Tag: health care reform

Hoist Them on their own Petard: Trigger the Mandate

We kept hearing about Triggers and State Opt-Ins and State Opt-Outs … for the Public Option. Its time to move an amendment to the Individual Mandate that triggers it, with an Opt-Out. Note that these can be split into two Amendments, as the Opt-Out works with or without the Trigger.

(1) The Individual Mandate is triggered when everyone subject to the Mandate in a state has available to them insurance from a not-for-profit entity, and excluding all entities owned by for-profit entities, at a premium after any public subsidy of less than 5% of their annual income.

(2) Before the Individual Mandate can come into force in any state, a measure approving the individual mandate must be placed on the ballot in the next Federal general election, and the mandate must obtain a simple majority of votes cast.

FDR warned about Economic Royalists — Looks like he’s STILL RIGHT!

Economic Royalists:

President Franklin D. Roosevelt, in his speech accepting the Democratic nomination for a second term, delivered at Philadelphia on 27 June 1936, said, “The economic royalists complain that we seek to overthrow the institutions of America. What they really complain of is that we seek to take away their power. Our allegiance to American institutions requires the overthrow of this kind of power.”

(emphasis added)

http://www.answers.com/topic/e…

How about a “Case Study” using a recent history of their HandiWork … and their apparent Victory — AGAIN!

BREAKING: Sanders speaking out for single payer on floor of Senate RIGHT NOW

Watch here: http://www.c-span.org/Watch/C-…

Check out below the fold for more info.

Who’s Zooming Who?

From Salon

Why is Obama still protecting Lieberman?

I am beginning to see the inevitable healthcare “compromise” as the product of a political song and dance conducted by Democrats and Republicans solely to appease various constituencies within their parties — and nothing else. Remarkably, The Onion accurately assessed the situation several months ago with the satirical essay “Congress Deadlocked Over How To Not Provide Health Care.” The Onion “quotes” Nancy Pelosi in a very smart passage:

 

Both parties understand that the current system is broken,” House Speaker Nancy Pelosi told reporters Monday. “But what we can’t seem to agree upon is how to best keep it broken, while still ensuring that no elected official takes any political risk whatsoever. It’s a very complicated issue

20% of your labor belongs to Aetna

Health Care on the Road to Neo-Feudalism

By: emptywheel Tuesday December 15, 2009 8:53 pm

Consider, first of all, this fact. The bill, if it became law, would legally require a portion of Americans to pay more than 20% of the fruits of their labor to a private corporation in exchange for 70% of their health care costs.

It’s one thing to require a citizen to pay taxes-to pay into the commons. It’s another thing to require taxpayers to pay a private corporation, and to have up to 25% of that go to paying for luxuries like private jets and gyms for the company CEOs.

They will, at a minimum, be asked to pay 9.8% of their income to the insurance company. And if they have a significant medical event, they’ll pay 22%…

But for those who think we can fix it, consider this, too. If the Senate bill passes, in its current form, it will mean that the health care industry was able to dictate-through their Senators Joe Lieberman and Ben Nelson-what they wanted the US Congress to do. They will have succeeded in dictating the precise terms of legislation.

When this passes, it will become clear that Congress is no longer the sovereign of this nation. Rather, the corporations dictating the laws will be.

I understand the temptation to offer 30 million people health care. What I don’t understand is the nonchalance with which we’re about to fundamentally shift the relationships of governance in doing so.

We’ve seen our Constitution and means of government under attack in the last 8 years. This does so in a different-but every bit as significant way. We don’t mandate tithing corporations in this country-at least not yet. And it troubles me that so many Democrats are rushing to do so, without considering the logical consequences.

My Head Asplode!!

It’s almost funny.  Here comes a bus.  Soon my fellow progressives and I will be thrown unceremoniously under it.  The last ten days it’s almost as if the purpose of going to a bus stop is to be run over by oncoming omnibuses: climate change, health care, Afghanistan.  You name it.  Name a progressive cause and it’s been squished in the past two weeks.  And if it hasn’t, if you can think of one that is not now looking like a beer can reconfigured by an oncoming locomotive, just wait tell next week.

I could react with anger to these developments.  Certainly not with surprise.  For example, I almost reacted in anger just a few moments ago when I read this in the New York Times:

Independent Connecticut Sen. Joe Lieberman says he expects to support the Democrats’ health care legislation as long as any government-run insurance plan stays out of the bill.

Lieberman has been a question mark on the health care legislation for months. To win him over, Senate leaders said late Monday they were backing away from a Medicare expansion Lieberman opposed. They already had dropped a full-blown government insurance program.

Lieberman told reporters Tuesday that if the Medicare expansion and government insurance plan are gone, ”I’m going to be in a position where I can say what I’ve wanted to say all along: that I’m ready to vote for health care reform.”

Senate leaders need Lieberman’s support to secure 60 votes necessary to advance the legislation in the 100-member Senate.

Isn’t that great?  We somehow went from single payer universal health care (that could never pass, they said) to a robust public option (that could never pass, they said) to a weak tea public option for the select few all of whom live down the block (that could never pass, they said) to a medicare buy-in (that could never pass, they said), to nothing (which evidently Uncle Joe approves and which can easily pass because, well, because it’s nothing and nothing is what we have now so it’s easy to pass).

Remind me if you can why I voted in 2006 and 2008 for Democrats?  Remind me, if you’re really creative, why 70% of the population wants health care and they’re just not gonna get it.  Maybe I’m forgetful.  As I said, I almost got angry about this.

I also almost got angry last night when I heard two Democratic Senators on Maddow and Keith explain how much progressives had helped with the HCR bill and how even if it didn’t have a public option or a medicare buy in or anything else of any value to people who actually need health care and insurance, it was still an enormous victory because, get this, it will provide a foundation for the future.  And in the future we can build upon the foundation (if you like this metaphor).  And soon on this foundation there will be a 1700′ tall, glistening sky scraper, a beacon to the nation if not the world, called Universal Health Care and you, my dear friends, can even go in an visit the lobby of this edifice.  Soon, of course, is a term of art.  It means a time between now and the next, distant ice age.  You can visit the magnificent structure for which you have provided the foundation if you can live to be 200 years old without adequate health insurance.  I personally am not taking this as a bet. Are you kidding me?  This is truly a case in which legislative nothing is claimed to be governmental something.  So I was almost getting angry.  And thinking of things I could do to get even (I’m like that.  I don’t apologize for being like that).  I’m a Buddhist, but revenge did cross my mind and perch on my eyebrows like a carrion vulture.

Then I recalled some recent pacifying remarks by Pinche Tejano.  His remarks were to the effect that it was all just a computer game and should be treated as such (his analysis was far more eloquent and intelligible than this very basic boil down of his very subtle and correct idea).  So I began to think about all of this electoral politics as just a game.  I couldn’t get mad about a game that was obviously rigged so that I couldn’t get to the next level, so that I would have an EPIC FAIL.  What’s to get mad about that?  It happens all the time.  Especially to people like me with no game skillz.  No game cred.  In a word, losers. Suckers.  I’m used to being pwned by games.  I don’t like losing, but I don’t get mad about it.  It beat the hell out of being almost angry about politics. Yeah.  All of a sudden all of this electoral politics and senate politics and astroturf movements and Joe Lieberman made sense.  It was all just like son of Pac Man.  It was finally sensible.  Even to me.

And that’s when my head asploded.

It’s just like this:

How did I know that Strongbad was so prescient?  How did I know that Home Star Runner was really equipping me for the future of politics?  My head asploded.

—————————

simulposted at The Dream Antilles

We Were Told

We wanted single payer, but were told we couldn’t get it, so we may as well not try.

We wanted a hybrid European-style system, but were told we couldn’t get it, so we may as well not try.

We wanted a robust public option, and we wondered why the president wasn’t working hard to get one, but we were told to ignore the pronouncements of members of his cabinet and staff that the public option wasn’t that important, and only listen to his own occasional statements that he wanted a public option.

We were told that we shouldn’t worry that he wasn’t out fighting for a public option, and that he never drew a line in the sand, because we didn’t know what was going on behind the scenes, we didn’t understand the strategy, and the president would get us the public option that he kept saying he wanted.

We were told to accept mandates.

We were told to accept a public option with triggers.

We were told to accept a public option with opt-out.

We were told to accept a public option that still left millions of people out.

Finally, we were told the public option wasn’t that important, anyway.

Finally, we were told that after months of being told that we didn’t understand the strategy that was going to get us the public option, it wasn’t that important, anyway.

We were told to accept the Medicare buy-in, because that would be a huge step in the right direction, even if it was unclear whether there would be subsidies actually enabling people to buy in.

We were told to accept the Medicare buy-in, because that would be a huge step in the right direction, even if it left even more millions of people out.

Now, we’re being told that the Medicare buy-in isn’t important, either.

No matter how much “reform” is defined down, we are told to accept it and like it and support it.

And we still don’t know what we will get!

We are being told to support whatever we get, and we still don’t know what that will be!

I wonder how many will accept literally anything.

I wonder how many just want to pass something, anything, so we can pat ourselves on the back and claim to have reformed health care.

I have a simple question: what about Stupak? If Stupak remains in the bill, will we be told to accept that, too?

I have another question: is there any degree of compromise, of unilateral knee-capping, that will render the bill unacceptable?

Perhaps, for the sake of consensus, we ought simply to pass a Sense of the Senate resolution stating that “health care is good.”

Franken DESTROYS Thune! “We are entitled to our own opinions, we’re NOT entitled to our own facts!”

Crossposted at Daily Kos

    First thing is first. I am broke, totally broke, with no money for food or transportation to look for a job with. Therefore, I have been urged by others online to post a paypal account and ask for donations so that I can continue looking for work. If you can make a donation, I would greatly appreciate it, as it will help maintain my ability to live until I find work. In return, I will try to continue posting articles for your enjoyment as often as I am able to.

https://www.paypal.com/cgi-bin…

    Now that I have gotten that out of the way, on to the show.

Full transcript and more below the fold.

Thanks for nothing.

Darcy Burner: The Senate bill is a recipe for national disaster. If it’s that bill or nothing, I prefer nothing.

by Joe Sudbay (DC) on 12/15/2009 08:10:00 AM

The fundamental failing of the newest Senate proposal is that it requires individuals to purchase health insurance, but does nothing to rein in what insurance companies charge. There is nothing to stop spiraling health costs from eating up an ever-increasing percentage of our national productivity.

Democratic leaders are going to have to explain how forcing a mandate on people to buy private health insurance, without controlling the insurance industry, makes sense. That concept might appeal to Joe Lieberman, but it doesn’t sit well with everyone else.

The fire this time

By: TBogg Monday December 14, 2009 10:28 pm

If Rahm Emmanuel is all he was supposed to be, we can safely assume that the Obama White House either never gave a shit about health care reform, or they managed health care reform so horrifically and incompetently that they are now willing to settle for a “win”, no matter how meager.

I hope they enjoy their Pyrrhic victory because they just burned the base.

Where We’re At On The Lieberman Health Care Industry Profit Protection Act Of 2009

By: David Dayen Tuesday December 15, 2009 5:00 am

Another major addition in the mystery “deal” on the public option, the extension of the medical loss ratio to 90% (meaning that insurance companies would have to spend at least 90% of premiums on medical care), took a major hit from the CBO, and an ideological one at that. Doug Elmendorf basically said that such a medical loss ratio would make the private insurance industry into a government entity, “so that all payments related to health insurance policies should be recorded as cash flows in the federal budget.” This would make the health care bill cost several trillion dollars in CBO’s eyes despite the fact that nothing would have materially changed, and so this arbitrary decision basically killed the medical loss ratio, at least at 90% (it’s unclear what the magic MLR number is that turns the private insurance market into a government entity; Elmendorf didn’t explain it, just saying that it was somewhere between 85% and 90%).

One question for those who argued that liberals could easily bargain away the public option for something really valuable and good – how does “nothing” sound to you?

Sold Out Part II

So tonight the broad parameters of Barack Obama’s, Rahm Emanuel’s, and Harry Reid’s big sell out of “Health Care Reform” have become clear-

No reform at all, just a mandate that you spend 20% of your income so that Insurance Companies are guaranteed 20% profits.

Oh, and we’re going to take away your right to choose.

Thanks for nothing Democrats.

Updated!

Now with content!

Reform: Past, Present, Future, or Somewhere in Between

Once upon a time, we saw progress, particularly technological and medical progress, as both miraculous and uniformly desired.  The romanticized meta-narrative of the the Twentieth Century was that it was the age of startling innovation and that indeed humanity might find its salvation in the latest invention to improve the human condition.  The most common utterance at the time to describe this phenomenon was what will they think of next?  The airplane and the automobile revolutionized travel and with it the spread of information and population dispersal.  Penicillin was considered a wonder drug upon its introduction and indeed many lives were saved when it began being used on a wholesale fashion to combat infectious disease.  The first pesticides were considered miraculous because they greatly increased the yield of crops, with the hopes that their introduction would increase the food supply and in time make widespread hunger a thing of the past.  It was believed that our own ingenuity would be our salvation and in time, there was no telling what long-standing problem would have a easy, understandable solution.

Later, however, we began to cast suspicion on any advance lauded in messianic or wildly optimistic terms.  To our horror we discovered that the drug which took away morning sickness also created tragic, hideous birth defects in babies born to women who took it.  Then we read that the pesticides that, though they meant to increase the food supply, actually created major problems in the ecosystem around them—problems that skewed the natural environmental balance quite unintentionally but quite undeniably.  In attempting to eradicate one pest, we often caused a huge increase in population of another organism, creating a brand new problem in the process.  The system of pest control as set up by Mother Nature then was seen as more desirable as the one shaped by human hands.  And this idea began to take shape in the minds of many to the degree that this belief has many adherents in this age.  Take a stroll down the aisles of your local Whole Foods if you need a visual demonstration.      

But I will say this.  Old ways of doing things are not necessarily better ways of doing things.  Though we may have swung the pendulum from one side to another in the course of half a century or so, we shouldn’t lose sight of the true balance of things.  Anyone who has walked down a street where automobiles are not available and where all traffic directed down a major thoroughfare is pulled by horses knows the filth and the stench that fills the air and collects on either side of the roadway.  It is for that reason, among others, that the horseless carriage was developed in the first place.  We must not ever assume that the motives of those who came before us were summarily evil or distasteful simply because they did not have the ability to measure what they did by the power of hindsight.  Any of us could look like geniuses if we had that in our favor.  We often look for an easy enemy when the true hard work is to work to reach the point where we recognize that there are no easy answers and no easy targets.  Demystifying the past does not imply that we ought to summarily scrap its lessons.  The mythology of past ages needs to be removed, but those who view past behaviors and past events without rosy gloss can find many helpful examples for contemplation, provided, one doesn’t heave it into the trash can in one go, assuming the whole bunch is rotten all the way through.        

The larger point I am making is that it is tempting these days to assume that the advances of the past are purely evil, based on their unforeseen and unintended consequences wrought by best intentions.  We have gotten to the point now that we are reluctant at times to modify the world around us even in the slightest, lest we upset the fragile balance of energy, life, and movement that defines existence as  any being currently alive.  While we are humans, we are also animals, too.  Our will dictates the shape and pace of the world around us, of course, but so also does our very existence.  Global Warming is the buzzword phrase of the moment and while I do believe that human decision making has modified the climate and weather patterns for the worst, I do also know that the environment has a way of being adaptive that we often do not grant it, nor fully understand.  We see things through such selfish, human terms at times, and even our best intentions do not disguise the fact that everything often relates back to us in the end.  We were created selfish.  Self-preservation is what consumes us above any other preoccupation.  Still, this is an impulse we must fight against if we ever wish to live in peace with each other.  We have more in common than we admit, but it’s often the very things we don’t like to admit even to ourselves.  There is a limit to our understanding, and in fifty years from now, perhaps we’ll set aside Global Warming for the latest theory that defines our guilt and gives us a rallying point that demands we be unselfish not towards each other, but towards all living creatures.      

Whether we are kings and queens of the beasts is a matter for debate, but we do have the benefit of higher brain function, and this is what makes us so much more influential than the average mammal.  We seem to confuse at times the fact that we are both animals and also beings beholden to reason, somehow simultaneously separate from the fray.  We exist in our own orbit and while it is wise to understand that the earth does not strictly belong to us, we do modify it by our very presence.  When a butterfly can create a ripple effect just by flapping its wings, imagine what the average person creates by stepping outside on his or her way to work on the morning.  I’m not saying that we ought not be aware of our carbon footprint and we ought not recognize that being less wasteful and more protective of nature is worthwhile, but that one can micromanage one’s degree of social consciousness to an extent that ending up miserable is the inevitable byproduct.    

In a broader context to that, I notice how we lament the slow progress of reform and regulation.  Our split loyalties are often to blame for this as well.  If we were able to reach a happy medium between the supreme authority of old ways and the supreme authority of new ways, then we might actually get something done in a timely fashion.  So much of Liberalism and Progressivism these days is conducted from a defensive posture, with the belief in the back of the mind that no matter what is set in play, it will inevitably blow up in the end and create more problems.  Well, with all due respect, this is merely part of being alive.  Any decision made will create future problems that no one could ever predict at the outset, but this shouldn’t paralyze our needed efforts, either.  

Again, reform is a constant process of refining, re-honing, and revision.  It’s foolish to expect that one bill, one policy statement, or one innovative strategy will come out perfect and never need to be updated to reflect changing times.  Rather than seeing this established fact as frustrating or limiting, we need to modify our expectations.  As President Obama said last week in his Nobel Peace Prize acceptance speech, “…[W]e do not have to think that human nature is perfect for us to still believe that the human condition can be perfected.  We do not have to live in an idealized world to still reach for those ideals that will make it a better place.”  We are imperfect.  Our ideas, no matter how immaculately crafted at the time, are imperfect, and the passage of time will render them more imperfect.  

But there is a difference between expecting individual or communal perfection on a case-by-case basis and not striving to improve the lives of those around us.  A century from now, if there is a blogosphere, I’m sure many people will laugh at the nonsensical barbarism of a previous age where every citizen of the Earth did not have health care coverage from cradle to grave.  But in this hypothetical example, it would be easy for them to make this judgment if they made it based on a naive, cavalier understanding of our times.  If they viewed them purely through the lens of their times without understanding the events, beliefs, and myriad of factors which led us to undertake the great struggle before us, then their own perspectives could not be taken seriously.  Again, we might be wise to understand why we always seem to crave an enemy.  Voltaire mentioned that if God didn’t exist, it would be necessary for humanity to invent Him.  Likewise, if enemies didn’t exist, it would be necessary for us to invent them.  That the very same people who speak of unity and can’t understand why we don’t have it are among the first to construct an antagonistic force and project all of their frustrations upon it is the deepest irony of all.  Our most powerful enemy is us.        

The Economic Bill of Rights — and the long March of History

Franklin D. Roosevelt’s “The Economic Bill of Rights”

In our day these economic truths have become accepted as self-evident. We have accepted, so to speak, a second Bill of Rights under which a new basis of security and prosperity can be established for all-regardless of station, race, or creed.

Among these are:

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