Tue
Jul 21 2009
03:08 am

Lamar Alexander, Bob Corker, John Duncan, Jr.
Breaking President Obama? You're losing fast.

“If we’re able to stop Obama on this (health care) it will be his Waterloo. It will break him.” -Jim DeMint
"I think that's a good way to put it" -RNC Chairman Michael Steele
You should expect to hear that quote this week from the White House as they use it to rally their troops, a White House official tells ABC News.


continued...

Officials will say the people being "broken" are the American people going bankrupt paying for health insurance premiums that increase 10 percent every year, the source says, and that those who want to use this issue to break the president are doing nothing but working for insurance companies and insurance executives.
This article also reports that "Administration officials say [Obama's] newest goal: getting the Senate Finance Committee to report out a bill by Friday. That's right, THIS Friday." (I haven't found a secondary source for that deadline.) The Congressional Budget Office has yet to score a proposal that doesn't add to the deficit over ten years, and Obama has said that he won't sign a bill that does. If the Senate Finance Committee pulls this off by Friday without taxing health care benefits, I will be extremely impressed.

The current Republican plan for leadership on health care legislation is to stall it and run attack ads. DeMint said he could "almost guarantee you this thing won't pass before August, and if we can hold it back until we go home for a month's break in August...Senators and Congressmen will come back in September afraid to vote against the American people." The messaging campaign of "socialized medicine" has been very effective since 1933. Jim DeMint's (R-SC) health care plan, by the way, is to give people who don't have insurance a $5000 refundable tax credit to throw at the current broken system.

Politico reports the response of the President to Demint's waterloo comment: “Think about that. This isn’t about me. This isn’t about politics. This is about a health care system that is breaking America’s families, breaking America’s businesses, and breaking America’s economy. And we can’t afford the politics of delay and defeat when it comes to health care, not this time, not now.” Carrie Budoff Brown has some excellent coverage ("President Barack Obama: Don't bet against me on health care") of the President's "hastily convened White House appearance Friday to press Congress to step up the pace", during which Obama
warned Americans of the cost of failure, in rather apocalyptic terms. “If we don’t get health care done now, then no one’s health insurance is going to be secure. You’re going to continue to see premiums going up at astronomical rates, out of pocket costs going up at astronomical rates, and people who lose their jobs. . . finding themselves in a situation where they cannot get health care.”

I like what David Hunter said today: "The only thing that frightens professional politicians is the fear of losing the next election. We can be quiet or we can speak out. I suggest the latter." There's going to be a lot of messaging coming from the talking heads this week. I'd like to believe it when the President says that people believe their neighbors more than the talking heads on TV which are always screaming, but I know too many people with a huge man crush on Glenn Beck. The talk radio format copied by the cable news format is cheap, effective, and makes me fear for the future of our people.
We could go down the list of people on tv and the radio who are there for one purpose only, and that's to make you mad. And the formula for making you, the listener or viewer mad hasn't changed a bit, yet people keep falling for it. It amazes me. That is my favorite quote of all time and it just happens to come from Rush Limbaugh. But wait, there's more...I have found that any time you express an opinion, half the people are going to disagree with you by law of averages. If you embellish the opinion with confidence and cockiness, theeen you're getting into generating hatred and so forth. I really want you to watch the video of this interview and keep it in mind the next time you hear something silly from a friend with FOX News fresh on their breath. Do it now; open link in new tab (it took me years before discovering the magical properties of the right-click) and come back when you're done so we can talk about messaging and a look behind that curtain of language that voters need.

There's a new GOP talking points memo this month from Alex Castellanos with the language you'll be hearing a lot of soon.(Update: by soon I mean yesterday (Monday) from Michael Steele. Here's the side by side comparison from Dana Milbank.) I'm not going to tell you how you should feel about it because that would be offering an opinion which as Rush explained earlier would make half of you hate me. At the heart of these talking points is the patient-centered health care reform movement, and I will tell you what Cindy Ehnes,JD, Director of California Department of Managed Health Care thinks about it:
What we’re trying to accomplish with patient-centered care is make a provider of services either do something or not do something. But we end up creating mixed messages to the physicians...The IOM definition of patient-centered care sounds like motherhood and apple pie—they are “feel good” words. My concern is that as a policymaker, I wouldn't have any idea of what to actually focus on with that definition.

I'm unable to find any substance by searching for "patient-centered health reform." Senator Mike Enzi from Wyoming says "To see the benefits of competition in the health care market, look no further than Medicare Part D." The government is not allowed to negotiate prices of drugs with drug companies. Did Medicare Part D lower the costs of pharmaceuticals or just throw in money for people who couldn't afford the high prices? I always thought it sounded like a bailout for drug companies.

This memo is a little more dangerous than Frank Luntz's that I've told you about before, because it almost sounds like they have a plan. Patient-centered health reform sounds absolutely wonderful but I'm still looking for someone to show me exactly what it looks like. I know what the actual work being done looks like so far, and R.Neal has a nice bullet point overview here Of course it's not perfect and of course it's not done, but this is it. This is them doing what we told them to do. Republicans have provided an abundance of amendments, but what they really want is for you the voter to believe that it just needs to stop. If they come home in August crying about getting beat up on the playground tell them to go back and figure it out or don't come home. We're not voting for any crybabies in 2010, '12, or '14.

Stop the Experiment? No. Finish the job we sent you to do.

If you would like to help locally to counteract obstructionist messaging, there will be phone banks Tuesday and Wednesday and a rally on Saturday see here and if you ever feel like drunk dialing people near you in your spare time to talk to them about health care, slinkerwink has some instructions for how to work the phonebanking tool at DailyKos

Fame or flames, Congressmen? History won't remember you for stopping health care reform.

Eric Lykins

EricLykins's picture

Update

The Day in 100 Seconds: Health Care Bingo
+
Obama asks help of bloggers to debunk myths.

R. Neal's picture

Good post. Some of the lies

Good post. Some of the lies being read into the record in Congress by idiot Representatives and Senators are pretty outrageous. It borders on criminal, and it amazes me they are able to get away with it.

The biggest lies they are hanging their campaign on are that Washington will choose your doctor and Washington will decide what treatment you get. As any Medicare patient if this is true.

(See also the Heritage Foundation memo: (link...))

The Alex Castellanos memo is so full of lies its hard to know where to start. But their "solutions" are nothing more than talking point bullets in a poorly constructed propaganda memo:

We support requiring/incentivizing doctors and hospitals to post pricing and outcomes. In this day and age, why aren't the cost of all tests, treatments, procedures and office visits -- as well as effectiveness of treatments posted openly on the Internet?

Not sure how this helps anything. But it does point out one problem. People with insurance don't care what anything costs. Telling them will just make them go, "Gosh, that's a lot! Here's my claim form. Thanks!"

We believe health insurance companies should compete with each other with simple, one-page contracts/summaries so insurance is simpler, cheaper, and fairer. (Like many banks are doing w/ car or home loans). And how about incentivizing insurance companies to have simple, one page reimbursement forms?

Every businessman I have ever known (me included) loves the mythical "one page contract." Try to actually write one that spells everything out sufficient that both parties are protected and understand what they are supposed to do. Then try to get a court to enforce the part where it didn't say anything about this or that.

We believe doctors should be protected from frivolous, expensive lawsuits so they can work together with other doctors and patients in their communities to reduce unnecessary and expensive tests and procedures.

Tort reform comes up in every debate about health care, even though it's only around 1% of the cost of health care. If we really want to reduce malpractice lawsuits, reduce malpractice. Doctors are largely self regulating. Bad doctors can skate for years. But you never hear them talking about weeding out bad doctors, just limiting the rights of their victims.

We want to change the law so you can take your health insurance with you if you have to change jobs (eliminating expensive and unnecessary insurance turnover).

I agree with this one 100%. Isn't that partly what the Exchange proposed in the House bill is supposed to do?

We want to change the law so insurance companies can't deny you coverage because of pre-existing conditions.

This is in the House bill.

We want to cut out the "Washington health care middle-man," reducing expensive bureaucracy to produce big health care savings.

Insurance companies are the health care "middle-man." Their overhead is about 30%. Medicare's overhead is more like 5%. This is classic Bush "clear skies," "healthy forest," "mission accomplished" double-speak.

We support (tax incentives?) new paperless, computer-age health care IT systems to reduce the cost of health care management as well as reduce medical mistakes.

The House bill calls for "computer-age" IT information systems.

Every American should have equal opportunity to get the best value and buy the cheapest insurance no matter where he lives or whom he works for. We want to change the law so any American can buy the lowest cost insurance available nationwide, not just in their states -- whether from insurance companies, businesses, church groups, college alumni associations, or groups like the AARP, who often provide it less expensively.

I agree with this 100%. This is one of the purposes of the Exchange proposed in he House bill.

The Wall-Mart way to bring costs down is better than the Washington way. So we want to use consumer-buying power, also called "group buying power," not Washington price-controls, to bring health care costs down.

Again, this is addressed by the Exchange proposed in the House bill. But yes, please do keep using the Wal-Mart metaphor to sell America on the Republican "solution." That's exactly the mental image that will help advance real reform.

We support effective prevention, wellness, and disease management programs because they will improve our health and save money.

Covered in the House plan.

We support bold new tax deductions for companies that develop new treatments and cures because that is smarter than paying for chronic long-term illnesses we can't cure today.

Translation: Handouts to pharmaceutical companies. For cures like the latest one I saw just last night on TV. It's some kind of chemical that you paint on your eyelids to make your eyelashes grow. (It can have serious side effects that could affect your vision, so be sure to ask your doctor if it's right for you!) But anyway, yes, I'm all for tax credits and grants and other government funding for legitimate research.

We believe in bottom-up health care savings: every American should get a tax deduction for their health insurance premiums.

OK, fine. Assuming you itemize. Or even pay taxes at all based on your income. But won't this add to the deficit?

We believe the working poor should get a refundable, advanceable tax credit to help them get health insurance.

And the mechanism to make sure they use this for health insurance is what? And how much of a tax credit would it be? And wouldn't that add to our deficit?

We want to incentivize and expand practical, down-to-earth reforms that are already working and reducing health care costs all across America. Safeway's plan, which gives employees a stake in holding down health care costs, is a model. Instead of cutting care or shifting costs to employees, Safeway has held health care costs flat the last 4 years, while it's up 40% for the rest of corporate America.

I don't know what the Safeway plan is. I wonder if it involves firing people who get sick or who have a family member who gets sick? I wonder if it involves choices between pay cuts v. raising deductible and out of pocket expenses?

We support special "too much paperwork" tax credits for small businesses, so they don't have to bear the intolerable costs of filling out insurance forms or meeting government mandates and regulations.

Covered in the House bill. Although, business should not be in the business of providing insurance and health care in the first place.

We want to give small businesses the same cost-saving breaks big businesses get by helping them form small business health plans and small business health co-ops.

Covered in the House bill with the Exchange.

And no lifetime health care benefits and insurance for Congressmen who leave their jobs -- unless and until everybody else in America has the same.

Yeah, sure. Right.

EricLykins's picture

excellent breakdown

Also, there are pages and pages on the internet devoted to warning the American public that page 16 of the bill makes private health insurance illegal. It doesn't.

talidapali's picture

Speaking as a person on Medicare...

Did Medicare Part D lower the costs of pharmaceuticals or just throw in money for people who couldn't afford the high prices? I always thought it sounded like a bailout for drug companies.

I can tell you that: NO...Medicare part D did not lower the costs of pharmaceuticals, nor does it cover everyone for the high prices. Sometimes you just don't get the most effective drug for your condition because there is no generic alternative that is cheaper. Your doctor sometimes has to combine two or more drugs to achieve the same effect of one drug that has no generic alternative and the drug companies specifically wrote the Medicare part D language that way to get people to have to buy MORE drugs...not less or cheaper.

In fact, the state of Tennessee has to help me pay my Medicare premiums because the amount of money I get from disability is so low, that when I was trying to pay the Medicare part B premium and the Medicare part D premium (which is in addition to...not part of...the part B premium) it was using fully 15% of my monthly income just on the premiums...and the co-pays for doctors and the drugs was even more money right off the top. Some months I had not enough money left for food or other bills.

The alternative for me to not paying all those premiums and co-pays is death. Honestly, sometimes it feels as if the entire Republican party and the insurance and pharmaceutical industry and corporate America are all lining up to say to people like me, "Go ahead and die already...your life is worth nothing, you are worth nothing..."

And it really pains me to hear my neighbors, who are supposedly such good "Christians", agreeing with those sentiments with their tea parties and other similar nonsense. I know they can't truly be real Christians because they obviously have never read, or listened to, or really thought about the passage from the Bible in which Jesus is talking about how it is their responsibility as Christians to feed the hungry, to care for the sick, to clothe the naked, to give shelter to the homeless, and to visit and comfort those in prison, "for that which you have done unto the least of these, my brothers, you have done unto me." when I hear talk about socialized medicine being a bad thing, I keep wondering how folks reconcile those sentiments with their belief in the very first socialist in history...Jesus of Nazareth, you know, the Son of God, Prince of Peace, the Light of the World...that guy. Pretty radical community organizer and socialist, him.

Go figure...

_________________________________________________
"You can't fix stupid..." ~ Ron White"
"I never said I wasn't a brat..." ~ Talidapali

EricLykins's picture

Medicare Part D

"That would be one place where the government did expand pretty dramatically. And there was no reform attached to it per se." - Jeb Bush

The Huffington Post obtained today a copy of the Republican National Committee Health Care Briefing Book.

"As for a Republican alternative to the president's agenda, the RNC memo doesn't offer much in the way of details, save to make the argument that the status quo isn't as bad as it is being painted."

Nobody's picture

The question is................

...........do you trust these DC clowns with your life?

R. Neal's picture

Do you trust an insurance

Do you trust an insurance company cubicle dweller with your life? One who is paid based on how many claims he or she denies? You should go watch Sicko and then get back to us.

Nobody's picture

Absolutely yes!

For ten years straight my wife was deathly ill. She spent weeks in CCU over a period of time. Had some of the first laparoscopy surgery performed in the Southeastern United States. She underwent six individual surgeries and in that ten year period she only had to contact her employer’s benefit department once to help with a small billing error. Yes, I trust the, “Insurance Company Cubicle Dwellers” over anyone associated with the nancy pelosi & company congressional boneheads. I have exceptional health insurance and am not interested in paying more for less.

Truly…your health issues are not my problem.

talidapali's picture

Actually...

My health issues and the health issues of millions of your fellow men ARE your problem. If we can't get healthy when we get sick or stay healthy if we are not sick right now, and become unable to work...YOU pay for that too. Unless you really want to be the kind of person that says, "if the poor are going to die then let them do it and decrease the surplus population."

Do you really want to be known and remembered as the type of person that is that heartless and cruel and mean-spirited? What Would Jesus Do or Say?

Lots of so-called Christians, not unlike yourself, wear those ubiquitous rubber bracelets with WWJD stamped upon them and they never stop to consider that their words and actions do NOT reflect the teachings of their purported Lord and Savior...and you wonder why so many people call you hypocrite and scorn your "sheep's clothing" Christianity.

Mankind IS your business...if your spirit does not walk abroad among your fellow man in life, I sincerely hope that your spirit shall be condemned to walk abroad in death to witness that which you might have shared with your fellow man in life, but will never share or help to alleviate in death. There is a special corner of hell reserved for those who see the suffering and do nothing, who note the suffering but care not to relieve it.

_________________________________________________
"You can't fix stupid..." ~ Ron White"
"I never said I wasn't a brat..." ~ Talidapali

EricLykins's picture

What are Christians doing to reform health care?

Waiting for the rapture to remove the unwashed scourge?

Why aren't Christians bent out of shape about the state of health care in this country (and organizing for solutions)? It was a major platform for McCain. He understood that while the average tax bill went down $250 a year during Bush's term, the average health plan went up $5000 and he promised just as hard as any Democrat to reform the system.

Where are the Republicans now? Some of them are working hard with the Finance Committee, HELP Committee, Energy and Commerce Committee, or the Education and Labor Committee to GET THIS DONE. Others are busy courting airtime. Rod Voinovich, an Ohio Republican on CNBC this morning, was asked how much opposition to health care reform was about policy and how much was about "de-clawing the President." His answer was "about 50/50."

I understand the need to score some points against the other party, but history is not going to remember the people who put selfish interests before the public during this next great American retooling/renaissance. (That's NOW)

"Unsustainable path" is not some buzz phrase. It means that if we continue down the same road at this speed, it's over the cliff with us. Christians should be at the very forefront of the movements to treat the planet and each other with more comprehensive care and respect.

There was a better call to action at DailyKos today from benintn. Here's a piece:
"Jim DeMint says this is Obama's "Waterloo"? Well, if Obama fails, then America fails. If Obama fails to pass comprehensive healthcare reform, then America will fail to meet its calling to be the last best hope on earth. If Obama fails, then American Christians fail to influence policy or to bring the kind of real change that our nation needs."
full story @DailyKos: "God's Wrath..."

Nobody's picture

it is all about, "selfish interests"!!!!!!........

The Christians have not presented a plan. No one will even look at the Republican’s plan. The House Democrat’s plan blows super huge chunks…hey…..where is Obama’s healthcare plan? Interesting that the White House has nothing to offer; instead Obama delegates the work load to the clowns that can screw up a wet dream. Perhaps the White House knows better seeming Obama’s credibility is a big fat ZERO! A person is only as good as their ‘word’ and Obama, in only six months, has broken his word time and time again; seems that America is catching on to the ploy. One other laughable aspect of the democrat’s plan…they think the, “Rich” are going to pay for this…think again.

bizgrrl's picture

It's a tax credit scheme.

It's a tax credit scheme. Who cares if I get a tax credit to help pay only the marginal costs of a health care plan that can capriciously decide to not cover me even though I throw thousands a year at them when I am not sick or injured?

Exactly!

Nobody's picture

So you subscribe to the Joe Biden theory….

“We have to spend more to avoid bankruptcy”…tax and spend…tax and spend; the sky is falling…..the sky is falling. The brilliant “progressive” plan seems to not be working so well either and where is obama's HCB plan?

EricLykins's picture

The Singularity is near.

...you grossly underestimate the growing control of the individual in our society that comes from being able to share quality information with the people that make the rules.

"I'm reading to learn." Jeb Bush

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