Showing posts with label Health Insurance Reform. Show all posts
Showing posts with label Health Insurance Reform. Show all posts

Saturday, March 27, 2010

The Negative of For Profit Healthcare

Newborn with Birth Defect Denied Coverage

Health Care Provider Tells Texas Family Baby's Artery Problem is a Pre-Existing Condition; Won't Pay for Surgery

(CBS) For newborn Houston Tracy, the historic health care overhaul came too late.

Houston, born March 15 at a Texas hospital, suffers from a defect in his arteries. When his parents, Doug and Kim, applied to have his corrective surgery covered under their insurance, they were denied, with their carrier claiming Houston had a pre-existing condition, reports CBS station KTVT.

The Tracys are fighting the decision by Blue Cross and Blue Shield of Texas.

"They kept saying it's preexisting, it's preexisting, but I don't know how it can be preexisting on a baby that was just born," Doug Tracy said. "If it's mandated that everyone have health insurance, than how can one be denied?"

Legislation passed this week by Congress and signed by President Obama that would end the practice of denying coverage to patients with pre-existing conditions does not go into effect until September.

The congenital heart defect causes the two major vessels that carry blood away from the heart to become switched.

"He was born with what's called transposition of the great arteries," Doug Tracy said. "It's heart wrenching; I hated it."

The Tracy's are both small business owners and do not carry health insurance for themselves. They do carry insurance on their two other children and tried to get insurance for Houston, but they found out Wednesday his coverage was denied.

The health care provider declined to comment specifically on the Tracys' case, and released this statement to KTVT:

"We will work closely with our customers to keep them informed of any changes that may result from the new law. We will continue to review the bill's requirements on our business and their respective time frames to ensure full compliance."

The Forth Worth Star-Telegram received this explanation from Blue Cross Blue Shield of Texas:

Our policy is that if a family has existing coverage with us, a baby can be added to the contract within 31 days without the need for underwriting to assess the baby's eligibility."

The condition Houston has is rarely detected before birth.

"My whole pregnancy was simple, it was easy, no complications, doctor visits were great," Houston's mother, Kim Tracy, said. "Perfect sonograms, great little pictures and then, he wasn't perfect."

Houston had life-saving surgery at Cook's Children's Medical Center in Fort Worth shortly after being born.

"He's doing really good," his mother said with a smile. "he's a little tough guy."

Why aren't all the right-wing anti-government people who believe that health reform legislation will get between them and their doctor not upset and screaming and holding rallies that insurance companies are truly the clog in the wheel of health care?

I don't get it!

Thursday, March 25, 2010

Trapped Inside an Echo Chamber



Eric Boehlert analyzes, the "Fox News, health care, and the right-wing nervous breakdown." He asks, "So how did it all go so terribly wrong for health care haters?"
My hunch is that over the past few months, the right-wing media, along with self-adoring Tea Party members, made the mistake of believing their own hype. They convinced themselves that not only did 2 million people take to the streets of the nation's capital last September to protest Obama (a number that was off by 1.9 million), but that "millions" more had marched coast-to-coast over the past 12 months (a number that was completely fabricated). They fastidiously constructed their own parallel universe and convinced themselves that last summer's mini-mobs at local town hall forums had defeated health care reform. They thought their rowdy show of force, complete with Nazi and Hitler posters, and even some protesters parading around with loaded guns, had changed the debate.

Listening to Limbaugh, they thought they were dictating the agenda. Watching Fox News, they though they reflected the mainstream. And reading right-wing blogs, they thought they had killed health care reform.

What really happened?

Wrong, wrong, and wrong. It was the sudden and rude realization that, instead, they'd spent the past few months trapped inside an echo chamber, I think, that created the volcanic and unhinged response we've seen play out in recent days. It's the kind of childish and hysterical reaction I didn't think we'd ever witness from a major political movement.

What if Democrats behaved as if the sky was falling?

Indeed, imagine if this is how progressives and Democrats had behaved during the run-up to the Iraq war, the last time the country found itself in this kind of national public policy "debate." Imagine if the liberal pundits and opinion makers had reacted to the prospect of war not with thoughtful anti-war analysis (analysis that, it turned out, was dead on), but instead opted for tantrums and shameful vitriol, the way right-wing pundits have in recent days and weeks.

For instance, imagine if the anti-war movement, and its highest-profile media supporters, had attacked military families whose sons and daughters were fighting in Iraq as the invasion unfolded. That kind of abhorrent behavior would have been universally condemned as just being beyond the pale. Yet last week, as its opposition to reform grew increasingly futile, the GOP Noise Machine dedicated lots of time and energy to mocking and attacking cancer-stricken patients, as well as a motherless 11-year-old boy who had the audacity to speak out in favor of health care reform.

Limbaugh's immortal words to the boy: "Your mom would have still died, because Obamacare doesn't kick in until 2014."

How do you describe this kind of erratic, disturbed behavior?

To me, the attacks indicated a withering of the right-wing media's shrinking moral compass, not to mention common sense. (Mocking the seriously ill is a winning political strategy?) It was another tell-tale sign of the unfolding, and unstoppable, nervous breakdown.

Because how else do you describe this kind of erratic, disturbed behavior? And it's worth repeating: This wasn't coming from minor, fringe players. It's been coming from the supposed leading lights of the conservative media; leading lights who, blinded by paranoia, have suffered a collective collapse and can no longer make sense of their surroundings.

There's more tho this article. Read complete article HERE.

Monday, March 22, 2010

The Republican Repealers

Rachel Maddow puts the Health Reform Bill and the Republican response in perspective. WATCH:


Republicans want to repeal the entire health reform legislation. In Rachel's words, "Seniors, start cutting those pills in half again. Republicans think you're not paying enough for your drugs."


We all need to remember that when the Republicans complain that Congress is not listening to the people, they are talking about themselves.

Monday, March 1, 2010

The Olympics of Congress

Rep. Anthony Weiner takes it to the GOP, by calling them a ‘wholly owned subsidiary of the insurance industry.” on the floor of the U.S. House of Representatives.
—it was a thing of beauty.


Visit msnbc.com for breaking news, world news, and news about the economy

Saturday, February 27, 2010

Let's Talk About Health Insurance Reform



The Republicans begin every conversation about lowering the costs of health insurance by bringing up tort reform, a.ka malpractice reform. In their narrow minded window of health reform solutions, capping damages on injured citizens is top on their list.

There is valid evidence that caps on non-economic damages do not reduce the costs of health care. They "do not bring down insurance rates!"

The state of Texas allowed the health insurance and health care industries to write the state's new malpractice law. The insurance industry's wish list was fulfilled. Yet, today the most expensive place in the nation to receive medical care and treatment is McAllen, Texas.

The experience of Texas in capping damage awards is a good example. Contrary to Perry’s claims, a recent analysis by Atul Gawande in the New Yorker found that while Texas tort reforms led to a cap on pain-and-suffering awards at two hundred and fifty thousand dollars, which led to a dramatic decline in lawsuits, McAllen, Texas is one of the most expensive health care markets in the country. In 2006, “Medicare spent fifteen thousand dollars per person enrolled in McAllen, he finds, which is almost twice the national average — although the average town resident earns only $12,000 a year. “Medicare spends three thousand dollars more per person here than the average person earns.”
Let's open up the horizon of possibilities. Let's talk about real solutions. Let's legislate a cap on the salary of the health insurance company CEO.

WHAM!

That is the sound of every CEO screaming at the top of his/her lungs that you can't legislate a cap on 'their' salary.

Why not? It certainly would save the insurance company billions of dollars each year.

While the American people find themselves priced out of health insurance and healthcare, the CEOs of America's largest for-profit health insurers are making record salaries.

And perks . . .like private corporate aircraft, country club memberships, security services (wonder why they need this?) and a lifestyle most Americans can only dream about.

It's really long overdue that the American people hit the streets to demand guaranteed and affordable healthcare. It's also long overdue that we drive a stake through the heart of the fully parasitic Murder by Spreadsheet for-profit insurance industry.

From the Washington Post:

Karen Ignagni, CEO America's Health Insurance Plans (AHIP)

Ignagni's total compensation, according to AHIP's most recent filing from 2007, was $1.58 million, which includes $700,000 in base salary, $370,000 in deferred compensation and a bonus. Ignagni won't say how many hours a week she works. The number's so high it's embarrassing, she said.

http://www.washingtonpost.com/...

[All the following data for the 2008 salary survey is provided by Fiercehealthcare]

Meet the parasites:

Ron Williams - Aetna

Total Compensation: $24,300,112

Details: Williams earned $24,300,112 in total compensation for 2008, with more than half of that ($13,537,365) coming from option awards. He also received an additional $6,456,630 in stock awards to go along with his base salary of $1,091,764.

Personal use of a corporate aircraft and vehicle, as well as financial planning and 401(k) company matches added up to $101,487 for Williams.

Parasite

H. Edward Hanway - CIGNA

Total Compensation: $12,236,740

Details: Hanway took a significant pay cut from 2007 to 2008, due mainly to a drop off of more than $11 million in his non-equity incentive plan compensation. Still, his base salary of $1,142,885 surpasses that of Aetna's Williams, and is supplemented by just over $3.6 million in option awards, and just over $820,000 in non-qualified deferred compensation earnings.

Also, nearly $21,800 in "other compensation" included the use of a company car with a driver, in-office meals, and emergency assistance services relating to medical exams.

Parasite

Angela Braly - WellPoint

Total Compensation: $9,844,212

Details: Braly, like Williams, earned more money in 2008 ($9,844,212) than in 2007 (9,094,271), increasing her option rewards by nearly $1.5 million, and also receiving a $200,000-plus bump in base salary, from $922,269 to $1,135,538. Braly's stock awards dropped from $2,160,159 to $1,750,015 because, according to the SEC, "performance-based restricted stock units awarded in 2008 were cancelled because our ROE target for 2008 was not met."

Braly's "other compensation" comprised use of a private jet for her and her family on business trips, just under $10,000 for legal services relating to her employment agreement and cash credits.

Parasite

Dale Wolf - Coventry Health Care

Total Compensation: $9,047,469

Details: Wolf is the only CEO on this list who is no longer employed with his associated health plan; he retired from his position on Jan. 30 of this year after serving in that role since Jan. 1, 2005, and was replaced by former CEO Allen Wise.

Wolf, whose total compensation dipped quite a bit from 2007 ($14,869,823) to 2008 ($9,047,469), was pleased with the direction the company was headed in at the time of his departure.

"I am proud of what a talented group of people have accomplished over the past 13 years of my association with the company," Wolf said, "and I am confident that the fundamentals which are in place today will carry the company forward to continued success."

Wolf carried a base salary of $965,000 in 2008, and earned just over $1.9 million in stock awards. His "other compensation," which amounted to $486,447, included transportation on the company's airplane, a company match retirement savings plan and a company match 401(k) plan.

Parasite

Michael Neidorff - Centene

Total Compensation: $8,774,483

Details: Neidorff, who's base salary remained at $1 million, received increases in both his bonus ($1.25 million, up from $1 million) and his stock awards ($4.7 million, from $3.98 million) in 2008. According to the SEC, "Neidorff's agreement was amended twice in the past twelve months; (1) to eliminate the non-compete and non-solicitation requirements if there was a ‘hostile change in control' as defined in his agreement and (2) to add language to the agreement to make it compliant with Internal Revenue Section 409A."

Neidorff's "other compensation" of just over $418,000 comprised of use of the company airplane "for all travel," life insurance benefits, security services, and tax preparation services, among other things.

Parasite

James Carlson - AMERIGROUP

Total Compensation: $5,292,546

Details: Despite a lawsuit regarding Medicaid fraud that cost the Illinois plan $225 million, Carlson himself earned roughly $2 million more than he did in 2007. All aspects of his compensation increased in 2008, from his base salary (up from $608,000 to just over $761,000) to his non-equity incentive plan compensation (up to about $2.8 million from $1.98 million a year ago). Carlson's bonus also grew quite a bit, going from $225,000 in 2007 to $520,312 in 2008; much of that amount was based on long term incentive program goals being met.

Carlson's "other compensation," which nearly tripled (going from about $7,000 to just over $20,000), included his employer 401(k) contribution, life insurance premiums, an executive health screening, flight services and a medical insurance stipend.

Parasite

Michael McCallister - Humana

Total Compensation: $4,764,309

Details: Despite its pick ups of two smaller health plans (OSF Health Plans of Peoria, IL and Cos/Cariten Healthcare of Knoxville, TN), Humana's McCallister earned roughly $5.5 million less in 2008 than in 2007. While his base salary ($1,017,308), option awards ($3,078,897) and "other compensation" ($668,104) all increased, his non-equity incentive plan compensation and his nonqualified deferred compensation earnings totaled zero dollars. The latter represents a discontinuation of the Officers' Target Retirement Plan, according to the SEC.

McCallister's "other compensation" included personal use of the company aircraft for him, and sometimes his family; company contributions to the Supplemental Executive Retirement & Savings Plan and the Humana Retirement & Savings Plan; a once-a-year physical, financial planning assistance, and more.

Parasite

Jay Gellert - Health Net

Total Compensation: $4,425,355

Details: Gellert, whose company is considering selling off divisions in at least four states, earned nearly $740,000 in additional compensation for 2008. His overall base salary increased to a little more than $1.2 million from about $1.18 million in 2007, and his stock awards also rose (from about $1.4 million to more than $1.8 million).

Gellert's "other compensation," which totaled $131,526, included, but were not limited to, a $53,000 housing allowance, a corporate car and tax reimbursements of nearly $41,000.

Parasite

Richard Barasch - Universal American

Total Compensation: $3,503,702

Details: After taking a pay cut from 2006 to 2007, Barasch more than doubled his total compensation for 2008, jumping up from $1,564,293 in 2007. Barasch's base salary jumped up to $857,851 from $798,340 in 2007; his stock and option awards also increased, as did his "other compensation," which reflected a car allowance, relocation benefits and a matching contribution to his 401(k).

Also of note for Barasch was the fact that his non-equity incentive plan compensation earnings totaled $1,195,147; in 2007, he did not receive any money in 2007 for such compensation, but took home $1.1 million in 2006.

Parasite

Stephen Hemsley - UnitedHealth Group

Total Compensation: $3,241,042

Details: An $895 million class-action lawsuit over stock-option back dating aside, Hemsley still manages to make the cut for this list at No. 10. The UHG CEO's base salary was $1.3 million in 2008, to go along with a non-equity incentive plan compensation worth just over $1.8 million and "other compensation" amounting to slightly more than $119,000.

Hemsley's other compensation was a combination of the company matching his contributions under the 401(k) plan and the company matching contributions under his executive savings plan. According to the SEC, "in May 2006, the amount of Hemsley's supplemental retirement benefit was frozen based on his current age and average base salary and converted into a lump sum of $10,703,229." Because of this, "there was no increase in the benefit payable to Mr. Hemsley under his supplemental retirement benefit" in 2008.

Real solutions with real results. It is not yet within the lexicon of the politicians.

Friday, February 26, 2010

The Truth About Tort Reform

At Health Care Summit, Sen. Durbin destroys Republican arguments on Malpractice Reform!



The only advantage from tort reform will be to the insurance industry. Once again the politicians are bidding the interests of the powerful and rich corporations while throwing the citizens of this country under the bridge.


Thank you Sen. Durbin for speaking truth to power! Now, Democrats and President Obama, are you listening?

Thursday, February 25, 2010

The Truth About Heath Care

The Wonk Room’s Igor Volsky has published a Viewers Guide to the Bipartisan Health Care Summit.

SummitPicture2

Today’s Bipartisan Health Care Summit may be the end of the beginning for health care reform. While the President has tried to unite the Democratic party behind a single proposal, Republicans have proudly pronounced that they would not bring new ideas to the table. They’ve promised to reiterate their criticism of the existing Democratic legislation and speak in generalities about how the private market place can lower health care costs and achieve “universal access.”

And while their poll-tested talking points may sound convincing, the GOP solutions actually shift the costs and risks of insurance onto individuals and divides the market into low-cost plans for the healthy and high-cost insurance for the sick. This morning, the Wonk Room is releasing a Viewers Guide to the Bipartisan Health Care Summit. Here is what the GOP will say and why they’re wrong:

GOP CLAIM 1: Tort reform will significantly lower health care spending.

FACT: According to the Congressional Budget Office, malpractice costs are not the main driver of health care spending and the GOP’s prescription of capping non-economic damages has failed to reduce premiums on the state level. Indeed, states that have adopted reward caps have failed to significantly lower health care costs. When Texas capped non economic medical malpractice damages to $250,000 in 2003, most conservatives argued that the reform would free doctors from having to prescribe unnecessary treatment. It didn’t happen. According to the Dartmouth research on disparities in health care spending, many Texan doctors are still prescribing aggressive treatments that don’t improve outcomes and premiums continue to increase. In fact, as of 2006, Texas was still at the top of the list of high-spending states.

GOP CLAIM 2: Selling insurance across state lines will promote competition among insurance companies and lower premiums.

FACT: Selling policies across state lines would allow an insurer to choose a single ‘primary state’ “whose covered laws shall govern the health insurance issuer” and sell its policies nationwide. This will encourage companies to choose a state with scarce regulations and sell policies that don’t provide mental health parity, cancer screenings, or abide by regulations that limit the rates that can be charged to higher-cost consumers. In fact, the GOP house health bill requires a “health insurance issuer” to issue a “notice” informing consumers that policies sold from other states are “not subject to all of the consumer protection laws or restrictions on rate changes” of the state where the beneficiary lives. The Republican proposal also expands the definition of ‘state’ to not only include the District of Columbia and Puerto Rico, but the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. This would allow the governments of the Virgin Islands or the Northern Mariana Islands to be the sole regulators. Given the record of corruption and general willingness of these countries to allow themselves to be used for off-shore banking and tax shelter entities, it is unlikely that these governments would provide effective oversight for market conduct, trade practices.

GOP CLAIM 3: Everyone will have “universal access” to insurance. Individuals who cannot purchase insurance in the individual market can be covered by high risk pools that states will be required to establish.

FACT: Nationwide, high-risk pools cover fewer than 200,000 people. Often, enrollees face high premiums and are denied benefits for treatments related to their preexisting conditions. Covering all high-risk Americans through these pools is likely to be prohibitively expensive. According to a 2008 report from the Tax Policy Center, using high-risk pools “to prevent large losses in insurance coverage among the sick and needy could be extremely expensive—on the order of $1 trillion over ten years given projected health care costs.”

Download the entire guide here.

Spread the word that the GOP's position on health care serves the health insurance industry, not the people.

Sunday, February 14, 2010

Palin: How's That Status Quo...y Corporate Health...y Care...y Thing Workin' For Ya?



In 2009 the health insurance industry saw profits rise by $12.2 billion, up 56%, while insuring less Americans.

At the thought of Health Care Insurance Reform, the
industry squeals like a stuck pig (no pun intended...)

Want to learn more...you bettcha...!!!

Click below.


The Health Insurance Industry Works Its Magic
Dave Ross presents his commentary for Friday, February 12, 2010.

h/t Gil Ross

Wednesday, February 10, 2010

The Need for Health Insurance Reform

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Via SFGate

Anthem Blue Cross customers got a shock this week when the health insurer informed thousands of individual policyholders that their premium rates will jump as much as 39 percent on March 1.

Unlike home and automobile insurers, California insurers can legally raise rates for policyholders as much as and whenever they want. Regulators technically oversee the increases, but they have no power to control rates.

That means the regulators can't regulate!

What are Anthem's reasons for the increase?

In a statement, Anthem Blue Cross attributed the increased premiums to a bad economy and rising health care costs, forcing members to drop coverage, which “leaves fewer people, often with significantly greater medical needs, in the insured pool.”
But several years ago California passed tort reform to cap damages at $250,000 as away to control health care costs. Now the insurance industry is blaming the economy and their pool of insured. When will they run out of excuses?

Californian Mark Unger has an interesting slant.

Is it me or is that the greatest circular argument ever? Because of the bad economy, members have had to drop their coverage leaving them uninsured. Because the healthy people can no longer afford the coverage, that leaves more sick people in the pool, raising the costs to the insurance company and forcing them to raise premium costs for those who can continue to pay for their coverage.

I don’t suppose this ever occurred to Anthem, but based on their logic, were they to lower their prices, they would attract more members, rather than force members to drop out, greatly improving the ratio of healthy to sick in their insurance pool. This would leave them with the opportunity to earn more profit.

This is a great example of why we need health care reform which is a not-for-profit system such as the public option. Or even better a universal single-payer health care system.

Wednesday, January 20, 2010

Under-Achievement is the Culprit



"Democrats are being told (and telling themselves) that they over-reached, but what became clear as the months dragged on is the Democratic party under-achieved, and so did its president."
Coakley's loss in Massachussets is now being analyzed and picked apart by pundits and politicans alike to understand what happened that a blue state went red. William Greider of The Nation has a compelling and right-on-point article, Coakley's Loss; Pie in the President's Face.

The humiliation, I decided, could become a good thing for this presidency if it forces Obama to rethink his political strategy and rearrange his governing order. For all his brains and talent, for all the brainy people around him, the Obama White House seems tone-deaf and blind on many aspects of the popular reality. Too full of itself to listen closely. Too condescending to recognize the rage and fear are about more than right-wing frothers.

On healthcare, Obama played coy while his White House aides cut private deals with the drug industry and other sectors. The legislative process was drawn out month after month in an addled bargaining marathon with hostile Republicans (who stiffed him in return) and industry-leaning Democrats (who got whatever they demanded). The liberal base was conned, ignored and bullied, as its vital issues were one by one discarded. Labor unions were stroked and intimidated by the White House, then double-crossed as Obama's reform extracted greater costs from union members than it demanded from the drug makers. People at large were confused, then frightened. They could not understand what reform would do for them, and some of their doubts were well-founded. The longer it went on, the more people wondered why Democrats weren't talking about their problem--jobs and incomes.

Obama's mild-mannered faith in bipartisan deal-making seemed strangely out of touch. Didn't he realize Republicans were going to maul him at every turn?

The bankers, meanwhile, did their own tap dance on the new president, putting a paw on his shoulder while gobbling up public resources. Obama kept holding meetings with them, urging them to do the "right thing." They practically laughed in his face.

People were meanwhile agitated by the swelling budget deficits and easy prey for right-wing propaganda. Instead of explaining the economic necessity of deficit spending in a straightforward way, Obama adopted these worries as his own. He has promised to reduce spending, but he cannot deliver on this if he truly expects recovery.

Obama's style became an inadvertent formula for sapping the life out of the political majority that elected him, deflating the reach of reform and turning off the electoral base that came together in 2008. Democrats are being told (and telling themselves) that they over-reached, but what became clear as the months dragged on is the Democratic party under-achieved, and so did its president.

Obama's most disturbing quality is that he evidently intended this from the start. Soaring rhetoric notwithstanding, he managed the presidency as a pragmatist in search of the possible. The real goals for change were minimalist, not visionary. This has to change and soon, if he is to revive his presidency.

Obama, in other words, has to change himself. That may sound too wishful and maybe it is. But we know he is a brilliant politician, astute in his political vision. The great politicians, when faced with new circumstances, revise themselves. We will see if Obama can.

First, he has to clear out the cobwebs of his hopeful aspirations and take on the fight. To do so, he also has to clear away a lot of the people around him. If Rahm Emmauel was the chief strategist, the guy who made the private deals and told the senators what they could accept, he failed big-time and should be replaced. Find a new manager whose thinking was not shaped by cynical triangulation in the Clinton era.

The president chose Larry Summer and Timothy Geithner to speak for the administration on the economy. Can you imagine finding anyone less convincing? Both are active advocates of the Wall Street status quo, neither has any feel for what's happening in the country. The bean counters led the president into the trap he now faces. Permissive bailouts created flush financial giants that sit on their profits and ignore the public need for lending. Dump the bean counters now.[...]

If comprehensive healthcare reform is out of the question, Obama Democrats can break it down into smaller pieces and try to pass worthy measures one by one. A bill to prohibit insurance companies from banning people with pre-existing ailments? Pass it the House and try to pass it in the Senate. If Republicans want to filibuster, make them filibuster. A measure to allow cheaper drug imports from Canada? Let Republicans vote against that. Repealing the antitrust exemption for insurance companies--Democrats support it. Democrats need to start a fight on taxes too. Do Republicans want to tax Wall Street banks or not? Obama has proposed it, let's have a roll call. The attack strategy will focus on all the reforms people want and need and create a new political dynamic.

Read the complete article here.

I find it interesting that the media seems to be taking the Republican talking point that Coakley lost because people don't want sweeping health care reform. It really is just the opposite. People do want health care reform. They just want reform that will benefit them and not the insurance companies. What Congress has passed, especially the Senate, has chipped away at a robust package and created a broken bill.

Ask yourself, what is President's Obama's position on health care? My point exactly...I don't know. Under-achievement is the culprit!

Wednesday, December 16, 2009

Howard Dean: Kill the Senate Bill & Start Over!


Dr. Howard Dean says this is "basically the Mitt Romney bill in Massachusetts except it doesn't insure as high a percentage of people."

On MSNBC with Dr. Nancy, Dean reiterates his view that it is necessary to kill the Senate bill!
"We can't cave into the interests of special interest groups."
On the issue of pre-existing conditions, Dean says that the "insurance companies can raise rates up to 30%. Basically there is no cost control in this bill."

Dean says "critical mistakes were made early on when it was decided not to go for reconciliation."

Dean believes that Democrats are not tough enough. "Democrats don't have to be mean but they have to be tough."
Crooks and Liars also has the story.

Fanning the Flames of Joe Lieberman

William Rivers Pitt has a truthout Op-Ed about, Joe Lieberman and the Health Care Train Wreck.

When last we heard from Sen. Joe Lieberman of Connecticut, he was throwing sand into the gears of the Democratic push for health care reform by declaring he would filibuster any legislation containing the so-called public option. "I feel so strongly about the creation of another government health insurance entitlement," said the senator back in November. "The government going into the health insurance business - I think it's such a mistake that I would use the power I have as a single senator to stop a final vote."

At the same time, Lieberman indicated his plans to actively campaign for GOP candidates during the 2010 midterms.

"There's a hard core of partisan, passionate, hardcore Republicans," he said at the time. "There's a hard core of partisan Democrats on the other side. And in between is the larger group, which is people who really want to see the right thing done, or want something good done for this country and them - and that means, sometimes, the better choice is somebody who's not a Democrat."

How did Democrats respond?

For some reason, these twin insults did not motivate the Democratic Congressional leadership to expunge this hypocritical cretin from their ranks. Lieberman kept his committee chairmanship and was not even mildly censured by his colleagues.

Biting back the hand that pats your head.

One month later, the decision to ignore his brazen disregard for his colleagues has come back to bite us all, for Mr. Lieberman has once again elbowed his way into the center of the health reform debate, and with a vengeance. "Mr. Lieberman threatened on national television to join the Republicans in blocking the health care bill, President Obama's chief domestic initiative," reported The New York Times on Tuesday. "Within hours, he was in a meeting at the Capitol with top White House officials.
Once again the Democratic response was to grovel at Lieberman's feet.
And on Monday night, Democratic senators emerged from a tense 90-minute closed-door session and suggested that they were on the verge of bowing to Mr. Lieberman's main demands: that they scrap a plan to let people buy into Medicare beginning at age 55, and scotch even a fallback version of a new government-run health insurance plan, or public option."

Sickening and Appalling

This turn of events is sickening and appalling on a couple of different levels.

First, of course, is the shameless reality that is Mr. Lieberman himself. During his 2004 presidential run, and again during his 2006 Senate campaign, Lieberman actively supported the public option's inclusion in any health care reform, and specifically supported the expansion of Medicare. As late as this past September, Lieberman continued to support such an expansion, as reported by The Connecticut Post. "As to how 47 million uninsured will afford coverage," said The Post, "Lieberman said only 12 million don't have insurance because they cannot afford it. By allowing citizens who are not eligible for Medicare or Medicaid to buy in for a rate below the private market, the government can extend coverage to more of those who are currently uninsured, he said."

That was then, and this is now. In one of the most astounding examples of political flip-floppery, Lieberman opened this week by declaring himself dead-set against the very health care reform policies he once championed, and once again announced his intention to don a Republican cloak and tear up the Democrats' legislative efforts. Again.

Why?

One would have to be deep into a severe state of personal denial to believe Lieberman has legitimate concerns about the impending health care legislation, given the fact that he very recently supported the exact provisions he now wants removed or destroyed. The only sensible explanation would seem to be that Lieberman is actively needling the Democratic leadership, and has become such an obnoxious obstructionist only to keep his name in the news. Josh Marshall of Talking Points Memo explains the situation, and what it means going forward:

The key issue senate Democrats now have in dealing with Joe Lieberman isn't his position on the Medicare Buy-In. They need to confront the problem that Lieberman isn't negotiating in good faith. No surprise that Republicans are giddy with what a problem he's creating for Harry Reid & Co. But in my conversations with them, it's as clear to them as it is to anyone else that he's now basically mocking his Democratic colleagues by moving the goal posts every time a new agreement is struck.

This puts the Democrats in an extremely difficult, politically untenable position. Yes, they need 60 votes. But they're not going to be able to hang on to Lieberman's vote long enough to get the bill passed. That now seems unquestionably clear. People who say that the Dems should just move to reconciliation don't necessarily realize the difficulties involved - either procedurally or politically, in terms of losing even more Democratic votes. Personally, I'd like to see them try it. But I don't know if it's possible.

Until a couple days ago I was close to certain a health care bill would pass. I still feel relatively confident one will simply because the Dems just don't have any choice but to pass one. Once it is passed, if it is, it's definitely time for the Democratic caucus to strip Lieberman of all the benefits he receives as a member of the Democratic caucus. But that doesn't accomplish anything at the moment. The only path I can see for the Dems is that they need to try to put 60 votes together with Sen. Snowe. Yes, that sounds crazy to me too. But I think she actually has a set of policy priorities that could be met. I don't think that's true with Lieberman. So further negotiating just means more game-playing.

The Solution?

The solution to all this, one would think, would be for the Democratic leadership in Congress to wrap Lieberman in bright red wrapping paper, slap on a bow, and ship him across the aisle to his ideological compatriots in the GOP as an early Christmas present. Strip him of his leadership position, show him the door, and publicly denounce him as nothing more than a stinking chunk of cholesterol clogging up the arteries of progress.

But no.

Of course that isn't going to happen. Instead, Democrats appear poised to once again knuckle under to this fraud and further denude what has already become a half-a-loaf bill. According to several sources, Rahm Emmanuel and the White House are actively pressuring the Democratic leadership in Congress to give Lieberman whatever he wants in order to pass some form of health reform legislation, no matter how ragged, damaging and useless the final product may turn out to be.

What about Joe?

The Senate won't vote on health care reform until next week, and the process has changed course two dozen times already, so the outcome of this latest idiot eruption is far from certain, but the writing does appear to be on the wall this time around. Joe Lieberman doesn't give a tinker's damn about the people he represents, the party that coddles him, his own positions on key issues or anything else beyond getting his mug in front of television cameras in the guise of someone who actually matters.

What about the Obama Administration?

The Obama administration is once again moonwalking away from doing the right thing on this issue, and the jellyfish pond that is Congress appears poised to do what jellyfish do: float, flop, flounder and drift with the scum in this rising tide.

In short, this whole thing is about to become a train wreck of galactic proportions. Stay tuned.

This isn't an issue of politicians standing up for the issues that they believe in. Once again we have a politicians acting on behalf of their own interests rather than the interests of the people who voted them into office and who they were elected to represent. This reality includes Lieberman as well as Obama and his administration.

Sunday, December 6, 2009

How and Why the Health Insurance Industry Wants to Kill Health Insurance Reform

Two words explain why the health insurance industry does not want health reform: Status Quo! That actually translates to one word: Money!

The insurance companies using lobbyist and think tanks have spent a fortune in order to keep the status quo. ThinkProgress now has the story on how lobbyists from Blue Cross Blue Shield are working behind the scene to have health reform declared unconstitutional.
ThinkProgess has documented how the private health insurance industry is waging a duplicitous, “two-faced” campaign to kill health reform. Because the industry understands that the public views it in a largely negative light, the industry presents itself as proactively working hand-in-hand with legislators to produce reform. However, behind the scenes, the industry is coordinating a massive effort to kill all reform — employing attacks from front groups, allied politicians, think tanks, lobbyists, and right-wing media.

The Blue Cross Blue Shield Association, which is a lobbying group representing 39 independent Blue Cross and Blue Shield Plans, is also engaged in this two-faced campaign. Like most of industry, the BCBS Association says it fully supports the concept of health reform, but continually demands drastic changes to the bills in Congress. Some have begun to question the BCBS Association’s claim of support given its new study attacking reform legislation in the Senate. The criticism of BCBS is bolstered by a new revelation that BCBS Association lobbyists are helping to orchestrate a right-wing movement to invalidate all of health reform.[...]

The American Legislative Exchange Council (ALEC), founded in 1973 by conservative activist Paul Weyrich, is a DC-based front group which helps state lawmakers craft corporate-friendly legislation. As the Atlantic has noted, ALEC developed template health care “states’ rights,” legislation to declare aspects of health reform unconstitutional. ALEC has promoted this “tenther” legislation using its network of mostly far right Republican state lawmakers. The bills, which have been adopted in some form in 24 states so far, aim to invalidate federal regulations of health insurance, the public option and the individual mandate using the Tenther Amendment. [...]

Private insurers have already been caught using a stealth lobbying firm to send employees to rowdy town halls (and radical tea party events), sharing lobbyists with slash-and-burn anti-health reform attack groups, and paying a number of conservative pundits who regularly appear in major media outlets to slam health reform. Now that it is clear that BCBS helped write the script for the radical tenther movement, any claim that the industry supports reform must be viewed with heightened skepticism.

Insurance Company Chart

Wendell Potter, a former VP of communications at health insurance giant CIGNA, spelled out precisely how insurance companies have prepared to defeat meaningful reform.

WATCH:

Gaming the System

The Democrats want a public option. The Republicans don't. In an attempt to ridicule the public option, two Republicans, Senators Tom Coburn (R-Okla.) and David Vitter (R-La.), sponsored an amendment (SA 2864) to the healthcare bill which would require all members of Congress to use the Public Option, if it is included in the Senate Health Care bill.


Via Crooks and Liars:

Sherrod Brown explains to David Shuster why he decided to co-sponsor Tom Coburn and David Vitter's amendment which would require members of Congress to enroll in whatever version of the public option ends up being passed in the health care bill.

Brown: Yeah, you often find out about amendments going on on the Senate floor and if my staff and I like one of the amendments we'll call an office and say, Republican or Democrat, I'd like to co-sponsor. We do that as a matter of course it happens across party lines all the time, hundreds of times a day. We did that with Sen. Coburn, nine times we said we wanted to co-sponsor--usually it takes once and they say yes--I've always accepted that. So has everybody I know in the Senate. Nine times we asked to co-sponsor and their office either just said we'll get back to you or ignored our calls and our emails because it was all a sham.

They don't, they clearly don't like the public option. They were making fun of it. Their whole game is to delay and deceive and to play political games. And when they offer an amendment saying sign up for the public option to force--tell members of Congress they have to join the public option--I think I should. I think we all should but they don't evenn like it themselves. And so it's just a little partisan game they're playing, and this is too serious for them to play those kind of games.

The bottom line is that all the compromises that the Republicans and blue-dog Democrats want made are really shams and create an ineffective the public option.

From Salon's War Room--Coburn, Vitter plan to ridicule public option backfires:

Now, as the Senate's debate over its version of reform legislation kicks into gear, two Republicans -- Sens. Tom Coburn and David Vitter -- have picked up that theme and are running with it. The two authored an amendment they want attached to the bill; it would require members of Congress to enroll in whatever version of the public option the final legislation creates, if it includes one.

Both Coburn and Vitter are vehement opponents of the public option, and they're hoping to prove themselves right by showing that no senator who's in his or her right mind would want their healthcare covered by it. They've gotten a surprise, though: Genuine support for their amendment from someone on the other side of the aisle -- and a proponent of the public option, at that -- Sen. Sherrod Brown, D-Ohio.

Continue reading...

Senators Franken, Dodd, and Mikulski also joined Sen. Brown in co-sponsoring the amendment. Here's Sen. Franken weighing in on the Senate floor.




If members of Congress don't want to receive the healthcare that they are voting on, why should we.
A robust public option is necessary and and this stunt shows that anything less is not acceptable.

Monday, November 23, 2009

The Real Culprits are the Insurance Companies



The Republicans, the teabaggers, the cable pundits, Fox News and the the wing-nuts have been basing part of their argument against a public option on a tale of fear and deception. They are promoting the idea that Congress and the government will get in between you and your doctor and therefore, will make crucial life and death decisions. This is just an off-shoot of the "death panel" farce.


The truth is that right now health insurers stand between patients and their doctors.
One of the most common right-wing memes used by opponents of health care reform is that progressive solutions to America’s health care problems place “Washington bureaucrats firmly between you and your doctor.” Again and again, conservatives have deployed this meme to demagogue the health care debate.

However, the reality is there already is someone standing between you and your doctor: health insurance companies. Single mother Ellen Hayden knows this from experience. After losing her mother at the age of 7 from breast cancer, Hayden has done everything she can to get regular mammograms. Following an abnormal mammogram, her doctor recommended that she have an MRI. After the scan, her insurer, Blue Cross Blue Shield, refused to pay for the procedure and is also refusing to pay for a follow-up second MRI her doctor has suggested.

Ned Helms, a former health insurance industry executive who now works at the University of New Hampshire, told Sea Coast Online that this is Hayden’s case is an example of “insurance people” getting between patients and their doctors:

“It’s understandable that this is an emotional issue because most patients believe that ‘nothing is going to stand between me and what I want to get done,’” said Ned Helms, a former health insurance industry executive and director of the N.H. Institute of Health Policy and Practice at the University of New Hampshire. [...]

“We have this notion in our political debate and popular culture that we can’t have reform because that means that government bureaucrats will make decisions but we already have insurance people playing that role,” said Helms.
Helms went on to say that one of the major obstacles to attaining proper reform is the way insurance companies often “write their own rules for the road.” Late last year, former Cigna executive Wendell Potter left his 15-year career at the major health insurer and joined the fight for universal health care. He told Bill Moyers last July that politicians who warn about the government getting between patients and their doctors are “ideologically aligned with the [health insurance] industry.”
It is time for the Democrats to change the frame.

Where are they? Oh that's right they're trying to get Republicans to join them in a bipartisan way. Which means that the Democrats will negotiate away most of what is important to change our present 'for-profit' healthcare system where the insurance companies write all the rules.

Tuesday, November 10, 2009

Forget the Middle...It Doesn't Exist!

As the Republicans move further to the Right...The Democrats need to move further to the Left!!!!

Who voted for and against the health care legislation that just passed the House of Representatives. The vote was 220 to 215 and only
one Republican voted for the bill. There were 39 Democrats who voted against reform. That's right! There were 39 Democrats who voted against changing a system that doesn't cover most people but does support a for-profit system that is creating wealth for the insurance industry. So who are these 39 Democrats?
Of the 39 naysayers, 31 hail from districts won by John McCain in the presidential race. Only one progressive vote against the legislation: Dennis Kucinich of Ohio, who continues to advocate for a single-payer health-care system. The New York Times has a nifty chart that ranks the members according to the margin of victory in their districts for either McCain or Obama in the 2008 presidential election. Here are the 39, listed in alphabetical order. (Links go to their official Web sites, where you can leave them a message.)
  1. Adler, John (N.J.)
  2. Altmire, Jason (Penn.)*
  3. Baird, Brian (Wash.)
  4. Barrow, John (Ga.)*
  5. Boccieri, John (Ohio)
  6. Boren, Dan (Okla.)*
  7. Boucher, Rick (Va.)
  8. Boyd, Allen (Fla.)
  9. Bright, Bobby (Ala.)*
  10. Chandler, Ben (Ky.)
  11. Childers, Travis (Miss.)*
  12. Davis, Artur (Ala.)*
  13. Davis, Lincoln (Tenn.)*
  14. Edwards, Chet (Tex.)
  15. Gordon, Bart (Tenn.)
  16. Griffith, Parker (Ala.)*
  17. Herseth Sandlin, Stephanie (S.D.)
  18. Holden, Tim (Penn.)*
  19. Kissell, Larry (N.C.)
  20. Kosmas, Suzanne (Fla.)
  21. Kratovil, Frank (Md.)*
  22. Kucinich, Dennis (Ohio)
  23. Markey, Betsy (Colo.)
  24. Marshall, Jim (Ga.)*
  25. Massa, Eric (N.Y.)
  26. Matheson, Jim (Utah)*
  27. McIntyre, Mike (N.C.)*
  28. McMahon, Mike (N.Y.)*
  29. Melancon, Charlie (La.)*
  30. Minnick, Walt (Idaho)
  31. Murphy, Scott (N.Y.)
  32. Nye, Glenn (Va.)
  33. Peterson, Collin (Minn.)*
  34. Ross, Mike (Ark.)*
  35. Shuler, Heath (N.C.)*
  36. Skelton, Ike (Mo.)
  37. Tanner, John (Tenn.)*
  38. Taylor, Gene (Miss.)*
  39. Teague, Harry (N.M.)
* Indicates those Democrats who are the anti-choice holdouts among Democrats. These anti-choice Dems were "threatening to oppose" the healthcare legislation "over the issue of abortion to create a question about its passage."

An
example of voting the interests of the health care lobby and not the interests of their constituents is Mike Ross (D-AK).

Mike Ross, leader of the House Blue Dog Coalition, lobbed a "no" vote, after having held up legislation in committee before the summer recess. As a member of the Energy and Commerce Committee, Ross was able to marshal the seven Blue Dog members of his committee to sow the seeds of opposition to the bill.

(As ProPublica reported, Ross not only enjoys the largess of mucho health sector dollars in the form of campaign contributions; he and his wife made a million-dollar killing in what appears to be a sweetheart deal with a large pharmacy chain. In Ross's congressional district, 22 percent of constituents report having no health insurance.)

A message to be sent to these Democrats, Blue Dog or not, is to vote them out of office while voting in a Progressive in their place.