I'm starting to wonder if the White House is behaving the way the Obama campaign behaved when trouble brewed: Let the freaks scream and shout, then build a reasoned response on a strategic, if seemingly delayed, schedule. I definitely think the threat to drop the public option was a tactic to get those of us who support reform to start shouting back.
Minnesota has a co-op health insurance which supposedly is pretty decent. My sister has it and is very happy with it. It is called Healthpartners.
But does a co-op really cover the uninsured? Is it going to reduce costs? I didn't like the prior plan because it didn't cover the uninsured. I think we will need health insurance reform where there is a safety net for those who cannot afford it; finding a way to not dink someone because of pre-existing conditions; and finding a way to encourage more competition to drive prices down.
@momof3wildkids: I didn't like the prior plan because it didn't cover the uninsured. I think we will need health insurance reform where there is a safety net for those who cannot afford it; finding a way to not dink someone because of pre-existing conditions; and finding a way to encourage more competition to drive prices down.
In other words, you think we will need the prior plan (assuming, by "prior plan", you mean the current plans put forth by the various House committees).
@atlasfugged: Um, yeah. I believe all current versions of the bill in the House do cover the uninsured, including those with pre-existing conditions. That's kind of their whole point, in fact.
@atlasfugged: Unfortunately no. I think they need to start from scratch. Co-ops or or public options plans both stink, in my opinion. Neither cover everyone.
We need health care reform that will really work. In order to do that, it must mandate coverage for all and provide financial assistance to those who cannot afford it; mandate that insurance companies cannot dink you for pre-existing conditions; increase the number of primary care providers or we won't ever be able to see a doctor; and tort reform.
To me, a bill with all these qualities would make a lot of sense.
@Unsolicited Advice: How are credit unions a joke? Yeah, better loans, better rate on deposits, and the fact that they havent defaulted on my savings = joke.
Credit unions have always been niche organizations because of their high standards for borrowers and limited lending capacity. Their razor-thin margins and low overall revenues mean they typically have serious disadvantages in terms of ability to invest in technical infrastructure, making them less competitive for online banking customers and especially people who do large-scale, document-intensive transactions like home purchases.
Translate those weaknesses to health care. Stringent entrance requirements go out the window, because we're making these as inclusive as possible for the uninsured. Worse, since the high-quality customers who act as net contributors are likely to be happy with their employer-provided policies, they'll have no reason to become part of the co-op. You can't create a co-op strictly out of those that have expensive care requirements! The other potential risks in terms of form modernization and technical infrastructure are also troublesome.
@Unsolicited Advice: First off, the credit unions I bank with all allow me to check bills online, etc. I never have problems finding an ATM nearby that doesn't charge fees. Its a heck of a lot easier to get a loan with the credit union vs Wells Fargo. They even help you prepare the documents.
You can't translate the weaknesses to health care because its insurance, you go to a hospital just like anyone else for care. Technical things like patient records? Its covered by HIPPA. Patient care is governed too. This is insurance, not hospitals, the level of care is the same weather you have government healthcare or Blue Cross. If insurance companies have a competitor and its a lower price then the market would follow. Are you familiar with insurance companies deciding about what's "billable?" If you break your leg insurance is going to pay for it. You might not get a teddy bear in your room because its not "billable" but who the fuck cares? Right now we have tons of people going to hospitals who don't have insurance. The hospitals CANNOT turn them away. Who gets fucked in the end? The hospital. Yeah, lowering the bar for health insurance so that most have the option of getting it V.S. hospitals going bankrupt. Some people have to be ineligible for coverage, that's just going to be a fact. Those people will private pay. In terms of hospitals going under vs health care reform, I choose health care reform any day.
I agree with you about reform, generally. I want fucking single payer! So here's where your argument falls apart, in my view:
"Some people have to be ineligible for coverage, that's just going to be a fact. Those people will private pay."
Co-ops are seen as a replacement for a public option for people who can't pay. So, uh, the ability or willingness of people excluded from these co-ops to pay seems questionable at best.
@Unsolicited Advice: People get dropped from insurance for a lot of reasons. I was dropped recently because I hadn't seen my GP in 8 months (yeah, I wasn't sick so I got dropped?) I had to file an appeal. I was dropped from my Mom's when I wasn't a student any more. In both cases I got insurance again. Some people get dropped because they have things like cancer. They aren't going to be able to get insurance.
Take your low-income family from middle America. They get sick once a year and then default on the payments and the hospital is screwed. If they paid in to insurance with collective bargaining and all the benefits, at least they would be paying some thing. You can't operate the insurance company at below profit can you? They are going to have to pay enough for the co-op insurance to be viable. Any way you have it, its better than them not paying at all.
I hope that when we look back on this month the town hall shoutdowns and the Death Panels scare will prove to be among the best things that ever happened to the pro-health insurance reform side. The former showed the loudest opposition to be uninformed, Brown-shirted Astroturfers. The latter showed Grassley, Palin and others who promoted the myth to be fear-mongering liars. And it all gave the majorities leave to ignore the opposition's more reasonable concerns and get the job done.
I hope.
Health care will never pass the ideal single-payer system because, at its heart, the insurance industry is about mathematics trumping anecdotes. It's about risk management and careful cost analysis serving the social function of bottom-lining the chronically infirm to the graveyard. That's the kind of ethical conversation that makes America's eyes glaze over in favor of rage, rage, rage.
I wonder what the people who are against health care reform think about programs like social security and medicare. If Obama took those programs away would they complain? It seems to me like they would. Is it really an ideological complaint protesters have, or is it purely hype? It seems to me like its not ideological, I doubt Pat Buchanan doesn't cash his social security checks.
Aren't the protesters mostly religious right Christians? Protestants? Correct me if I'm wrong, but didn't Martin Luther advocate for the poor and disenfranchised? Jesus didn't charge $ to cure the blind and those infected with leprosy.
How exactly did the Republican party convince poor 'mericans to vote for programs that are the exact opposite of what would help them?
I would love to take all of my social security and medicare taxes and put them directly in my bank account. Yes, please. I have a proven fiscal record and the US doesn't. In 60 years, I'm infinitely more likely to have retirement and health care if I manage those funds. End of debate! Of course, that isn't the actual argument - it's about whether or not we can accomplish something greater than individuals would by aggregating funds and handing them to our leaders. Opinions tend to, um, differ.
@Botswana Meat Commission FC: Yeah, whatever happened to the idea of the "loyal opposition"?
Sen. Jim DeMint, R-S.C., said: "If we're able to stop Obama on this, it will be his Waterloo. It will break him."
@Unsolicited Advice: You're right its not the debate. What's the complaint with having an optional health insurance plan or co-op? I might be wrong, but I read that its an either/or situation. If you have health insurance you don't pay in to it. If you don't, you do, and you get health insurance. Co-ops manage your money, electricity and other services. Its not like anyone is forcing it upon anyone. You can bank at a credit union or at BofA. Why the opposition if its optional?
@bens: I wish this were Star Trek and there was an alternate universe where they have the government they want. I would love to see how that works out for them.
Hmmmmm ..... and an alternate universe where I get the government I want. And world peace. And ice cream for dinner.
No, it wouldn't, because the FDIC doesn't insure brokerage accounts. The SPCI does, and they have no assets. Besides, I could buy hard assets that have no real relationship to fiat currency beyond their pricing denomination on the market.
It's important to remember that very few countries with universal health care have socialized health care. Furthermore, very few of those same countries with universal health care switched to that level of coverage all at once, they grew into it over time. So, while the so-called "public option" is important, it's not the most important element. The most important facet is to expand coverage and make that coverage more affordable. Anything that gets the ball rolling in the direction of universal coverage is a very important initial step. These things have a way of gathering their own momentum, and right now we have no momentum at all. I don't think I really expected that I'd be able to cancel the insurance I have right now for a government program during this President's term, but I do hope that my children will have that option when it becomes a concern for them.
"Most members of Congress will not change their votes based on what crazy people shouted at them in town halls."
they certainly didn't back in 02 when Iraq was being "debated". even though there were millions of us crazies across the world trying to stop it
seriously, why do you all have such a hard on for this public option stuff? I got x ed off of jezebel just for suggesting that maybe our governemnt isn't the best entity to run our hospitals.
@lesterhalfjr: You probably got kicked off because you stupidly don't know that there's no way that a Government will EVER RUN AN INDIVIDUAL HOSPITAL. That's NOT ANYTHING THAT HAPPENS ANYWHERE.
@lesterhalfjr: I would x you off of here for demonstrating a complete lack of ability to understand what "public option" means, if that is what you think it means...?
@Lulupasternak:
Whoa there. Best check yer facts!
VA hospitals routinely get better ratings for patient care than other hospitals do (depsite a few sensationalist stories about Walter Reed).
@lesterhalfjr: The government does not run hospitals under a public option. People on Medicare don't go to government-run hospitals; the government just pays for the health care they receive at those non-government-run hospitals. Same under a public option.
I have a "hard on" for this public option because it would inject some much needed competition into a largely monopolized market, which would increase access to health care for the uninsured and decrease health-care related bankruptcies among the insured.
Wouldn't it be nice if the government could just ignore the naysayers and push it through? But then I guess it wouldn't be called a democracy. Saying that, why was it that the US went ahead and did that with a stupid unplanned war? Sigh. Politics is hard!
@AgadorSpartacus: I wouldn't wany my government to ignore the naysayers and push it through, but I would like it if the strong Democratic majorities in both the House and Senate, which were elected along with a president who ran on the promise of expanding health care, could man up and push this through. That's what I do call Democracy. They ain't getting (m)any GOP votes and should make only the minimal accommodations to get past threats of a Senate filibuster.
@naugahydeinplainsight: Yeah, what you said! Thanks for making it sound more intelligent. I just get fed up with how massive this country is sometimes and how divisive certain issues are. Healthcare reform shouldn't be so totally skewed by political agenda, but then I guess a lot of things shouldn't be and still are.
naugahydeinplainsight promoted this comment
Edited by naugahydeinplainsight at 08/18/09 5:34 PM
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@AgadorSpartacus: It's especially hard when you think about the Senate giving equal clout to, say, New York and Wyoming, but that's the system. Like Churchill said: "It has been said that democracy is the worst form of government except all the others that have been tried."
@AgadorSpartacus: I've been wondering why the Obama administration didn't try to plow this through during the Swine Flu scare. It seemed like a big health-related panic would be a perfect time to capitalize on public fear and paranoia and sway the masses to believe in reform, similar to the way we got into that unplanned war. But then I remembered Barry don't play like that. While it could have been politically expedient, he actually ran things like we do live in a democracy.
But then again, some expediency would be nice. Not by using fear, but by using the majority we voted for, like naughahydeinplainsight says.
The whole co-op thing was ridiculous. I saw that North Dakota Bozo Conrad on CNN this morning. The guy couldn't even pretend that co-ops are a solution to anything.
Dick Morris has an interesting take on the whole thing. He says that this bill is designed solely to take health care away from the elderly and give it to illegal immigrants. I'll bet he doesn't clean his own gutters, though.
08/18/09
08/18/09
But does a co-op really cover the uninsured? Is it going to reduce costs? I didn't like the prior plan because it didn't cover the uninsured. I think we will need health insurance reform where there is a safety net for those who cannot afford it; finding a way to not dink someone because of pre-existing conditions; and finding a way to encourage more competition to drive prices down.
08/18/09
In other words, you think we will need the prior plan (assuming, by "prior plan", you mean the current plans put forth by the various House committees).
08/18/09
08/19/09
We need health care reform that will really work. In order to do that, it must mandate coverage for all and provide financial assistance to those who cannot afford it; mandate that insurance companies cannot dink you for pre-existing conditions; increase the number of primary care providers or we won't ever be able to see a doctor; and tort reform.
To me, a bill with all these qualities would make a lot of sense.
08/18/09
[blip.tv]
08/18/09
08/18/09
08/18/09
08/18/09
I've hearted every credit union, I've ever joined.
Power co-ops on the other hand, well that's been a mixed bag based on member participation.
08/18/09
Credit unions have always been niche organizations because of their high standards for borrowers and limited lending capacity. Their razor-thin margins and low overall revenues mean they typically have serious disadvantages in terms of ability to invest in technical infrastructure, making them less competitive for online banking customers and especially people who do large-scale, document-intensive transactions like home purchases.
Translate those weaknesses to health care. Stringent entrance requirements go out the window, because we're making these as inclusive as possible for the uninsured. Worse, since the high-quality customers who act as net contributors are likely to be happy with their employer-provided policies, they'll have no reason to become part of the co-op. You can't create a co-op strictly out of those that have expensive care requirements! The other potential risks in terms of form modernization and technical infrastructure are also troublesome.
08/18/09
You can't translate the weaknesses to health care because its insurance, you go to a hospital just like anyone else for care. Technical things like patient records? Its covered by HIPPA. Patient care is governed too. This is insurance, not hospitals, the level of care is the same weather you have government healthcare or Blue Cross. If insurance companies have a competitor and its a lower price then the market would follow. Are you familiar with insurance companies deciding about what's "billable?" If you break your leg insurance is going to pay for it. You might not get a teddy bear in your room because its not "billable" but who the fuck cares? Right now we have tons of people going to hospitals who don't have insurance. The hospitals CANNOT turn them away. Who gets fucked in the end? The hospital. Yeah, lowering the bar for health insurance so that most have the option of getting it V.S. hospitals going bankrupt. Some people have to be ineligible for coverage, that's just going to be a fact. Those people will private pay. In terms of hospitals going under vs health care reform, I choose health care reform any day.
08/18/09
I agree with you about reform, generally. I want fucking single payer! So here's where your argument falls apart, in my view:
"Some people have to be ineligible for coverage, that's just going to be a fact. Those people will private pay."
Co-ops are seen as a replacement for a public option for people who can't pay. So, uh, the ability or willingness of people excluded from these co-ops to pay seems questionable at best.
08/18/09
Take your low-income family from middle America. They get sick once a year and then default on the payments and the hospital is screwed. If they paid in to insurance with collective bargaining and all the benefits, at least they would be paying some thing. You can't operate the insurance company at below profit can you? They are going to have to pay enough for the co-op insurance to be viable. Any way you have it, its better than them not paying at all.
08/18/09
I hope.
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
Aren't the protesters mostly religious right Christians? Protestants? Correct me if I'm wrong, but didn't Martin Luther advocate for the poor and disenfranchised? Jesus didn't charge $ to cure the blind and those infected with leprosy.
How exactly did the Republican party convince poor 'mericans to vote for programs that are the exact opposite of what would help them?
08/18/09
Their motivations are simple. They simply don't want the Kenyan Muslim to go down in history as the man who Got Shit Accomplished.
They've been burned by this before. My local bar in the heart of ATL still has FDR's portrait on the wall.
08/18/09
I would love to take all of my social security and medicare taxes and put them directly in my bank account. Yes, please. I have a proven fiscal record and the US doesn't. In 60 years, I'm infinitely more likely to have retirement and health care if I manage those funds. End of debate! Of course, that isn't the actual argument - it's about whether or not we can accomplish something greater than individuals would by aggregating funds and handing them to our leaders. Opinions tend to, um, differ.
08/18/09
Sen. Jim DeMint, R-S.C., said: "If we're able to stop Obama on this, it will be his Waterloo. It will break him."
08/18/09
08/18/09
08/18/09
Hmmmmm ..... and an alternate universe where I get the government I want. And world peace. And ice cream for dinner.
08/18/09
No, it wouldn't, because the FDIC doesn't insure brokerage accounts. The SPCI does, and they have no assets. Besides, I could buy hard assets that have no real relationship to fiat currency beyond their pricing denomination on the market.
(Don't be cheeky.)
08/18/09
08/18/09
they certainly didn't back in 02 when Iraq was being "debated". even though there were millions of us crazies across the world trying to stop it
seriously, why do you all have such a hard on for this public option stuff? I got x ed off of jezebel just for suggesting that maybe our governemnt isn't the best entity to run our hospitals.
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
Whoa there. Best check yer facts!
VA hospitals routinely get better ratings for patient care than other hospitals do (depsite a few sensationalist stories about Walter Reed).
08/18/09
I have a "hard on" for this public option because it would inject some much needed competition into a largely monopolized market, which would increase access to health care for the uninsured and decrease health-care related bankruptcies among the insured.
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
08/18/09
But then again, some expediency would be nice. Not by using fear, but by using the majority we voted for, like naughahydeinplainsight says.
08/18/09
08/18/09
08/18/09
sigh. what crap options.
08/18/09
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08/18/09
06/23/09
oh, wait