The conglomeration that killed health care reform 15 years ago wrote a letter to President Obama saying that they would work to cut 2 trillion in health care costs over the next 10 years.
But no firm commitments- just a letter saying they would try. Obama should put that letter in the round file.
In my first sales job, my mentor told me how to deal with the case where a customer's existing provider responds to your offer by cutting the price they've been charging the customer for 10 years, in order to keep them:
"Well, if they admit to overcharging you, why didn't they offer you these savings over the last 10 years? Why would you want to do business with someone like that, someone who just views you as a sheep?"
The insurance companies see the groundswell of support for rethinking health care in this company. Too bad President Obama doesn't see it and see the opportunity in front of him. As a small business owner being murdered by 30% increases each year, I can say he'd find strong support in the business community.
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Support for Groundswell
Tennessee has 2 Representatives on the U.S. House Energy and Commerce Subcommittee on Health:
Bart Gordon email
Washington Office
2306 Rayburn HOB
Washington, D.C. 20515
Phone: (202) 225-4231
Fax: (202) 225-6887
Marsha Blackburn email
Washington Office:
217 Cannon Building
Washington, D.C. 20515
202-225-2811
202-225-3004 fax
Lamar Alexander is on the U.S. Senate Committee on Health, Education, Labor and Pensions
You can email the committee at help_comments@help.senate.gov
........email Senator Alexander
SD-455 / Washington, DC 20510
Voice: (202) 224-4944
Fax: (202) 228-3398
Tennessee has no current representation on the Senate Finance Committee where the real action is. A list of links to committee members can be found here. This committee is chaired by Max Baucus (D-MT) who is funded heavily by the usual suspects, here. Clicking that link will give a good idea of why Baucus has described discussing a single payer option "a waste of time."
Max Baucus email
511 Hart Senate Office Bldg. (coffee and doughnuts @8:15am every Wednesday the Senate is in session)
Washington, D.C. 20510
(202) 224-2651(Office)
(202) 224-9412 (Fax)
The above info serves as a relevant to TN update to the "Citizen Action Mini-Manual, Part 1: HealthCare" found here.
This Tuesday, May 12, the Senate Finance Subcommittee is holding its final roundtable on healthcare reform. The California Nurses Association/National Nurses Organizing Committee has issued a request to include Roseann Demoro, Executive Director of CNA/NNOC and longtime leader in the single-payer movement. PNHP has formally submitted the names of two outstanding physicians, Drs. Marcia Angell and Steffie Woolhandler, to testify as expert witnesses. Join this All Out Effort here (link...)
Senator Baucus Releases Paper On Public Option!
The $2trillion in proposed, possible savings is akin to an offer from Comcast to lower your bill after you've threatened to switch to DirectTV. This carrot did little more than rile single-payer advocates who had already compromised by toning down the language of their demands from "single-payer system" to "public option." I keep finding conflicting reports of "on the table/off the table." My expectations were that it would be off the table for now by the end of the Senate Finance Committee public hearing that began at 10am today (link...), and I expected it to show back up once the legislation goes to the two house committees referenced in the above comment. Max Baucus has all along said that he doesn't believe a single payer public option has the votes, but he seems to be at least keeping some options in his hip pocket in case that sentiment starts to swing the other way.
Daily KOs has the story, "Senator Baucus Releases Paper On Public Option!" which seems to be an exclusive scoop as I haven't found any other references to this paper out there yet today.
My destructive nature really
My destructive nature really wants to think that way, but I have found that a productive way to approach someone's crappy job effort is to do a better job until they are irrelevant. There is no free market in health care anyway, so we build a public option. Hopefully, we build a public option that is liked and the people will come. Then the insurance companies have no choice but to try harder to stay in business.
"You're complaining about-

I'm talking about the audience.
That's right.
The people don't come because you grandiose motherfuckers don't play
shit that they like. If you played the shit that they liked,
then the people would come.
Simple as that."
"Unlike the 2 previous
"Unlike the 2 previous hearings ("roundtables") today's witnesses will represent serious progressive think tanks and advocates ranging from the Urban Institute and Center for Science in the Public Interest to Harvard, MIT, and the Brandeis University Center on Social Policy." -Mark Dorlester
Hopefully, there will be no doctors arrested today. C-SPAN
How to explain to your neighbors that you're not a socialist
I'm sure you have friends who only have time to get their news from Fox that think you want to socialize medicine through big government. We know that you don't want English dental care, and we know that you know that's not what the Democrats are pushing in Congress. I have previously mentioned the Frank Luntz memo to Republicans detailing how to "stop the Washington takeover of health care," the memo directly responsible for that sweet looking old lady calling you a commie bastard in the grocery store today. Tom Hayes does a good job of fighting this spin (Duke Medical Center really does have 900 billing clerks for 900 beds), so I'm forwarding this email to you:
continued...
If you want to know how carefully people are trying to control this discussion, look up "free market" at wikipedia. The most recent edit was about 24 hours ago. Then check "socialism" and you'll find it's even more recently edited. How much have the definitions of socialism or free market as an economic term changed just this week? Not much, but knowing how often people check wikipedia makes it an important target for people trying to own the information.
We never attain a perfect free market, it's a theoretical construct along the lines of frictionless atmosphere, but both are tools to help us more readily grasp complex systems.
Presently, both "free market" and "socialized medicine" are terms being used to distract attention from the reality she's described.
Understand, there is nothing that makes a "single-payer" system equivalent to socialized medicine. In fact, it doesn't even have to be administered by the government - but that is being obscured by the drive to ALSO craft a solution that makes it considerably more likely that everybody has access to health care when and as they need it.
Single payer is nothing more sinister than having only one agency or corporate entity responsible for processing all the paperwork. Considerable savings can be achieved this way just by simplifying what hospitals, clinics, and medical practitioners do presently to navigate a system where each insurer has their own forms, rules, and plans, which leads to such travesties as the Duke Medical Center having (literally) one billing clerk per bed.
By most calculations, the savings from streamlining and simplifying the payment processing would literally pay for all the uninsured people in the country to be treated.
If we were talking socialized medicine, you'd lose your choice of which doctor to see - yet there's nothing about that inherent in a single-payer system, it's just cost-savings by reducing the overhead.
If it's that simple, why hasn't business already undertaken the cost savings? Because they have no incentive to do so. They make money as a fraction of the amount they take in. If health care costs rise, they simply increase premiums, and continue to rake in their percentage (now on a higher gross dollar amount - in business terms they win.) If they want to cut costs, it's much easier to raise deductibles, exclude certain treatments or drugs, and drop or deny coverage of the people who are (or would be) using their service the most. Looking at their bottom line, insurers make the most profits when they insure the people who use them the least - so their incentive is to insure the health people, and exclude all the costly ones.
And today it looks like the House will be doing their utmost to get a bill in place before the session ends in August, which will mean things end up in a conference committee...
Which means you really need to write to your Representatives today even if they're not on the key committees. There's a lot of obfuscation going on, but if you follow the money it turns out most of it is based on trying to protect profits. Is Medicare perfect? Of course not, but it operates on very low overhead. If the people in Congress have been able to work out a health insurance system that works for themselves, surely something similar is attainable for the rest of us.
Don't stop now, make sure D.C. knows you care, you're watching, and you're making noise.
Tom Hayes, (not the author of Jump Point)
Also, the President wants your health care story. Go tell it. -EL
Frank Luntz
a little more about Frank Luntz, the guy responsible for a lot of the obstructionist language that comes out of Washington, here
COUNTERING REPUBLICAN ORWELLIAN RHETORIC ON HEALTH CARE
To: Interested Parties
From: Paul Begala
May 21, 2009
Memorandum
Do not let the Republicans kill reform by co-opting our message. When they
repeat their talking points, you must punch holes in them. I hope this memo helps empower you to do so.
What are the options?
Leading health industry groups have brought healthcare to us in its current unaffordable form and Washington’s fiscal management of social programs (SSI & Medicare) has a poor track record at best. Is there a plan “C” and “D”? Affordable healthcare is a necessity but having a federally run conglomerate the medial equivalent of say, TVA or the USPS making health decisions for myself or anyone is the last thing this country needs. There has to be alternatives.
If it doesn't cut costs, it's not reform
First, I would take all of the government money that goes toward pharmaceutical research and put it toward growing beneficial plants, and no, I'm not even talking about growing hemp. (The money for that would come from the Dept. of Forestry to save trees from being turned into paper.) Just because you can't patent something shouldn't mean the FDA can't talk about it. None of that is going to happen, and I'm not in charge of anything, so let's talk about insurance companies (in spooky font.)
People and small businesses who buy plans directly from insurers suffer the most because they pay full retail. Medicare isn't exactly broken, it's more the issue of insurance companies being able to charge what they want to whom they want. Their industry is very "consolidated," with the AMA reporting that 94% of communities' health markets are not competitive.
Sorry about the spooky font, but I haven't been to the doctor since '93 and this really bores the shit out of me, but I guess it's time we all had this talk with each other instead of letting "them" decide, so let's trudge along...
A single-payer system would eliminate that competition, but we're not going to put all of the insurance companies out of business. A "public option" seems to be the only step in the right direction that we are going to be able to take politically. A public insurance plan similar to the one in which our members of Congress are enrolled is expected to attract 40 million+ if offered. It is expected to cut into some PROFITS
Spooky font!
Profits at 10 of the country’s largest publicly traded health insurance companies rose 428 percent from 2000 to 2007 (from $2.4 billion to $12.9 billion). In 2007 alone, the chief executive officers at these companies collected combined total compensation of $118.6 million—an average of $11.9 million each. That is 468 times more than the $25,434 an average American worker made that year. Industry invests more in buying back its own stock and rewarding its shareholders than in improving system operations, reducing premiums, or in developing ways to pay doctors and hospitals fairly. reference
Although a public option may provide some competition and may play by the rules of a different incentive structure and may bring down costs for everyone, it will need some front money from you and me. Some fairly breaking news about that is right here, which is yesterday's Baucus/Grassley "Description of Policy Options" for how to finance the thing. I haven't read it yet, but it comes with the caveat that this is a kitchen sink list of options and not recommendations.
Olympia Snowe (R-ME) is suggesting that that we consider a public option fallback plan to be triggered in several years if private insurers haven't made things cheaper and easier for us. I say go ahead and trigger that. I say that Snowe knows it's going to happen anyway. The Republican plan released yesterday promises to take the tax benefits away from our employers and give them directly to us, but that shell game doesn't cut costs, and it's just a rehash of a plan that been voted down a time or two already, so that's not an option. There is also a moderate Republican plan modeled after Medicare Part D. Not an option.
Corporations are beholden to shareholder profits. Governments need people to be healthy and produce so they can be taxed. I really want some government meddling here, and a lot more than we're probably going to get. But, there's not even a bill yet. Stay tuned.
bull
Social Security has an administrative overhead of abut 3% and looks like heaven compared to my 401k right now. Same low overhead for Medicare. Despite GOP talking points funded by corporations, that is the truth.
Health insurance companies have over head of 30 to 40% so I can't see how you can make such assertions.
And for the Congress critters that think we shouldn't have good health insurance I say, fine then, let's take away your gold-plated plan the taxpayers fund and let you go without.
Every civilized country except the United States has better health care coverage and at a lower cost because they think people are more important than profit. They live longer, have lower infant mortality, and all other indicators are better, except breast enhancements for for Paris Hilton wannabes.
Go away now and come back when you're better informed. Better health insurance benefits everyone, even the obtuse and stupid.
"If ignorance is bliss, why aren't more people happy?"
In all my rambling, I forgot
In all my rambling, I forgot about administrative costs which should be the central focus when selling a public option or single payer system. Thanks.