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  • TUESDAY JUNE 30 2009 9:30 AM

Democrats Blowing It On Health Care

It’s really quite interesting to watch the Democrats throw it all away. This time, they seem to think blowing the chance at decent health care reform will aid them in future elections. Or perhaps they have taken so much money from the health care industry that they don’t give a shit. Either way, it doesn’t matter. Fixing health care is the biggest problem facing our country. If we don’t do something drastic, it will completely destroy our economy in the years to come. As it is, we’re in bad shape. Democrats, specifically Senate Democrats, have decided to help the poor insurance industry out as much as possible. Es no bueno.

Most of the debate is over the dreaded “public option.” Oh, dear no. We can’t have a public option. That’s socialized medicine! Americans must be able to choose! And by that I mean they can’t choose a public option! They have to be able to choose between private monopolies! This is fucking America! We demand to be fucked over by private companies as much as possible!

And make no mistake about it; those against the “public option” want to continue with monopolies.

But the notion that most American consumers enjoy anything like a competitive marketplace for health care is flatly false. And a study issued last month by a pro-reform group makes that strikingly clear.

The report, released by Health Care for America Now (HCAN), uses data compiled by the American Medical Association to show that 94 percent of the country's insurance markets are defined as "highly concentrated," according to Justice Department guidelines. Predictably, that's led to skyrocketing costs for patients, and monster profits for the big health insurers. Premiums have gone up over the past six years by more than 87 percent, on average, while profits at ten of the largest publicly traded health insurance companies rose 428 percent from 2000 to 2007.



So, that's what the "free market" kids are fighting for. Monopolies. Yay!

A public option would guarantee the possibility of lower cost, reliable coverage. It will bring cost control by reforming how we pay for medical care. It will create competition between private insurers that simply does not exist today. It will also force private insurers to perform better, something they are not doing today.

To those who say the public option would drive the private companies out of business; I thought everything government did sucked? Is government bad or highly efficient? Please stick to one talking point, no matter the subject. Secondly, the private insurance companies have had their chance and to say they fucked it up would be an understatement. They deserve no protection. I have no interest in keeping pedophiles in business, either. Their time has come and gone. They could have kept costs lower, kept people from dying, insured anyone with preconditions, but they decided to go for the biggest profits possible and now they are on the deserving end of what’s coming. They only compete to insure the well and reject the sick. Then they employ adjusters to get the company out of paying for health care services when the well become sick. Welcome to the world of failure. They made their bed, now they have to lie in it.

If any of you loud mouthed, utopian, not living in the real world Libertarians bring up regulation, feel free to explain the exact regulation that makes health care so expensive. If you can’t detail these so called regulations, shut your face and stick your broad stroke arguments up your ass. Your simplicity has grown tiresome. This current debate is for adults and what you want will never be, so stay out of it or act like an adult and accept that what you want ain’t going to happen.

As far as the public plan, Democrats are right now working on a way to water it down until it is completely ineffective. Senator Jay Rockefeller, who is a son of a bitch because of his FISA legislation, has come up with a good public health care plan. His plan would partner a public plan with Medicare for more bargaining power and access to provider networks. According the non-partisan Lewin Group and the Commonwealth Foundation, Rockefeller’s plan would drop premiums 20 to 30 percent. Can’t have that, now can we?

Rockefeller’s plan would force private insurance companies to be more honest. They would have to cut their bullshit administrative costs and fire quite a few of those adjusters whose job is to find ways to not pay for care. Right now, you have no choice. You can choose between one horrible private insurance company or another. There really isn’t much difference. The idea is to force them to become insurers instead of profiteers.

Other Democrats are working on plans that would do almost nothing. Senator Chuck Schumer has a “level playing field” public plan that won’t save much at all. It will just create a plan that will allow private companies to dump old, sick and high-risk patients onto the public plan. This is considered a compromise. It will be awesome because by doing it halfway, they will create exactly what the right wing claims will happen. It will be a terribly ineffective, expensive plan. It would not use low rates that Medicare sets or use taxpayer subsidies. It wouldn’t force its way into networks. It would just be like any other insurer, except for the fact that it would be a dumping ground for private insurers to unload their expensive patients. It’s one of those genius “Democrats compromise and create a pile of shit plans.”

Finally, there’s Ben Nelson’s “Trigger Plan.” You know it’s good because Nelson has taken millions and millions of dollars from insurance companies. The Trigger Plan would be like a big, invisible, scary fist looming over the insurance industry. If the private market didn’t offer cost control or enough options, the public plan would come into existence - but it would be at the state level. It’s a regional Trigger. Some states might have a public plan and others would not. It’s basically set up as a way for private companies to game the system. Ben Nelson doesn’t seem to realize the trigger should have been pulled 8 years ago. If he wants to set the threshold where costs are now, it’s a big lose. Go Blue Dogs!

Those are the public plan options. Now which one do you think Democrats in the Senate will choose? I’d bet big money on the “Level playing field” plan because it doesn’t actually threaten the private insurance market. It actually helps them in their quest to be the biggest douche bags on Earth.

Prepare for failure.

FearTheReaper is a writer, actor and stand up comedian. Check back each Tuesday and Friday for more from FearTheReaper You may also enjoy his blog, Stop All Monsters.

 

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Comments
Gringo

Gringo

Spokane, WA
May 2006

JUN 30, 2009 09:46 AM

Just one of the reasons I wouldn't choose either party to support. They are both corrupt. It's just that in general, Democratic officials tend to be "the lesser of two evils."

I'm not a Michael Moore fan by any means (in fact, he's pretty douche-tastic too), but I didn't doubt his reporting of Democrats who were so opposed to privatized plans crippling the nation's ability to afford coverage and fighting the "good fight" only to end up taking bribes/contributions/whatever from the health care and pharmaceutical conglomerates and no longer pushing for socialized medicine/health care back in the '90s.

Good article.

Liathach

Liathach

United Kingdom
December 2008

JUN 30, 2009 10:08 AM

The argument private healthcare providers always roll out is that they will deliver healthcare more cheaply and more efficiently. The truth is the US spends far more GDP on healthcare than countries like France and Switzerland with their public health schemes (I don't know the comparison with us in the UK).

Yet this addiction to private suppliers, and wariness of public services means the US is the only industrialised nation not to provide its citizens with public healthcare free at the point of need.

The major issue of healthcare delivery within a publicly funded system is (surprise) one that is created by private companies - the drug suppliers - and complex cost-benefit analyses are done to weigh up the high price of the drugs against their efficacy and the lives they might save.

Not sure about the paedophile reference though. Seems rather unnecessary.

bedheadchicken

bedheadchicken

Rutherford, NJ
March 2003

JUN 30, 2009 10:55 AM

well we saw this coming didn't we?

mydogfarted

mydogfarted

Oakland, NJ
June 2003

JUN 30, 2009 11:06 AM

Making it at the state level is a steaming pile of crap as well. Look at the auto insurance industry. NJ's insurance laws are a fucking joke and allow companies to create a "separate company" for their NJ business. The NJ based companies then complain about how the regulations make it difficult to make money, threaten bankruptcy and pulling out of the NJ market, unless they're allowed to raise rates or dump high risk clients. Meanwhile, the parent companies are making record profits outside of NJ. NJ currently ranks 3rd in the nation with the highest rates in the nation and requires mandatory minimum insurance levels (although mandatory minimums should be a national requirement IMHO).

hawkorhandsaw

hawkorhandsaw

Chicago, IL
March 2009

JUN 30, 2009 11:07 AM

The dems are still working under the assumption that bipartisanship would get things done in ways that everyone can be proud of, but the repubs are actively working to block everything the dems do even if they write the exact legislature that the repubs want.

its a game that the dems have been playing for a long time and its left them without a spine.

hellofahotmale

hellofahotmale

Conroe, TX
February 2006

JUN 30, 2009 12:04 PM

God forbid we just do away with middlemen all together! Who needs the government or an insurance company interfering with me and my doctor? In "ye olde days" people dealt directly with doctors, face to face. No insurance companies. They negotiated a price that was fair and feasible for both parties, and if they couldn't they went elsewhere. It's a true "free market" approach to the health care industry. If a doctor wants to be a dick and say, "Ya know, I'm not going to fix your heart for any less than $25,000" to a person on welfare, well that doctor will quickly find him or herself out of work because no one is going to be willing to spend that kind of money if they can get the same job done elsewhere for cheaper.

We would still need the state to regulate who can or can't practice medicine to avoid any back-alley, bargain basement surgeons, but that, to me sounds like a far more reasonable plan than public health care or giant insurance conglomerates.

Most doctors today became doctors to help people, but they're in a fucked up system that is controlled by the insurance giants. Get rid of the middlemen all together, and people will be able to get the care they need at a price that they can afford.

Simple.

abbazappa

abbazappa

Sacramento, CA
June 2006

JUN 30, 2009 12:08 PM

It seems they used a smart ploy in talking about Health Care reform so that the media will focus on it while they sneaked in a vote for Cap and Trade in the house (which passed).

AceT

AceT

Portland, OR
April 2004

JUN 30, 2009 12:31 PM

abbazappa said:
It seems they used a smart ploy in talking about Health Care reform so that the media will focus on it while they sneaked in a vote for Cap and Trade in the house (which passed).


They gave up one piece of milquetoast legislation to pass another?

abbazappa

abbazappa

Sacramento, CA
June 2006

JUN 30, 2009 12:42 PM

I didn't say they gave up Health Care Reform, they just used the distraction it caused to pass a unpopular bill (it already failed once less than a year ago).

bean

bean

STAFF

Los Angeles, CA

JUN 30, 2009 12:50 PM

abbazappa said:
I didn't say they gave up Health Care Reform, they just used the distraction it caused to pass a unpopular bill (it already failed once less than a year ago).


I don't think that's quite an accurate representation of what happened. All the oxygen was sucked out of the general news cycle by Michael Jackson's death, and all the oxygen was sucked out of the DC news cycle by the back-to-back implosions of Ensign and Sanford. It's not like Health Care was getting a ton of coverage. It's been mentioned, but only marginally more than Waxman-Markey until after Waxman-Markey cleared the House.

Besides that, it's not like passing the House is some bizarre herculean effort. The House was going to get it passed all along, despite it having been watered down to protect coal interests (or possibly because of it having been watered down to protect coal interests). The real major debate on that is going to come soon when the Senate takes it up, and starts drilling holes the size of an Alaska pipeline in it.

drdetox

drdetox

Columbia, SC
May 2008

JUN 30, 2009 01:01 PM

How is that Tort reform is off the table?

Trial lawyers (biggest Dem donors) want to tell sad tales of wrongful actions. Ok fine, don't cap damages, but at what level of risk can the doctor be off the hook. IF that is not defined, then the doctor is better off ordering tons of very low yield tests that cost the doctor nothing, then getting sued.

Hence skyrocketing health care costs.

No public option is going to save any money if more people can pile into doctor's offices and have insurance to cover every 1 in 10,000 chance of disease that can be tested for!

SergeantPsycho

SergeantPsycho

USA
January 2007

JUN 30, 2009 01:25 PM

Just some points I'd like to make:

1) I'm not sure how it's a monopoly if like there are ten different "Big Insurers" according to FTR's link.

2) I'm now sure how that report from FTR's link could be considered unbiased in anyway since it was released by those who are "Pro-reform".

3)I agree with drdetox. There seems to be a lot of money spent towards migigating minor risks. This goes for other things too, like Pharmecuticals and human trials. I think there's an over abundance of litigousness for an industry whose practice is far from an exact science.

4)Look at the startlingly bad conditions in the VA Hospital that came to light a while back. Do we really want "the poor" to be treated in those conditions? I volunteered one summer as a file clerk for a VA Hospital and the first day I walked in there was a stench so bad that I thought I was going to be sick. And more over the fact they were using massive paper files in this day and age (it was 2003, but close enough), should tell you something.

5) How in god's name are we going to pay for "Public Option"? We're a gazillion dollars in the hole.

I could go on, but I'll leave it here.

cowpunk123

cowpunk123

I'm lost
May 2009

JUN 30, 2009 01:30 PM

Libertarians are hardly "not living in the real world utopians". It's beyond ironic to be called that by the people who brought us communism, and believe that the government can be your friend. The left is just mad because we sided with them for 8 years to oppose Bush, but won't side with Obama just to oppose the Republicans. They can't ask us where we were when Bush took our civil liberties, as they do Republicans who complain about Obama's power grab, because they know exactly where we were, fighting it tooth-in-nail, so they resort to calling us racist, or crazy if they won't to be different. I'll admit that, while I was never a True Believer, at one point, after Obama got elected, I was hopeful. He seemed to be surrounding himself with intelligent people of diverse ideologies. However, after his $1.7 trillion dollar budget, destroying the unarguably successful D.C. vouchers program (because the NEA is clearly more important than the education of poor black children), and refusal to consider tort reform it disappeared. The latter shows that he is only willing to reform health care on terms that are beneficial to him. I don't really have a problem with a public option, but I don't want government health care, because government health care will suck. And have no doubt, it will be shitty. If you don't believe me, go to an inner city school, or a school in the impoverished rural South, the DMV, the Post office, or anything else our government runs. So I will keep my private insurance, but unless private health insurance costs are lowered through tort reform, they will be lowered through cutting quality, or will be driven out of business, and we will all be stuck with shitty government health care, run by incompetent goons instead of doctors.

Voland

Voland

Trenton, NJ
June 2009

JUN 30, 2009 01:37 PM

Don't worry guys obama will make everything trendy and awsome! smile

nicole_powers

nicole_powers

NEWSWIRE

I'm lost

JUN 30, 2009 01:41 PM

I couldn't agree more with FTR (my premium recently went up by over 50% in ONE year).

If we don't sort health care out the poor are destined to die horribly, the middle class will leave this earth bankrupt, owing everything they once had to the doctors, hospitals and insurance companies who are supposed to be there to care for them, and the rich will die with fat portfolios bloated by their health insurance company stock.

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