ObamaCare

Did anyone watch ABC’s Prescription for America town hall thingie with Obama Wednesday? It was predictably short on specifics, but that didn’t stop alarmists on both sides from forming wildly contradictory theories:

A: Obama is a socialist who is determined to drive private insurance companies out of business and post government apparatchiks at hospital bedsides to pull the plug when the meter on Granny runs too high.

—OR—

B. Obama is an insurance industry stooge who is determined to squander America’s last chance to enact a sane system that covers all (and, oh yeah, Hillary would’ve had this wrapped up by January 21, easy).

As I’ve mentioned before, the only health care reform plan that makes sense is a single payer scheme. Health care wasn’t even an issue for me in the primaries because I thought both Obama’s and Clinton’s proposals sucked big green gators.

That said, if we want our government to at least take a step in the right direction (i.e., field a public health option), maybe we should listen to Robert Reich:

...As FDR said in the reelection campaign of 1936 when a lady insisted that if she were to vote for him he must commit to a long list of objectives, “Ma’am, I want to do those things, but you must make me.”

We must make Obama do the right things. Email, write, and phone the White House. Do the same with your members of Congress. Round up others to do so. Also: Find friends and family members in red states who agree with you, and get them fired up to do the same. For example, if you happen to have a good friend or family member in Montana, you might ask him or her to write Max Baucus and tell him they want a public option included in any healthcare bill.

Is citizen lobbying useless? I don’t think so at the executive level. I think Obama wants to do something positive, even if his target is too incremental by far for my taste.

As for lobbying the legislative level, well it might be useless, depending on where you live. I suspect my senators would rather have their prostates removed with red-hot pincers than jump off the insurance company gravy train. Still, it might be more effective than a “pray-in.”

[Cross-posted at Betty Cracker]

Posted by Betty Cracker on 06/26/09 at 08:47 AM • Permalink

Categories: NewsPoliticsElection '08Barack ObamaOur Stupid Media

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I suspect my senators would rather have their prostates removed with red-hot pincers than jump off the insurance company gravy train.

I’d rather have them get us a good healthcare system, but if they absolutely won’t then that does sound like a fair alternative.

Betty, did you run this post by okanogen first?

Betty, did you run this post by okanogen first?

Comment by Kevin K. on 06/26/09 at 10:54 AM

Nah. I expect that bunch has the wailing, rending of garments and gnashing of teeth angle covered. With approximately the same net-effect as the pray-in people.

With approximately the same net-effect as the pray-in people.

FTW!

L to R: bugfucker, lambert strether 2.0, okanogen

Betty, I couldn’t bear to watch it since it was on the flag-pin network, so I settled for following liveblogs of the event.  Did you know that people are concerned about the government taking over health-care? 

I know, that was news to me as well, especially since that’s not what the Obama administration is proposing.  But apparently the record inside Charlie Gibson that plays when you pull his string was stuck on that particular track…

And something about being in the presence of Obama, and his refusal to agree with what Charlie’s record was saying, makes Charlie really angry.

A five year old walking through the living room during the event would have asked her parent, “Mommy, why is that old man so angry at Obama?  Does he have a sad because McCain lost?”

Betty, this is probably my weakest issue, even though I don’t have insurance and I should probably be paying more attention.

I know it’s been done before, but I have no concept of the mechanics entailed in transitioning millions of existing and highly variable insurance products to government administration, what happens to any accumulated private cash pools the current insurers have created using revenues from premiums, how you deal with all the redundant displaced insurance company employees, or how you compensate the companies for the capital costs of layoffs, idled facilities and systems, voided investments and lost future profits.

In the very brief overviews I’ve read, that part always gets treated like “Step 2” in the Underpants Gnomes’ “Profit” formula. 

Just wondering if you can point me to an online primer or a decent issue resource in print. I don’t have any gripe with single-payer, but clearly it’s the mechanics, the secondary impacts and the purely financial implications that are being fought over, under the camouflage of a debate about quality of care and capitalism vs. socialism.

As for lobbying the legislative level, well it might be useless, depending on where you live.

To be perfectly serious for .5 seconds, this is where it has to start. The only thing you can do at the executive level is encorage or discourage the pres. from signing a bill. Your congresscritters are responsible for what arrives on the president’s desk. I say again, when summer recess begins, take a trip to their local office and at least bug the hell out of their staff.

And now, back to poking fun at the GOP:

According to a local GOPer, Obama is Hitler because ... public health care = socialism = invading Poland.

Thomann’s original statement read, in part: “Obama and Hitler have a great deal in common in my view. ...
Obama is systematically destroying the American economy and with it AMERICA. First the banking/investment industry, next private enterprise (GM and Chrysler) and now HEALTH CARE.”

Of course, by saying Obama and Hitler have a lot in common, she wasn’t really comparing Obama to Hitler.

And another helmet-haired granny runs face-first into Godwin’s Law.

You know what’s like Hitler, bitch?

HITLER.

Just wondering if you can point me to an online primer or a decent issue resource in print. I don’t have any gripe with single-payer, but clearly it’s the mechanics, the secondary impacts and the purely financial implications that are being fought over, under the camouflage of a debate about quality of care and capitalism vs. socialism.

You’re absolutely right about that. I don’t think we can accomplish a single payer plan by decree for all the reasons you mentioned. My hope is that a public option (along the lines of Medicare) provides a lifeboat for the uninsured and that eventually, with its bargaining power and efficiency savings, it will drive the population into a single payer system.

Obama may have alluded to a similar scheme when he practically taunted the free-market absolutists with this:

“If private insurers say that the marketplace provides the best quality health care ... then why is it that the government, which they say can’t run anything, suddenly is going to drive them out of business? That’s not logical.”

Sounds like a gauntlet to me. For some historical perspective on how other countries have transformed their health care systems and speculation on how we might, this is a good article. It’s the view from 10,000 feet, but pretty informative.

Thanks, Betty. Shifting to single-payer in one shot would require an act of economic terraforming vastly more complicated than swapping out the CEO at GM, and I feel incompetent to weigh in on the discussion until I see the gears behind the clock-face.

I’ll check out your link.

I totally agree with StrangeAppar8us on this.

I was pleased to see your more reasoned response, Betty, when you replied to his points thus:

You’re absolutely right about that. I don’t think we can accomplish a single payer plan by decree for all the reasons you mentioned. My hope is that a public option (along the lines of Medicare) provides a lifeboat for the uninsured and that eventually, with its bargaining power and efficiency savings, it will drive the population into a single payer system.

Which is why I would like to implore all those “screaming” for single payer/universal, whatever to stop getting so hopping mad and the push for a Public Health option.  The only way you are going to have any realistic chance of going from here to there in this country is if you support the Public Health option and then let the “market” and “people” validate whichever is better and preferred. 

If government run health care is the better solution, then the public option allows this argument to be made and put in affect by “proof”. 

If it isn’t, then we should still get more competitive pricing and inclusive coverage from the private insurers as a result of having to compete with the private option.

However, for those who are too zealous to accept rational steps towards fixing the problem and want to “block” Obama’s public option plan just because it is “not enough” for them, all I have to say is *YOU* are now the biggest threat standing in the way of reforming health care in the country and I hold this group of spoilers more accountable if we fail to see frutiful action and improvement in this long-neglected important issue!  I’m getting really sick of the whole “cut off the nose to spite the face” crowd.

Betty:

Good link to the Noo Yawka article - it’s pretty accurate, although I do have to stress that the NHS is not in any meaningful sense to be considered “government run”. While the government sets loose targets and standards, due to the execrable reforms put in place by Kenneth Clarke and expanded upon by the backstabbing and unprincipled defectors in the Labour Party, the PCTs basically set their own agendas, usually acting as purchasers of local care from privately-owned practices.

It was done in the name of streamlining and providing “choice”, which unfortunately was the buzzword for the tail-end of the last Tory government and the majority of the defectors in the Labour Party. *spits on New Labour*

What it actually resulted in was uneven levels of care and uncertain funding for treatments, all dependent upon which Trust actually covered your area - hence the term, “postcode lottery”.

Sorry for the rant, but this shit irritates me.  On one level because I’m a member of the oldest of the old Left (New Labour and its fauxialism can die in a fire), but also because it’s so plainly stupid.  It’s the application of “market principles” for the sake of it, the triumph of ideology over something that actually worked.

Gah.

I need more coffee.

New Labour and its fauxialism can die in a fire

Sounds like our shitty Democratic Leadership Council, which can also go get bent.

If I can wax nostalgic a moment, I remember being so excited on the 1st May 1997.  There was an air of excitement, amongst most people, in the media, about the election results.  We all knew it was going to be a landslide, but it was more than that - the Tories had been in power for literally my entire life at that point (Thatcher started her wrecking machine in 1979; I was born in 1980), and they’d really begun to get desperate and flailing with Major.

There was this expectation that this new, dynamic Labour Party would bring in real change, that it might actually do something for social justice and goodness… And then it turned out to be worse.  The period since 97 has seen the biggest expansion of unbridled government power and right-wing politics dressed in the raiments of the left since… I don’t know when.

Labour betrayed me and everyone else who ever trusted them to be different and live up to their principles. 

Hence, my extreme loathing of them.  I vote LibDem these days; as my friend says, they’re the closest equivalent to a Left-wing party we have.

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