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Demonizing Dean Won’t Absolve This Health Care Sham
Dean deserves much better, and his concerns as a physician and a progressive politician are worthy of serious attention. As the former governor noted in a Washington Post Op-Ed article last week: "I have worked for health-care reform all my political life. In my home state of Vermont, we have accomplished universal health care for children younger than 18 and real insurance reform-which not only bans discrimination against preexisting conditions but also prevents insurers from charging outrageous sums for policies as a way of keeping out high-risk people. I know health reform when I see it, and there isn't much left in the Senate bill. I reluctantly conclude that, as it stands, this bill would do more harm than good to the future of America."
The devil is in the details, and the devil's scribe here is Joe Lieberman-and, by extension, the insurance companies he so faithfully represents. Lieberman was responsible for striking a public option and Medicare buy-in from the Senate legislation that now includes no effective restraints on the power of the big insurers that have created our health care monstrosity. The insurance companies know they have won big, as reflected in the dramatic increase in their stock valuations in recent weeks as the Senate bill came to exclude all forms of the public option.
The likelihood that even the anemic public option will not appear in the final bill was made clear Tuesday when President Barack Obama dismissed the option provision, which the House bill still includes, as nothing more than "a source of ideological contention between the left and right," adding in an interview with The Washington Post, "I didn't campaign on the public option." True, but he did campaign against Hillary Clinton's plan to mandate insurance coverage as the Senate bill does. As Obama put it in Wisconsin in February 2008: "I believe the reason people don't have health care isn't because no one's forced them to buy it. It's because no one's made it affordable."
The biggest problem is that the legislation passed by the Senate forces Americans, under penalty of law, to make a decision about an expenditure of their own funds that they may not feel is in their interest. The carrot of a publicly financed option has been eliminated, and thus tens of millions of Americans are left with the stick of an expensive insurance obligation that they may not be able to afford. In criticizing the Massachusetts law, which is close to the Senate bill in conception, Obama said on a campaign stop in Cleveland in February 2008, "We still don't know how Sen. Clinton intends to enforce a mandate, and if we don't know the level of subsidies that she's going to provide, then you can have a situation, which we are seeing right now in the state of Massachusetts, where people are being fined for not having purchased health care but choose to accept the fine because they still can't afford it [insurance], even with subsidies."
That's what concerns Dean about the Senate bill: "The bill was supposed to give Americans choices about what kind of system they wanted to enroll in," he said. "Instead, it fines Americans if they do not sign up with an insurance company, which may take up to 30 percent of your premium dollars and spend it on CEO salaries."
Hopefully, if the bill is passed, Dean will be proved wrong and I respect the man enough to expect that he would welcome a positive outcome. But I fear that the opposite will occur, with the cause of health reform given a bum rap as costs increase, the public feels ripped off and Obama is held responsible for the health care mess he insists he can correct without getting to the heart of the problem: providing a publicly accountable alternative to the proven greed of medical industry corporations.
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30 Comments so far
Show AllI think the conference should exclude all the GOP, and have the Dems come up with their own compromise without the poison pills the GOP kept adding, and the Dems kept accepting hopeing for a GOP vote.
they are not getting a single GOP vote anyways, so why give the GOP a voice what they will reject out of hand anyways?
The GOP succeeded with the same strategy when they loaded 40% of the stimulus package with tax cuts (that won't stimulate the economy) earlier this year, and no Republican subsequently voted for it.
Don't expect health care to be the last example of this strategy, Obama and the Democrats in Congress figure its a good way to get bribes while blaming the GOP for regressive legislation.
The 2010 elections will confirm how well this strategy is working for the Democrats.
The DNC has been scapegoating Ralph Nader for their failures during the past decade. Now they can also scapegoat Dean.
Insurance Mandate for Individuals:
It seems that the Senate has privatized the tax system so our taxes go directly to the insurance companies.
By this fact, then can we privatize Medicare in the future and have payroll taxes go directly to insurance companies?
http://www.wilypython.net/Insurance%20Mandate%20for%20Individuals.asp
"It seems that the Senate has privatized the tax system so our taxes go directly to the insurance companies."
You must give our friends in zee health insurance politbureau your money, or zee government will send its goons after you.
Welcome back, 1255. You're just in time for our crusades.
Send the Senate Raj, House Squeaker and Unka Opharma a Dear John letter, Instead!
Send me to jail for I WILL NOT BE FORCED TO PAY FOR SOME FAT-CAT INSURANCE COMPANY CEO's TO VACATION IN TAHITI!
I've "opted-out" of the system for ten years now. I've not paid taxes, I now get $200 a month food money (and to all you tea-baggers, I'm just reclaiming my my tax money (that you all HATE paying) that I have paid over many years).
I will not buy insurance - and guess what? State prison IS a workable option as a retirement plan at this time.
Bernie,franken,boxer,feingold are just some of the ones who I thought would fight this piece of shit.Feingold even talked against it and still voted for it.None need to come back and 6 months down the road and saying sorry is bullshit.Tony
" "I didn't campaign on the public option." True, "
True? This is flatly wrong. He DID campaign on the public option - Robert please correct this...
http://news.firedoglake.com/2009/12/22/obama-i-didnt-campaign-on-public-option/
http://thinkprogress.org/2009/12/22/obama-repeatedly-touted-public/
Why do people who should know better keep repeating this? It wasn't just something that was said in passing. It was listed in his campaign platform as one of the things that would be delivered if he was successful in being elected. It's in writing. It's on film. War is peace.
For a more detailed critique of the devastation already underway (e.g. premium increases for Medicare Advantage plans right now) see Mary Lynn Cramer's writing, "The Medicare Murder Mystery," at CounterPunch.org on Dec. 21.
Howard Dean is absolutely right: kill this swill of a bill.
Unfortunately, so are the Republicans in this case, even if for their own tactical reasons.
One aspect of the failures here is the abdication of traditional journalism in "covering" health care reform, although in large part this is due to both its complexity and the secretiveness of the machinations (why bother reading a 700-page document to report on what's in it if next week it's gonna be a different creature anyway?).
A fatalism sets in: we can only wait and see what the outcome will be. Now that you've sliced off my right arm, could I please have a tourniquet? And while you're at it, could you please burn down the Reichstag...
-30-
Even the public option that Dean supported was fatally flawed because it was not open and would never have a pool big enough to compete. Even if it did compete I estimate that most of the savings would be accomplished by simplifying billing on the provider side--which only Single Payer can do. Further Dean often misrepresented what the Public Option actually was, calling it strong or robust when it never was or would be. So Dean who was caught in the middle-- gets squeezed by the ones he challenges--too bad. But if the Democratic Party regulars and the Obama administration hate Dean so much can you imagine what they think of single payer advocates? There's no turning them around. Single Payer should be the basis of a third party movement. People who will not vote Democratic again no matter what. Are we there yet?
I'm there.
I can't support the last statement.
I want folk in Dennis Kucinich's district to vote Democrat by voting for him.
It's time for Dennis to realize that the Party can't be reformed---even from the inside. It's a lost cause. Let him lead the third party.
Proletarians of the keyboards! What are you discussing here? The future of the Black Hole once called the US of A? You better ask Britts or Russians how does it feel to be former Superpowers and then to have their countries to be pulled off under them by corrupted so called elites. Sic transit gloria mundi.
Buy our junk or we'll kill your children.
Odd that Dean's comments about Switzerland aren't mentioned in the article. On the last "Meet the Press" he said he could support a bill similar to the law in Switzerland and the Netherlands, which have no public option, but "treat insurance companies as public utilities."
As far as I know, I've been the only one talking about Switzerland in CD comment threads in the last few weeks. T.R. Reid (http://bit.ly/Nv7ZA) said Switzerland was, until the mid-1990's, like the U.S. is today, with huge drug companies and giant international insurance companies that dominated health care. They followed the same retrogressive policies as U.S. companies, excluding coverage for people with pre-existing conditions and otherwise unfairly denying coverage. Ultimately, Reid said, five percent of the population couldn't afford health insurance. The Swiss people, who evidently were better educated than people in the U.S., recognized that as a problem, and voted, over the objections of the industry, to reform the system. "The result was that insurers had to cover everybody and they couldn't make a profit on basic health insurance," said Reid.
I think it's already been suggested in this thread that drug company CEO salaries might be curbed, along with many other things, including those that appear already to have been agreed to in the House and Senate bills. Insurance in other areas, like automobile liability and land titles, is heavily regulated. Automobile liability insurance is mandatory for those who would drive, and no one finds that outrageous. Health insurance policies could be required to follow a standard national format. There would still be plenty of competition among insurers, and universal coverage (30 million new customers, many of whom would be unlikely to make claims) would compensate the insurance companies for the cost of obeying the new restrictions and regulations.
Why not?
now is not the time to ask for chairman mao's health plan or for "immaculate conception healthcare"TM;_ now is the time to further shame and sabotage the re-election chances of demobliRat senators and representatives, e.g., by comparing W's Medicare reform’s give away of billions to the pharmaceutical industry with the obscene one trillion dollars about to be thrown by demobliRats at the healthcare leeches; now is the time to demand that the full brunt of antitrust legislation be imposed on the healthcare industry immediately (so that demobliRat senators and representatives have to defend from competition --in front of the cameras, directly and shamelessly-- the profits of the healthcare leeches );_ now it's the time to call for binding legislation to bring down healthcare's share of the GPD to below 10% *before* obama's 1st term will end._ these are hard numbers and measures that demobliRat senators and representatives cannot equivocate around, hard numbers and measures that won't allow the few progressive push-overs (like sanders) or venalo-progressives (like byrd) to hide behind tear-jerking statements like "now we can give healthcare to another 20,001 rural grandmothers" while at the same time voting for the healthcare cartel to increase its share of the GPD to 30%.
obama is not going to commit political suicide just to satisfy blinded-bull leftwing hotheads._ he cannot afford to become a target of the right and of the ultra rich, period._ lefties should go after by-bribe-only senators and representatives._ and no, obie (and the ballet dancer) cannot tell you that directly either !_ but ask yourselves now: when before in the history of the usa have by-bribe-only senators and representatives from both parties been compelled to show the nation almost daily how disgustingly venal and callously indifferent to the well-being of the nation they are ?_ don't you guys/gals sniff the huge opportunity here that is expanding almost daily ?_ that's the chance that obama's election and presidency are offering the left, i.e., a political and media environment that is propitious for a huge mobilization that can foil the reelection of many, if not most, of the by-bribe-only demobliRat senators and representatives._ but no, armchair-warrior spontaneo-leftist idiots prefer to whine hysterically that their --formely secretly beloved-- daddy obama is not going on TV to wave valiantly his finger and shout very loudly and angrily at the bad guys (and attain nothing)._ obama is only at his 1st term and cannot force the reform of anything unless he can hide behind congressmen by saying "i accept this new legislation passed by congress bla bla bla"._ he cannot become the ultra rich's sole problem and so tell them that by eliminating him they would be fine (and they would, since demobliRat senators and representatives wouldn't resign if obama were taken out by some "patriotic" assassin)!_ without "change" coming to congress to chase away by-bribe-only senators and representatives, obama must play minimalist and wait for his 2nd term (since as of now the hysterical screeds by blinded-bull hotheadish spontaneo-leftist idiots have not changed the fact that the incumbent president remains heavily favored to win re-election; but please let's not work towards changing this, let's work instead towards screwing by-bribe-only senators and representatives!)._ we shall ask more from obama but only after his 2nd term will be a certainty or, before, only after congress is finally cleansed._ there are indeed perhaps only 10 senators who could vote for mildly anti-ultrarich policies right now, certainly not 59.9999 (plus snow, etc., yeah right!).
While Dean never went nearly as far as I would wish in fighting for single-payer, universal health care, he is absolutely correct that this bill should be killed and that it is worse than doing nothing.
Well, duh,
Of course they jump on Dean. He is worse than Cassandra to them; he not only reveals unpleasant truths he makes it clear by doing so that the ones jumping on him are the Emporers with no clothes. (sorry about the mixed metaphors) That he is far less honest and effective and timely is made up for by his being a "betraying insider" in their view. But don't worry. They'll be attacking liberals again soon.
Scheer,
You supported your man Barack. Now you are disappointed? You got what you wanted. You and Norm S. are sad disappointments of progressive/ journalist.
I suspect all this hardly makes any difference, because the election system has been taken over with corrupted electronic voting.
Any candidate the ruling elite desires will be elected.
Don't forget David Michael Green.
George C. Brown - It's just too bad that Howard Dean lost out in his campaign to become the Democratic nominee for President in 2008. He knows whereof he speaks. Maybe he can lead a Peoples' Progressive Party Peace Party.
Those "few obstructionists in the Senate who blackmailed the majority into dropping a much needed public option" were doing Rahm and Obama's bidding. Obama never wanted a public option, because he sold us out to the insurance companies, so he got Nelson, Lieberman and the other trolls to oppose it publicly, taking the heat off of himself. This guy's a real con man.
The corporate rich allow just enough honest politicians into
Congress to give the illusion that we do not have a make
believe government.
Perfection in thought control, as evidenced by all the posters
here encouraging us to go vote for our favorite paid actor.
The Corp. crooks that own DC have tired of fancy maneuvers to steal us blind. Now they just smash and grab what they want directly. They've grown so ruthless and so contemptuous of us all that now they want the Gov't to force us to buy their crap no middlemen anymore just a gun to our heads. Pay up or pay the man with the gun from the IRS. Its called EXTORTION. Were in the hands of criminals.
But what Dean, and Scheer, and others don't point out is that IT IS ILLEGAL UNDER THE CONSTITUTION FOR THE FEDERAL GOV TO FORCE US TO PAY FOR SERVICES FROM A PRIVATE COMPANY--
No other argument is needed (despite there being many)--just the facts
IT IS ILLEGAL, so no one can be arrested or fined for not complying.
Apologists for this scam of a legislative effort toss out the "We will insure millions of the uninsured" They are allowing "The good to enable the greed" to paraphrase the stumpy little man whose behind the scenes wrangling brought us this economy destroying bill. We've lost much of our competitive edge in the world-galvanizing into place a broken system that wastes over 30 cents of every dollar as insurers do while ignoring the incredibly efficient system in place-medicare- is simply criminal. Thailand's minister of health studied the worlds many systems of health care delivery and settled on a model of our medicare. Why? Because they want their country to succeed while democrats here passed a money laundering bill to wash our tax dollars and earnings thru insurers and directly back to them thru lobbyist bribery. We, those who busted our backs getting these dolts all three houses, have been pimped out in reverse and we don't even get to choose the corner they'll soon force us to work in paying their expensive johns the insurance industry. This industry should be treated as a utility as in Switzerland and the Netherlannds-no $56,000 an hour for those ceo's as in America and no that is not a typo.
now is not the time to ask for chairman mao's health plan or for "immaculate conception healthcare"TM;
now is the time to further shame and sabotage the re-election chances of demobliRat senators and representatives, e.g., by comparing W's Medicare reform’s give away to the pharmaceutical industry with the obscene extra trillion dollars about to be thrown by demobliRats at the healthcare leeches;
now is the time to demand that the full brunt of antitrust legislation be imposed on the healthcare industry immediately (so that demobliRat senators and representatives have to defend from competition --in front of the cameras, directly and shamelessly-- the profits of the healthcare leeches );
now it's the time to call for binding legislation to bring down healthcare's share of the GPD to below 10% *before* obama's 1st term will end.
these are hard numbers and measures that demobliRat senators and representatives cannot equivocate around, hard numbers and measures that won't allow the few progressive push-overs (like sanders) or venalo-progressives (like byrd) to hide behind tear-jerking statements like "now we can give healthcare to another 20,001 rural grandmothers" while at the same time voting for the healthcare cartel to increase its share of the GPD to 30%.
obama is not going to commit political suicide just to satisfy blinded-bull leftwing hotheads._ he cannot afford to become a target of the right and of the ultra rich, period._ lefties should go after by-bribe-only senators and representatives._ and no, obie (and the ballet dancer) cannot tell you that directly either !
but ask yourselves now: when before in the history of the usa have by-bribe-only senators and representatives from both parties been compelled to show the nation almost daily how disgustingly venal and callously indifferent to the well-being of the nation they are ?
don't you guys/gals sniff the huge opportunity here that is expanding almost daily ?_ that's the chance that obama's election and presidency are offering the left, i.e., a political and media environment that is propitious for a huge mobilization that can foil the reelection of many, if not most, of the by-bribe-only demobliRat senators and representatives.
but no, armchair-warrior spontaneo-leftist idiots prefer to whine hysterically that their --formely secretly beloved-- daddy obama is not going on TV to wave valiantly his finger and shout very loudly and angrily at the bad guys (and attain nothing).
obama is only at his 1st term and cannot force the reform of anything unless he can hide behind congressmen by saying "i accept this new legislation passed by congress bla bla bla"._ he cannot become the ultra rich's sole problem and so tell them that by eliminating him they would be fine (and they would, since demobliRat senators and representatives wouldn't resign if obama were taken out by some "patriotic" assassin)!
without "change" coming to congress to chase away by-bribe-only senators and representatives, obama must play minimalist and wait for his 2nd term (since as of now the hysterical screeds by blinded-bull hotheadish spontaneo-leftist idiots have not changed the fact that the incumbent president remains heavily favored to win re-election; but please let's not work towards changing this, let's work instead towards screwing by-bribe-only senators and representatives!).
we shall ask more from obama but only after his 2nd term will be a certainty or, before, only after congress is finally cleansed._ there are indeed perhaps only 10 senators who could vote for mildly anti-ultrarich policies right now, certainly not 59.9999 (plus snow, etc., yeah right!).