Tue
Jun 16 2009
01:34 pm
By: R. Neal

Ain't gonna happen.

Sure, there will be some kind of bill passed. And President Obama will be able to say "we did health care" and check that one off the list.

But there won't be any real reform.

continued...

There won't be a plan that guarantees every American access to affordable health insurance, regardless of age, income, employment status, or pre-existing conditions.

There won't be a plan that puts every American in one big pool (regardless of who sells the policies and administers the claims) to spread the risks and share the costs among all participants (the definition of "insurance") because it would look too much like "socialism."

There won't be a plan that requires every American to have health insurance, including young invulnerable immortals, or to help needy families and individuals pay the premiums.

There won't be a plan that prohibits "cherry picking" enrollees and denying claims and canceling policies based on corporate fiduciary considerations rather than medical need.

There won't be a plan that divorces health insurance from employment and makes health insurance permanent and portable from job to job and state to state, regardless of changes in employment or health status.

There won't be a plan that rescues state Medicaid and CHIP programs from out of control costs that are practically bankrupting some states.

There won't be a plan that covers the 50 million uninsured Americans.

The only plan that accomplishes all this is HR676, which opens up Medicare to everyone and creates a mandatory, simple and straightforward National Health Insurance program. But President Obama said during his campaign that, although it is the best solution, it is not politically doable. And now the health care industry and insurance companies are calling in all their markers to make sure this self-fulfilling prophecy is fulfilled.

A couple of other proposals (HR15 and HR193) come close to bringing some meaningful reforms, but are flawed with ties to employment (HR193) and requirements for state funding (HR193) and state administration (HR15). But it doesn't matter, because powerful moneyed interests will not allow them to advance.

President Obama wants a health care reform bill on his desk. He laid out some commendable goals and guiding principles, but no specifics on how to get there. He is leaving it up to Congress and the health care industry to hash it out.

To no one's surprise, the result is partisan bickering and industry blustering, followed by a series of compromises and concessions, culminating in an cluster f**k of epic proportions that in the end will produce nothing more than a bunch of incomprehensible half-baked "fixes" packaged in a box of legislative band aids that won't even start to patch up our broken industrialized health care system.

I was willing to keep an open mind on single payer and listen to alternative proposals that accomplish the same goals or at least put us on the path to a comprehensive solution. After looking at the hodgepodge of policy wonk fantasies that tinker with the tax code and tweak existing programs to perpetuate the same failed system, it's starting to become pretty obvious that nobody has a better idea.

Anyway, if you're looking to sort through all the conservative think tank talking points and industry propaganda being regurgitated on talk radio and cable news, the Kaiser Family Foundation has a good summary comparison of the major proposals in Congress.

SEE ALSO: Insurance companies tell Congress they have no intention of ending rescission, the practice of canceling sick people's insurance policies. And they can sit there and say that with a straight face. Why are these people in charge of our health care?

Nobody's picture

Such is Hope

Why vote for Obama if he is so powerless?

R. Neal's picture

I think I recall something

I think I recall something from sixth grade civics class about the Constitution and how the President can't really make laws.

Nobody's picture

Leadership

He can show leadership and not wilt.

R. Neal's picture

I wouldn't say he's wilting.

I wouldn't say he's wilting. He's come out strong for a public option and against tort "reform." And his HHS Secretary has said today they will not take the public option off the table.

I guess I just wish that we had started from the position that the public option was the ONLY option on the table, put the corporate industrialized medicine and their Congressional enablers on defense, and played strong offense from there.

gonzone's picture

ouch

You're crushing my HOPE and making me sad Bubba!

"If ignorance is bliss, why aren't more people happy?"

R. Neal's picture

I would suggest writing your

I would suggest writing your Congressman and Senators. But if they are the same as mine, well, you know.

gonzone's picture

yes

Yes, they are (or very close to the same [Wamp/Duncan])

And, yes, I know.

So the stupid continues to feed the greedy.

"If ignorance is bliss, why aren't more people happy?"

RefrainfromanoldWhosong's picture

So what was the point of

So what was the point of moderates voting for Obama? Oh yeah, some others wanted to see criminals prosecuted for war crimes. Others may have been hoping he’d make a getting off fossil fuels a priority like Kennedy’s “moon-shot”. Others would like to see a solar panel on the White House lawn next to the garden (nice touch by the First Lady).

Never mind.

Obama has certainly proven to be a good orator. The jury is still out on what kind of leader he is. Some advice from Bill Maher ; (link...)

As someone not affiliated with a party, I can tell you, 2010 will be loss if a health care plan without universal coverage is passed. I voted for Obama partially to help teach Republicans a lesson last time. I will teach the Democrats a lesson next time.

The lesson is, when you have a super majority, use it. Because next time, in politics, is too late. Fifty years of this stupid battle to prop up corporate interest proves it.

R. Neal's picture

You can't put all this on

You can't put all this on Obama. He knew the political realities and laid them out. He also laid out some good principles to at least get moving in the right direction. And he pissed off the AMA yesterday when he said he would not support medical malpractice tort "reform." I would like to see him offer some more specific recommendations, though.

gonzone's picture

What to do

For those who care: (from DKos front page)

Call Sen. Dodd, who is Kennedy's standard-bearer on this one, and tell him a robust public option must be included in the draft that goes to markup: Tel: (202) 224-2823 | Fax: (202) 224-1083. You can also e-mail the committee: help_comments@help.senate.gov. While you're at it, here's the rest of the Democrats on the committee:

Tom Harkin (IA): (202) 224-3254
Barbara A. Mikulski (MD): (202) 224-4654
Jeff Bingaman (NM): (202) 224-5521
Patty Murray (WA: (202) 224-2621
Jack Reed (RI): (202) 224-4642
Bernard Sanders (I) (VT): (202) 224-5141
Sherrod Brown (OH): (202) 224-2315
Robert P. Casey, Jr. (PA): (202) 224-6324
Kay Hagan (NC): (202) 224-6342
Jeff Merkley (OR): (202) 224-3753

Help the HELP committee help all of us, but making them hold the line on the public option. While you're at it, call the White House at (202) 456-1414, or e-mail President Obama.

"If ignorance is bliss, why aren't more people happy?"

bizgrrl's picture

In listening to liberal talk

In listening to liberal talk radio the other day a caller suggested a march to Washington for healthcare for all. I'm thinking this is what needs to be done to emphasize the importance of the issue.

Nobody's picture

Rally the troops

This is a great idea! Too bad Barack will not be leading the call.

bizgrrl's picture

Wouldn't it be nice to some

Wouldn't it be nice to some day be able to change employers, move to a different state, or even become self-employed while maintaining the same health insurance?

JWB's picture

BO on healthcare....

the Middle East, mountaintop removal--when a jackass flies, you don't ask how high.

He is a politician at his core, a good one in terms of skills, but a politician nonetheless. In the end we may benefit or not, but it will be incidental to whatever advances his political career. Ask Rev. Wright.

Factchecker's picture

Please read Noah's excellent

Please read Noah's excellent piece on healthcare.

Ask Rev. Wright.

Why? (And mountaintop removal? Say what?!)

EricLykins's picture

Better, cheaper, fairer: let's go shopping

The Isolationism of Health Reform: Why won't Congress consider how other countries do it?
By Timothy Noah
article at Slate.com

Here's a piece:
The political establishment's hubristic refusal to consider how other countries manage health care is encapsulated in the cliché "uniquely American," which is what Sen. Max Baucus, D-Mont., the lead legislator on health care reform, says he wishes his bill to be. It therefore goes without saying that the finance committee Baucus chairs could find no place in this year's exhaustive health care hearings for a single expert on how other countries achieve better health outcomes for their populations while typically spending, on a per capita basis, half what we do. When the finance committee releases its draft bill this week, it will be almost completely free of foreign influence.

gonzone's picture

I Just Wish

I just wish our media and the Dems would consistently keep asking GOP congress critters why the exact same kind of health care they demand for themselves isn't good enough for the rest of America.

That's going on the offensive and helping regular people relate to the blatant hypocrisy of DC politics.

"If ignorance is bliss, why aren't more people happy?"

gonzone's picture

Anothe thing to do

Go here and sign the petition:
(link...)

"If ignorance is bliss, why aren't more people happy?"

gonzone's picture

Who owns the politicians?

If they aren't interested in what is best for the people, then who are they supporting?

Looks like maybe the health care industry?
(link...)

"If ignorance is bliss, why aren't more people happy?"

rikki's picture

belch test

I listened to "Outside the Beltway" Sunday. They had a doctor from Physicians for a National Health Plan and an executive from an HMO as guests, plus some Republican radio clown who sounded like he would be announcing a run for Illinois governor soon.

The two professionals had a litany of facts at their disposal and obviously understood the mechanics of our system and its strengths and weaknesses. They disagreed over reform costs and approaches, but not over facts. The Republican would just occasionally say, "If you think the government can do a better job, you're crazy." Completely outclassed and barely part of the conversation, he finally suggested that maybe we should pay men to have regular prostate check ups, completely contradicting himself. The others sat silent for a moment, then resumed their discussion as if it had been interrupted by a belch.

It occurred to me that Republicans typically offer exactly that much value to any discussion. Thus I present the belch test: if it's too complicated to say while belching, it is too complicated for the Republican Party.

Low Taxes. Ahh. Try it yourself!

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