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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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cowpunk123

cowpunk123

I'm lost
May 2009

JUN 30, 2009 01:43 PM

>Making it at the state level is a steaming pile of crap as well.

Well if the people of a state want to do it then you really don't have a right to complain if you don't live there. Your opinion doesn't matter outside of NJ.

FearTheReaper

FearTheReaper

NEWSWIRE

I'm lost

JUN 30, 2009 01:50 PM

SergeantPsycho said:
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.



1) Read it again.

2) Go read one of your right wing sites to get the news you want.

3) No, it isn't a lot of money. Read up.

4) You do realize the "startling bad conditions" in the VA hospitals were due to the government handing over VA contracts to PRIVATE CONTRACTORS don't you? No? You should read up on the subject. You just made an argument against private companies.

5) In the long run, it will cost us less. Weird, right? You should read up on it.

FearTheReaper

FearTheReaper

NEWSWIRE

I'm lost

JUN 30, 2009 01:51 PM

cowpunk123 said:
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.



Indeed. Communism is bad, so no health care reform.

ilogic

ilogic

Columbus, OH
May 2009

JUN 30, 2009 01:56 PM

hate to break it to you reaper but a system in which there multiple big name insurance companies to choose from isn't a monopoly on health care, in fact its the exact opposite of that. Free competition is the very system we use to fight monopolies in this country, and as far as socialized health care can anyone name a country which socialized health care that actually improved the quality of life for it citizens. Look at Canada they did it and all it did was establish a system where you'll die waiting on the sub par treatment that prob wouldn't save many lives even if they got it in time

ChrisSick

ChrisSick

Philadelphia, PA
March 2008

JUN 30, 2009 01:57 PM

SergeantPsycho said:
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.



Reading comprehension was never your strong suit. Allow me to help.

1) You missed the part about those ten big companies have a monolithic presence in regional markets, dominating states & regions so while there are several companies working within the same field they don't all work within the same market, you understand this conceptually, yes? There are many markets, given that health insurance is regulated at a state level, meaning that one company's model may not work in California but might be highly effective in New Jersey.

2) The study was compiled by a pro-reform group using data gathered by the American Medical Association. You know, one of the huge anti-reform groups. The pro-reform people are basically using their own data against them, but the fact that he put it out there that they're a pro-reform group is a lot better than all these 'citizens for' groups that are currently choking CNN with anti-reform ads & scare tactics.

3) I'm not entirely anti-tort reform, so I'm the wrong liberal to wave this ax, but seriously, that's not the real problem, here. Did you catch the part in the study where in six years premiums have risen 87% and in seven years profits 428%? Are you so blinded that you really think that its the endless litigation that's causing the poor insurance companies to not be able to break that stunning 500% rise in profits in under a decade? Tort reform is a serious issue that needs to be addressed. It isn't the serious issue that needs to be addressed, that issue would be the fact that so many people have no health insurance because costs to the consumer is skyrocketing, & that clearly isn't because these companies are hurting & need to pass the increasing costs of doing business along.

4) Way to muddy the waters. The public option, at least the three that I saw discussed in this piece don't refer to government managed health care providers. It referred to government wading into creating a publicly financed alternative to private health insurance. Maybe I misread the information given I'm exhausted, argumentative, & healthcare isn't my forte. But then again, give your posting history & mine, I'd wager I didn't.

5) How in god's name have we spent the last six years paying for two wars while slashing taxes, & rising discretionary spending? The bottom line is that this a problem that's lingered since the first days of Clinton's administration, if not longer, but that's the earliest high-profile initiative to address it I can think of. That's sixteen years & two Presidents ago, its not getting any better. Its time to address this now, the numbers are only getting worse as more Americans- including children- are uninsured while insurance companies' profits continue to rise, even outpacing the costs they pass on to consumers? Allow me to paraphrase Mario Coumo, who once said something to the effective of 'We cannot afford to do nothing while we wait to do everything.'

Towelly

Towelly

Philadelphia, PA
January 2007

JUN 30, 2009 01:58 PM

hellofahotmale said:
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.



Erm, I almost hate to break it to you, but "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" neatly describes health care for people on welfare now, and doctors aren't exactly going out of business. The purchase of insurance is a completely rational response to a problem of catastrophic health costs: given the option of paying $500 per year for insurance to cover 100% health costs, even when the yearly average nowhere near totals $500, versus the .5% chance of having to pay $50,000 for on operation, most reasonable people are going to pay that $500 even if it never pans out. Why? Because most people can't afford a $50,000 bill.

Well, why not bargain down from $50,000, you might say? Well, first let's grant the assumption that the total amount of time, labor, and resources that went into providing that care (it's not like hospital operating rooms or the doctors that work them grow on trees, after all) isn't actually $50,000, just to be fair. There's still this thing called leverage: a person with a greater bargaining position can command a higher bargaining price. When you are on an operating table asking the doctor to put your spleen back in, it is the doctor that has leverage. This happens rather frequently in health care, and in fact it's one of the main reasons why applying market principles to health care is a bad idea: health care isn't about rational relations between freely contracting parties. When you get hit by a car, you go to the closest ER, not the one that bargains for the lowest price.

CodyW

CodyW

Nacogdoches, TX
December 2004

JUN 30, 2009 02:14 PM

I'm not against a public option, but given are current debt I don't see it as viable. Spending that kind of money in this economy in hopes of saving money in the long-run won't work, especially considering how much he's spent ( around 2.6 trillion if I'm not mistaken), and plans to spend. If he actually cuts the deficit in half by 2012, then I'd be more receptive to a public option. He's simply spending too much $$$.

bean

bean

STAFF

Los Angeles, CA

JUN 30, 2009 02:18 PM

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


Not all of those insurers operate in the same areas. In fact, in much of the country, there are only one or two insurers who dominate the marketplace. It's probably not technically a monopoly by the standards set by law, but the effect is the same, as the part of the article quoted by FTR explains.

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".

The report uses data from the AMA, which originally opposed the sort of reforms that are being proposed before its members pressured it to adjust its position. You're welcome to point out any inconsistencies between the data they cited and the conclusions they came up with based on that data. It's all in the full report. Have fun.

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.

I don't think you'll find many people who think that doctors should have to live in constant fear of enormous malpractice claims, the insurance against which (and, even more so, the fear of which) drives up the cost of health care. But I'm not entirely sure what your point is, with regard to the current proposals.

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.

The VA's problems are undeniably bad (and, as FTR pointed out, a good argument against contracting out to private companies), since we're talking about an overhaul of health insurance at the moment, a more applicable comparison for a public health insurance option would be Medicare. The thing is, people with Medicare really like and trust Medicare (more than those with private insurance like and trust their insurers. Given how private insurers openly admit canceling the coverage of sick patients whenever they can, I can see why people would have more faith in their Medicare coverage.

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


Fuck if I know, but that's obviously something they're going to have to address when they put a bill on the table. I'm curious about that myself, though I'm probably more open to methods of paying for it than you, given that I actually want it to happen. They could start by turning the tax code back to what it was in 2000.

TheFuckOffKid

TheFuckOffKid

NEWSWIRE

Australia

JUN 30, 2009 02:27 PM

hellofahotmale said:

SPOILERS! (Click to view)
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.



Dear.

God.

surreal

cowpunk123

cowpunk123

I'm lost
May 2009

JUN 30, 2009 03:00 PM

FearTheReaper said:

cowpunk123 said:
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.



Indeed. Communism is bad, so no health care reform.



That's not what I said at all. I'm saying it is ridiculous for a leftist to call a libertarian a utopian when their candidate ran on the rock solid platform of "hope" and "change". Left wing ideology is an attempt to create a utopia.

nicole_powers

nicole_powers

NEWSWIRE

I'm lost

JUN 30, 2009 03:38 PM

Coming from England, where we of course have a national health care system, it always makes me laugh (although as I get older I find it increasingly less funny) that people equate social medicine with communism. England is hardly a communist country.

However, the argument of capitalism vs. communism should really be a non-issue when it comes to health care. It's a question of morality and humanity. Are we like dogs that leave the weak out to die? Or are we humans, equipped with a higher level of consciousness, who should be judged by how we treat the weakest among us -- for that is the true difference between being a human or an animal -- or is it?

ZakSmith

ZakSmith

Los Angeles, CA
August 2003

JUN 30, 2009 04:01 PM

Is it suddenly cool to be a libertarian with no profile pic who makes arguments based on no evidence?

badangela

badangela

New Zealand
October 2006

JUN 30, 2009 04:07 PM

I totally agree with Nicole_Powers. The rest of the world stopped having this debate a century ago. We the People decided that we as a people would use part of the taxes we pay so that those of us who become ill can be looked after. Here in New Zealand, doctor's visits are subsidised, medicine is subsidised and hospital care is free because we the people regard healthcare as a basic human right.

FearTheReaper

FearTheReaper

NEWSWIRE

I'm lost

JUN 30, 2009 04:09 PM

cowpunk123 said:

FearTheReaper said:

cowpunk123 said:
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.



Indeed. Communism is bad, so no health care reform.



That's not what I said at all. I'm saying it is ridiculous for a leftist to call a libertarian a utopian when their candidate ran on the rock solid platform of "hope" and "change". Left wing ideology is an attempt to create a utopia.



Obama's not a lefty. He's a centrist. Just a tip.

Gringo

Gringo

Spokane, WA
May 2006

JUN 30, 2009 04:21 PM

badangela said:
I totally agree with Nicole_Powers. The rest of the world stopped having this debate a century ago. We the People decided that we as a people would use part of the taxes we pay so that those of us who become ill can be looked after. Here in New Zealand, doctor's visits are subsidised, medicine is subsidised and hospital care is free because we the people regard healthcare as a basic human right.


Sadly, there are those here in my fucked up part of the world who are able to label that "communism."

But, of course, the country I'm in is more interested in solving world issues than issues within its borders.
surreal

Even Cuba has socialized health care and we have people literally dying here in this "great country." And before some idiot suggests, "Duh...why don't you leave then?" Because, if I could go to one of those countries I probably would (er...maybe not Cuba)*. Remember: We're not the only one who views everyone else outside the borders as "fucking filthy immigrants."


* Although, I'd still like to see this country "catch on."

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