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Naming Names in the Health Care Debate.


I've been spending some time at Open Secrets lately, trying to see what patterns I can in the corporate donations to our legislators and how that might affect the ongoing healthcare debate.  There is a lag in reporting campaign donations, so all is not known yet as to where money is being directed.  There are also some areas where donations may not be as easily viewed.  First let me paint with some broad strokes.

In the 1990 and 1994 election cycles Healthcare professionals ranked #2 among industries contributing to political campaigns, as might be expected in a presidential campaign year, and in light of the anticipated stab at healthcare reform by the Clinton administration.  Donations from Healthcare Professionals increased from $54.5 to $95.8M between the 2006 and 2008 election cycles, or an increase of 78%.  The ranking of this group rose to #4 during the current  2010 election cycle.

The insurance industry ranked #4 among industries contributing to political campaigns in 1990.  It had dropped to #6-#8 in the following 6 election cycles, eventually falling to #11 and recently rebounding to the #8 position.  In actual dollars the Insurance industry has increased its' giving to our politicians from $31.3M to $46.7M between the 2006 and 2008 election cycles, a 49.3% increase in 'giving'.

The amorphous group identified as Lobbyists jumped from a ranking of #15 in 2008 to #9 in 2010 election cycle with actual dollars donated to their favorite politicians jumping from $24.1M in 2006 to $35.1M in 2008.  I'm not sure how to interpret this but thought I would include it.

Health Services/HMOs upped their political contributions from $8.3M in 2006,  $14.1M in 2008 an increase in political donations of 70%.    

Hospitals & Nursing Homes dug deep in 2006 and donated $14.1M, which increased to $22.9M in 2008, an increase of 62%.

Pharmaceuticals / Health Products donated $19.5M in 2006, which increased to $29.1M in 2008, an increase of 49%.   This group jumped in rank from 21 to 13 in 2010 election cycle.

Some of these increases in donations can be attributed to the presidential election in 2007, but it would be a stretch to think they all were just a reflection of that.  Healthcare reform has been widely anticipated by these industries, and spending has been proportionate, and not all of it, (particularly from the healthcare professionals), was donated with an expectation of defeating the reforms, however much of this cash is given to politicians with a tacit understanding that the favor will be reciprocated.

 
For fun I looked at the top 20 recipients of money donated to politicians from the insurance industry, Health Professionals, Health Services/HMOs,  Hospitals/Nursing Homes, and Pharmaceuticals/health Products to see how much overlap was there.  Not surprisingly there were a lot of double entries in these different industries, that enjoy the financial support of the industries they are charged with regulating.  I didn't do an exhaustive examination of the names in these 'Top 20' lists, but enough stuck out, for either multiple appearances or for the amount of money they enjoy from the sector of the economy currently scheduled for 'reformation'.  Some of the names may have enjoyed higher campaign donations from the sector due to their position as a candidate for the presidency, while others may receive these donations due to their positions of influence in the various committees they are appointed to in the US legislature.  Either way, they are taking the money, and some of them in much greater amounts than others.  Here's a brief overview of the Top 20  repeat offenders, committee assignments, and the ranking of the contributing industry in their pantheon of patrons, ranked in order of total dollars received from these various industries from 2005-2010.  If someone appeared on these lists, but was no longer holding elected office, they aren't mentioned here. 

John McCain. #7. Health Professionals    $5,291,262,  #10 Insurance $2,386,480.  Total take:  $7,677,742.

Max Baucus, (Finance Committee Chair).    #3 Insurance    $545,725, Health Professionals    $499,641, Pharmaceuticals/Health Products    $494,313, Health Services/HMOs,    $345,500,  Hospitals/Nursing Homes    $344,326.  Total Take:  $2,229,505.

Mitch McConnell,  (Appropriations Committee). #5  Health Professionals    $696,450,  #10 Pharmaceuticals/Health Products    $409,235,  #14 Insurance    $314,933,  #17 Hospitals/Nursing Homes    $274,050.  Total Take:  $1,694,728. 

John Cornyn, (Finance committee, Budget committee). #3 Health Professionals    $742,163,  #8 Insurance    $350,169,  #15 Pharmaceuticals/Health Products    $219,646.  Total take:  $1,311,978.

John Kyl, (Finance Committee, Subcommittee on Healthcare).  #4  Health Professionals    $651,883, #11      Insurance    $276,420,  #13 Pharmaceuticals/Health Products    $192,250,  #15 Hospitals/Nursing Homes    $179,055.  Total take:  $1,299,608.

Joe Lieberman,  #7 Insurance $423,644,  #8 Health Professionals $359,870,  #10 Pharmaceuticals/Health Products    $297,090, Total take:  $1,080,604.

Orrin Hatch, (Subcommittee on Health Care, HELP).  #2 Pharmaceuticals/Health Products    $423,681,  #5 Health Professionals    $215,650,  #6 Insurance    $160,169,  #9 Hospitals/Nursing Homes    $126,400,  #12 Health Services/HMOs    $94,500.  Total take:  $1.020,400.

Arlen Specter,  (Appropriations),  #4 Pharmaceuticals/Health Products $360,799, #7  Health Professionals  $274,683, #10  Hospitals/Nursing Homes  $187,066, #11 Insurance $149,223.  Total take:  $971,771.

Rick Santorum, (Finance Committee).    #4  Pharmaceuticals/Health Products    $360,799,  #7 Health Professionals    $274,683,      #10 Hospitals/Nursing Homes    $187,066,  #11 Insurance    $149,223.   Total take:  $971,770.

Edward Kennedy, (Health, Education, Labor, and Pensions committee Chair), #2 Pharmaceuticals/Health Products    $292,340,      #10  Health Professionals    $166,081,  #11 Hospitals/Nursing Homes    $127,812,  #15 Insurance    $76,400.  Total Take:  $662,633.

John Kerry, (Subcommittee On Health Care).  #7 Insurance    $91,036,  #14 Hospitals/Nursing Homes    $62,050,  #15 Health Professionals    $61,448,  #16 Pharmaceuticals/Health Products    $60,530,  #19 Health Services/HMOs    $51,380.  Total Take:  $326,044.

Charles Rangel,  (Ways and Means Committee Chair ), #1 Health Professionals $33,000, #2  Insurance    $31,500,      #6  Pharmaceuticals/Health Products    $14,500,  #16      Misc Health    $2,400    ,  #20 Hospitals/Nursing Homes    $2,400.  Total take:  $55.450.

We can interpret these numbers in a variety of ways, and I'm sure the individual politician's office would have some handy explanations about various industries being located in their home district, and what not.  One thing that struck me is that aside from Max Baucus, the Republicans and Blue Dogs are finding this sector much more lucrative than the Dems, although this may be due to the fact that their party has been in power longer than the Dems have been.  Or it may be that an obstructionist to change is worth much more to these industries than a pol who actually wants to make things work better than they currently do.  It also seems obvious that the Senate is the primary target of these industries as to wielding influence in the outcome of healthcare reform legislation.  These industries give to everyone across the political spectrum, so the fact that anyone has received monies from them is not unusual, and is to be expected.  However the proportionate amount of money received may tell a different story.  A story that would be backed by past services rendered, and future services expected.  Tell these guys we've got their numbers.  Keep your eye on the ball, (money), with health care reform, and watch for the roll out and fake from Congress and especially the Senate.

Addendum:  Brain fart made me not consider this.  Barack Obama's figures vis a vis healthcare sector political donations:

#4  Health Professionals  $11,532,962, #Hospitals/nursing homes $3,205,041,  Insurance,  $2,211,348.  Total take:  $16,949,341, which makes BHO the guy at the top of the list.  Perhaps that explains his reluctance to lead on the single payer/public option issue.

And check this out from Nate Silver from fivethirtyeight.com.  The statistically modeled likelihood of supporting a public option against the amount of money raised for the candidate by Insurance PAC fundraising.  

33 Comments

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There are a lot of us, americans.

Can we all just donate $1 to a pity fun for these weasels and buy them off so we can get our healthcare?

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One of the things I noticed in going over the figures, is just how cheaply a pol can be co-opted. Compared to the $2.7 Trillion healthcare market, these political investments are a bargain.

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Yes, I see that from your figures... that's why the idea occurred to me. Seems like we could pitch and compete with the bastards... to buy back our reps... but...

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Not a lot of surprises on your list Piggy.

All we can do is to keep publishing, emailing, petitioning..........

Great blog Miguel. Information easily accessible to all of us.

Thanks to you.

FOLLOW THE MONEY

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I was thinking about this for awhile since I read Nate Silver ranking how much money makes these assholes turn against common decency to total whores. Why would a pro single payer group bother to spend millions on TV ads trying to drum up public support (or outrage) when spending that same money on dirty politicians gets exactly what you want out of them. Skip the middleman citizen democracy crap and just pay the god-damned elected official more than they get in bribes from the corporations!

SIMPLE! EASY! PROBLEM SOLVED!

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Gosh, I'm really impressed. The people you have listed are not all ones I would have pulled off the top of my head. The links are wonderful. I need to figure out how to get my fax machine running so I can contact my congress people. I have sent the linked on line ones but I want my signature on some faxes. It is easy to feel powerless in the face of the figures you have gathered but because you and others here have provided so many good links it helps me feel there is some hope.

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Hi Blue. You might like to visit this site fro HealthJustice, which lets you fax your senators and representative extremely easily, while personalizing your letter at the same time.

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Migue, I already did that one and any other links that have appeared on TPM. Thanks.

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This is an excellent reference and starting place on where the votes are for the public option, you clever Mr. Peeg.

But I have a question or wonderment: defense is a public good, yet there is still much defense lobbying money dispersed to Congressional members. Sometimes yachts and women are even offered under the table! One has to think that along the same lines, the public option in health care will not cause a catastrophic destruction in the campaign finances of either party if enacted.

Americans love to tout the US Military as the best in the world, able to knock down an entire Mid East country in the morning and rest by the evening (as long as the pesky insurgents don't get in the act). And far from being concerned about the effects of non-competition, the Pentagon had taken a positive attitude towards bypassing competition in favor of KBR or others that it liked, at least till the new administration came along. So how in the world does a public good in one sphere become the best, while a public good in another sphere threaten the entire world as we know it?

Just wonderin'.

PS: If your list is supposed to reflect only current Congressional critters, you will need to boot the paranoid -about -ducks -getting -married Santorum out. :-)

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Good point on the success of our public vs defense policy SS. The cynic in me wants to back the naysayers to a public option in healthcare by saying that we're better at blowing sh#t up than we are at taking care of our citizens, but I'll try not to wreck the analogy you took the time to describe. As to "catastrophic destruction in the campaign finances of either party", these cats remind me of a greedy little boy, who can't stand the thought of his sweets or toys being rationed, or gad forbid, taken away. Once they get used to having a nice cushion of a few mil in their war chests, the thought of seeing the reserve diminish is unbearable to them. In actuality, that financial pool does equate to some extent with political power as they dispense funds from their own coffers to the more needy on their side of the political aisle.

In their reality the need to expedite the so called War-on -Terror, (SCWOT), that began with the taking of nearly 3000 lives on American soil by foreign terrorists, takes precedence over the annual loss of many more thousands of American lives by a ridiculously innefficient, and unfair healthcare system. As it turns out, it's much easier to get your bombs together and go make a mess out of a corner of the world than it is to help move the country forward to equitable and efficient healthcare, but I'll try not to get sidetracked on that debate. ;)

Santorum... Whoops! I guess I've been away from Pennsylvania to long, or I couldn't resist a little tar and feather overcoat for one of my least favorite boy scouts to ever walk the corridors of power in DC. LOL. I did find it interesting that both he and the senior senator from PA made this list, and thought it kind of weird that both received the same amount of money, (within $1), as the other one.

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Side note, here's another tidbit regarding Santorum from wiki:

On April 12, 2007, political action committee America's Foundation, Highmark and a former Highmark vice president were fined by the Federal Election Committee for sponsoring Santorum with corporate money.[99] The problem had been reported by Highmark, which uncovered the matter during an internal review.

Highmark is a health insurance company based in Pittsburgh, Pennsylvania, United States.

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MiguelitoMooShoe-
Thanks for the collated info.
I suspect the difference between single-payer health care vs defense lies in: 1) the elimination of a very lucrative for-profit industry, which is health insurance, in exchange for civil servants; 2) the fear by Big Pharma, et al., that their profits will be lopped as We The People get uppity to where we demand they reduce what they charge for their wares to be more in line with what single-payer countries pay.

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Kudos Miguel!

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I'm not sure it's fair to compare Barack Obama and John McCain to the rest of them. Was that money they raised while running for Senate? Or for President? President seems more likely, since the numbers are so huge, compared to the others.

That said, I appreciate having this information. Thanks for pulling it together!!

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I did address that when I said:

Some of the names may have enjoyed higher campaign donations from the sector due to their position as a candidate for the presidency, while others may receive these donations due to their positions of influence in the various committees they are appointed to in the US legislature.

but your point makes it worth restating.Thanks for stopping by Orlando.

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Hmmm. I must have missed that sentence. My reading comprehension is in direct correlation to how many cups of coffee I've had. I'm a little low today.

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Tell these guys we've got their numbers. Keep your eye on the ball, (money), with health care reform, and watch for the roll out and fake from Congress and especially the Senate.

Great post miguelitoh2o! I'm going to cut and paste your list into my new letters to my politicians. And say something like: And where do you stand on this list? We the People have our eyes open. We need a public option for health care NOW! We elected you to represent us! Please do so.

(We also have to have public financing of campaigns or these payoffs will just keep us running in circles until we drop - still without public health care...)

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The thing that I don't know, but suspect, is that there are other deals and perhaps monetary exchanges being cut, that are off the books. At minimum, these politicians will be invited to sit on a board of directors or two following their public service, while collecting some easy money from the corporate interests they so dutifully served when they held office. What I was able to expose was just the part of these 'donations' that are declared.

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Oh I forgot. I hereby award you the Dayly Blog of the Day Award for this here TPMCafe Site, given to all of you from all of me.

THERE, I FEEL BETTER. HA!!!!

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Cheers DD! See? Who needs healthcare reform when we can make ourselves feel better merely by bestowing awards to each other? On that note, I'd like to bestow the Golden Peeg award to you for lifetime service here at TPM. And the rest of you, don't worry, there are a multitude of Golden Peeg Awards as yet to be awarded. Now I feel better too! :)

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So,as you see it Mh2o, what is the bottom line?
Must we of a certain age all emigrate to a universal health plan country? Oops. They won't have us, because none of us can honestly say that there is no native to the country in question who can do the job we can do. And one of the only other options is to invest major amounts of cash in weird enterprises, ie., to pay for our health care in advance. That leaves marrying a person from a universal health care country as the only hope. But, Oops, our stock is down in that market, if we are of a certain age.
So what's to be done for those of us who missed the marketable moment, elsewhere? Is the dignified thing to see what's coming, and live life to the fullest now while stocking up on hemlock?

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LOL. Your last sentence pretty much describes my retirement plan Wendy.

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Sorry on the one hand to hear it, Mh2o. But at least we have a club.
Now -- how to live life to the fullest, in the moment? Your thoughts?

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Hey there are some really great people in this club! Keep life simple. Don't get attached to your material possessions. You'll be listing them on Craigslist soon enough as you scramble to pay what bills you have. Find the country with the most advantageous exchange rate, and settle in. Don't get too attached because as their economy strengthens, you'll need to repeat this process. If you're still working, and can find a job, pick one in a low cost area, where buying a house won't make you a slave to it. I've got a little 23 ft. Airstream trailer, if I really and truly need to downsize. On that note, I've always dreaded what living in a trailer might be like, and as such wonder if doing so might not be some karmic equivalent of a penitentes' self flagellation. I sure hope so, 'cause I really like my little trailer and wouldn't mind calling it home, at least for a while.

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... I've always dreaded what living in a trailer might be like...

Miguelito, your relatives that were traveling in a different type of trailer on Monday seem to be split on the issue, also. While some chose to hitchhike, or seemed willing to just hoof it down the Interstate, others stayed with the trailer while matters were sorted out in a mishap that briefly closed a stretch of I-430.

Perhaps contact with them might enlighten you on future adventures? (I'm willing to bet that some of the hitchhikers might be in the arms dealing biz.)

Always glad to help!
seashell

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Mh20: An Airstream! I'm so jealous of the streamlined, Modernist possibilities. After the hurricane I had a chance to buy two of them and passed, thinking I was being grown-up and practical. What was I thinking?
Hurricane Ivan took care of my materialism, in one fell swoop. In hindsight, that was a blessing. What scares me now is limited time combined with limited resources. There is still a world out there, many parts of which I have not seen. What if I don't get to see them? A fact I never considered, but may well have to deal with.
Have I, over the course of a lifetime, been more fortunate than many? Yes, I certainly have been. Unfortunately, that doesn't change the panic of recognizing overlooked opportunities that may not come again.
But where was I, in a more temperate frame of mind? Ommmm.
Oh yes, stockpiling hemlock.

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My plan is to buy an inflatable raft, a nice bottle of Moet White Star, a bucket for ice, and a sharp pin, and drift out into the beautiful oblivion of the Pacific, (or Atlantic if I get stuck) with a few slim tomes of Carl Sandburg for company.

No muss, no fuss.

=D

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limited time combined with limited resources.

And therein lies the rub eh? Even had we unlimited resources, eventually time catches up. Perhaps one of the hallmarks of a life well spent or otherwise, is that we come to realize that we could always have done more. Certainly better. Somewhere in that direction lies wisdom, if I'm not mistaken. As I age the approach to that shore seems less obstructed than when I was young. It seems easier to forgo the obsessions of my youth in the pursuit of understanding, and possibly peace. I suppose that's the point in our program where we break out the hemlock cocktails. At a net savings to our health program, whatever form it takes, I might add. But what should we use as a mixer.

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Great info, miguelitoh. Guess we are going to have to buy back our country, too...

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A couple of things give me some hope.

First, for all the contributions he got, Rick Santorum got toasted. So maybe some of the rest of these are get-ridable.

Second, the comparison of donations to the majority and the minority parties is interesting. John Kyl: 1.3 mil, more or less. John Kerry, about half that much. This suggests to me that Robert Reich is right: forget the Republicans on this one, and focus public pressure on the Democrats.

Finally, I've a question...I'm wondering how health care professionals are tabulated in this. Are we including professional organizations like the AMA (boo them) and individual contributions from doctors, nurses, and the like? I know that when I make a contribution to a politician I have to indicate my profession and my employer, and I know a significant number of health care people who favor the public option and even single payer plans. Nobody quite hates Blue Cross as much as my doctor, who'd love not having to beg payments and repeat paperwork. Ditto my dentist about Delta Dental--who has submitted a claim for reimbursement of 3,500 dollars for services on me three times. (memo--floss better than I did).

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I think you're right that applying pressure on the Ds is the appropriate strategy. I believe 'health care professionals' includes both groups such as the AMA and individuals, which is why I wrote:


Healthcare reform has been widely anticipated by these industries, and spending has been proportionate, and not all of it, (particularly from the healthcare professionals), was donated with an expectation of defeating the reforms...

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A terrific source of info. Thanks so much. (Got a houseful of company but I sneak away every now and then to get my TPM "fix".)

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A great public service.

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