Bush tax cuts for Americans earning more than $250,000 per year and retaining the estate tax at its 2009 level.
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Another problem is the fact that NOWHERE does Obama's plan address the serious issues with private plans that create "Death by Spreadsheet", clearly the most immoral aspect of private plans.
- No indication of how they would address insurance workers being paid bonuses for depriving clients - patients - of services that they have paid for in their premiums. Some have suffered for long periods of time battling for their rightful services to be paid for. Other people have died under these scenarios. That is a fact.
- No indication of addressing caps on services - either over single delivery of a service, a short period of time (a month? a year?) or over a lifetime. I.E.: Last year I had some dental surgery done. That one procedure maxed out my benefits allotted for the year for surgical procedures. I have had to wait for January to roll around in order to schedule work that I needed done because I could not afford the costs out of pocket above the severely low maximum.
A "maximum annual cap" on a health insurance policy is actually the total amount that the insurer will pay during a year. If you see this on your policy benefits sheet, you'll want to pay attention; a low maximum annual cap makes the policy nearly worthless. After all, the idea of insurance is to protect someone from high medical costs.The black ink in the ledgers is being balanced by the red blood of those that die in the name of profitability.
I discussed Daschle's previous statement that would, IMHO, begin the end of private health plans that prey on its victims through their various uses of "Death by Spreadsheet." It is the long road plan to single payer and will expose the fact that the for-profit plans can not compete on a level playing field with any single payer program in the free market. The far right wing knows this and, considering the fact that 65% of Americans want single payer health care, the rest of America knows this as well.
Sixty-five percent of those polled said the United States should adopt universal health insurance that covers everyone under a program such as Medicare that is run by the government and financed by taxpayers. Fifty-four percent went where politicians dare not tread, saying they supported a "single-payer" health system whereby all Americans would get their health coverage from a single government plan financed by taxpayers.To be clear, Medicare is a form of a single payer program.
But the republicans have so polluted discourse on this subject in the past that some Americans think that Single Payer is socialist. A blatant lie that the majority has seen through as they became better educated on this issue. Hell... There is even a Republican group for single payer, now. That is how mainstream this demand is becoming.
Via DCBlogger at Corrente, America has changed a lot in the last few years:
Let me explain where we are right now, it is like 1989 in Moscow. Glasnost is in effect, the old regime has lost what ever legitimacy it ever had and ordinary people are losing their fear. It still looks very formidable, but it is about to crumble.Which Republican Senators do you think we have the best shot of winning over?That is where we are with health care. Everyone is still refighting 1994 without noticing that the entire political landscape has shifted. We didn't have anything like HealthCare-Now, Physicians for a National Health Plan, or California Nurses in 1994. We didn't have a National Day of Action with picketing in cities across the country. Single payer activists are playing the same role dissidents played in the fall of the Soviet Union. We are saying the unsayable and we keep saying it until it becomes obvious.
Specifically how do we get a bill passed? Given our support in the House of Representatives, I am confident that we can get a bill to pass. So how do we win the Senate? Well, to switch historical analogies, we need a Republican Senator to play de Klerk to Conyers Mandela. Someone needs to break ranks, and if we maintain pressure, someone will do so.
The people want single payer and we need a strategy on how we can go about getting them one or two Republican Senators to support a plan like H.R. 676. The most popular single payer health care solution and one that will be a direct route to the holy grail of health care and eliminating the need to wait for the free market to prove what everyone already knows and aknowledges on all sides, as evident even by the other sides arguments.
It is all the cover the Democratic party needs to pass single payer and that is what it may come down to if we want to get what we deserve.
Which Republican Senator is really bi-partisan or, at least, bi-partisan enough to walk away from the insurance company Astroturf groups and the far right wing corporatists to support what the vast majority of Americans want and really do need if we are going to weather the shitpile created economic shitstorm?
Arlen Specter and the women on the Republican side of the aisle have shown a more reasonable record of supporting women's rights issues (Equal Pay - Pro-Choice) in the recent and distant past. Is it possible to exploit this for our important issue? I honestly don't know if the statistics of women's support for single payer would make this a feasible avenue to explore?
A good healthy portion of the information linked here is unashamedly and liberally taken from Corrente, though, this piece is written/assembled by myself (most blockquoted text excepted) for my Blog and to share in ePpluribus Media's ongoing health care discussions - I believe that Corrente deserves a lot of props for the great work they are doing FOR YOU right now. Stop by their site and say thanks.
We need to kick the tires on all of the proposed health care solutions so we know what, exactly, they are trying to sell us. That is why I have been cross-posting my material on health care across the net, including here at TPM, where more eyes can get a clearer view of what is happening, and in the hopes of generating a larger discussion on this issue.
Previous ePluribus Media pieces:
by Carol White:
by Connecticut Man1:- Be Still My Single Payer Heart
- How do you know Obama's health plan is bad for YOU?, Tue, 01/13/2009
- All That I Want..., Wed, 12/24/2008
- Single Payer Health Care Would Help Auto Industry, Tue, 11/18/2008
- The Most Complete & Honest Comparison of Health Proposals...so far, Tue, 01/13/2009


Thanks for reading, and any and all input is always welcome. Be it the devils advocate to prepare us better for the upcoming battle, or genuine reasons for disagreement, or your own views of why you are in agreement.
Read, research, and write the heck out of this stuff because March is not that far off. You need to know the good, bad and ugly of every proposal.
January 25, 2009 3:14 PM | Reply | Permalink
Thanks for the handy resource. It's a public service you are doing here.
January 25, 2009 10:47 PM | Reply | Permalink
I realize TPM Cafe has its own health care guru Matthew Holt and dkos has nyceve. Writers that are regularly banging away on the nuts and bolts of these issues.
This is the one issue that can and should leave a positive mark, doing the right thing, for generations to come. We all need to put in some elbow grease on it to make the change we know is coming the best possible deal for everyone.
I have what I think is the best way: H.R. 676. But I can see there are positives to what Daschle proposes. Just a longer road to the same destination. What Obama has on the White House site is not a good choice, IMHO. But we already have a good idea that this is his default position based on the game, not on his personal views. This is one case, Obama VS his team of adversaries, where I hope Daschle has more influence on this than Obama does.
January 25, 2009 11:15 PM | Reply | Permalink
How can I not recommend? This is a superlative post!
And my single-payer heart beats in hope! I'm keeping my hopes up.
Thanks for this excellent post!
January 25, 2009 7:42 PM | Reply | Permalink
I really think that we can get Obama on the side of single payer - he has already said it is the best way in the past, he just doesn't see the political game going that way - if we can sufficiently step up the pressure on both him and Congress.
There are so many problems with the private for-profit plans that it would be less complicated to to scrap it altogether and start over with H.R. 676 - or look at opening up one of the government's already functioning, efficient and successful single payer plans to everyone that wants in.
Please keep working on this by letting your congress critters know that private plans are a proven failure and we need single payer now.
And, of course, thanks for the comment TheraP!
January 25, 2009 7:58 PM | Reply | Permalink
I am doing everything I can here. We have had a very spirited conversation about single payer on a number of threads. Many are for it.
I well know all the arguments for it. None of the ones against it convince me in the slightest.
Again, thanks for all your hard work. And thanks for serving your country - keep doing so!
January 25, 2009 8:03 PM | Reply | Permalink
It was just too long for me to read.
January 25, 2009 10:10 PM | Reply | Permalink
Ah, yes. That explains a lot.
January 25, 2009 10:18 PM | Reply | Permalink
I'm still pondering the body language.
January 25, 2009 10:54 PM | Reply | Permalink
The short version? Just for you:
Single payer health care good, private for-profit plan bad. Call Congress critters, please?
January 26, 2009 12:46 AM | Reply | Permalink
Somebody who researches something before they blog.
What will happen next?
CM, I will come back to this. I like the fact that your recommendation is clear and I am for single payer also, for many many reasons. But you sure have not missed many.
But your political analysis is where I am at.
Female Republicans and Specter. Lugar suprizes me sometimes. But Rahm and others are really deft at dealing with this stuff. At least in the past.
Daschel is the best choice they have made and they have made good choices in the last two months.
When the impact on small business is thrown into the equation, we may end up with something close to single payer.
January 25, 2009 10:50 PM | Reply | Permalink
A little long for a bumper sticker, IMHO. Feel free to use it (any of the material, for that matter) anywhere you think it might help. I view it as a team effort. I took my material from others (in this case: a lot from Corrente - but it is was front paged at their Blog so I don't think they minded. lol) I wouldn't argue if you attributed to myself in writing or Blogging but, on this issue, it is too important to quibble about things like "who said what?" Besides, and to be honest, I read so much I may have read similar lines elsewhere? :)
January 26, 2009 11:08 AM | Reply | Permalink
OOPS! This was in reply to dickday... And the reply to you came out below? AAAACK. The instructions are simple: Point and click, and I still mess that up?
January 26, 2009 11:11 AM | Reply | Permalink
"When the impact on small business is thrown into the equation, we may end up with something close to single payer."
I have covered that before (here, dokos, at my Blog at ePluribus Media) and I culled a lot of useful info and reactions from around the Blogs to add to it.
It would put all of American industry on a level playing field with the rest of the globe.
China's solution to their economic slowdown? Single payer universal health care. (I am certain their's will be under a communist model - all of the single payer proposals here aren't even socialist, just to be clear) They are hoping this investment in "human infrastructure" will keep their economy treading water until the rest of industry can get going again.
I find it sad and disturbing, with how many times the USA has pointed the finger at China for human rights abuses and complained about unfair trade practices, etc... China is poised to pass the USA in one of the most basic human rights.
January 25, 2009 11:45 PM | Reply | Permalink
I was following you until this odd remark. Single Payer is socialism (truly it is Government Payer or Joint-Taxpayer Payer). Why deny it, why not embrace it?
January 26, 2009 2:19 AM | Reply | Permalink
A socialist system would need to remove the private sector much more. In essence, the government would pay for the services and dictate the terms of the service and be more involved in the provision of those services.
In single payer all they do is pick up the tab. Hospitals and other providers would be more in charge of how the system operates and would still be businesses.
In a communist system the Doctors, Nurses, technicians and other workers would all be working for the government, as well.
There are huge differences between single payer and socialism, IMHO.
Though, I must admit that I would have no issue with a socialist health care system. But I would like to see what a more privatized single payer system than some of the other nations might provide as benefit, too. Call it intellectual curiosity. :)
January 26, 2009 10:59 AM | Reply | Permalink
You're naive. The government isn't going to just pay any old bill it gets. There will be standards and checks and balances. That makes that part socialist too.
But the original point about how Single Payer is socialist was stated clearly -- society (taxpayers) pay for everyone's health care or at least everyone who wants it. That's socialistic.
Just call it what it is. If you need to make fine distinctions to clarify which kind of socialism it is or is not, or to clarify the ways in which it is more or less socialistic than other means, that's fine with me.
January 26, 2009 3:14 PM | Reply | Permalink
This is an excellent post and well researched. I do appreciate the depth to which you went and came back up to share with us.
Here's what needs to be done, though, IMHO. Did anyone notice that Dubya and the Reich get results with their bumper sticker campaigns and feverish repetition? People spuit these things out with absolute conviction. Welll, it seems people have opened their minds some because, well, turd blossom can't polish the turd that was the Bush Administration.
While they have thier minds open, we should repeat ad nauseum the fallacies of the Reich. For instance, I want a provider concerned with my health, not their profits. Or, my employer won't pay me enough, why would I think he would give me enough healthcare?
Or, if profits are about people taking the money left over after performing a service, why do we believe government can not do it cheaper? There is no profit motive.
Or, if doctors owned the healthcare industry, I might favor it, but the leaders are businessmen, and their bottomline is not about my health.
There are more phrases out there to be turned to get our points across. This is Talking Points Memo. let's get our own going while people are having this phase of open mindedness.
January 26, 2009 3:11 AM | Reply | Permalink
I am with you on all of that, but it will take more than sloganeering to get it done. Talking about it daily with people you know and/or meet is one very important way to go. Organizing community meetings/seminars to discuss single payer (and other options) with experts that know what they are talking about. PNHP is quite prepared to provide experts needed for people that can organize something.
Then, out of those meetings, try to create the needed pressure to make these Congress critters act in our interests.
January 26, 2009 11:22 AM | Reply | Permalink
I knew I would have to come back to this.
"The black ink in the ledgers is being balanced by the red blood of those that die in the name of profitability."
This is really a good line. If I heading a lobbying group for a one payer system, I would have this line on all my bumper stickers and posters!!!!
January 26, 2009 9:35 AM | Reply | Permalink
A little long for a bumper sticker, IMHO. Feel free to use it (any of the material, for that matter) anywhere you think it might help. I view it as a team effort. I took my material from others (in this case: a lot from Corrente - but it is was front paged at their Blog so I don't think they minded. lol) I wouldn't argue if you attributed to myself in writing or Blogging but, on this issue, it is too important to quibble about things like "who said what?" Besides, and to be honest, I read so much I may have read similar lines elsewhere? :)
January 26, 2009 11:11 AM | Reply | Permalink