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‘Health care is important, of course. Now watch this drive.’

Well, this should be an interesting week for the health care dispute, seeing as how it’s the beginning of the two-week homestretch before Congress reconvenes.  The anti-rationing side is smoothly going along; and now the pro-rationing side is doing its best to turn a collection of union bullyboys, professional agitators, paid rent-a-crowds, and a thin shell of hardcore Democratic enthusiasts into something that looks like an actual grassroots movement, at least when you squint.  It’s going to be a hard week’s worth of work…

…well, it’s going to be a hard week’s worth of work for everybody except the President.  He smoothly went from haranguing the steadily-diminishing faithful about how they should keep pushing health care rationing to vacationing in Martha’s Vineyard. He might make a few calls to Senators. Might.  It all depends on how the golfing is going.

Obamacare.  Because he has you to fix things for him.

Moe Lane

Crossposted to Moe Lane.

COMMENTS

  • bk

     

  • 10ksnooker

    I would save the money on TV ads, people don’t watch them anymore.

    The President is all wee wee’d up on this issue. He is elected to govern, not rule.

  • marshmom

    I might admire his ability to forget the problems if his country (i.e., shrinking SS payments, rising unemployment, deep recession, higher than expected federal deficit, health care, failing Afghan war, etc.) and go on NYC on dates with his wife, play golf, shoot some hoops, go on a VERY expensive vacation to Martha’s Vineyard, and the like.

    I guess I shouldn’t be so cynical. He’s obviously concerned about the issues facing America and those patriotic people who inhabit it. Surely. That’s why he wants us to have “competition” in the health insurance industry. Because he cares so deeply.

  • Return to Revolution

    I heard about a pro-public option “march on DC” scheduled for 9/13 to counter the 9/12 march that many of us are planning. Also heard a senator(s) is involved in organizing the unions and usual thugs but don’t have name(s). Anyone else hear about this?

  • diakrioi

    Throughout this process I’ve had the feeling that Obama was playing the plausible deniability game with the various health care bills. But at the same time he has been giving it the college try so that no one could say he didn’t support the party’s bill.

    The pundit’s say that Obama let the legislators write these bills to avoid the mistake that Clinton made with her health care proposal. (When it arrived on The Hill they rejected it on the “not made here” principle.)

    Obviously, the bills that Democrat legislators have written are going to fail. Obama may be planning to say “OK, your version didn’t work, lets try mine.” He would then include RINOs in crafting a compromise and call on support from the public for his bipartisan bill.

    What do you think? Am I attributing to shrewdness what can be explained by incompetence?

  • diakrioi
  • shaitra
  • dave_in_atl

    MARTHA’S VINEYARD, Aug. 23 — Seven months after taking the oath of office, President Obama on Sunday began his first vacation, traveling to this tony hideaway for Hollywood stars, the wealthy and the occasional politician.

    http://voices.washingtonpost.com/44/2009/08/23/seven_months_in_obama_heads_to.html?hpid=politics

    Prior to September 11, 2001, George W. Bush was on vacation for 96 days — Given that he?d taken office on January 20th of 2001, that means that as of September 11th, he?d been ?on the job? for 234 days. If 96 of those were vacation days, he was on vacation 41% of the time.

    As of December 1999, Bill Clinton had spent 152 days on holiday during his two terms — As a percentage, that?s approximately 5.2% of the time.

    http://www.answerbag.com/q_view/393469

    although personally I wouldn’t mind if he decided to take off the rest of his term….. country would likely be better off.

  • bk

    It seems he has said that, “Now that I’m finished using my daughters for various photo ops, you evil press people had better stay the heck away from them.”

  • HSMom

    I don’t care that he is taking a break, all presidents need that, it is where he is and how much it is costing us in these economic times that grinds me. It would with anyone who was doing this on our tax dollars, right now.

    You know… kind of like dining on Kobe Steaks…

    Another reason I don’t mind him taking a vacation… I don’t have to see him on another stupid campaign healthcare infomercial for a while! This guy LOVES to get in front of the TV!!!

  • bk

    Just like there was a daily log of troops killed in Iraq/Afghanistan that disappeared from the news as soon as Obama was inaugurated, remember how there was a running count about the incredibly high number of days that Bush spent at his Texas ranch? In his case it was proof that he was hiding from bad news; in Obama’s case it’s that he needs a well-deserved short break to spend some catch-up time with his family after his fantastic series of larger than expected accomplishments despite getting handed an even worse economy from Bush than anyone could have realized. Bleeech!

  • dave_in_atl

    your right… i mean 96 days vs 10… virtually the same!!!

    talk about a double standard!

  • Achance

    sneering, condescending face on the TV. It has forced me to change my whole morning routine. The man seems to find a way to be on TV somewhere between 11 and 1 Eastern EVERY WEEKDAY. Well, that’s between 7 and 9 Alaska time and that is my time to read and listen to the news, catch up on blogs, and such like. The TV is my office is on in the background and turned to FOX. Since I simply cannot stand the sound of the man’s voice and really don’t care what he has to say about anything, I just have to turn my TV off and get on with my day and the honey-do list. So, seen in that light, I guess I get a bit of a vacation too; I can sit around in my bath robe typing and such for a while longer every morning while he’s on vacation.

  • Richard Mullins

    I can’t even do that anymore. I’ve lost all respect for him as a person(the Presidency is quite different) and would rather have him taken up by aliens than to keep having him around. He still thinks he’s a Senator and not a president(I really think the Soul of Saddam Hussien went into his body and made him worse than he was).

  • bk

    But in the Bush years every moment spent at Camp David or on a real vacation was called a vacation by the press wasn’t it? Obama made a weekend trip to Camp David with his family 2-3 weeks after taking office and they’ve returned for weekends several times since. But this is his first “vacation”.

    I don’t decry these guys taking vacations – no doubt they spend a good part of the vacation time working anyway. Bush could probably get more useful stuff done in a day at the ranch than a day at the White House with 5 zillion interruptions and distractions. Obama may be the same way, though I suspect he enjoys the public side of being President more than Bush did.

    It just seems like there was this cottage industry of tracking for Bush that I don’t think we’ll be seeing for Obama.

  • blooch

    maybe we’ll be spared photos of Pharaoh Spindleshanks with his baggy golf shorts crammed full of Marlboros and Titleists.

  • dave_in_atl

    Democrats tried to score political points by keeping up with Bush’s time off…. If you say there is a double standard its only because the Republicans choose not to pursue the same attack strategy as the Democrats.

    I mean I don’t expect the average republican to say bad things about Bush, nor do i expect your average Democrat to say bad things about Obama…. its not how things are done … “my guy right or wrong” so to speak.

  • http://andrightlyso.com/ civil_truth

    …if only he’d stay on vacation for the next1244 days (or so).

  • Take_Your_Meds

    I’m sure everyone would like to avoid any form of rationing, and if we had unlimited funds maybe something could be worked out.

    However, there really is no such thing (in any meaningful sense) as either an “anti-rationing” side or a “pro-rationing” side. There is rationing now. There will be rationing no matter what health care reform legislation is passed. Every health care system in the world has some form of rationing.

    I think it’s fair to ask: Are we honest and acknowledge we are rationing — both pre- and post-reform? And is it done explicitly, based on best medical practice knowledge, or by default, as in millions of people who are uninsured and under-insured?

    I suppose another way to look it is that there are lots of Americans who are fine with rationing as long as they aren’t the ones going without.

  • Vegas_Rick

    fail to take into account the obvious.

    Millions are uninsured by their own choice. Millions are uninsured because they’re in this country illegally. Millions are uninsured because they are either too stupid or too lazy to enroll in programs that already exist, and for which they already qualify.

    As your messiah would say, You’re gettin’ all wee wee’d up over people’s lack of access when the access has been there all along.

    Need health care? Get a job. Can’t find a job? Join a union. Can’t get into a union? Join the military. Can’t get in the military? Re-evaluate ALL previous decisions to determine where your problems began.

    Liberty and free choice are good things. Unless you don’t have the will or capacity to take good advantage of them.

  • janis

    And that is that we want no government run health care at all. Period. Rationing or not is only part of the total problem. There are many, many more. But the kind of rationing proposed by this administration is not explicit, or haven’t you noticed them trying to deny rationing will happen?

    As to your last remark, why, yes, you’re absolutely correct. The unions and the feds are just hunky-dory with the rationing idea because they know beyond a shadow of a doubt that they ARE NOT THE ONES GOING WITHOUT. That would be the group known as “The rest of us.”

  • http://www.examiner.com/x-1597-Charlotte-Law--Politics-Examiner Mike gamecock DeVine
  • Take_Your_Meds

    Wow.

    This actually has nothing to do with left and right. It has to do with honest and dishonest and informed and uninformed.

    “Millions are uninsured by their own choice. Millions are uninsured because they?re in this country illegally. Millions are uninsured because they are either too stupid or too lazy to enroll in programs that already exist, and for which they already qualify.”

    And that still leaves millions of people who are uninsured or underinsured to the point of facing financial ruin in the event of a serious medical problem.

    Even if you subtract people who could get insurance (one way or another) from the total, every honest accounting I’ve ever seen — left or right — still accepts that there are millions (tens of millions actually) of Americans who simply can’t afford or can’t get insurance. Add to that the number of people who are seriously underinsured and the situation is much worse.

    You are aware, aren’t you. that there are lots of people whom insurance companies will not insure?

    It really is difficult to believe that there is anyone left who is so out of touch with reality that he or she would write what you’ve written.

    “As your messiah would say, You?re gettin? all wee wee?d up over people?s lack of access when the access has been there all along.”

    Once again, you reveal too much about yourself by assuming too much about others.

    I despise Obama. So, it’s unlikely he would be my messiah.

    I have a good friend who is in her late fifties. She has worked her entire life, is working now, and has insurance. She recently had a mammogram which showed a spot. Her doctor recommended an MRI, which came back negative, but not conclusive. However, since her mother had both breasts removed because of two different cancers, the doctor pushed my sister to get a biopsy to make sure. Fortunately, the biopsy was negative. However, my sister now has three thousand of dollars of medical bills and depending on the deal the various providers are willing to make, she may face bankruptcy. Sadly, she is familiar with bankruptcy, because she had to declare bankruptcy a decade ago after she had a heart attack at a time when she was uninsured — involuntarily, after having been laid off.

    So, when I read statements like yours, I can forgive you for your ignorance; it’s your nastiness that’s much harder to accept.

    You don’t know what you’re talking about, so you yell, but it doesn’t make you any more credible.

    “Need health care? Get a job. Can?t find a job? Join a union. Can?t get into a union? Join the military. Can?t get in the military? Re-evaluate ALL previous decisions to determine where your problems began.”

    What a pathetic, ill-informed rant.

    Apart from the fact that fewer and fewer employers are offering health insurance and the policies they offer are getting both more expensive and less comprehensive, millions of people who have jobs and are insured are still incredibly vulnerable to one major illness.

    And of course union membership has been declining for decades.

    “Liberty and free choice are good things. Unless you don?t have the will or capacity to take good advantage of them.”

    Apparently, you’re unaware that there are actually millions of people who don’t have the capacity to take any advantage of them. You must have lived an incredibly sheltered life — from reality.

  • Achance

    they’ll NEVER be forced into the “public option.” Every bill will always have an exemption for a collectively bargained plan in effect at the time of enactment. So, the chosen get their Cadillac plans and everybody else gets the Yugo – and they pay for the Cadillac too.

    And, full disclosure, I don’t know where I fit in that; I have a government plan and Cadillac benefits, but while all the unions participate in it, it wasn’t collectively bargained. So, I come out neither fish nor fowl and don’t really know how I’ll fare in the brave new world, but I’m not optimistic and keep investing in precious metals.

  • Take_Your_Meds

    Janis, I didn’t address the central problem, because I didn’t attempt to address it. I think all discussions are more productive if those involved attempt to be fair and accurate in their language.

    My point was simple: no matter what system you favor, no matter how much or little government involvement you want, there is no such thing as pro-rationing and anti-rationing sides. Those are simply words to denigrate one side at the expense of the other and they don’t describe either side accurately. Since Republicans hold minorities in both the House and Senate, if there is going to be a bipartisan health care plan, it’s not going to be achieved if both sides distort and even lie about the other. Anyone who thinks this is a one-sided problem hasn’t, in my opinion, been paying attention.

    What I have noticed, however, is that there are people who simply don’t care if others have insurance or get medical care. While not the central problem, that is, I believe, a very serious personal problem.

    I don’t care what the shape of the system is as long as it provides affordable care to everyone — that is, every American citizen (or legal resident, if that is appropriate). Simply claiming that everyone could get adequate health coverage if only they weren’t so worthless, is not only absurd, it’s pathetic, and it is factually wrong. (And, I’m not accusing you, Janis, of doing that.)

  • Take_Your_Meds

    You say you have a government plan with Cadillac benefits.

    I’m curious, do you object to everyone having a government plan with Cadillac benefits?

    And if you do object to others having the same coverage that you have, on what do you base your opposition? More and more people are coming to realize the absurdity of having one’s health care tied to one’s job. It made more sense when people weren’t changing jobs so often.

    In general, do you think it is hypocritical for people who have excellent government plans to oppose others having the same? For example, should every senator or representative who wants the government out of health care drop the insurance they have and get a policy from a private insurance company?

  • Vegas_Rick

    My mother is 83. And she is getting frail. She has health insurance because my father was career military. My brother and I are concerned about the cost of a nursing home, should one become necessary in her end years. The cost of caring for my mother could be exhorbitant.

    But instaed of whinning about the UNFAIRNESS of it all, my brother and I are saving like madmen while we investigate other options. We aren’t
    looking to the government to handle what we view as OUR responsibility.

    As for a sheltered life? Ha! I have supported myself and my family for over 50 years without any help from liberals or the government, thank you very much. You have no clue dipstick.

  • Vegas_Rick

    He’s NOT getting a handout.

  • mriggio

    “I don?t care what the shape of the system is as long as it provides affordable care to everyone ? that is, every American citizen (or legal resident, if that is appropriate).”

    Wouldn’t we all like a system that provided say, affordable automobiles to everyone, or affordable clothing to everyone, or affordable mango trees to everyone?

    Since we’re talking about the allocation of scarce resources which have alternative uses (or therapies for different patients), obviously there will be competition for the resources resulting in allocation or the current word, rationing. So there is rationing now, since the resources are allocated, somehow. This currently involves money or the ability to pay, being insured or not.

    Under our economic system, this is how most resources are allocated, by price. It seems the chief complaint is the attempt to have a government agency reallocate the resource using some different scheme, such as Britain’s QALY. In other words, not allocating the resource to the highest bidder in terms of price (not fair!), but, using governmental control to set the allocation, by whatever scheme is currently in vogue.

    Your desire for affordable care for everyone is admirable, but the mechanics of achieving it, as demonstrated in other countries, is quite a chore, since it flies in the face of economic reality.

    Check out Thomas Sowell’s thoughts on achieving affordable housing for everyone through rent-control, another government abomination which seeks to deny economic reality.

    None of us can simply not care what the shape of the system is, or becomes, hoping that it can achieve the impossible. And certainly expecting government to ‘fix it’ is too hopey-changey for me. Cash-for-Clunkers, anyone?

  • Achance

    I and my employer paid for that plan every two weeks for twenty-five years. The money that went to my retirement and retirement H&W could have gone on my paycheck and was a part of my compensation package.

    America has a benificent safety net for the lame, blind, and halt, and even goes further than the Biblical admonition by providing a safety net for the poor, most of whom would themselves be considered affluent in most of the World. ANYONE in America who can’t get medical treatment is in that situation because of bad choices of their own. I’ve worked jobs I hated for the HI, I’ve hired people into jobs for which they were overqualified or which weren’t where they wanted to be because they wanted the H&W coverage. You either have to accept being poor enough to be on Medicaid or get your sorry butt to work – and, yes, you can find a job in any economy anyone of working age today has ever experienced.

    The only thing that I think really needs “reform” is some sort of risk pooling for the self employed and some sort of pooling to give people a break who have chronic or pre-existing conditions. The solution for things like dependents who lose their parents’ coverage on a preexisting when they pass the eligibility age, usually either 18 or 23 if they’re in college, is to allow them to carry on in their parents’ plan with something like a COBRA right. Of course, that would require junior to actually go to work and suppress some of his/her beer budget to pay for the HI.

  • SteveLA

    Art,

    Add to your list of things that need to be improved as way for people who want to retire before Medicare is available who don’t get medical care at any price from their employer after they retire.

    I’d think something like creating ether a pre-retirement account to pre pay medical insurance along with some sort of tax advantage to cover retiree health care administrative costs.

    I’m looking thinking about this topic right now, and the availability of heath care insurance at a price I can afford will keep me working many more years than I’d like.

  • Take_Your_Meds

    is completely normal and most people who live that long will face a similar situation.

    And it has absolutely nothing to do with the problems that I referred to.

    And she doesn’t have health insurance only because your father was career military — since she is almost certainly eligible for Medicare. I don’t know whether her coverage is the same, better, or inferior to Medicare, it’s irrelevant, she would have one or the other.

    “We aren?t looking to the government to handle what we view as OUR responsibility.”

    Funny, you ARE looking to the government to provide her health insurance. I never cease to be amazed by all the people (essentially everyone) who benefit from the government and rant and rave about how terrible it is. For heaven’s sake, man, get her off that government run health insurance and onto a market-based private policy. After all, she must be receiving inferior care, and at this point — she’s 83 — it seems like it is YOUR responsibility to protect her from the government.

    And I don’t want to sound insensitive, but it sounds like you’re saying your mother has health insurance because of whom she married, not because she worked hard all her life and made money. (As I said, that’s irrelevant because she is eligible for Medicare, so she wouldn’t be without health insurance even if she’d remained single or married a barber.)

    What about if your mother needed a nursing home and it was impossible to find one to admit her at any cost?

    Or how about if you signed up for a nursing home for an agreed upon price and then the home hit you with charges that you can’t afford to pay and your mother faced eviction?

    All you are doing is carefully selecting your arguments to cover the inadequacies of your thinking.

    “As for a sheltered life? Ha! I have supported myself and my family for over 50 years without any help from liberals or the government, thank you very much. You have no clue dipstick.”

    I have no doubt that like all rugged individualists your independence is infinite in your mind and hugely overstated in reality. If nothing else, since your mother is the wife (widow now I assume) of a career military individual, she has probably received many years of pension and health care benefits, which if they hadn’t been provided would have fallen to you (and your brother) to supply.

    I’m also assuming that you’ve never driven on government built roads or used any other facilities provided by the government. That’s the same government that employed your father and provided the money he used to raise you. And of course it hasn’t been just liberals, because both parties have contributed to the government benefits that exist.

    As I said, your mother’s situation, while real and serious, has no relevance whatsoever to the health care crisis in this country. I’m just curious, but what would happen to your mother if neither you nor your brother could help her? If your mother is 83, you’re old enough that the mortality charts are started to run against you. What if you had a stroke or heart attack? Would your brother be able to manage alone? Lots of people don’t have anyone else to provide support for them. It’s sad that you think you’re so special and so many of us are just big whiners, but my guess is you probably whine about the government more than I and my friends and family whine about everything combined.

    You’ve complained a lot, but you haven’t offered a single suggestion that would help any of the uninsured or underinsured people in this country. As I said, you don’t know what your talking about, so how could you have a solution.

    Get a job is not a solution. It’s a substitute for honestly confronting a real problem — a problem that is catastrophic for millions of Americans. (They didn’t go away or get health insurance just because your mother needs a nursing home.)

  • Aaron Gardner

    I am only asking because I haven’t seen it. It may be someplace else, if so please link me to it.

    By the way, are you here to support Republican and Conservative goals? Oh and are you a Republican?

    I understand you think these things don’t matter, but they do. Not so much to the debate that you want to have, but I am not here for that. Are you a 4 year old sleeper account?

    Just asking, I am not as old as you, here on RS but I have never seen you before so I figured I should ask.

  • Vegas_Rick

    Is not worth my time.

    And I have suggested the solution on several occasion; the traditional family unit and personal responsibility.

    Your whole screed is based on an entitlement mentality. Life isn’t fair. Bad things happen to good and bad people.

    Fewer unexpected bad things happen to people who lead structured, principled lives. Conservatives who live within their means and save for bad times usually fair pretty well over the long haul.

    At least that’s been my experience. I don’t know any people who feel that the government is their sugar daddy or even their fall back position in hard times. You, on the other hand, seem to be surrounded by them.

    People who ridicule independence and self-reliance, in my experience, possess neither.

  • Vegas_Rick
  • janis

    Well, that certainly clears things up. And, yes, discussions are certainly more productive if those involved attempt to be fair and accurate in thier language. So here’s my attempt at that:

    I don’t want a gov. run takeover of the health care system in this country. I don’t want gov. to educate the doctors, and then tell them where to practice, and then tell them how much they are allowed to make. I don’t want the gov. to have access to my medical records as well as my bank information. I don’t want gov. to stick their nose in my business and tell me how to eat, how to drink or not drink, whether or not I can smoke, and when to die. I don’t want gov. to have a damned thing to do with my health care. Period. Full stop.

    As for those without insurance, there are many solutions that would work without the gov. getting involved, particularly to the extent that this gov. wants to involve themselves. Ration, don’t ration, whatever—that’s a moot point if the gov. just keeps its miserable grasping hands off my life and off my money and off my manner and time of death.

    Was that fair and accurate enough for you this time?

  • http://hillbillypolitics.com Steph C

    The argument from the left is: not having access to healthcare. No one in this country goes without needed healthcare unless it is by choice.

    I can argue the health insurance a bit because one tiny group got left out but I don’t have it because I can’t afford $1200/month for individual insurance. But the Meds guy is equating lack of insurance with lack of health care and they’re two different horses.

    By federal mandate so many years ago that I can’t remember when, the government said no one can be turned away if they’re in need of healthcare.

    And, one of the big hypocritical things about Michelle Obama was that the hospital she worked for before becoming First Lady had found a way around that mandate by making policy to send the needy to other hospitals.

    Also, you should read JLeonard’s diary about those people you believe unquestioningly… until you don’t.

  • DONTREADONME

    just ask me, I just got done paying for some elective procedures with CASH, or was that cashiers check. So I am not quite following your whole we are rationing already? Because as I see it, I can have any procedure I want done, what you’re asking for is that I do not have access to that healthcare because all must receive it.

    BTW jacka$$, I am not afraid to state the following pay for your own damn healthcare before you restrict my access to it. Oh and life’s tough is a solution, crap happens, until people like you get it through your dense cranium you will make all us suffer. Do not argue with me that a Government takeover would not result in limited access to those that already can afford those procedures.

  • Achance

    should be able to do so with pre-tax dollars just as I did through my employer, including the part I had to pay myself.

    I long ago realized in my position with the State that we were the 10,000 pound gorilla in health care in the State between our active employees, our retirees, and our M/M population. It would have been, still is, both easy and practical to make any resident of the State eligible to participate so long as they or their employer paid whatever the going rate was. Right now it is about $980/mth. for member and dependents with 80/20 (can’t remember the stop loss but it is generous, most things have enough co-pay for you to feel it, but not really enough to hurt.) You can pay for more coverage yourself; my wife and I each pay about $150/mth for somewhat more generous stop loss and dental/audio/visual.

    Problem is, that would make it a government plan, not an employer or union and employer plan and anybody with a checkbook and a legislator’s phone number starts getting mandated coverages, changes in the plan, all the usual political crap you get when it becomes managed by politics instead of money. It is actually quite handy to negotiate a lot of it with the unions and make the non-union ees take the same plan so you can keep the politicians mostly out of it. The unions are fairly responsible because then know that every dime that goes into H&W IS NOT going into wages or other benefits and ees never notice all that money going to H&W.

    That is, of course, what would happen with any governmetn plan; the illness de jour would get super coverage, the procedure or drug with the best advertising would demand all the plan’s money, the lobby with the most influence in the Congress or the regulating bureaucrats would get the most favorable RCUs, etc.

  • SteveLA

    Art,

    I think that I read somewhere about expanding MSA’s to allow people to pay for insurance costs. I’d go for that, especially if I could start putting money away to pay for insurance ether through COBRA or in between retirement and start of medicare.

    Ahhhh but real discussions are not allowed about things that need fixing in the current heath care delivery system.

  • cclive

    be allocated to who needs the care more urgently? Should a car crash victim who is loosing blood and be dead in a few minutes be seen second to the guy with the sprained ankle simply because the sprained ankle guy will pay more?

    Doctors take Hippocratic Oaths to ideally state that they will practice medicine ethically.

  • penguin2

    insurance or get medical care…that is, I believe, a very serious personal problem.” What an outrageous thing to say! Nothing like a blanket strawman argument. Who are you saying doesn’t care? Quite an indictment there. “as long as it provides affordable care to everyone.” Where in the Constitution is that written for?

    The point: the discussion about health care in this country is supposed to be about Reform, not takeover by the government.

  • Achance

    of maybe 20 of the states and a week and I’ll have you a great healthcare scheme that still uses only the private sector for all but the lame, blind, halt, and truly poor.

    All of us who presently or formerly actually did this sort of work know how to do it. The problem is Democrat politicians and their hack appointees who want to use H&W as a political bludgeon. Just let me keep it out of the politicians’ auction system, and I can give you good H&W at a pretty fair price.

    I think the singular key is to get away from insurance providers as much as possible; put pools together that can self-insure then use TPAs to administer it. The insurers all run TPA operations and they make their money simply by administering the plan rather than trying to spend as little of the premium income as possible, the situation that makes people hate conventional insurance providers.

  • marshmom

    …..I feel like Obama has been on campaign/celebration mode since he’s been in office. He’s either jet-setting around the country campaigning for other democrats or his gov’t takeover of health care, bragging about himself on tv, bashing cops on tv, or traveling abroad bashing America. Has he worked at all??
    Secondly, none of the previous presidents mentioned had quite the “crisis” OR ambitious (forceful) agenda that Obama has. Not to mention that Bush was constantly bashed for his vacations when the media is nowhere to be found on this one.

  • Achance

    Of course the guy who’s bleeding will get cared for before the guy with the sprained ankle if they both show up at the hospital ER. Now if the guy with the sprained ankle has a private physician, he might get treated before the guy who is bleeding to death but is in line behind the illegal aliens at the hospital ER.

  • cclive

    Its a hyperbole. But its also why you can’t buy organs on the open market regardless of whether you are in the emergency room or with a private physician. There is precedent that in regards to health care the free market takes a back seat to ethics.

  • rbdwiggins

    18-36 Holes at Congressional Country Club, or the TPC Myrtle Beach if he needs another vacation…

    Winner assumes full control regarding the direction of “Health Insurance Reform.”

    I’d like to say in advance: There will be no “public option,” and the inclusion of comprehensive medical liability reform is non-negotiable.

  • Achance

    Doesn’t matter if you’re diagnosed with a disease or charged with murder. If you’re facing something that can take away your life, the best outcome you get is to still have your life. So, it is NEVER going to be affordable to have a truly serious life threatening illness or injury. Only the very best insurance will leave you financially intact after a life-threatening condition. And I don’t know that you should expect more. We try to use HI like one of those car warranty scams that tries to convince you that you can drive your car for free if you just pay them. The human body requires routine maintenance and repair just like anything else but we expect somebody else to pay for it when it’s our body but just accept paying for it if it is our house or car. Maybe we need a public option for home and car repair too. Oh, never mind, when Comrade Obama outlaws private cars and the government confiscates all the private housing and redistributes the square footage equitably, that won’t be an issue.

  • Achance
  • Take_Your_Meds

    …although it won’t well-received.

    I’m in a hurry, so this may not be perfectly organized. Sorry.

    First, as for my party affiliation. I’m now an Independent. I was a Republican, but I don’t believe the current Republican Party offers many meaningful solutions to our problems — especially health care. I think many of the most prominent voices in the RP are irresponsible. For example, the recent dust up over “death panels” was embarrassing and completely dishonest. I have a living will and I believe everyone over the age of 18 should.

    I have nothing good to say about the Democratic Party (and no, I won’t use the childish and grammatically incorrect Democrat Party — that’s one of my complaints about the Republican Party — it’s degenerated into a non-serious entity that engages in such silliness.)

    At this point I am for a single-payer universal system. I’ve lived in Europe and now live a few miles from Canada. I’ve seen their systems compared with ours and despite flaws, single payer systems are much better than what we have in this country. For me, it’s not a matter of ideology; I simply don’t believe our private approach has any chance of doing the job that needs to be done.

    I think the current proposals by Democrats will be either worthless or a disaster. They are taking two of the worst aspects of our system (private for-profit insurance and employer-based insurance) and creating a monster around them. I expect insurance companies’ profits to soar (if there is a mandate) and employers will continue to have to drop insurance benefits for competitive reasons, but I don’t see anything that will help contain costs or make our system generally better.

    In a way, my feelings about health care are similar to what my father experienced when he visited China decades ago. He was a very conservative, free market oriented businessman. But after visiting China several times he said he didn’t see how (at that time), given the population and magnitude of China’s problems they could even hope to have a democratic system like ours. He was convinced by what he saw, not by what he had always thought.

    Concerning health care, I’ve experienced government health care systems and private, and I don’t believe private insurance can or will do the job. Health care is not a commodity and it doesn’t respond to market forces the way most things do. I am convinced that we will have a single payer system eventually — because I believe it’s the only thing that has any hope of working — so I don’t see any reason to put off the inevitable while countless people die, suffer, and face financial ruin. And you can deny it if you want to, but it is happening. And it’s preventable.

    As a moral issue, I don’t believe a country as wealthy as ours should tolerate having uninsured people. Those who think that being able to go to an emergency room constitutes health care really haven’t thought it through.

    It’s crazy to saddle employers with the added costs of providing insurance (it makes them uncompetitive) and it’s ridiculous to lose your health insurance every time you change jobs. It’s not only inefficient, it’s dangerous. If someone has an accident or illness while between jobs, they may never get insurance again (until they reach age 65).

    Having a healthy population is vital to our own economic well-being and right now — regardless of why they are uninsured — having tens of millions of citizens without insurance and underinsured makes no sense to me. The idea that someone who works and has insurance could face bankruptcy and financial ruin because they lack (adequate) health insurance is both crazy and despicable.

    Right now we already have a significant percentage of our population receiving “government” health insurance when you include Medicare, the military, and VA. Since the cost of health care is a critical issue, it simply makes more sense to me to remove private insurers — and their need for profit and advertising — from the equation. No matter what the cost of private overhead, profit, and advertising is, I think it is wasted, since much of it could go for care, which should be the only point of a health care system.

    My next door neighbor, a 75-year-old Republican is on Medicare and with her supplemental insurance is perfectly happy with it. However, she is from the UK and prefers their system to what she has now. For my part, I absolutely don’t want socialized medicine — i.e., the National Health Service of the UK. I don’t see any need for the government to own everything. Other single payer systems demonstrate that that isn’t necessary and I oppose it.

    The vast majority of what opponents of single payer systems say about them in the media consists of lies, distortions, and exaggerations. People in other countries look at us and shake their heads at our gullibility and I agree.

    There is a more that I could write about why I favor a single payer system, but I didn’t make my original comment because I wanted to argue about what system we end with. I just wanted to point out that no one benefits when anyone in the discussion uses terms like pro- and anti-rationing.

    As for why I haven’t posted. I have little time to post and from following threads here, I knew that it would be difficult for me to be honest and not spark a lot of insults and pointless name calling. I have no interest in disrupting this site and in the future, I don’t intend to engage in the kind of extended commenting that I’ve done today.

    I’d much rather have a government employee deciding what care I get, than a private insurance company employee who’s concerned with profit. I’ve seen enough nightmarish examples of this to want to end it forever. After all, how much we spend on health insurance is simply a matter of priorities. Every health expert I’ve heard or read agrees we have the most inefficient system of any highly developed country.

    I hope that answers most of your questions. I have to go out, so I’ll have to end this now.

  • cclive

    that mriggio made about “most resources being allocated by price” they seemed to think health care should follow the same resource/allocation scheme as most everything else.

  • DONTREADONME

    “I?d much rather have a government employee deciding what care I get, than a private insurance company employee who?s concerned with profit. I?ve seen enough nightmarish examples of this to want to end it forever.”

    You have never worked in the Government have you? That is the most naive statemen, even as much as I like the defense department in this country they have a real hard time making decisions when it comes to spending money let alone executing the decisions and they are the most efficient. Please go the DAU website and check out how Government goes about making defense acquisitions. https://acc.dau.mil/dag

    Do you think Government making decisions on life and death would be more efficient? Many are going to die waiting for a decision then will survive trying to pay themselves for the treatment.

  • Vegas_Rick

    Socialists love to throw out the government provided highway system as an example of socialism with which conservatives have no problem. The federal highway system was a decent idea in concept. If it hadn’t been forced on the states. And if the roads, along with the federal highway funds, weren’t used to bludgeon states into line, it might be an acceptable idea. Take highways from the feds, the feds control the highways.

    You let your contempt for the military show with statements like this:

    “That?s the same government that employed your father and provided the money he used to raise you. ”

    Anyone who has ever served in the active military knows it’s so much more than employment. It requires a commitment slugs like you can only try to imagine. And, even IF the military was merely an “employer”, no employer “provides” money. Community organizers provide money. Welfare provides money. Food banks provide food. Soldiers EARN their pay in ways you’ll never understand.

    Now as to solutions, for every documented case of someone who cannot, THROUGH NO FAULT OF THEIR OWN, afford to see a doctor, does not qualify for Medicare or SCHIP or one of the various state health programs (like those winners in Oregon or Hawaii or Mass) that you can provide, I will provide a solution.

    And, this is priceless: “Funny, you ARE looking to the government to provide her health insurance. I never cease to be amazed by all the people (essentially everyone) who benefit from the government and rant and rave about how terrible it is. For heaven?s sake, man, get her off that government run health insurance and onto a market-based private policy. ”

    Are you seriously equating health insurance that was EARNED through over 20 years of military experience with the public option? Seriously? Her health insurance is NOT government controlled either moron. It’s private insurance that she selected and is partially paid for by the military as a result of the binding contract that my dad signed with the Air Force over 35 years ago. Talk about uninformed. You want to know about government run health care, genius? Visit an Indian reservation. Then we’ll talk.

    And lastly, you posited that, “You?ve complained a lot, ..” Really? Quote? Link? Anything to show me complaining about anything other than do-gooder liberals?

    And lastly, lastly. Just so you can?t say I dodged the question, if my brother and I should expire prior to my mom, like I said, life ain?t fair. Besides, the savings will be there and our wives will pick up the slack.

    It must suck to be you; to have no one but the government to fall back on in tough times.

    Is your little conservatives in the mist experiment over now?

  • janis

    then it’s no wonder you don’t post here often, Or ever. I don’t want a gov. employee deciding what care my DOG gets, much less me.

    We will try to soldier on without your wisdom and we do beg your forgiveness for being such ignorant and recalcitrant clods. When you think of this in the future, and you will, remember us kindly.

  • Vegas_Rick
  • blooch

    “Janis, I didn’t address the central problem, because I didn’t attempt to address it.” –Take_Your_Meds

    It’s nice sig line material, and I notice you don’t have one. Give it some thought…If you don’t want it, can I have it?

    lol

  • Vegas_Rick
  • janis

    And Insurance company employee doesn’t get to pick and choose what conditions will be covered and doesn’t get to cherry pick what procedures will be covered either. There’s a thing called a “policy” that has terms of coverage with all kinds of lists and charts and numbers. A lot of folks never take the time to read the thing and have no idea what’s covered and at what rate. That’s not the fault of the ins. company, that’s the responsibility of the insured.

    And if the ins. company screws up and doesn’t abide by the terms of the policy, then you can sue them. You want to try and sue the gov. if they screw up?

  • janis

    than the one you have now? Wouldn’t you rather use his other fine one:

    “I’d much rather have a government employee decide what care I get.”

    Seriously, blooch, that has to be the single stupidest sentence I’ve read in two days.

  • VinceP1974

    I rather have the ball of hair that accumulated in my bathroom make the choice before anyone in the Govt. God forbid.

  • cclive

    is EMTALA, which is for emergency treatment only not general “health care” its only for emergency care, thats actually why emergency rooms are always mobbed and the waiting time is enormous, uninsured or illegals go to the emergency room for regular care.

    The main problem with EMTALA is that it is an unfunded mandate. Government told private hospitals they can’t turn people away but then gave them no recourse on how to cover the costs.

    Although to be fair hospitals don’t have to follow EMTALA as long as they don’t accept Medicaid and Medicare.

  • http://moelane.com/ Moe Lane

    …but they get mean fast.

    You gotta let us know about this stuff when it happens, folks.

    Moe

    PS: Blam.

  • Jack_Savage

    “I was a Republican, but I don?t believe the current Republican Party offers many meaningful solutions to our problems ? especially health care. I think many of the most prominent voices in the RP are irresponsible. For example, the recent dust up over ?death panels? was embarrassing and completely dishonest.”

    Sure buddy. Sure you were a Republican. And I was Ron Jeremy.

    “…(and no, I won?t use the childish and grammatically incorrect Democrat Party ? that?s one of my complaints about the Republican Party …”

    That’s it? That’s one of your complaints? Bushitler doesn’t faze you, but Democrat Party (which is absolutely the more accurate of the two names – think about it) bothers you?

    You are really so incredibly naive that I cannot believe you are more than 16 years old. And please tell your neighbor that she can shag ass back to the UK, and take advantage of all the super duper medical breakthroughs that happen there. They can’t even build a car with a decent electrical system or make a bottle of wine any better than my uncles could, so no wonder she has chosen a parasitic existence here.

    Anyway, it was stunning reading your comments. Stunning. And something inside me really wishes you would get what you want, so the last thing that would go through your mind while restrained in hospice would be “What in the hell was I thinking?”

  • 6eorge Jetson

  • Aaron Gardner

    And you catch a whopper. I see Moe disposed of you already. Glad I had a part in that. Toodles.

  • blooch

    Moe impersonated a government employee decider pretty well, there.

    When these deep cover lurkers bubble up after years, they remind me of those Japanese soldiers hiding out on islands decades after WWII ended.

  • http://hillbillypolitics.com Steph C

    There are also clinics that are free or fee based on income which some people get care at them free as well. So, between those and hospitals not being allowed to turn people away they’re covered.

    If you had ever worked in or with social services you’d know that.

    The whole health care debate from the left is one big lie; a way to line pockets at our expense when our tax dollars are already paying for these services.

    If the premise itself is a lie, why should anyone believe anything they say about the actual bill?

    Of course it’s not “Cadillac” care but when the government uses up something around 86% (rough average) of every tax dollar “administering” these services, it would be kind of hard to expect that kind of care on the 14 cents left over.

  • cclive

    from EMATALA isn’t free. Its an unfunded mandate. The Government told hospitals they have to provide service to people who can not pay but the Government doesn’t reimbursement for their costs at all. Do you think that private hospitals should be forced to bear the financial burden?

  • http://hillbillypolitics.com Steph C

    We do because the costs are passed on to us, either in taxes or higher personal costs for health care.

    And my point was that people keep confusing health insurance and access to care and, based on that premise, we have to completely reorder the health care system in this country instead of fixing what is wrong… according to them… and that is just one big lie.

  • cclive

    and you think it is fair for a hospital in say El Paso, TX to have to charge its paying patients twice as much as paying patients in say Memphis, TN because El Paso has to deal with a large illegal population. As businesses, How is that fair to the hospitals?

  • http://hillbillypolitics.com Steph C

    that would make those costs not only permanent but more costly than ever?

    I don’t recall saying one time that I was okay with EMTALA. What I have said is that the supporters of the health care bill keep interchanging access with insurance which is. a. lie. and. the. whole. health care. debate. is. premised. on. that. lie.

    Is that clear enough for you?

    In addition you completely ignored the part where there are clinics… which happened to be government funded although I didn’t initially mention that… that do things of a preventive nature plus acute care.

    So tell me again why we need a complete reordering of our health care system rather than fixing the parts that are broke and will stay broke forever with the new health care bill?

  • http://hillbillypolitics.com Steph C

    sorry about that. It wasn’t supposed to be bolded all the way through.

  • mom2oneson

    “There are also clinics that are free or fee based on income which some people get care at them free as well. So, between those and hospitals not being allowed to turn people away they?re covered.”

    They aren’t always covered.
    Some areas have a lot more indigent care than others.
    Emergency rooms only have to provide stabilization.

    Some lower cost or not made to pay upfront clinics have specialist (areas where there are medical schools) but many do not. Those that do not are great for an easily treated infection but not for chronic conditions. Many family practice physicians will not treat conditions a specialist should be treating. Some physician groups associated with not for profit hospitals do offer an indigent care program but not everyone knows about it or gets approved for it. They are only mandated to offer a percent too it’s not a program where everyone that is under the income guidelines will be part of the program.

    The exception here is pregnancy, if a patient is pregnant with a chronic condition, the system seems to do a good job of getting doors open for her.

    There is a real issue for the indigent with chronic diseases that need care. In areas where there is a medical or osteopathic school the care is much more accessible IMHO.

  • cclive

    “No one in this country goes without needed healthcare unless it is by choice.” And then use EMTALA as one of the main reasons why that is. It didn’t seem like you thought it was unfair to businesses. So do you think EMTALA should be repealed?

    And free clinics are not government run or funded, maybe a little but not much, they are mostly non-profits, or teaching clinics relying on volunteers to donate their time.

  • http://hillbillypolitics.com Steph C

    but the same people who have problems with accessibility now will have those same problems with or without the health care bill. The bill won’t fix any of that.

  • http://hillbillypolitics.com Steph C

    Any time the government interferes in anything it becomes one big mess.

  • cclive

    I think EMTALA should be repealed as well. I think it is incredibly unfair. But the problem then becomes how to you make sure people aren’t refused health care when they need it.

  • http://hillbillypolitics.com Steph C

    without a government takeover.

    The Republicans have a plan… it might be hard to know that since the MSM don’t seem to want to admit it… that might go a long way to fixing a lot of broke things like that.

    The problem is, the Rep plan means less government rather than more and Democrats just don’t care for that idea.

  • cclive

    not a Palin fan at least she tried to get Tort Reform talk rolling. But what do you think should be fixed first. Repeal EMTALA first but then do what to make sure people who need emergency care don’t get turned away?

  • http://hillbillypolitics.com Steph C

    You keep asking questions but never answer any.

  • cclive

    to try and level the playing field for hospitals, they shouldn’t be forced to provide services to people who can’t pay only to pass that cost onto its paying patients. How are they to compete in that environment?

    Coburn’s Patient’s Choice Act has provisions for removing caps on HSA contributions for the self employed and small businesses. He also proposes the creation of State Health Insurance Exchanges to make it easier for the pubic to compare policies and find the affordable options.

    These don’t necessarily guarantee care though but might be a start. Any ideas?

  • http://hillbillypolitics.com Steph C

    It’s the things that are said to make the grain more than it is in reality that is the lie.

    First, do no harm. If simple questions are not addressed directly, then know the truth is but a grain and the rest is a lie. And that’s what I see happening across all the town halls. Simple question go unanswered and a lot of sleight of hand; one second something isn’t in the health bill and the next the bill hasn’t been written yet.

    The literal words “rationing” and “death panels” are not used in the bill but the language used leads one to that conclusion because the definitions of those words are used. In fact, nothing in the bill deals with the real problems in the health care industry, most of which are caused by government interference.

    So, the first thing I’d do is get the government out of it period. Some would say that’s harsh but I think of it as being cruel to be kind.

    Second, bring suit against those states who don’t allow the free flow of interstate commerce when it comes to certain commodities such as health insurance. For instance, there are only 5 or 6 allowed in the state of TN. IIRC there are some 1100 (?) insurance companies across the nation.

    Tort reform would go a long way to helping, too. Do you have any idea how much it cost physicians to carry malpractice insurance? Do you know who pays for that insurance through fees paid to those doctors?

    Until people lose the chains by which they are bound, they don’t understand what freedom is and the government in its present form is in the business of shortening those chains, not loosening them.

    I wish I had my list with me right now but it’s downstairs and I’m at the laptop but there’s a section in that health bill that mentions taking money from General Funds to pay for some of the initiatives. That’s a sleight of hand in that when taxes rise it won’t be because of the health care bill but something else being underfunded and the truth of those funds being syphoned off into health care will be hidden while they tout its success.

    They used the same tactic with Social Security when it was added to General Funds and then used as a free for all. They reduced the deficit using those funds which weren’t really theirs but it gave them a good campaign claim didn’t it? The effects of that theft sounded the death nell for S.S. even sooner than it would have been otherwise although it still would eventually have gone broke.

    And now they’re printing money as if it will hold its value no matter how much they print.

    Earlier you said that it’s not entirely true that when the government gets involved it’s always a mess. Name one successful interference they’ve run. Just one, because I can’t think of one.

  • cclive

    to put it mildly. I don’t support the bill at all but I do think reform is needed starting with EMTALA. When you say get the government out of it, I assume health care, do you mean all health care like Medicare and Medicaid too?

    The Government does have some successes, National Defense (Military).

  • http://hillbillypolitics.com Steph C

    having any direct answers of your own.

    However, it’s fairly clear that you want the government to do whatever the government will do. If the health care bill is passed it will end EMTALA because it will become moot. That’s the only thing you have to say about anything as if you don’t have an independent thought in your head. You’re either waiting for someone else to tell you what to think or are waiting for somebody to say something you can attack.

    National Defense? Carter, Clinton, and now Obama have done all they can to make the military hated. That’s success? Our military is not being cared for or about in a way that makes them more effective. That’s success? I would say the military is successful in spite of the government.

  • cclive

    don’t know anything about EMTALA, they have a generalized idea that people get defacto health care from it but don’t know nor care about the mechanism by which it achieves this. They just accept it and dare not challenge it, like yourself. You say you want to start fixing things but don’t even start there.

    And as for your comments on the Military well they speak volumes. I however think our Military is the greatest ever and it is Government funded and operated, the Commander-in-Chief is the President after all. You asked for an example I gave you one.

    Now this doesn’t mean the Government can do everything or anything that well, it just means that Government has its strengths sometimes. Is health care one of those? Imho no. I think private industry can do it better. Should Government use some carrots and sticks to get private industry to function better in providing health care? Thats the debate and thats all I was trying to discuss is some ideas but you don’t seem to want to try, No problem. Take care.

  • OccamsRazor

    Started commenting on 03/12/09, and went out on the issue of Healthcare. Wow. The left is definitely frightened.

    Maybe they are simply downright embarrassed because they have majority status with regards to the Aristocracy, but the REAL majority is speaking out across the country, taking them to task, and winning.

    The left puts their trust in others, the right trust themselves.

  • DONTREADONME

    yeah, we got the greatest, but do not think for a second that the bureaucracy hasn’t creeped into the DoD and the Armed Services. We are talking about timelines that are 1.5-5x longer then they need to be and 1.75-10x more $$$ to get things researched, developed and acquired… not to mention fielding. I just wanted to point that out. BTW, with all of those limitations, we have the best military is saying something about the people not the equipment we can get them for the future and the health care we can get them for the damaged. go to war with what you got because the back-echelon are all FUBAR… Why? Politics, power and people developing more bureacracy to secure their job. Do not think for a minute that half the health care problem can be fixed by Government regulations or policy. Just my thought.

  • http://hillbillypolitics.com Steph C

    All you wanted was a toenail hold to get all offended. It’s unfortunate for you that you don’t read very well.