Health Care Reform or Promotion of the Health Insurance Industry? It's All a Matter of Perspective.
Like me, I'm sure you look at this figure and reason that it serves as a pretty good argument in favor of single payer health care coverage. After all, this is a whole lotta' healthcare-related resources being applied wastefully toward something that contributes nothing to our nation's health care system.
Unfortunately, I fear President Obama and too many in Washington look at this figure and see little more than a terrific source of potential campaign finance funds.
This difference in perspective explains more than anything why we seek health care reform and our political leaders respond by trying to enhance and preserve the health INSURANCE industry.
















Thanks for making the distinction so well and so obvious, SJ.
July 5, 2009 6:24 PM | Reply | Permalink
THIS SHIT HAS TO STOP AND IT HAS TO STOP NOW.
GODDAMN i WILL SHOW UP WITH PITCHFORKS AND TORCHES.
I AM SO MAD I HAVE TO STOP NOW OR I WILL OBSCENITY MYSELF RIGHT OFF THE CHARTS.
According to a letter in today's paper, Bill McGuire, former CEO of UnitedHealth Group, accumulated total compensation of $1.6 billion during 2005, "just a hair over $4 million a day if he worked all 365 days of the year."
I want that motherfricken money back and i want McGuire in prison.
July 5, 2009 7:03 PM | Reply | Permalink
I'll be right there with you with the matches and more pitchforks dd.
He got $1.6B for helping to deny people his company insured coverage when they got sick, for helping to ruin the health of our health care system and for producing nothing of benefit for our economy and country as a whole. It is a scam, it is a ruse, it is a swindle!!! And the 'representatives' of the American people in Washington are key players in perpetrating this confidence game.
WHERE ARE THE DAMN PITCHFORKS??!!
July 6, 2009 10:19 AM | Reply | Permalink
Where are the pitchforks? Ask the cheekhen, bwakfat. She's been ready to storm the barricades for a long time now. She's got a pitchfork, and I'm sure she knows how to use it! ;O)
July 6, 2009 10:53 AM | Reply | Permalink
She most certainly does SJ. She is as mad as a wet hen, lol!!! And I am of the same thinking as her. Ironically me and her are both from CT. I wonder if that has something to do with it? Something in the water here maybe? ;-)
July 6, 2009 11:08 AM | Reply | Permalink
"Like me, I'm sure you look at this figure and reason that it serves as a pretty good argument in favor of single payer health care coverage"
- LOL, so now the reason for "the trillion bucks solution" is the executive compensation.
Monsanto, Hollings and Goldman Sachs were the biggest winners of cap-n-trade way of re-dividing the American energy spoils, and I can't wait to hear the collective liberal moan and whine when they realize who will benefit the most from the "public option".
July 5, 2009 8:55 PM | Reply | Permalink
No no no Lalo. We will all imprison them sooon. Sooner than you think.
And we will confiscate all of their ill gotten gains.
AND THEN WE WILL START ALL OVER AGAIN.
July 6, 2009 12:18 AM | Reply | Permalink
Just like in 1968! Oh, wait, that wasn't the result of our last "revolution" in America. Perhaps we should seek a new set of solutions?
July 6, 2009 8:51 AM | Reply | Permalink
Could you give some citations for your facts?
July 6, 2009 8:32 AM | Reply | Permalink
Lalo,
what do you think of McGuire's one year $1.6 billion compensation package?
July 6, 2009 8:50 AM | Reply | Permalink
it's hard to get good help these days
July 6, 2009 1:33 PM | Reply | Permalink
1.6 billion in executive compensation. What Board of Director's approved that, and in the publich sphere, if th gov't was the insurer, would we EVER pay a CEO that much? That alone is why we should get single payer, but of course there are dozens of other legitimate reasons.
BTW, lalo, what purpose does the remark "the collective liberal moan and whine" serve to your argument? Is there some aspect of that you think helps people understand you better, or are you just an asshole?
July 6, 2009 1:10 PM | Reply | Permalink
A picture is worth a thousand words. See the Operating Room cartoon at http://edsteinink.com/
July 5, 2009 9:33 PM | Reply | Permalink
Sleepin, you see, a good DA could do an investigation on that health care company.
And they could do a study on how many people have died in the last 4 years as a result of being turned down on a claim.
All you need is the number of one time insureds who died in the last 4 years. Then you select only the names of those one time insureds who were denied their claim for benefits.
THEN LET A JURY SORT IT OUT. SEE?
Then you fine the CEO 2 billion dollars and throw his ass in prison for murder.
It is easier than you think. The state could spend 30 million dollars and imprison 50-150 of those in management and claims, and get back five hundred million for the state and distribute the rest to the victims.
WHY NOT?
Once the first indictments came down, those yellow rotten rich cowards would start rattin on all their 'friends' you know, the friends who passed them on the upswing of the corporate elevator or whatever.
Okay, you give up ten of your friends, and we will settle for manslaughter, consecutive sentences, but in forty years, you might be able to joint a seniors bridge club or some such.
THE END
July 6, 2009 12:16 AM | Reply | Permalink
Good thinking DD let's get started. I'll bring my pitchfork.
July 6, 2009 12:28 AM | Reply | Permalink
Perspective is precisely what is at issue.
There are three:
Politicians
The healthcare industry
Consumers of health care services
I place these in order of which perspective is likely to be served from most likely to least likely. The first two might be perceived as interchangable with the third a constant dead last.
July 6, 2009 6:47 AM | Reply | Permalink
I've thought about this a bit more and I think politicians get first billing because in any instance where push comes to shove lawmakers (politicians) get the final say. If you are a consumer (citizen) that isn't the way it is supposed to be but that is the practical end of it.
July 6, 2009 7:13 AM | Reply | Permalink
I think your single data-point emphasizes the need for regulation of the health insurance industry while we create our new system out of the Frankenstein monster that is currently ravaging the village. I would also be happy to have society change to the extent that such greed and incompetence is properly addressed, criminally if applicable laws can shown to have been violated.
Which brings us back to proper regulation and enforcement vice throwing the baby out with the bathwater. Very few countries of our size have a strictly single-payer system. In fact, none of them do.
Single payer is hardly the panacea this blog implies. There are a TON of potential issues with the design and roll-out of "Medicare-for-All" not the least of which being the existing Medicare and Medicaid system itself. There are things we can do immediately like fix the policies that are allowed in which people dying is the end result - like preexisting condition exclusions and the like - and there are long-term foundational changes that must be made on a number of fronts.
This not an Either-Or situation.
July 6, 2009 8:58 AM | Reply | Permalink
You're point about the scope of this is often forgotten. Hell, I often forget that there are only two, that's right, two!, countries in the world with more people than we do. Getting universal health care here will be a singular, monumental achievement. There's something like 46 million Americans without health care, which is about the population of Spain. Just as getting us to reduce greenhouse gases, if it ever gets past the Senate, will probably be the largest step that the world takes to reduce climate change.
You are right that single payer health care may not be the "panacea", but let's at least leave it on the table. Be it draconian laws that change the landscape of how countries run health care, or independent non-profit companies, or single payer, or all of them competing until eventually something wins out, I feel that we absolutely have to do something.
I lean toward single payer being the way. But whatever happens, we have to make sure that next year has more people with coverage than last year. Until it's all of us.
July 6, 2009 5:49 PM | Reply | Permalink
Doh. "landscape of how companies run health care."
I previewed it too. ;(
July 6, 2009 5:51 PM | Reply | Permalink
I think we need strict regulation of public health insurance companies, leaving them the option of becoming nonprofits at any time.
They will be required by law to use a single IT platform that will be designed and developed as a public-private consortium. This program should be designed to interface with other societal information systems. (I think objections to a Universal ID card are paranoid and nonsensical.) Since insurance companies didn't see fit to provide value on their own, we will make them provide value via draconian enforcement of sensible regulations.
To counter-balance private insurance, we need a new Medicare-Medicaid system that functions as a public plan for those who can't afford or don't want private insurance. This plan would have federally mandated operating procedures (many of them the same as for-profit companies will have to follow) and would operate as a single group with implementation at the state level.
If at the end of that road, private insurance companies can still drive a profit and maintain market share without breaking our health care system, they should be allowed to under our new Fair Market rules. I also would also not be apposed to mandating insurance in this scenario.
Of course, the above doesn't account for pharmaceutical companies and hospitals (look for my newest blog today on that crap) and medical education costs and all the rest of the problems that make up our dire predicament, but if we tie off the severed femoral artery that is medical insurance, perhaps some of the other issues become easier to fix or at least easier to analyze.
July 7, 2009 8:21 AM | Reply | Permalink
Hey, where is that blog? I went looking around a bit and don't see it.
July 7, 2009 2:29 PM | Reply | Permalink
Sorry, premature hyping. :O)
I was going to write about the six hours I spent in the emergency room last night at Washington Hospital Center before I went ahead and left before seeing a doctor because the triage nurse told me all I needed to know after hooking me up to an EKG for two minutes.
I haven't written it yet. Been trying to stay horizontal to let my over-worked muscles relax. I will probably post it tomorrow or the nexxt day with a good portion of the above health insurance solution set I spoke about as well as some fairly pointed feedback for health care providers who are every bit as dysfunctional and inefficient as the health insurance companies are.
Thanks for the interest!
July 7, 2009 4:01 PM | Reply | Permalink
So, who here thinks Obama is getting less money from health insurance companies than his opponent, next cycle? What, no hands? Who thinks he has some of that money already? There they are.
Two things:
1. I fail to see how the compensation of an individual executive is relevant to the debate. Certainly his stockholders might well have something to say about his compensation (and they ought to say mor than they generally do), but absent a complaint from the owners, don't we have to presume that he was worth the salary? Maybe he earned $1.6 Billion because he saved $1.9 Billion in costs by squeezing doctors.
2. Single payer is great as long as you're not paying. Thing is, you are.
July 6, 2009 3:15 PM | Reply | Permalink
There's no free lunch. You pay one way or the other. If your kid gets hit by a drunk driver or your mother has a heart attack, you don't want the doc you need squeezed out the ER.
July 6, 2009 4:16 PM | Reply | Permalink
If there is no free lunch. Well then.....
I guess I will wait for dinner.
July 6, 2009 6:04 PM | Reply | Permalink
heh, if you believe Krugman, then dinner won't cost more than a Jr. Whopper. (Though he doesn't talk about the later cost of eating too many Jr. Whoppers. Stupid cholesterol!!!):
http://www.nytimes.com/2009/07/06/opinion/06krugman.html
July 6, 2009 6:26 PM | Reply | Permalink