THERE HAS been no discussion of single payer. The public option has been ditched. President Obama received no Republican support at his nationally-televised health care forum last week. In response, the Democrats must not concede any more in the final lurch toward health reform. Even then, reform is already so watered down that it is likely to fall apart over the next decade. Democrats would be wise to view this moment not with finality, but as the beginning of the journey toward the sanity of single payer, toward what most of Europe and Canada have.
The health industry lobbyists continue to display a greed that will no doubt boomerang. The day is unavoidable when angry Americans will no longer be duped by fear-mongering about a “government takeover’’ of health care. Such virulent rhetoric cannot be sustained forever, particularly when it is led by the likes of Representative Joe Wilson of South Carolina. Wilson’s idea of civility with the White House was shouting “You lie’’ to Obama during his address to Congress in the fall.
The system that Wilson, the Republicans, and bought-off Democrats defend is a lie, as many other countries pay much less for health care and their people live longer. Conservatives tell us that a government takeover of health care is “full of job-killing tax increases.’’ The fact is our health care system, which can ban coverage for pre-existing conditions and forces people to work while suffering from illness so they can keep their health insurance, no doubt is killing Americans themselves.
The system cannot be sustained, not when the insurance companies have no conscience or compassion. The most well-known example is the intention of WellPoint’s Anthem Blue Cross of California to raise individual market premiums by as much as 39 percent. But there were many other offenders in a report recently released by Health and Human Services Secretary Kathleen Sebelius. She noted how other insurance companies have sought premium increases in 2009 or this year ofbetween 23 percent and 56 percent in states like Michigan, Connecticut, Maine, and Washington. (Emphasis added)
While America remains at close to 10 percent unemployment, Sebelius complained that WellPoint, UnitedHealth, Cigna, Aetna, and Humana combined for $12.2 billion in profits last year, a 56-percent jump over 2008. Her report said that profits for the 10 largest insurance companies increased 10 times faster than inflation over the last decade. Worst of all, according to her report, the six largest publicly-held held insurers covered 2.2 million fewer people in the first three quarters of 2009. (Emphasis added)
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The split will not last. The “competitive market’’ is setting itself up for a fall, once Americans realize they have been betrayed. Whatever reform we get is only the first draft of what must follow: a declaration of independence from the insurance industry. (Emphasis added)
"One of the best questions of the evening was, "What is the difference between the public option and single payer?" Here's the answer. The public option doesn't exist and single payer or Medicare for All does. If Congress passed HR 3200 tomorrow, you could not go out and sign up for the public option because there are no public option providers (no doctors, no hospitals, no network). In order to have the public option we must first have a Health Insurance Exchange. Before we have a Health Insurance Exchange we must first create an independent agency in the executive branch called the Health Choices Administration and hire the Health Choices Commissioner. In short we are creating an entirely new system to provide health insurance on top of the system that we already have."
"I say, "Make Mine Medicare." Medicare is 44 years old, a uniquely American solution that has a high approval rating. Medicare is also relatively inexpensive to administer with a 4% overhead and has an existing national infrastructure. So with the stroke of a pen, all uninsured Americans could be moved over to Medicare as the public option and in a few weeks, we would have our cards. It goes without saying that we should use the Expanded and Improved Medicare for All model described by John Conyers in HR 676. All participants in this plan would have medical, dental, vision, negotiated pharmacy and mental health on full parity with physical health. We could move from state to state and not be concerned about transferring coverage and our healthcare isn't tied to a job. The greatest part about this plan is we would never pay more than 3.3% of income for our healthcare; Health Insurance Exchange rates go as high as 12% of income (that's nearly 4 times the premium cost of Medicare for All)."
I do not seen a single proposal on the table to extend Medicare to all. None. So, what good is it if we are spinning wheel when insurance companies are happily raising rates. They will NEVER lower the rate once they raise it.
For most insurance companies, the rate increases were to be effective 3/1 and the government has put that on hold subject to review. I do not know if they can really enforce a kabash on rate increase.
Unemployment has been on the increase. Underemployment (reported) is on the increase. Unreported unemployment is rampant - you only need look around your neighborhood.
Most employed people did not get salary increase. This is so in almost all private and education sectors.
Stress level in households has been on the increase, with its own side effects. For example, I am seeing right now today's report: Teen alcohol & pot use up for first time in a decade. This is most certainly the societal stress telling via the children.
I am concerned with both bad regulation as well as inaction. Neither is acceptable.
The President has really botched this one bigtime. That said, some work is desperately needed to correct the course of insurance companies ruling this country at every end.
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Democracy needs defending - SOS Hillary Clinton, Sept 8, 2010 Democracy is more than just elections - SOS Hillary Clinton, Oct 28, 2010