Now we know why they’ve stopped calling this health care reform, and started calling it insurance reform. The current bills advancing in Congress look more like rearranging the deck chairs on the insurance Titanic than actually ending our long health care nightmare.

Some laudable elements are in various versions of the bills, especially expanding Medicaid, cutting the private insurance-padding waste of Medicare Advantage, and limiting the ability of the insurance giants to ban and dump people who have been or who ever will be sick.

But, overall, the leading bills and the President’s proposal are, like the dog that didn’t bark, more notable for what is missing.

Here are 13 problems with the current health care bills (partial list):

1. No cost controls on insurance companies. The coming sharp increases in premiums, deductibles, co-pays, co-insurance, etc. will quickly outpace any projected protections from caps on out-of-pocket costs.

2. Insurance companies will continue to be able to use marketing techniques to cherry-pick healthier, less costly enrollees.

3. No restrictions on insurance denials of care that insurers don’t want to pay for. In case you missed it, the California Nurses Association/National Nurses Organizing Committee uncovered data on the California Department of Managed Care website recently that found six of the biggest California insurers rejected, on annual average, more than one-fifth of all claims every year since 2002.

4. No challenge to insurance company monopolies, especially in the top 94 metropolitan areas, where one or two companies dominate, severely limiting choice and competition.

5. A massive government bailout for the insurance industry through the combination of the individual mandate requiring everyone not covered to buy insurance, public subsidies which go for buying insurance, no regulation on what insurers can charge, and no restrictions on their ability to decide what claims to pay.

6. No controls on drug prices. The White House deal with Big Pharma, which won bipartisan approval in the Senate Finance Committee, opposes the use of government leverage to negotiate real cost controls on inflated drug prices.

7. No single standard of care. Our multi-tiered system remains with access to care still determined by ability to pay.

8. Tax on comprehensive insurance plans. That will encourage employers to reduce benefits, shift more costs to employees, promote proliferation of bare-bones, high-deductible plans, and lead to more self-rationing of care and medical bankruptcies.

9. Not universal. Some people will remain uncovered, including those exempted, and undocumented workers, denying them treatment, exposing everyone to communicable diseases and inflating health care costs.

10. No definition of covered benefits.

11. No protection for our public safety net. Public hospitals and clinics will continue to be under-funded and a dumping ground for those the private system doesn’t want. Public monies going to hospitals serving low-income communities will be shifted to subsidies for private insurance.

12. Long delay in implementation. Many reforms don’t go into effect until 2013.

13. Nothing changes in basic structure of the system; health care remains a privilege, not a right.

Read the entire article at: http://www.commondreams.org/view/2009/09/29-0

Friday, September 25, 2009

New Rule: If America Can’t Get it Together, We Lose the Bald Eagle

New Rule: If America can’t get its act together, it must lose the bald eagle as our symbol and replace it with the YouTube video of the puppy that can’t get up. As long as we’re pathetic, we might as well act like it’s cute. I don’t care about the president’s birth certificate, I do want to know what happened to "Yes we can." Can we get out of Iraq? No. Afghanistan? No. Fix health care? No. Close Gitmo? No. Cap-and-trade carbon emissions? No. The Obamas have been in Washington for ten months and it seems like the only thing they’ve gotten is a dog.

Well, I hate to be a nudge, but why has America become a nation that can’t make anything bad end, like wars, farm subsidies, our oil addiction, the drug war, useless weapons programs – oh, and there’s still 60,000 troops in Germany – and can’t make anything good start, like health care reform, immigration reform, rebuilding infrastructure. Even when we address something, the plan can never start until years down the road. Congress’s climate change bill mandates a 17% cut in greenhouse gas emissions… by 2020! Fellas, slow down, where’s the fire? Oh yeah, it’s where I live, engulfing the entire western part of the United States!

We might pass new mileage standards, but even if we do, they wouldn’t start until 2016. In that year, our cars of the future will glide along at a breathtaking 35 miles-per-gallon. My goodness, is that even humanly possible? Cars that get 35 miles-per-gallon in just six years? Get your head out of the clouds, you socialist dreamer! "What do we want!? A small improvement! When do we want it!? 2016!"

When it’s something for us personally, like a laxative, it has to start working now. My TV remote has a button on it now called "On Demand". You get your ass on my TV screen right now, Jon Cryer, and make me laugh. Now! But when it’s something for the survival of the species as a whole, we phase that in slowly.

Folks, we don’t need more efficient cars. We need something to replace cars. That’s what’s wrong with these piddly, too-little-too-late half-measures that pass for "reform" these days. They’re not reform, they’re just putting off actually solving anything to a later day, when we might by some miracle have, a) leaders with balls, and b) a general populace who can think again. Barack Obama has said, "If we were starting from scratch, then a single-payer system would probably make sense." So let’s start from scratch.

Even if they pass the shitty Max Baucus health care bill, it doesn’t kick in for 4 years, during which time 175,000 people will die because they’re not covered, and about three million will go bankrupt from hospital bills. We have a pretty good idea of the Republican plan for the next three years: Don’t let Obama do anything. What kills me is that that’s the Democrats’ plan, too.
We weren’t always like this. Inert. In 1965, Lyndon Johnson signed Medicare into law and 11 months later seniors were receiving benefits. During World War II, virtually overnight FDR had auto companies making tanks and planes only. In one eight year period, America went from JFK’s ridiculous dream of landing a man on the moon, to actually landing a man on the moon.

This generation has had eight years to build something at Ground Zero. An office building, a museum, an outlet mall, I don’t care anymore. I’m tempted to say that, symbolically, all America can do lately is keep digging a hole, but Ground Zero doesn’t represent a hole. It is a hole. America: Home of the Freedom Pit. Ironically, it’s spitting distance from Wall Street, where they knock down buildings a different way – through foreclosure.
That’s the ultimate sign of our lethargy: millions thrown out of their homes, tossed out of work, lost their life savings, retirements postponed – and they just take it. 30% interest on credit cards? It’s a good thing the Supreme Court legalized sodomy a few years ago.

Why can’t we get off our back? Is it something in the food? Actually, yes. I found out something interesting researching last week’s editorial on how we should be taxing the unhealthy things Americans put into their bodies, like sodas and junk foods and gerbils. Did you know that we eat the same high-fat, high-carb, sugar-laden shit that’s served in prisons and in religious cults to keep the subjects in a zombie-like state of lethargic compliance? Why haven’t Americans arisen en masse to demand a strong public option? Because "The Bachelor" is on. We’re tired and our brain stems hurt from washing down French fries with McDonald’s orange drink.

The research is in: high-fat diets makes you lazy and stupid. Rats on an American diet weren’t motivated to navigate their maze and once in the maze they made more mistakes. And, instead of exercising on their wheel, they just used it to hang clothes on. Of course we can’t ban assault rifles – we’re the first generation too lazy to make its own coffee. We’re the generation that invented the soft chocolate chip cookie: like a cookie, only not so exhausting to chew. I ask you, if the food we’re eating in America isn’t making us stupid, how come the people in Carl’s Jr. ads never think to put a napkin over their pants?

Bill Maher

I can’t imbed the video but here’s the link, the interview is 35 minutes in length.

http://www.pbs.org/moyers/journal/07102009/watch2.html

The decision Wednesday by the Food and Drug Administration, which overturns one of the most controversial health rulings of the Bush Administration, was scorned by anti-abortion advocates and hailed by their abortion rights counterparts. The long-running controversy involving Plan B, the emergency contraceptive, has had more of a political impact than a public health one. Since November 2006, when it became widely available to women 18 and over without a prescription, Plan B has had no measurable effect on the nation’s abortion or teenage pregnancy rates.

‘Morning After’ Pill Cleared for 17-Year-Olds – NYTimes.com

There are clearly many issues in the United States, with unemployment, the housing market, stock market, etc.

The belief of many though is that by fixing health care in the U.S., it may actually trickle down to help those other areas.

This not only includes just providing health care to all of those uninsured, but also to make health care more affordable to normal Americans so it does not take such a big dent in their wallets.

In the year 2008, health care costs skyrocketed yet again, causing major issues for those trying to afford health insurance.

Health Care Seen As The Top Priority By Many Americans : dBTechno

NEW YORK (Reuters) – Wall Street is betting a new U.S. president and a fresh stimulus package will prod stocks higher in 2009, following a year most investors would gladly forget.

Investors are expecting gains of as much as 10 to 20 percent next year, partly reversing a dismal 39 percent drop in the S&P 500 in 2008 as trillions of dollars that have been sitting on the sidelines are plowed back into the markets.

Signals from President-elect Barack Obama that he and his team will be ready to hit the ground running have boosted confidence that the government will do whatever it takes to tackle the year-long recession, prompting hopes of a so-called “Obama rally” in stocks.

Bear-stricken Wall St bets ’09 will be a bull year | Reuters