Friday, August 28, 2009

Who Is Funding Health Care Opposition?

More than three out of every four Americans feel it is important to have a "choice" between a government-run health care insurance option and private coverage, according to a public opinion poll released last week.

The poll by SurveyUSA puts support for a public option at a robust 77 percent, one percentage point higher than where it stood in June.

In asking its question SurveyUSA used the same exact words that NBC/Wall Street Journal had used when conducting its June 2009 survey. That one that found 76 percent approval for the public option

AARP: 8 Myths About Health Care Reform

And why we can't afford to believe them anymore [AARP Magazine]

Americans spend more on health care every year than we do educating our children, building roads, even feeding ourselves—an estimated $2.6 trillion in 2009, or around $8,300 per person. Forty-five million Americans have no health insurance whatsoever. These staggering figures are at the heart of the current debate over health care reform: the need to control costs while providing coverage for all. As John Lumpkin, M.D., M.P.H., director of the Health Care Group for the Robert Wood Johnson Foundation, says, "There is enough evidence that it is now time to do something and to do the right thing." The key is to focus on the facts—and to dispel, once and for all, the myths that block our progress.

The 8 Myths:

Myth 1: "Health reform won't benefit people like me, who have insurance." Just because you have health insurance today doesn't mean you'll have it tomorrow.

Myth 2: "The boomers will bankrupt Medicare." If you're looking to blame the rise in health care costs on an aging population, you'll have to look elsewhere. Our fee-for-service payment system, in which doctors are paid by how many treatments they prescribe, rather than by the quality of care they provide. Some experts say this fee-for-service payment system encourages unnecessary and wasteful over treatment.

Myth 3: "Reforming our health care system will cost us more." Think of health care reform as if it's an Energy Star appliance. Yes, it costs money to replace your old energy-guzzling refrigerator with a new one, but over time the cost savings can be substantial.

Myth 4: "My access to quality health care will decline." Just because you have access to lots of doctors who prescribe lots of treatments doesn't mean you're getting good care. In fact, researchers at Dartmouth College have found that patients who receive more care actually fare worse than those who receive less care.

Myth 5: "I won't be able to visit my favorite doctor." Mention health reform and immediately people worry that they will have fewer options—in doctors, treatments, and diagnostic testing. The concern comes largely during discussions of comparative effectiveness research (CER): research on which treatments work and which don't. But 18 organizations in a broad coalition, including AARP, NFIB, Consumers Union, and Families USA, support CER—and believe that far from limiting choices, it will instead prevent errors and give physicians the information they need to practice better medicine.

Myth 6: "The uninsured actually do have access to good care—in the emergency room." It's true that the United States has an open-door policy for those who seek emergency care, but emergency room care doesn't help you get the right information to prevent a condition or give you help managing it. Plus, hospitals have no way to recoup the costs of treating the uninsured, so they naturally pass on some of those costs to their insured patients.

Myth 7: "We can't afford to tackle this problem now." We may be in the middle of a recession, but as Robert Zirkelbach, spokesperson for America's Health Insurance Plans, says, "the most expensive thing we can do is nothing at all." If we do nothing, the Congressional Budget Office projects that our annual health costs will soar to about $13,000 per person in 2017, while the number of uninsured will climb.

Myth 8: "We'll end up with socialized medicine." Some experts favor a single-payer system similar to Medicare or the health program offered to federal-government employees. Yet all the proposals being discussed today would build on our current system, Feder says—which means that private insurers and the government are both likely to play roles. Says Lumpkin: "There are many ways to solve our health care problem, but we will come up with a uniquely American solution, and that solution will be a mixed public and private solution."

Related Links:

Thursday, August 27, 2009

Republican Party Chairman Michael Steele: Protect Medicare By Privatizing It

Updated Friday, August 28, 2009 @ 10:43AM

NPR [7 min 42 sec]
Republican Party Chairman Michael Steele opposes government-run health care insurance programs, as do most members of his party. In an exchange with National Public Radio's Steve Inskeep, Steele grew upset (4:45 into the audio clip) when Inskeep questioned the apparent contradiction in his arguments -- Steele argues both that the government shouldn't run public health insurance programs and that the Medicare public health insurance program must be protected. (That is, the part of Medicare already privatized by Republican controlled congresses over the past decade.)

Steele is attempting to argue that there is nothing contradictory about protecting Medicare by stopping the president from making Medicare operate more efficiently while also insisting that the government-run Medicare program is a failure and calling for it to be privatized.

At the beginning of this week RNC Chairman Michael Steele wrote an op-ed for the Washington Post, declaring the Republican Party to be the new protectors of the government run Medicare public health insurance program. He also this week appeared on Fox News and said:
... that Medicare is "a very good example of what we should not have happen with all of our health care." Asked to respond to Rep. Anthony Weiner’s (D-NY) argument that "if you like Medicare and you don’t want to make any cuts to it, then you’re basically defending a single payer system," Steele attacked Medicare implying that the government run Medicare public health insurance program should be privatized into the private health insurance industry:
I mean the reality of it is that, you know, this single payer program known as Medicare is a very good example of what we should not have happen with all of our health care.

... Government cannot run a health care system. They’ve already shown that. Trust the private markets to do it the right way. If there are reforms to be put in place, let’s deal specifically with those reforms.
The partial privatization of Medicare, that a Republican controlled Congress and the Bush Administration pushed on seniors as part of the 2003 Medicare Modernization Act, is costing U.S. taxpayers billions. It is the Privatized Medicare program (known as “Medicare Advantage” or “MA” plans) that Steele seeks to not only protect from reform, but also pushes to expand.

Under the "privatized" Medicare Advantage (MA) program, created by a Republican-led Congress in 2003 with the support of President Bush, the government buys private insurance coverage for Medicare patients in lieu of paying for health services directly. Republicans argue that by buying private insurance policies for seniors the government both saves money and delivers additional care to Medicare patients, including dental and eye services not covered under the traditional program. Those additional benefits, combined with a heavy dose of marketing, have made the program enormously popular. This year, a record-high 10.5 million seniors — or 23 percent of all Medicare beneficiaries — are enrolled in MA plans, according to a June report from the Medicare Payment Advisory Commission, or MedPAC, an independent panel that recommends Medicare reforms to Washington policymakers.
Despite Republican arguments that private Medicare plans operating under MA could eventually save money, the cost to treat the average patient in the MA program is 14 percent higher than the cost to treat the average senior under traditional Medicare.
A part of that additional cost, consists of funds used for MA plan administration overhead costs, marketing and profits and not direct health care services for beneficiaries. RNC Chair Steele, in his "protect Medicare argument," is actually arguing to protect this "privatized Medicare" program that subsidizes private health insurance industry profits, management bonuses, overhead and marketing.
The argument that private Medicare plans, subsidized by the government, are necessary to keep Medicare sustainable is belied by the fact that private plans cost taxpayers more than if the same coverage is provided under the standard public Medicare program where public money is not siphoned off into private profits, management bonuses, overhead and marketing.
Republican defenders of the privatized Medicare Advantage program on Capitol Hill have successfully thwarted most Democratic attempts in recent years reduce Medicare costs by reigning in the costs and abuses in the privatized Medicare Advantage program.
New York Times - Medicare Audits Show Problems in Private Plans : Tens of thousands of Medicare recipients have been victims of deceptive sales tactics, found they lack of coverage they thought their insurance policy provided and have had claims improperly denied by private insurers that run the huge new Medicare drug benefit program and offer other privatized Medicare Advantage program options, a review of scores of federal audits has found.
The Under the House health reform bill, which has already passed through the Energy and Commerce, Ways and Means, and Education and Labor committees — the three panels with jurisdiction over the issue — the privatized Medicare Advantage payments would be pulled back under public administration over several years in an attempt to eliminate the 14 percent cost overhead where public money is not siphoned off into private profits, management bonuses, overhead and marketing. The Congressional Budget Office estimates that the cuts will save taxpayers $156 billion over 10 years.

The White House has taken a different tack. As part of its 2010 budget proposal released in February, the Obama administration aimed to control MA costs by creating system that would require plans to bid competitively for regional contracts under MA. Those plans bidding higher than the regional average would nonetheless get paid only the regional average.
At an AARP-sponsored health reform forum last month, President Obama promoted his proposal saying, “We’ll eliminate billions in unwarranted subsidies to insurance companies in the Medicare Advantage program — giveaways that boost insurance company profits but don’t make you any healthier.”

President Obama's also commented at that AARP-hosted town hall that, "I got a letter the other day from a woman. She said, 'I don't want government-run health care. I don't want socialized medicine. And don't touch my Medicare.' I wanted to say, you know, that's what Medicare is: a government-run health care plan that people are very happy with."
The lady that wrote, "don't touch my Medicare" was likely referring to her Medicare Advantage paid private health insurance policy. Those opposed to health insurance reform have been telling seniors that Democrats will eliminate or drastically cut health care coverage for those seniors that have a Medicare Advantage paid private health insurance policy. This is the fear that GOP Chair Michael Steele is attempting to stoke in his rhetoric about "protecting Medicare."
If the Democrats are successful in their efforts to reform the privatized Medicare Advantage program, it could mark a set-back to the decades-old Republican push to fullly privatize Medicare. In October 1995, for example, then-House Speaker Newt Gingrich (R-Ga.) took the podium at a Blue Cross/Blue Shield conference in Washington and promoted a health reform strategy he knew would be music to his audience. Labeling Medicare “a centralized command bureaucracy,” Gingrich proposed to shift the popular program from “a government monopoly plan” to a fully privatized “free-market plan.” [Washington Independent]
RNC Chair Michael Steele has been advocating this week in his media blitz to protect the “free-market" privatized Medicare beachhead established in 2003 when the Republican congress and Bush White House worked together to enact the Medicare Modernization Act.
Related Links:

Nancy Reagan: Ted Kennedy Was A Close Family Friend

Nancy Reagan to Son Ron Reagan on AirAmerica radio: I’ll Miss Ted Kennedy. . . Senator Edward Kennedy had many friends on both sides of the political aisle, but what many people don’t realize is that he was closes friends was former President Reagan and First Lady Nancy Reagan. Mrs. Reagan spoke with her son Ron about the man behind the politician, her thoughts about the importance of bipartisan friendships and the melancholy fact that she will miss her good friend immensely.

AirAmerica radio [10 min 55 sec]
The full audio of the AirAmerica radio interview.

Wednesday, August 26, 2009

Sen. Kay Bailey Hutchison "Motivated Seller" Of Her DC Home!

Back on July 30 we posted a story headlined, "Sen. Hutchison Says Will Resign Senate Seat In Oct. Or Nov." A few hours after she clearly said she would resign on a local radio program [Radio Interview Transcript at Houston Chronicle ] she kind of retracted the statement.

Could be KBH's resignation really is as close at hand. Sen. Kay Bailey Hutchison (R-TX) is selling her 4,300-square-foot house in McLean, VA, at a bargan basement price for a quick sale, according to a Dallas Morning News story last week. The listing describes a "motivated seller" seeking "all offers."

Said a spokeswoman: "She's no longer going to be in the United States Senate. She's coming home to Texas. That's why it's for sale."

Senator Ted Kennedy Dies Of Brain Cancer At 77

Senator Ted Kennedy has died, losing his battle to brain cancer.

Sen. Ted Kennedy died shortly before midnight Tuesday at his home in Hyannis Port, Mass., at age 77.


The man known as the "liberal lion of the Senate" had fought a more than year-long battle with brain cancer, and according to his son had lived longer with the disease than his doctors expected him to.

Sen. Edward Moore Kennedy, the youngest Kennedy brother who was left to head the family's political dynasty after his brothers President John F. Kennedy and Sen. Robert F. Kennedy were assassinated.

Kennedy championed health care reform, working wages and equal rights in his storied career. In August, he was awarded the Presidential Medal of Freedom -- the nation's highest civilian honor -- by President Obama. His daughter, Kara Kennedy, accepted the award on his behalf.

Senator Kennedy finishing his powerful speech at the
2008 Democratic National Convention in Denver.


Senator Kennedy speaking at the
2004 Democratic National Convention.

Monday, August 24, 2009

Insurance Industry Pushing For "Private, For Profit" Mandate In Reform

Insurance Industry Is Pushing For Health Reform that requires people to purchase private health insurance, but without a "true" public health insurance option and insurance industry regulation.

Updated August 24, 2009 - The Los Angeles Times reports again today, just as it did in early June that the heath insurance industry so successfully lobbied the congressional committees responsible for crafting heath insurance legislation in the early stages of the drafts of that legislation that it is poised to reap a financial windfall.

The half-dozen leading overhaul proposals circulating in Congress would require all citizens to have health insurance, but the bills vary in the degree to which they would empower government to be an actual competitor and to regulate coverage type and costs.

Health insurance reform may turn turn out to be nothing more than a federal mandate for people to buy private health insurance, as auto drivers are now required to buy auto insurance, and the government will pay the private health premiums for the very poor - as the public option.
"It's a bonanza," said Robert Laszewski, a health insurance executive for 20 years who now tracks reform legislation as president of the consulting firm Health Policy and Strategy Associates Inc.

Some insurance company leaders continue to profess concern about the unpredictable course of President Obama's massive healthcare initiative, and they vigorously oppose elements of his agenda. But Laszewski said the industry's reaction to early negotiations boiled down to a single word: "Hallelujah!" . . .Read the full story in the LATimes.
Updated August 18, 2009 - from NYtimes OpEd Columnist Bob Herbert -
The hope of a government-run insurance option is all but gone. So there will be no effective alternative for consumers in the market for health coverage, which means no competitive pressure for private insurers to rein in premiums and other charges. (Forget about the nonprofit cooperatives. That’s like sending peewee footballers up against the Super Bowl champs.)

Insurance companies are delighted with the way “reform” is unfolding. Think of it: The government is planning to require most uninsured Americans to buy health coverage. Millions of young and healthy individuals will be herded into the industry’s welcoming arms. This is the population the insurers drool over.

This additional business — a gold mine — will more than offset the cost of important new regulations that, among other things, will prevent insurers from denying coverage to applicants with pre-existing conditions or imposing lifetime limits on benefits. Poor people will either be funneled into Medicaid, which will have its eligibility ceiling raised, or will receive a government [tax credit] subsidy to help with the purchase of private insurance. --For full OpEd click here--
Original June 8, 2009 post continues:
The Los Angeles Times reports that private health insurance companies faces a bleak future if the proposal they champion most vigorously -- A federal mandate that everyone buy medical insurance coverage from private health insurance companies -- is not adopted. They are fighting hard for this federal mandate legislation which would be sweetened with taxpayer-funded subsidies for customers who can't afford it, and enforced with fines.

This so-called "individual mandate health care" program amounts to a huge booster shot for private "for profit" health insurers, which would serve up millions of new customers almost overnight. "I think that's why we've seen the industry basically trying to play the administration's game," said Jane DuBose, an analyst with industry tracking firm HealthLeaders-InterStudy. "They really could be licking their chops over the potential here."[LATimes]
Private insurers lost an estimated 9 million customers between 2000 and 2007. In many cases, people lost coverage because they or their employers could no longer afford it as premium increases outpaced wage growth and inflation.

According to the National Coalition on Healthcare, nearly 266,000 companies dropped their employees' health care coverage from 2000 to 2005 and for those employees that have not yet lost coverage the average employee health insurance premium is rising nearly eight times faster than income.

Yet, while the private insurance industry is hemorrhaging customers, profits at 10 of the country’s largest publicly traded health insurance companies rose 428 percent from 2000 to 2007. Clearly, there is a vicious cycle where an ever shrinking number of people are paying ever increasing monthly insurance premiums for less coverage. (more statistics)

The private insurance industry successfully scuttled the "single payer" approach to health care reform.

The private insurance industry is spending tens of millions dollars to lobby congress to also scuttle medicare-like government option plan complaining that such competition would cut into their near-monopolistic lock on the health care marketplace and significantly impact industry profits.

According to the Physicians for a National Health Program Organization - The U.S. spends twice as much as other industrialized nations on health care, $7,129 per capita. Yet our system performs poorly in comparison and still leaves 45.7 million without health coverage and millions more inadequately covered.
This is because private insurance bureaucracy and paperwork consume one-third (31 percent) of every health care dollar. Streamlining payment through a single nonprofit payer would save more than $350 billion per year, enough to provide comprehensive, high-quality coverage for all Americans.

Sunday, August 23, 2009

Public Option Health Care A "Core Ethical" Issue

Speaking in front of a group of religious leaders last Wednesday, President Barack Obama said the health care debate is a "core ethical" issue and should be treated as such. On "The Ron Reagan Show," Senator Bernie Sanders (I-VT) echoed Pres. Obama's words and went on to say that having a public option is a "necessity."

Ron Reagan and Senator Bernie Sanders on AirAmerica Radio:

Private Vs Public Health Insurance 'Myth'

By Stuart Carlson posted at carlsontoons.com
The Republicans and their right-wing money men are trying hard to make it look like the opposition to President Obama's health care reform is a spontaneous grassroots movement by ordinary Americans. The truth is that the "grassroots" movement is funded by a series of right-wing organizations, created and funded by rich conservatives. McClatchy News reports on just who these groups are:
CONSERVATIVES FOR PATIENTS' RIGHTS -- created and funded by health care entrepreneur Rick Scott, the co-founder of Solantic urgent care walk-in centers. These centers advertise themselves as the option for those without insurance (so he specializes in ripping off poor and working class folks). This is also the guy who had to resign as CEO of the Columbia/HCA hospitals when they were investigated by the federal government for fraud.

FREEDOMWORKS -- This is formerRep. Dick Armey, who used to be the majority leader for Republicans in the House of Representatives. No one is farther to the right than this guy. He's also the person who said there's nothing wrong with our economy except Americans being cowards. This group also contains Steve Forbes, billionaire and former presidential candidate, and Richard J. Stephenson, who founded Cancer Treatment Centers of America.

PATIENTS FIRST and PATIENTS UNITED -- Were both created and funded by the ultra right-wing group Americans for Prosperity (AFP). AFP was started by billionaire David Koch of Koch Industries. It's president is Tim Phillips, who used to be in business with Christian Coalition director Ralph Reed. AFP and FreedomWorks both funded and organized the "tea parties". They hope to organize 600 anti-health care rallies by Labor Day.

CLUB FOR GROWTH -- A right-wing anti-tax organization headed by former Indiana Republican congressman Chris Chocola. This group has just announced a $1.2 million anti-health care ad campaign in in North Dakota, Colorado, Arkansas and Nevada.

60 PLUS ASSOCIATION -- This group was originally started to abolish the estate tax. Its current spokesman is Pat Boone, former singer and current right-wing fundamentalist. Its current goal seems to be to scare the elderly. In just the last week, the group has spent $1.5 million in anti-health care ads.
These are the real opponents of health care reform in America.

Friday, August 21, 2009

ActBlue Fundraiser To Support Health Care Reform

A fundraiser launched Tuesday by progressive bloggers as part of an effort to support progressive members of Congress with the guts to stand up to Big Insurance, Big Pharma and to the pressure from their own party bosses has topped $100,000 from more than 1,500 donors in just 24 hours and counting.

By Friday morning the ActBlue fundraiser has taken in over $300,000 -- with over 5,200 contributors.

The effort is being driven by FireDogLake.com and backed by blogs across the country.