Need Talking Points to Refute Health Care Reform Misinformation
My morning paper, The St. Petersburg Times, had an opinion piece concerning health care reform by U.S. Rep. Adam Putnam (R), Washington office #202-225-1252.
Here is an excerpt:
Although I'm working my way through Howard Dean's book, "Prescription for Real Health Care Reform" and doing my best to absorb what appear to be facts on the subject from numerous sources, if anyone has any talking points to add, they would be most welcome. Or, better yet, write your own letter! Most of you are way more pointed than I.
This is going to be a battle to the finish. The GOP, true to form, will spout misinformation to scare the less informed among us into acting against their own interests. Every false or misleading statement must be countered to win this fight. If the public is not armed with facts, this effort will not succeed.
Here is an excerpt:
Your choice of physicians and the kind of care and treatment you receive are some of the most personal decisions you can ever make. The prospect of having those decisions influenced by a new bureaucracy that would combine the efficiencies of FEMA with the compassion of the Department of Motor Vehicles ought to alarm every American. (my italics)I am writing a letter to the editor to correct some of Putnam's misinformation. It has a good chance of running -- many of my letters have been published.
First, we need to commit to protecting the physician-patient relationship, and not place the federal bureaucracy between you and your doctor.
Although I'm working my way through Howard Dean's book, "Prescription for Real Health Care Reform" and doing my best to absorb what appear to be facts on the subject from numerous sources, if anyone has any talking points to add, they would be most welcome. Or, better yet, write your own letter! Most of you are way more pointed than I.
This is going to be a battle to the finish. The GOP, true to form, will spout misinformation to scare the less informed among us into acting against their own interests. Every false or misleading statement must be countered to win this fight. If the public is not armed with facts, this effort will not succeed.
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There are innumerable talking points that might be made to the effect that the reform would leave patient/physician relationships intact, increase choice, and save money on insurance premiums. However, one that might resonate particularly well in light of Putnam's claim about patient/physician relationships is the fact that the AMA has endorsed the President's plan. You might suggest that if Putnam thinks there's something wrong the plan, he should argue with the AMA.
July 20, 2009 12:46 PM | Reply | Permalink
I just wish Democrats could settle on a theme and stick with it. It's far better to have one or two accessible themes rather than a host of plausible talking points. I think the best option is 'choice', that everyone will be able to keep their coverage, and if they move to the public option it will be because they choose to.
July 20, 2009 1:47 PM | Reply | Permalink
Carl, I think you're right about settling on one or two themes. Right now, though, it looks like the Republicans are on the offensive and we're on the defensive even though Democrats are in the majority in both houses. How can that be? Everything I've read in the SPT raises doubts about health care reform. The last couple of days they've run articles about Canada's health care system, which would be fine with me if the U.S. followed their example, but would likely scare the pants off many of their readers. Winning this will have everything to do, in my opinion, with how we frame our arguments.
July 20, 2009 3:28 PM | Reply | Permalink
Please my comment about the Rally and teach-in.
July 20, 2009 4:13 PM | Reply | Permalink
Thanks, Fred, for the reminder about the AMA's recent conversion. Good point.
July 20, 2009 3:17 PM | Reply | Permalink
You could always point to VA treatment of women veterans (in cafe today) to nip Putnam's argument in the bud. Plenty of efficiency AND compassion.
July 20, 2009 2:20 PM | Reply | Permalink
Shameful.
July 20, 2009 3:54 PM | Reply | Permalink
Rep. Putnam must have a very short memory because it was a Bush appointed Republican bureaucrat named "Brownie" whom Bush praised for his stellar response to Katrina as FEMA head.
As for the evils of government bureaucrats, try dealing with a health insurer bureaucrat who says your policy doesn't cover saving two fingers, only one, so choose. Or your health care policy, which you paid for, is rescinded because you didn't show on your application that you were treated for acne as a child, therefore your liver is your problem, and then you die.
My wife and I have had Medicare for 12 years and have had but one problem. That problem was not caused by a government bureaucrat (claims processing is outsourced) but by a market/profit driven provider who filed an inaccurate claim. Representative Putnam's dreck is no more than the typical partisan Republican demagoguery/ propaganda/fear mongering that they try to cloak as reasoning.
July 20, 2009 2:47 PM | Reply | Permalink
That's like saying that Democrats could never appoint an idiot to run the colossal government healthcare (hint: for idiots, see Biden, Joe). Or FEMA, for that matter.
July 20, 2009 2:51 PM | Reply | Permalink
Actually, FEMA under Clinton was known for its efficiency and rapid response, after it failed so miserably in the waning days of the first Bush misadventure (see Hurricane Andrew). Clinton (and Democrats in general) happens to think that government has a positive, valuable role to play in society other than blowing shit up. Helping people recover from a natural disaster of hurricane proportions really is too much for any state to handle alone - only the federal government has the resources to effectively respond and bring relief. But the Bushes (and Republicans in general) believe government has no such role, and if it does, it should be done badly, to keep people from believing government can work for them. For Republicans, government serves one purpose - to divert taxes into the pockets of Republicans.
July 20, 2009 5:12 PM | Reply | Permalink
This is too silly, childish and ignorant to even merit a thoughtful response.
July 20, 2009 8:33 PM | Reply | Permalink
And true.
You forgot the true part.
July 20, 2009 9:26 PM | Reply | Permalink
I leave the truthiness for you, you're so good at it that I knew you'd jump right in to fill the gaps.
I won't bring up Geithner here because he's only screwing up a solution to "the biggest financial crisis since FDR" (tm).
So fine, since we're talking about FEMA, I'll concede - Clintons had great FEMA appointments.
July 20, 2009 10:29 PM | Reply | Permalink
A person (parent or otherwise) should not expect the government to write a check ( the taxpayers, us, pay the bill) for a heart transplant for an 85 or 90 year old. I am 77 and don't expect the tax payers to do that for me, and I sure don't want taxpayers to pay half a million $ or more for me to get a new heart. There are plenty of procedures that we elderly do get, but the huge cost ones should be rationed by age and possibly other criteria as well, e.g. should we pay for a new heart for a serial killer who is in for life without parole? How about someone with a terminal disease? Lalo, I'm not suggesting this is simple. I'm just suggesting there are limits to most things in life, and they should apply to health care as well.
July 20, 2009 5:53 PM | Reply | Permalink
Thanks, Sigma. Good examples. I recall the finger debacle from Sicko.
July 20, 2009 3:57 PM | Reply | Permalink
After posting this blog, I remembered a similar letter to the editor of the SPT several weeks ago by Rep. Ginny Brown-Waite (R) concerning energy legislation.
In the second paragraph of her letter she stated that retirees in Florida would pay higher electric bills if the legislation passes while people in California would pay almost nothing -- a bald-faced lie.
Using data from Nate Silver's website I submitted a rebuttal to Brown-Waite's misinformation. It wasn't published, but fortunately other letters refuting her statement were.
What I've just realized is the GOP's MO is to appeal to the emotions of an ill-informed, gullible public. Democrats/Progressives seem, more often than not, to appeal to logic. There was a post on HuffPo recently that addressed this issue.
The public will buy into misinformation if it triggers a knee-jerk emotional response. Our job, as I see it, is to craft messages that trigger a favorable knee-jerk emotional response to health care reform and provide easy to understand information in the process. No small task, but necessary.
July 20, 2009 3:48 PM | Reply | Permalink
"Democrats/Progressives seem, more often than not, to appeal to logic"
- I agree with that!
I'm reading Peter Singer's refreshingly chill, clinical and logical essay in the Times magazine about why we must ration healthcare and follow the UK example of refusing to provide expensive medication to the elderly as it would only extend their life for 6 months or a year.
My emotion tells me that it's unthinkable and unethical to have a government decide that someone should die sooner than they have to. I imagine my mother. I think that the poorest of the poor will be the first recipients of this gift from "your government at work", because they can't afford to buy the drug on their own.
But the pragmatic liberal logic tells me that if we do this, untold millions will benefit from being covered and live several decades longer than they may otherwise. 20,000 people already die every year because they don't have healthinsurance.
My emotion makes my blood boil to think that any government will put a value on my (or anyone's) life. That once I'm no longer useful to the government, they will just cut the cord - the system will be ready for more.
But the liberal pragmatism tells me - it's just a number! We can calculate it - just analize how much people are willing to pay for air bags in cars they buy and multiply that by the probability of them going off, for example.
So yeah, Democrats/Progressives do appeal to logic.
When a government formula shows time's up for a parent and pulls the plug, I'm sure they'll be calm and fortified by the logic that several unnamed people somewhere just got a spot vacated by the useless body of the parent.
And guess what?
Members of the government, the ones that are busy designing this wonderfully logical program, will be exempt from it. They have something even Wall Streeters don't have - their own special healthcare program. That's what I call logic!
July 20, 2009 4:55 PM | Reply | Permalink
Uh, that's the way the current system runs, dude. What do you care if it's a government official or a paid toady of a for-profit health insurance company?
July 20, 2009 5:16 PM | Reply | Permalink
Not true.
Right now, the only thing that stands between a person and healthcare is the cost. Those who don't have health insurance either don't want it (minority) or can't afford it (majority).
There are several choice we can make as a country to solve the issue of cost. The choice that the Democrats propose includes inserting the government between a person and healthcare.
Peter Singer, a pragmatic and logical Democrat, quite openly says that we have to ration healthcare because we will never collect enough money to pay for everyone.
He's advocating putting a cost/benefit analysis on maintaining someone's treatment and life. It's the only way this proposal can work, because there is no money.
Obama's daughters will never have to worry about this. But the poorest of the poor, who are old and sick and have no relatives to raise a stink about - they will be the ones switched off in the name of expanding coverage.
It's not the only way to solve the problem of cost. And it's not necessary to insert government between the time you have to live and the medication that can extend your life if you want that.
But, Democrats have won the WH and they can easily ignore, discredit, smear and outshout any other approach.
July 20, 2009 8:00 PM | Reply | Permalink
I'm afraid you're living in a dream world. Either that or you've never been denied coverage by your insurance company. I know a woman who, quite literally, almost died but for the kindness of strangers, because her insurance company decided that she didn't need the very expensive injections that her doctor prescribed for her. She flat-lined three times, because they cut her off, and once her ability to pay disappeared, so did her doctor's ability to provide the medication. A free clinic finally stepped up and offered to give her the injections she needs. Without them, she's dead in about 30 days. A mother of three young children.
The insurance companies get between people and their healthcare all the time. They do it in ways you never see, by providing guidelines to doctors as to what they will and won't pay for. So when it comes to your treatment, your doctor may never recommend something because he or she knows your insurance won't cover it.
So again, why do you care? At least with the government, there's no profit motive involved. Nobody's going to earn a bonus off your death. I'd rather have such decision made by an anonymous, impartial professional than some paid agent trying to tweak his P&Ls before end of fiscal year.
July 21, 2009 10:31 AM | Reply | Permalink
I don't see how what you say contradicts by point. The example of the woman who was denied treatment and couldn't afford direct payment is actually a confirmation of what I said - COST is what's between a person and health care today.
And I have to say, I disagree completely with the rest of your comment. If you take a minute to think about what you're really saying, then it will boil down to this: "we can live with the fact that someone will be denied treatment - as long as there is no profit involved".
In my opinion, it's even worse.
To deny treatment in the name of "We the people"?
July 21, 2009 1:37 PM | Reply | Permalink
Ah, but you implied the cost of health insurance, not the cost of healthcare. She had insurance through her husband's employer. So the cost of insurance isn't the issue. The issue is that the insurance company made a decision to let her die, knowing that if she didn't get that medicine she would die, so they would no longer have to pay for her healthcare.
Pointing at an opinion column of somebody who is liberal but not involved in the Congressional negotiations and saying see this Democratic plan is immoral is misleading. I am merely pointing out that the system you decry already exists. You act as though this is new and that's why it should be opposed. But in all likelihood such a rationing plan would never even pass Congress as part of a public option plan. If, instead, we get a mandated insurance plan, then yes I can definitely see the insurance companies pushing for a rationing clause, because that's what they already do. But when you criticize rationing, you're criticizing the wrong people and the wrong plan.
July 21, 2009 3:58 PM | Reply | Permalink
Personally, I don't believe health care is rationed today - unless you define rationing as ability to afford to pay for the particular plan that has coverage you need.
However, the House draft from June creates a Health Benefits Advisory Committee to recommend covered benefits and an essential benefits package.
But in any event, creating a mandatory insurance requirement without changing the core, the foundation of the system is equivalent to extending it, albeit with some musical chairs involved.
It doesn't matter who is denying coverage, private issuer today or Government tomorrow!
The fact that a private issuer denies it today simply cannot be used an excuse for the Government to do the same.
The means doesn't justify the end.
July 21, 2009 4:55 PM | Reply | Permalink
Have you thought about doing a blog about it? (If you already have, sorry I missed it.) It's an issue that people need to start thinking about.
The subject of health care reform arises frequently when I visit my parents. We've touched on end-of-life elder care a few times. Not a happy subject. No matter what the health care system, it seems the "haves" get to stick around longer.
Thanks, Lalo, for the thought-provoking comment.
July 20, 2009 6:05 PM | Reply | Permalink
I thought about writing a blog about it.
But I go against the mainstream TPM point of view on things 99% of the time, so it would be like swimming against the blogo-current here.
Vast majority of people writing blogs here do it because they need it for themselves. As someone said, repetition is the mother of believing.
So, I also have no illusions that very few people are actually willing to stop the great ideological battle to punish the fat bloodsuckers and just think for a moment what this is going to mean to them personally, to their parents and loved ones. To countless nameless lonely elderly people, unable to decide by themselves.
I was a Hillary supporter during the primaries.
But my passion for healthcare evaporated when I started to read more about its price tag and rationing (aka "making tough choices", as Ezra Klein says) that will have an impact on someone's life or death - without that person actually having a say.
I stopped and remembered what it is like when you're at the mercy of a beauraucrat to make the decisions for you.
For many people this is a red herring. But I experienced it years ago when I was young and lived elsewhere, a thousand years ago, and it's the last thing on earth I want to ever repeat.
July 20, 2009 8:15 PM | Reply | Permalink
Lalo, going out on a limb here. Is health care not already rationed with tragic consequences?
July 20, 2009 9:45 PM | Reply | Permalink
If it is, does that make it right?
July 20, 2009 10:21 PM | Reply | Permalink
No, it doesn't.
July 20, 2009 10:51 PM | Reply | Permalink
Wish you would write a blog about it, Lalo, although I understand your not wanting to delve into something so personally painful. Of course, the personally painful arguments are the most convincing.
Meantime, even without the story details, I (finally) begin to comprehend why your comments on this topic are so fierce. I wasn't imaginative enough to figure that out.
Your reference to the elderly reminded me about my grandmother almost dying in the "swing-bed" program in a rural Minnesota hospital in 1989. The hospital had given her an antibiotic she was allergic to, and of course she reacted violently to it. But since she was admitted for a non-acute problem, the swing-bed program required a doctor see her only once a week (nurses checked on her once a day, but couldn't diagnose or run tests; they didn't even wipe the vomit off her chin), despite the hospital's mistake making her sicker than she was when she was admitted. We got her released from the program, and transported her to a different hospital 60 miles away, where she recovered and went on to live for another 5 years.
July 20, 2009 11:30 PM | Reply | Permalink
Gasket, you're one of the kindest people I've come across on this site (and one of the smartest).
July 21, 2009 1:45 PM | Reply | Permalink
Thanks, Lalo. A very generous thing to say. If you like me even a little bit, you would have loved my grandmother. Best person I have ever known. Thanks for making me think of her. ;-)
July 21, 2009 4:51 PM | Reply | Permalink
There is a Rally in DC on the 30th. It will focus on the theme of Single Payer.
Also, from DD's blog which you can read just now:
Healthcare NOW is offering a teach-in in NYC on July 25 to teach people about single payer vs the 'public option'. You can participate live/online here: http://www.healthcare-now.org/campaigns/single-payer-teach-in/
We can do this thing. But it will take all of our focus and commitment to make any change.
July 20, 2009 4:10 PM | Reply | Permalink
Thanks for the link, LL!
July 20, 2009 4:29 PM | Reply | Permalink
My talking point is simple. When I hear somebody telling a lie about this subject, I don't try to argue or reason with them, I simply say, "That's a lie."
If they say, "But I read it yada yada yada," then I say, "You read a lie."
When they say, "But why would these honorable people lie?" I say,
Because a cheap national insurance plan, provided by the government, that works the way insurance is supposed to work, would put the shitty insurance companies out of business, and they don't want to go out of business. But they know that if you ever learned the truth about them, you would want to put them out of business as fast as you could. So they lie to you, and they hire people you trust to lie to you, because that's cheaper than actually paying for your medicine.
July 20, 2009 5:23 PM | Reply | Permalink
Well said.
July 20, 2009 5:47 PM | Reply | Permalink
This spring, due to the demand decrease, the highest fuel price came down below $40 per barrel, though, the 'similar' insurance premiums still go on rising, which may imply that health care is not optional, but essential, and the inaction could bankrupt family, business, and government beyond this recession, as all across the board agree.
Earlier, the revised HELP BILL with the public option and employer mandatory has got a green light from the CBO, yet still, a new 'incomplete' analysis of emerging House legislation said it would increase deficits by $239 billion over a decade.
But, CBO does not score any savings from prevention / wellness and the rest, even as Prevention / Wellness is an actual and essential part of the savings, without which the reform would be meaningless.
And I think the other things such as increased productivity / consumer confidence, 'potential stem cell effect', 'decreased mental stress', and 'massive job creation', 'stock price effect' and etc considered, the reform might be within reach. Most importantly, a few years later, if the excessive war and military spending goes toward the health care program, the cost issue does not matter at all, I think.
Edward M. Kennedy argues, the perfect should not be the enemy of the good, "Everyone won't be satisfied and no one will get everything they want. But we need to come together, just as we've done in other great struggles in World War II and the Cold War, in passing the great civil-rights laws of the 1960s, and in daring to send a man to the moon. If we don't get every provision right, we can adjust and improve the program next year or in the years to come. What we can't afford is to wait another generation."
Thank You For Reading !
July 21, 2009 3:43 AM | Reply | Permalink
You raise some good points, HSR, particularly this:
It's hard to make a convincing case when the media is shrieking about the CBO's estimates which, as you say, without the cost savings factored in don't mean anything, particularly to the average, uninformed viewer.
The same thing happened with the energy bill.
Excellent comment. Thanks!
July 21, 2009 6:32 AM | Reply | Permalink
To get back to the idea of offering 'talking points':
(1)Until an actual, defined bill actually emerges, it's hard to know what to say. Most of what we now regard as advocacy of one element or another is nothing more than blind speculation.
(2)As someone said above, we have to get the heart of the case down to 2 or 3 (at most, 5) specific, one-sentence statements of FACT. Any issue as inherently complicated as this runs the risk of losing the forest in the trees. Let me suggest ONE such fact: Society (ie, us) CANNOT sustain an ever-increasing arc of Health Care expenditures now standing at 17% of GDP. Let me suggest another: No one will be prevented from supplementing their basic choices by whatever free-market options are available, within the limits of their ability to pay.
(3)I know this is not directly a 'talking-point', but I still think it is critical: Once (1) above is done, get Bill Clinton out there SELLING it. He is the best political figure of my lifetime at explaining complicated public policy issues in a way that allows the average person to grasp the essentials and come to a conclusion.
July 21, 2009 10:05 AM | Reply | Permalink