By Kevin Gosztola
November 20, 2009
On Saturday night, the Senate will take a procedural vote to move debate on the current health insurance enrichment bill in Congress forward.
Democratic Senators like Dick Durbin, Patrick Leahy, and Chuck Schumer, through a project called Citizens for a Public Option, have been building support for the public option and encouraging Americans to write letters to the editor that debunk health care reform myths---myths that the conservative echo chamber have been propagating.
Senators (and representatives in the House and Obama) can champion this health insurance legislation all they want and claim it will “foster greater competition in the marketplace, create more choices for consumers, and lead to lower costs and better quality for all,” but doctors who have been on the front lines of America's sick care non-system do not believe many of the arguments that Democrats are using to create support for a public option.
Myth #1 – Public option will help control costs
Dr. Margaret Flowers with Physicians for a National Health Program (PNHP) explains that Americans have been led to believe that “the public option is going to keep companies honest and help control costs.”
Obama and Congress are taking an approach that has failed to control costs time and time again.
“We've already had states that have tried this type of approach over the past few decades,” says Flowers. “Every state that has tried this approach has had these grandiose hopes where they had said we're going to cover this many of hundreds of thousands of people in this time period and not a single one of them has succeeded. They've all fallen far short and then gone under financially.”
Self-employed doctor, Dr. Matt Hendrickson, who risked arrest in a MobilizeforHealthcare.org action at the Cigna Offices in Glendale, CA, cites examples “from the last 20 years of states that have attempted a public option.” He explains that Tennessee, Oregon, and Massachusetss (twice) have tried the public option.
“In each case, the number of uninsured went down briefly then returned to the baseline for one reason: cost,” said Hendrickson. “There's no way to control cost as long as you allow private insurance industry to add a 25% surcharge to all healthcare transaction and to continue divert money to avoiding the sick, marketing and advertising, to avoid the sick and try to dump them onto a public plan.”
Anesthesiologist Dr. Samuel Metz, who is with the Mad as Hell Doctors, explains, “Massachusetts has been held up as an example of a state that has come closest to providing universal health insurance. However, not only has it failed to provide universal health insurance. It is also now the most expensive place on the planet for healthcare. It leads the U.S. in annual cost per person.”
The public option, “will not reduce the cost of healthcare,” says Metz. “In fact, it's anticipated it will add $800 billion more into a system that's already twice as expensive as the average industrialized nation.”
Myth #2 – The public option is a "public" option
The public option that came out of the House, according to Dr. Flowers, is “even worse than we could have imagined because they're predicting that maybe 2% of the population will be able to go into that public option, that it will be run by private insurance companies, and that it will actually cost more than private insurance.”
What's so public about something only open to 2% of the population?
As Kevin Zeese from the Prosperity Agendaexplains, “No matter how much you hate your current insurance, no matter how much they've abused you with premiums, co-pays, denials of care, no matter what they've done to you, you can't leave your insurance and go to the public option,” said Zeese. “90% of Americans can't even choose it. So much for choices.”
Flowers adds the government would be subsidizing the purse of private insurance to try to help people buy their products. Government would be putting public dollars into the pockets of private insurance companies. And, a private corporation would be allowed to run the public option.
How many Americans really think putting reform in the hands of those who have created this crisis in health care in America will ultimately work or produce any favorable results?
Myth #3 – Public option will make single-payer possible
Doctors, nurses, and patients following the de-evolution of health care reform closely know that the public option (especially the idea of a robust public option) is a carefully calculated political carrot being offered to progressives so they will sit down, shut up about single-payer, and support this current corporate giveaway to private insurance companies, which is moving through Congress right now.
Hendrickson explains, “The reason why the public option was introduced, according to congress people that have spoken to the single-payer movement, was because of the single-payer movement. There was such an upswell in the progressive part of this country for single-payer that they opted for some compromise that would not have been given if there wasn't so much support for single-payer.”
If you ask Zeese, this won't do anything to get us closer to single-payer.
This bill will “enshrine and deepen the power of the insurance industry.” Hundreds of billions of dollars in new revenue, according to Zeese, will now be available for corrupting and influencing Congress.
It will be even harder to get single-payer if a weak public option remains in the bill. And the money government gives away will help private insurance fight any additional reforms to legislation passed by Congress and Obama.
Metz concludes that the public option will make it impossible for us to achieve universal coverage for at least a decade.
“Every passing year we'll see more Americans with worse health and nobody will do anything because we will point to our legislation and say give it another couple years to work,” says Metz. “And in five years, we will have exhausted the financial resources of the government, we will have exhausted taxpayers, we will have exhausted the good will of voters, the patience of voters, and no one will want to attempt health reform again.”
# # #
Author's Bio: Kevin Gosztola is a trusted author who publishes his writing regularly to OpEdNews and Open Salon and he is a 2009 Young People For Fellow. He is a documentary filmmaker currently completing a Film/Video degree at Columbia College in Chicago. Currently, he is working on a documentary project on Renaissance 2010 and Chicago Public Schools. On Columbia College's campus, he helps organize events and programming with a humanities/social sciences group known as Critical Encounters. He is currently working with the group to plan a media summit for Chicago in April 2010 and is currently seeking speakers who are willing to participate in talking to artists and media makers about how they can use participatory or social media to create art & media that promotes conversation and action on political, social, and cultural issues.
Showing posts with label public option. Show all posts
Showing posts with label public option. Show all posts
November 21, 2009
Insurance Companies Pass Landmark Bill Part 2
Sorry that this took so long to upload. YouTube was refusing to allow me to upload it, so I uploaded it over at Blip.TV
October 10, 2009
Keith Olberman Dedicates entire episode of Countdown to Health Care Reform
Part 1
Part 2
Part 3
Part 4
Part 5
Part 2
Part 3
Part 4
Part 5
September 9, 2009
Obama's Speech: pros, cons, the nitty gritty of the public option
And now for something I NEVER do, an actual blog entry. Hey, videos take time.
SO:
The details of the Public Option are not new, if you've done any research on your own, but since most Americans haven't, it was nice to see the details laid out in Obama's speech-- though I think that with some of the new compromises, such as the trigger mechanisms to cut spending if cost savings aren't realized, if adopted, would pretty much doom the plan to fail. Which I think is the point. Private insurance is scared shitless right now, and they are doing everything they can to kill this thing (just like they do with 12% their customers every year).
The details of the plan, more or less, are as follows: The Public Option will be a non-profit insurance company, like the Postal Service is for mail, and will NOT be subsidized by the tax payer-- directly. If you can't afford the plan, then you will get a voucher to assist you to buy one, either from a private insurance company, or from the public option. While that sounds nice, it's a contrived way of routing government money into private insurance subsidies via the consumer. It wouldn't be so bad if the government simply subsidized people who could not afford insurance, or if they just gave anybody who wanted to sign up for Medicare, a Medicare card.
But with the mandate on the individual to purchase health insurance, (which the Republicans also support), everybody has to buy a plan, and so every citizen effectively becomes a way for the government to funnel federal money, through your forced purchase of a plan, to the insurance companies. This is supposed to drive down costs by increasing the market and spreading the risk across the whole of society, but I'm highly skeptical that it will have any effect. Afterall, the profit motive in insurance IS the problem, which thankfully Obama recognized, when he talked about the former CEO of an insurance company who talked about how insurance companies are rewarded for denying claims and denying care to the ill. But without pushing for Medicare for All, it's just a rhetorical victory on the part of progressives, not anything useful as far as policy goes.
The key reforms sought by Obama are as follows:
1) Make it illegal to deny claims based on pre-existing conditions.
2) Make it illegal to change the terms of the plan you purchase.
3) Create a health insurance exchange, through which Americans can do what Wal*Mart and Sam's Club does, which is use collective purchasing power at large volume to reduce costs to the individual.
Obama hedged on the cost, rather than saying one trillion, over the course of ten years, he said "over 900 billion" which sounds less scary, but means the same thing, which also isn't scary.
It is, as Obama was smart to point out, less than we've spent in Iraq or Afghanistan.
I thought it was sad that, even though the President dispelled the myths and disinformation that the Republicans have been spreading, the Republican response speech held afterward was to repeat the very lies and disinformation that were dispelled not ten minutes prior. Claims like "Medicare is going to be cut by $200 billion."
While it is factually true that within Medicare there will be a cut of $200 billion dollars, the cuts are coming from subsidies to insurance companies, which is wasted money. Medicare doesn't need to hire an insurance company to pay out doctor's bills. Medicare can pay doctor's bills on it's own, without losing money to an insurance company skimming corporate profits off the top on the way there.
What's more, is that this cut money is then being redistributed and then spent within the medicare program, so that the net effect is that there is no cut, and that rather than going to corporate profits, more money is going to medical expenses-- which is what Medicare is designed to do. So it's not actually a cut, but a reallocation of funds.
Republicans claim that there were many misstatements in Obama's speech. On that point I can agree. Obama said, "health insurance CEOs aren't bad people."
That is false. To run such a business, and to know that your decisions to increase your profits would kill 18,000 people every year, would require a total divorce with any human decency or sense of morality. Such a person would not be a good person by any standard I can think of. A good person would have a sense of human decency and a sense of morals, of right and wrong.
Another thing that upset me quite a bit, was when Obama mentioned that young healthy people choose not to purchase health insurance because they are willing to take the risk. FUCK THAT-- I don't have insurance because it's fucking expensive, and I'm broke as shit. I would LOVE to have health insurance. Sign me up for Medicare right now! Just don't criminalize my poverty, because I won't be able to afford to purchase one. My car just died, and I can barely afford to fix that, let alone make additional monthly payments on some private plan that is going to overcharge me, and then won't even provide any benefits when I need them. And the individual mandate, in effect, criminalizes poverty. That really sucks.
Obama said that he intends to be the last president to take up the issue of health care reform. I don't know what that is supposed to mean. These reforms are timid, the mandates are wrong-headed, and what's been put forth so far is certainly a far cry from actually fixing what's wrong with our health insurance market here in America.
I know that this isn't an important part of the speech, but it was thrilling to see the joint session erupt with protests from the Republican members of congress when Obama addressed head on the lies that have been propagated. I think the president should be required to speak at the joint session more often, like once a month, so that it would be more like the British House of parliament.
It was certainly a stark contrast between the Republicans protesting the lies being confronted head-on and dismissed tonight, versus the joint sessions that the Bush administration held after September 11th, and then leading up to the Iraq war, where everybody in Congress was silent. The Democrats sat idly by and were very quiet. No boos or disruptions. And that was when we were talking about killing people. Now we are trying to save lives, and the Republicans are hooting and hollering in protest, with one Republican from South Carolina yelling and calling the president a liar. An interesting contrast to note.
Republicans also held up pieces of paper, which I thought was a stupid form of protest, if indeed that's what it was. It made no sense whatsoever on the home TV. I'm sure THEY knew what the significance of those papers were, but nobody at home on their couches did. With the protesting and the hooting and hollering, they came across as having totally lost it, which they probably have. They were from the House, after all. There was one congressperson with a sheet of paper in his lap with the words written, "What Bill?" in large black ink letters. This one protest I thought was valid and does bring up a good point; there are currently something like six different bills, one of which is HR 676, another-- and the one that Democrats are usually talking about, is HR 3200. There are others as well, but they propose the creating of small co-opts that wouldn't have the bargaining power to lower costs like the health insurance exchange proposed in HR 3200.
Obama did a great thing with the last ten minutes of his speech, calling into question the idea that government itself is somehow un-American. It was a rebuttal to the anarcho-capitalist philosophy of Reagan and Goldwater that though meek, has been LONG overdue. There once was a time when Republicans ran on a platform increasing welfare spending, like Richard Nixon, or Dwight Eisenhower, for instance. Obama made an emotional and philosophical appeal, but I think it's one that is much needed for the sake of the public debate. If those sound-bytes are the one that end up being repeated over and over in the 24 hour news cycle, health insurance reform will be a cinch, and it will hopefully mark the turn of the tide away from that anarcho-capitalist, nonsense. Or as Evo Morales calls it, "Barbarian Capitalism."
SO:
The details of the Public Option are not new, if you've done any research on your own, but since most Americans haven't, it was nice to see the details laid out in Obama's speech-- though I think that with some of the new compromises, such as the trigger mechanisms to cut spending if cost savings aren't realized, if adopted, would pretty much doom the plan to fail. Which I think is the point. Private insurance is scared shitless right now, and they are doing everything they can to kill this thing (just like they do with 12% their customers every year).
The details of the plan, more or less, are as follows: The Public Option will be a non-profit insurance company, like the Postal Service is for mail, and will NOT be subsidized by the tax payer-- directly. If you can't afford the plan, then you will get a voucher to assist you to buy one, either from a private insurance company, or from the public option. While that sounds nice, it's a contrived way of routing government money into private insurance subsidies via the consumer. It wouldn't be so bad if the government simply subsidized people who could not afford insurance, or if they just gave anybody who wanted to sign up for Medicare, a Medicare card.
But with the mandate on the individual to purchase health insurance, (which the Republicans also support), everybody has to buy a plan, and so every citizen effectively becomes a way for the government to funnel federal money, through your forced purchase of a plan, to the insurance companies. This is supposed to drive down costs by increasing the market and spreading the risk across the whole of society, but I'm highly skeptical that it will have any effect. Afterall, the profit motive in insurance IS the problem, which thankfully Obama recognized, when he talked about the former CEO of an insurance company who talked about how insurance companies are rewarded for denying claims and denying care to the ill. But without pushing for Medicare for All, it's just a rhetorical victory on the part of progressives, not anything useful as far as policy goes.
The key reforms sought by Obama are as follows:
1) Make it illegal to deny claims based on pre-existing conditions.
2) Make it illegal to change the terms of the plan you purchase.
3) Create a health insurance exchange, through which Americans can do what Wal*Mart and Sam's Club does, which is use collective purchasing power at large volume to reduce costs to the individual.
Obama hedged on the cost, rather than saying one trillion, over the course of ten years, he said "over 900 billion" which sounds less scary, but means the same thing, which also isn't scary.
It is, as Obama was smart to point out, less than we've spent in Iraq or Afghanistan.
I thought it was sad that, even though the President dispelled the myths and disinformation that the Republicans have been spreading, the Republican response speech held afterward was to repeat the very lies and disinformation that were dispelled not ten minutes prior. Claims like "Medicare is going to be cut by $200 billion."
While it is factually true that within Medicare there will be a cut of $200 billion dollars, the cuts are coming from subsidies to insurance companies, which is wasted money. Medicare doesn't need to hire an insurance company to pay out doctor's bills. Medicare can pay doctor's bills on it's own, without losing money to an insurance company skimming corporate profits off the top on the way there.
What's more, is that this cut money is then being redistributed and then spent within the medicare program, so that the net effect is that there is no cut, and that rather than going to corporate profits, more money is going to medical expenses-- which is what Medicare is designed to do. So it's not actually a cut, but a reallocation of funds.
Republicans claim that there were many misstatements in Obama's speech. On that point I can agree. Obama said, "health insurance CEOs aren't bad people."
That is false. To run such a business, and to know that your decisions to increase your profits would kill 18,000 people every year, would require a total divorce with any human decency or sense of morality. Such a person would not be a good person by any standard I can think of. A good person would have a sense of human decency and a sense of morals, of right and wrong.
Another thing that upset me quite a bit, was when Obama mentioned that young healthy people choose not to purchase health insurance because they are willing to take the risk. FUCK THAT-- I don't have insurance because it's fucking expensive, and I'm broke as shit. I would LOVE to have health insurance. Sign me up for Medicare right now! Just don't criminalize my poverty, because I won't be able to afford to purchase one. My car just died, and I can barely afford to fix that, let alone make additional monthly payments on some private plan that is going to overcharge me, and then won't even provide any benefits when I need them. And the individual mandate, in effect, criminalizes poverty. That really sucks.
Obama said that he intends to be the last president to take up the issue of health care reform. I don't know what that is supposed to mean. These reforms are timid, the mandates are wrong-headed, and what's been put forth so far is certainly a far cry from actually fixing what's wrong with our health insurance market here in America.
I know that this isn't an important part of the speech, but it was thrilling to see the joint session erupt with protests from the Republican members of congress when Obama addressed head on the lies that have been propagated. I think the president should be required to speak at the joint session more often, like once a month, so that it would be more like the British House of parliament.
It was certainly a stark contrast between the Republicans protesting the lies being confronted head-on and dismissed tonight, versus the joint sessions that the Bush administration held after September 11th, and then leading up to the Iraq war, where everybody in Congress was silent. The Democrats sat idly by and were very quiet. No boos or disruptions. And that was when we were talking about killing people. Now we are trying to save lives, and the Republicans are hooting and hollering in protest, with one Republican from South Carolina yelling and calling the president a liar. An interesting contrast to note.
Republicans also held up pieces of paper, which I thought was a stupid form of protest, if indeed that's what it was. It made no sense whatsoever on the home TV. I'm sure THEY knew what the significance of those papers were, but nobody at home on their couches did. With the protesting and the hooting and hollering, they came across as having totally lost it, which they probably have. They were from the House, after all. There was one congressperson with a sheet of paper in his lap with the words written, "What Bill?" in large black ink letters. This one protest I thought was valid and does bring up a good point; there are currently something like six different bills, one of which is HR 676, another-- and the one that Democrats are usually talking about, is HR 3200. There are others as well, but they propose the creating of small co-opts that wouldn't have the bargaining power to lower costs like the health insurance exchange proposed in HR 3200.
Obama did a great thing with the last ten minutes of his speech, calling into question the idea that government itself is somehow un-American. It was a rebuttal to the anarcho-capitalist philosophy of Reagan and Goldwater that though meek, has been LONG overdue. There once was a time when Republicans ran on a platform increasing welfare spending, like Richard Nixon, or Dwight Eisenhower, for instance. Obama made an emotional and philosophical appeal, but I think it's one that is much needed for the sake of the public debate. If those sound-bytes are the one that end up being repeated over and over in the 24 hour news cycle, health insurance reform will be a cinch, and it will hopefully mark the turn of the tide away from that anarcho-capitalist, nonsense. Or as Evo Morales calls it, "Barbarian Capitalism."
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