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Month: September 2009

Librulz

by digby

If you have a chance to see Barney Frank on Maddow tonight do. He makes the case that the Republicans acting complete dolts has forced Obama to give up his pretensions of bipartisanship and I agree. In fact, the lunacy and intractability may end up being responsible for a better health care bill than we otherwise would have gotten. Considering how desperate the Democrats are to get approval from people who hate them, they would have done almost anything.

He also didn’t take this too seriously, pointing out that hecklers are a standard feature of the English parliament.

I don’t mind it much either. It’s rude and stupid, but Obama isn’t a king and it isn’t wrong to yell at the president. However, I can’t help but recall what happened to these women during a Bush junior speech to a joint session of congress:

Call it the tale of two different shirts worn by two very different women: a well-known peace activist who has agitated the White House and a lawmaker’s wife who has staunchly supported the U.S.-led war in Iraq.

Anti-war protester Cindy Sheehan wore a shirt with the message “2,245 Dead. How many more?” — a reference to the number of U.S. troops killed in Iraq.

Beverly Young, the wife of 18-term Republican U.S. Rep. Bill Young of Florida, wore a shirt that read “Support the Troops.”

Both shirts resulted in their owners being ejected from the House chamber before President Bush’s State of the Union address on Tuesday night.

Sheehan, an invited guest of Rep. Lynn Woolsey, a California Democrat, was arrested around 8:30 p.m. ET on charges of unlawful conduct. Young was asked to leave but not arrested.

The capitol police later apologized, but stifling the slightest criticism of the president wasn’t particularly unusual at that time as I’m sure you remember. In those days, just a few years ago, yelling at the president in that setting would have been considered treason and the Democrats who did it would have been waterboarded.

Obama’s speech was effective, I think. I don’t know if it will change public opinion and there is no doubt the Republicans are going to dig in their heels even more, but all the Democrats should feel at least somewhat relieved that Obama was able to make a strong case for reform. And despite the fact that he hedged, his long discussion of the necessity of the public plan is good news for progressives. It’s still alive anyway and I can’t honestly say that would be the case if the progressives hadn’t decided to make a stand. (Of course we’re still talking triggers or co-ops, but that’s nothing new3)

Update: Jonathan Cohn has a rundown on the news Obama made in the speech. I can’t speak to the policy importance of these new elements, but on a political level, this seems very smart to me:

A promise to provide low-cost, bare-bones policies right away–merely as a stopgap, until full reforms kick in.

This could be huge because it will get a lot of people under some kind of coverage immediately and, combined with the insurance reforms, may show enough people some benefits right away to allow the rest of the plan to kick in before the Republicans can demagogue their way back into office. It’s a slim reed, but definitely worth doing.

Update II: I assume that Charlie Cook is thrilled that Obama hangs on his every word.

Update III: The Kennedy passage was beautiful. He even used the dreaded “L” word, which I haven’t heard in that setting without a sneer for … well, ever. I don’t know how many people can hear that plea for empathy and community, but I hope some did.

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Pre-Game

by dday

I have a post at my site about the Obama speech tonight. There are already some excerpts bouncing around. They’re here. Some are feisty, some aim to bring people together. He even says that “more will die” if we do nothing (expect a hissy). In my post I basically embrace what TBogg said earlier this week:

…more than anything, I actually want to see some spirit. The Republicans have clearly made a decision to destroy Obama’s Presidency through endless fearmongering and fauxtrage. They started a bonfire over this Van Jones hiring and the White House let the hit squad walk all over them. This didn’t appease the right but whet their appetites for more. The only way to fight such bullying, such blatant hatred, is through showing some toughness.

First of all you have to decide if you really want to win. If you just want to spend your time debating hypotheticals and dreaming of how swell things could be while weaving yourself a safety net of emergency qualifiers in case things don’t go the way you planned, go get a job at the fucking Brookings Institution. But if you’re gonna go to ideological war, then go to ideological war. And if you are going to fight this war you have to ask yourself “what would Dick Cheney do?”

Never apologize.
Never admit weakness.
Never concede points.
Never defend.
Always attack.

You have to remember that, in the case of the Glenn Beck conservative wing (a group of people who make the Dittoheads look like Quakers), you are dealing with a crazy salad of stupid people (and let’s quit excusing them as “low information voters”…they’re dumbshits), lunatics, assholes, racists, political performance artists, opportunists, and the kind of people who make eugenics seem desirable if not downright necessary.

These are not the people you need or want. You want the mushy middle and the mushy middle loves people who project strength and power. It makes them feel safe. They like being on the winning team. Power and winning intoxicates them. If they write for the Politico, it gives them boners and they’ll write anything you want them to. But these people do not respond in the quite the same way to squishy papering over of defeat.

Many of those who have abandoned Obama of late are doing so because they have openly questioned his leadership and resolve. They don’t know if he’s willing to fight for them. They aren’t so concerned with the details, but they want to know that they have a champion for their interests. So act like a winner. Show confidence and not even-handedness. Show the spark of life.

We’ll see if Obama brings the emotional truth tonight. If you’re interested, I’ll be on the radio with Brad Friedman (who’s filling in for Mike Malloy this week) and Howie Klein talking about the speech. You can hear it on these radio stations or live online at this link.

And for the purposes of comparison, read or watch these past Presidential messages:

Lyndon Johnson Special Message to the Congress: The American Promise, March 1965

Bill Clinton Address on Health Care Reform, September 1993

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Excuse Me Chuck

by digby

… but would you please go Cheney yourself?

Hours before President Barack Obama is to give a high-stakes health care speech tonight, U.S. Sen. Chuck Grassley, R-Iowa, warned him to steer clear of attacking Republicans. On a conference call with Iowa reporters this morning, Grassley said Obama was elected to “lead this effort.” “It would be a mistake tonight for the president to blame Republicans for not going along with legislation that puts the government in charge of health care and adds to the deficit,” he said.

No, the mistake is that Democrats ever thought this jackass was bargaining in good faith.

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Who Cares What They Think?

by digby

FOR IMMEDIATE RELEASE
September 9, 2009

Below is a list of Americans who will be seated in the First Lady’s box during the President’s remarks. Some of these guests are featured in web videos on the WhiteHouse.gov blog: http://www.whitehouse.gov/blog/The-Speech-Tonight/.

Guest List for the First Lady’s Box
2009 Joint Session of Congress
September 9, 2009

Mrs. Michelle Obama

Dr. Jill Biden

Susan Sher, Assistant to the President and Chief of Staff to the First Lady

Phil Schiliro, Assistant to the President for Legislative Affairs

Marie Connolly (Washington, DC)
Marie is the owner of Stitch DC yarn shop, which she opened in June 2004. She lives on Capitol Hill with her husband and three children. Stitch DC hosted a Roundtable Discussion in May with Health and Human Services Secretary Kathleen Sebelius and Director of the White House Council on Women and Girls Tina Tchen on the struggles small businesses face in trying to provide health insurance to their employees. Marie cannot afford to provide her three employees health insurance. Under health insurance reform, Marie will be eligible for small business tax credits.

Darlene Daniels (Baltimore, MD)
Darlene has insurance through her employer, but it only goes so far. Diagnosed in 2008 with a chronic condition, Sarcoidosis, that attacks all her major organs, she’s already gone through her coverage cap for the year. Darlene has had to undergo three different procedures to treat her condition, and the insurance company only paid $400 total. When she was first diagnosed, she incurred bills totaling at least $30,000, and while Darlene is trying to negotiate a payment plan, she fears she will be paying this off the rest of her life. Her Sarcoidosis necessitates that she see a heart and lung doctor regularly and an eye doctor three times a year, but she just can’t afford it. Darlene is still waiting to see if she qualifies for medical assistance. Under health insurance reform, there will be no annual caps on coverage.

Angela Diggs (Washington, DC)
Angela Diggs has served as Project Director for Congress Heights Senior Wellness Center in Southeast Washington, DC since March 2002. The center is a partnership of the District of Columbia Office on Aging and Providence Hospital’s Wellness Institute. It is located in the District’s Southeast Ward 8, where longstanding health care access problems are starting to be addressed. Ms. Diggs is responsible for overall administration and management of the center. Congress Heights is considered the model for all future wellness programs in DC. Angela has been with Providence Hospital since May 1995, serving in progressively challenging positions within the Wellness Institute and Employee Health Services. Angela shared her experiences in March at the White House Forum on Health Reform.

Peter Gaytan (Alexandria, VA)
Peter Gaytan began serving as Executive Director of The American Legion Washington DC Office in April 2009. In 1991, he entered the United States Air Force. After completing initial training at Lackland Air Force Base, Texas, and Keesler AFB, Mississippi, he served as Military Protocol Liaison with the 436th Airlift Wing at Dover AFB, Delaware. He also served four years with the 512th Airlift Wing, U.S. Air Force Reserve as a Public Affairs Specialist. Originally from Norfolk, VA he and his wife, Kimberly and twins, Maria and Sebastian currently reside in Alexandria, VA.

When Peter was having stomach pain, he went to his primary care physician and was told to take Pepto-Bismol and TUMS. He later went to a Gastroenterologist who did a basic workup. After a few months of continued stomach pain, the GI specialist requested a colonoscopy. It took months for the insurance company to agree that it was necessary, stating that at Peter’s age of 37, a colonoscopy was not needed. The colonoscopy was finally performed, and the doctor could not complete the procedure due to the size of the tumor. Peter’s test showed that he had stage III cancer and it had spread out of Peter’s colon and into the surrounding lymph nodes. He had surgery the following week, and the tumor was removed, as well as 14 inches of colon. Peter started chemotherapy shortly after his surgery, going to the Cancer Center every two weeks for five hours of chemo, and carrying a portable pump for two more days of slow drip chemo. The surgery and chemotherapy bills were not all covered by his private insurance, and Peter is still struggling to make payments. Under health insurance reform, even though he has a pre-existing condition, Peter would have security of being able to get insurance if he ever lost his current insurance.

Katie Gibson (Bozeman, MT)
Katie is a recurrent cancer survivor who shared her story when she introduced the President in August at the Town Hall in Bozeman, MT. Katie was told in 1995 that she had less than a year to live. In 1998 Katie and her husband Scott Bischke backpacked 800 miles across their beloved state of Montana. Katie had group coverage through Hewlett Packard when she and her husband decided to leave the corporation and move to Montana. Her insurance would not transfer with her if she left HP to start her own company. Due to pre-existing conditions she struggled to find new insurance but did eventually find it through a professional group, the Institute of Electrical and Electronic Engineers (IEEE). Years after they had their new insurance, they were informed that the minimum deductible was being increased from $5000 to $25000/year. Katie and her husband had no say in the matter, and they could not afford to pay $25,000 a year out of pocket, so they had to search for new insurance. This was not easy for Katie as a cancer survivor, and one insurance company after another refused to cover her because they said she had a pre-existing condition. Eventually Katie found a company and was accepted into a new program. Just in case, Katie kept her old coverage for a month after the new coverage started – just to be certain the new company would cover her. Everything seemed fine, but several months later the new insurance company called to say they had changed their minds, and that Katie’s insurance had been rescinded retroactive to the beginning of the policy. So now not only did Katie not have insurance, her record indicated a long lapse in coverage. Her first health insurance company would not take her back. This situation was very stressful as she was quite ill at the time. Katie and her husband called the Montana State Insurance Commissioner’s office, and they intervened for them. Through a state-backed program, Katie is now fully covered. Under health insurance reform, rescissions are prohibited.

David “Dave” Gorman (Gaithersburg, MD)
Dave, a combat-disabled veteran of the Vietnam War, was appointed Executive Director of the 1.3 million-member Disabled American Veterans (DAV) National Service and Legislative Headquarters in Washington, DC in 1995. Dave entered the U.S. Army in 1969, serving with the 173rd Airborne Brigade, the famed “Sky Soldiers” of the Vietnam War. In October of 1969, he was wounded in action in Vietnam. Both of his legs were amputated, and Dave came back to the States and transferred into the VA Health Care System. Dave went through rehab and physical therapy and was fitted for prosthetics. Almost four decades later, he is a leader in veterans’ advocacy and continues to seek care within the VA Health Care System. Currently, Dave uses the VA Medical Center in Washington, DC. Dave is the father of five children and has five grandchildren. He and his wife, Paula, live in Gaithersburg, MD.

Vincent Keane (Washington, DC)
Vincent is President and CEO of Unity Health Care. Unity Health Care serves individuals and families in all 8 Wards of the District of Columbia through its network of medical and social services that reach residents and the homeless. Virtually all of Unity Health Care’s patients live at or below the federal poverty level. Regardless of the ability to pay, Unity Health Care continues to provide each patient with a primary care provider who offers referrals to specialist when needed. The First Lady visited Unity Health Care’s Upper Cardozo health center in June as part of her efforts to promote health reform and to announce the release of $850 million in American Recovery and Reinvestment Act (Recovery Act) funds for capital improvements to community health centers.

Victoria “Vicki” Kennedy (Hyannis Port, MA)
Throughout his career, Senator Edward M. Kennedy fought tirelessly for affordable and accessible health care for all Americans. He called it the “cause of his life.” Nearly every health care bill passed by Congress over the last five decades was championed by Senator Kennedy. Though he didn’t achieve his dream of health care for all, Senator Kennedy expanded quality and affordable health care to millions of Americans, including children, seniors and disabled Americans. On August 25, 2009, Senator Kennedy passed away after battling brain cancer for more than a year. His wife, Vicki Kennedy, was a partner in her husband’s lifelong fight for health care reform, and shares his commitment and passion to make health care a right, and not a privilege.

In 1994, 2000, and 2006 Vicki played an active role in the re-election campaigns of her late husband, Senator Edward M. Kennedy (D-MA). She created a Massachusetts Women’s Council which has served as a model for other campaigns around the country, and she remains active in her support of candidates in Massachusetts and around the country. She was a National Co-Chair of the Obama National Catholic Advisory Committee. Vicki practiced law in the private sector until 1997, with a special emphasis on bank regulatory and commercial law and corporate strategic planning. She received a BA, magna cum laude, from Newcomb College in 1976 and a JD, summa cum laude, from the Tulane Law School in 1979. She then served as a law clerk for Judge Robert Sprecher of the U.S. Court of Appeals for the Seventh Circuit. In 1998, Vicki received an Honorary Doctor of Laws degree from the Suffolk University Law School in Boston for her service to her community. Together, the Kennedys have five children and four grandchildren.

Laura Klitzka (Green Bay, WI)
Laura is a 35-year old married mother of two with metastatic breast cancer. Laura shared her story when she introduced the President in June at the Town Hall in Green Bay, WI. Laura was first diagnosed in January 2008 and has since undergone 8 rounds of chemotherapy, a double mastectomy and 33 rounds of radiation, only for the cancer to return and spread to her bones. Laura’s cancer is untreatable in the long term. She is presently taking prescription drugs to try and prevent the cancer’s spread and treat the illness as a chronic condition, but ultimately her prognosis is 2 to 10 years at most. Laura has insurance coverage under her husband’s employer, but the plan has a lifetime benefits limit of 1 million dollars, and Laura and her husband worry that they will reach this limit because of her expensive treatments. Laura is receiving $1,050 a month in Social Security Disability Insurance after she was laid off from her job during her treatment. Laura estimates her family has at least $12,000 in unpaid medical bills, and they are struggling to get by. Their budget is very tight and they’ve had to use a credit card to pay at least one mortgage payment so far. Laura says she doesn’t want to lose their house over her illness, and while she knows she won’t be able to see her children grow up, she wants to be sure the time she has left with them is quality and not spent worrying about health care bills. Under health insurance reform, lifetime benefit limits will be prohibited.

Ellen Linderman (Carrington, ND)
Ellen is a 61-year old farmer in Carrington, ND. Ellen has had several difficult experiences with health care in recent years. Ellen was initially denied health insurance coverage a few years back when she and her husband (also a farmer) had to switch from the state employee plan to private insurance. However, since she had eye surgery less than 6 months prior to switching, she was considered high risk. The issue was eventually resolved but only after she went without coverage for several months. Health insurance reform would help people like Ellen who have a pre-existing condition and need to get insurance – insurance companies can’t deny people due to a pre-existing condition.

John Martineau (Hot Springs National Park, AR)
John is a 35-year old father who is working part-time and attending school part-time. John cannot afford health insurance and his four year old son, Jaxon, suffers from seizures. Jaxon is covered under CHIP, but John is uninsured and is constantly worried because he cannot afford health insurance. He runs the Organizing for America Hot Springs phone bank twice a week. He is working hard for health insurance reform so that he and other families with children who suffer from illnesses like Jaxon’s won’t have to go uninsured.

Dr. Wayne Myers (Waldoboro, ME)
Dr. Myers is an organic farmer and exotic farm animal rancher in Waldoboro, Maine. He is also a pediatrician by training and has been active in rural health care for many years. As a rural rancher, farmer, and former resident of many remote rural places including Alaska, he understands the health care challenges present in accessing care and affordable insurance in rural areas.

Darlyne Neff (Iowa City, IA)
Darlyne is a 75-year old retired teacher from Iowa City. She credits two operations, one for breast cancer and a second to remove a brain tumor, for extending her life. In December 2008, Darlyne organized a community meeting on health care reform at Oaknoll Retirement Community in Iowa City. As senior citizens who have health insurance and Medicare they know they are lucky to have good health coverage, but know too that others go without even basic medical care.

Sergio Olaya (Bethesda, MD)
Sergio’s late mother, Clara, is an example of the urgent need for health insurance reform. Before being diagnosed with an aggressive form of brain cancer, Clara had been working at the Centers for Disease Control in getting health-related information to the growing Hispanic and Latino Communities nationwide. Unfortunately, while she was in-between federal jobs, she could not afford to pay for COBRA while also supporting Sergio thru college at the University of Delaware. Because of the high cost of COBRA, Clara was unable to maintain coverage, and ultimately fell ill and was unable to work and receive coverage. Her medical bills skyrocketed and by the time she passed away shortly thereafter, they had reached $255,000. Sergio was ultimately forced to sell the family home to pay off all the outstanding medical bills incurred by his mother. Sergio is currently in his final semester at the University of Delaware for a degree in Political Science and minor in Sociology.

Yolanda Pena (San Antonio, TX)
The insurance crisis has had a profound effect on Yolanda’s life. Yolanda had health insurance through an employer in September 2006 when her doctors discovered her brain tumor. When she had surgery a month later, they discovered that it wasn’t cancerous, but they did have to remove most of it to avoid damage. She was told she would be able to return to work in 10 weeks, but it was about six months before she regained her comprehension, memory, and motor skills enough to do so. Fortunately, her employer was able to hold her job until she went back in the spring of 2007, but she soon discovered that she was unable to continue working and left in August. She and her husband looked at COBRA, but it was unaffordable. No one on the individual market would cover her without charging exorbitant premiums. To get onto her husband’s plan, it would cost them an extra $300 a month. Instead, he sets aside $150 a month to cover her continuing medical needs like medications, doctor’s visits, and MRIs. She still has some medical debt from when she was first diagnosed, but as with many people with chronic conditions, debt is just a part of her life. Under health insurance reform, Yolanda would be able to access affordable coverage in the health insurance exchange and would be eligible for subsidies to help pay for coverage.

Easter Spencer (Washington, DC)
In June, Easter discovered a lump on her breast. She called Mautner Project (a local support organization for lesbians with cancer and their loved ones for help; she is also a volunteer there) and was referred to the Capital Breast Care Center, which in turn referred her to Washington Hospital Center for a mammogram and sonogram. The good news was that they discovered the lump was non-cancerous. However, the doctors told her it should be removed, and she has no health insurance. Easter works as an administrative assistant for a real estate management company. She has four children and has eight grandchildren.

David Turner (Little Rock, AR)
David was covered under his employee plan for a year before the insurance company went back in his record and cancelled his plan retroactively on January 25, 2008, claiming that he did not disclose all of his medical history on his original form. The company cited high triglycerides and high cholesterol, which David didn’t even know he had, and claimed other conditions were ‘digestive disorders’ unbeknownst to David. He appealed the decision, and four months later, he got a letter saying from his insurance company stating that it is irrelevant whether or not he intentionally or inadvertently failed to reveal all of his previous medical history. Under health insurance reform, rescissions are prohibited.

Travis Ulerick (Dublin, IN)
Travis is a 24-year old fire fighter/EMT for the Dublin Volunteer Fire Department in Dublin, Indiana. He started out as a firefighter and first responder for the volunteer fire department on June 28, 2000. When the fire department became the sole EMS provider for the southwestern portion of Wayne County in 2007, Travis was one of the four crew members hired to work full-time on the department’s ambulance. He is currently a senior at Ball State University in Muncie, Indiana, graduated from the Tri-County Training Academy of Paramedic Science (Connersville, Indiana) in June 2009. Travis introduced the President in March at the White House Forum on Health Reform and previously he hosted a health care community discussion with other local first responders, doctors, and everyday Americans in January 2009 in the bay of Dublin’s fire station.

Eric Whitaker (Chicago, IL)
Dr. Whitaker is the Executive Vice President, Strategic Affiliations and Associate Dean of Community-based Research at the University of Chicago Medical Center (UCMC). Until October, 2007, he served as Director of the Illinois Department of Public Health (IDPH). In this capacity, Dr. Whitaker oversaw an agency with a budget of $450 million with over 1,200 employees statewide, as well as 3 laboratories and seven regional offices. Prior to his appointment, Dr. Whitaker was an attending physician in Internal Medicine at Cook County Hospital in Chicago and a member of its Collaborative Research Unit. He helped found Project Brotherhood: A Black Men’s Clinic, a weekly clinic for African American men housed in Woodlawn Adult Health Center, which is affiliated with the Cook County Bureau of Health Services. In 2000, the project received the highest award accorded by the National Association of Public Hospital and Health Systems. He is an assistant professor at the University of Illinois-Chicago School of Public Health.

Nathan Wilkes (Englewood, CO)
Nathan’s son, Thomas, was born with hemophilia in 2003. He shared his story when he introduced the President in August at the Town Hall in Grand Junction, CO. At the time, he and his family had high quality insurance through the high tech telecommunications company that he helped found, but when the insurance company saw Nathan’s claims (ranging from a few thousand dollars to $750,000 a year for his son), they started to increase the premiums for all the employees and their families. The company tried to find other coverage, but no other insurance company would take them with Thomas on the policy. When his son Thomas neared the $1 million cap on his policy, Nathan searched for another option. A social worker suggested that Nathan and his wife get divorced so that she could go on Medicaid. Nathan found a way to get his son into the state’s high risk pool, but it too had a $1 million cap. Nathan paid premiums to both his company and the high-risk insurance pool. By this time, he was paying about $25,000 out of pocket a year and still getting huge bills and threats from collection agencies. Finally, Nathan decided to form his own small business so that he could have more control over the plan selection. Fortunately, under Colorado law, coverage for small businesses prohibits permanently excluding pre-existing conditions, so he was able to get coverage for his family. But Nathan faces increasing premiums and a $6 million lifetime cap, which he fears will be exceeded because of his son’s continuing need for care. Under health reform, coverage for Nathan and his family would not include any annual or lifetime caps on benefits. Under health insurance reform, coverage for Nathan and his family would not include any annual or lifetime caps on benefits.

I’m fairly sure the press won’t be as interested in these Americans as they were in all those hysterical teabaggers who insist that the government is plsnninghto kill them. But it’s the thought that counts.

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Asking The Right Question

by digby

Amanda Marcotte gets to the heart of the matter:

The people who value human lives over corporate profits aren’t the ones who should be required to explain ourselves. Our argument is sound. We believe all people are equal, and that the rich’s wallets are therefore not more important than your lives. We’re the ones who stick by the principles of our founding documents, and we’re the ones who steadfastly maintain that human life is valuable, even if the human holding it isn’t a rich insurance company executive.

It’s the people who are putting corporate profits ahead of human lives who need to explain themselves. They’re the ones who should be asked why corporate profits count more than lives. They’re the ones who should be asked why working class citizens should be forced to decide between paying for an insurance bill or paying their rent in order to make sure that no insurance company executive goes without a fresh supply of yachts and fancy cars. They should be forced to explain why insurance company executive yachts count more than your ability to avoid homelessness, or your ability to have a perfectly treatable illness actually treated. (If you think that laws against rescission will stop the practice, keep kidding yourself. The fines will be low enough to count as the cost of doing business.) Instead of asking why “the left” is so unreasonable, let’s start asking why everyone else thinks human lives count less than rich people’s dollars.

If I were to guess, if you asked the grassroots opponents of health care reform I think the answer would be pretty straightforward. Rich people’s money is more valuable because:

a) they are more “productive”
b) God rewards those who help themselves (to our money)
c) They identify themselves with the rich — and would rather die than admit that they are just an average person.
d) insurance company executives aren’t “welfare queens.”

But then, as Amanda insightfully put it earlier in her post:

It’s obvious that people who show up screaming about how they want the government out of their Medicare and who go into a faint because they heard that the health care bill has no provision to ban abortion aren’t people that you can respond to in any way. They can’t compromise or understand the concept. They’re too busy struggling against reality itself.

As for why the politicians and other elites agree that insurance company profits are more important than people’s lives, well … they don’t really have to answer the question, do they? It’s obvious.

The problem is that it’s not only the teabaggers who are struggling against reality. I’m afraid the rest of us are too.

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Yellow Astroturf

by digby

One of the most frustrating aspects of public discourse is the extent to which the media allows political operators to hide their affiliations and agenda. From ballot propositions which create the illusion that the intent is the opposite of what it actually is to astroturfing to paid operatives pretending to be “concerned citizens,” the system is rife with subterfuge of the kind your would expect mainstream journalism to object to, if not actively seek out and expose. (There was a time when such things were called “news.”)

Unfortunately, such things are left to alternative media and blogs these days, which tend not to reach the average Joe and Jane who are busy job hunting and moving out of their foreclosed homes. Here’s one example from The Orlando Weekly:

[T]he Orlando Sentinel published [an] opinion piece this weekend called “The health-care debate deserves and honest forum” under the auspices of its “New Voices” demographic olive branch: “a forum for readers under 30.” Sure, fine, this is where young upstarts are meant to bloviate for 600 words or so about current events that they typically have no control over, because, well, their hair isn’t graying yet. It’s a harmless bit of Weekly Reader-dom designed to assuage a certain segment of the ad-perusing public and give “power” to the “kids.” Harmless.

The problem with this Sept. 5 piece, located on page A19, was that it didn’t really appear out of the thin air of youthful concern, but rather out of the the typing fingers of a known Republican operative, Kristen Soltis. Soltis — as it is partially pointed out in print, but not online — is the director of policy research for the conservative Winston Group in Washington D.C., and also former intern for the National Republican Congressional Committee who has been known to blog. Sure, she came up in these parts — “I was born and raised in Orlando, graduated from Cypress Creek High School and the University of Florida, and moved to the nation’s capital after college,” she writes, “… to see how policy is made and change, implemented” — but even from D.C. she feels herself qualified to comment on the nasty Democrat-“stacked” health-care town hall held by U.S. Rep Alan Grayson, D-Orlando, last month at that grimy union hall. Health care reform is bad! Democrats are evil! She wasn’t there. She isn’t even a registered voter in Orange County. She is, therefore, a young expert.

You can read Soltis’ op-ed here and see for yourself if it appears that she is just a concerned constituent who is upset that Alan Grayson didn’t allow his town hall to become a gun toting, right wing freakshow. (Besides, Grayson is a Democrat — is it not expected that most of the people who come to his town halls are Democrats?)

The Orlando Sentinel, which published this GOP propaganda is a Republican paper hostile to Grayson. And they have a perfect right to publish their own editorials excoriating him if they want to. But hiding behind the skirts of some youthful GOP up and comer in DC, pretending that she is just a little hometown gal standing up for her values, is just plain deceitful.

Not that it’s working particularly well. The GOP can’t find anyone to run against Grayson:

House Republicans have an opening now, and they’ve lost so many seats the last two cycles that there are many places where they need to land a recruit. Rep. Alan Grayson (D-Fla.) has spent much of his first eight months in office giving the GOP ammunition to use in 2010, but there is still no major opponent to run against him. Republicans will almost surely get someone formidable, but it’s mildly troubling that nobody major is raising money yet against one of the wealthiest members of Congress.

“Troubling?” To whom?

I would guess that the reason nobody wants to mess with Grayson isn’t that he’s rich. It’s that he’s popular. And he’s popular because he is taking on the banks and Wall Street in a way that pleases people across party lines.

(Seriously, if you want some modern bipartisanship, Grayson is leading the way. Unfortunately, the malefactors of great wealth’s political lackeys are also bipartisan …)

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When Industry VPs Write Laws

by dday

Max Baucus’ plan had the name of Liz Fowler, a former WellPoint VP who now works for the Finance Committee, in the metadata. When you have WellPoint personnel instrumental in writing the laws, you get little provisions like this:

Interstate Sale of Insurance. Starting in 2015, states may form “health care choice compacts” to allow for the purchase of non-group health insurance across state lines. Such compacts may exist between two or more states. Once compacts have been formed, insurers would be allowed to sell policies in any state participating in the compact. Insurers selling policies through a compact would only be subject to the laws and regulations of the state where the policy is written or issued.

This is something that conservatives have been begging to do for years. Even the most outgunned conservative on a talking head debate can vomit up “let people take their insurance across state lines to increase competition!” It sounds reasonable. But there’s a very good reason why it would quickly turn into a nightmare, and you can see it in the examples of Delaware and South Dakota.

Both of those states have essentially no regulations on credit card companies. When legislation passed allowing banks to issue credit cards across state lines, some states started wildly deregulating their credit card markets in a race to the bottom. South Dakota and Delaware won. And now practically all credit cards are issued from those two states.

This would be precisely what would happen to the health insurance market under these “health care choice compacts,” which could go national, based on this language. Right now, insurance companies can sell their coverage “across state lines,” they just have to be accountable to the laws of the state where they sell it. Under this plan, insurers would be allowed to ignore the regulations in the state where individuals purchase insurance, and only subject to the laws where they issue it. Insurance regulations vary widely in the states, and would do so more under this compact. Anti-government legislatures could gut insurance regulation to entice insurers into setting up their corporate HQs there. States with regulations in place might prefer to lighten their regulatory case load, in this era of budget struggles, and let some other state deal with it. The insurance exchanges would presumably put a stop to this practice, but crucially, they only have a state-level framework and not a national one.

Consumer Watchdog jumped on this today, claiming that this race to the bottom could be expanded.

Washington, D.C. — The consumer group that pioneered the most successful insurance premium regulation law in the nation, which has saved California drivers $62 billion on auto insurance rates since 1988, released a report today outlining the deep flaws in the proposed Senate Finance Committee health reforms. The report calls on Congress to adopt “prior approval” health insurance rate regulation and block insurance industry efforts to gut state consumer protection laws.

A “framework plan” released today by the so-called “Group of Six” Senators negotiating a health reform bill headed by Senator Max Baucus (D-MT) would open the door to gutting state laws. The plan would result in a “race to the bottom” in health care regulation by allowing insurance companies that participate in “health care compacts” to choose the weakest state law to govern all their policies, regardless of which state the policies are sold in. Currently, insurance companies must abide by the state laws of any state where they sell insurance. The Baucus plan resembles an industry proposal carried by Mike Enzi (R-WY) in 2006 discussed below […]

** Loss of state benefit mandates would allow exclusion of preventive treatments and exams, prevent early diagnosis of disease and evade Patient Bill of Rights laws passed in nearly every state. Denying access to such basic preventive care makes treatment more costly to the policyholder and ultimately to taxpayers, who pick up the bill when individuals cannot pay outrageous out-of-pocket costs.

** State laws providing consumers the right to appeal a coverage denial to an independent panel of physicians, a right to a second opinion, and assistance from state regulators when coverage is denied would all be lost under the Enzi approach.

** Individual patients who currently have the ability to hold insurers financially accountable for injuries caused by the denial or delay of necessary care would lose those rights if they joined the Enzi co-op.

This is what you get when industry VPs write your laws.

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Die Today So They Don’t Pay

by digby

If anyone is wondering what the fiscal scolds are preparing to combat health care reform with in the final stretch, look no more. The Peterson Foundation is ready. They released a report (pdf) on the Kennedy Bill today:

1. The net federal cost of the Act over the 2010 through 2019 period would be $39 billion (excluding debt service costs) and, thus the Act would be nearly fully funded as reforms phase in during the first ten years. The net federal cost of the Act over the following ten years (2020 through 2029) would be $1.01 trillion (excluding debt service costs) due to rapid growth in health care costs that will outpace the growth in incomes and revenues over the longer-term.

Golly, that sounds really bad. Almost as bad as the projections that social security will go broke in 30 years. And I would guess that if we keep going the way we are going, by 2200 the whole country will be so mired in debt we will be slaves of the Chinese overlords. So we’d better not do it.

The Foundation did score the HELP Committee for benefits as an afterthought:

2. The study estimates that under the Act (assuming full implementation and mature enrollment) almost 30 million people would gain insurance coverage in 2011, a reduction of 60 percent in the ranks of the uninsured.

* 41 million people would obtain health insurance through newly-created health insurance exchanges, including 21 million in the public plan. Enrollment in the Medicaid program would grow by 10 million.

* Families in which all members currently have insurance would save an average of about $176 under the Act, while families with one or more uninsured members would, on average, see an increase in family health spending of $1,410 per family.

* Overall, employer health spending would increase by an average of $305 per worker. Employers that currently offer insurance would see an increase in health spending of $123 per worker, while employers that do not now offer coverage would see an increase in health spending by an average of about $813 per worker. (However, most economists believe that employers would eventually offset the increases in costs through slower wage growth. As a result, families and individuals would ultimately bear the burden of higher health care costs, which is reflected in the bullet immediately above.) Small businesses currently providing insurance would save up to an average of $811 per worker due to a tax credit.

* The number of people covered in employer-sponsored plans (outside of the health insurance exchanges) would fall by 11 million, and overall enrollment in private plans would decline by about 900,000.

3. The Act would result in a net savings to state and local governments of about $62.6 billion over the 2010 through 2019 period, primarily due to savings in safety-net programs that currently serve the uninsured. States would save about $125.7 billion over the 2020 through 2029 period.

Oh who cares about that? Sure, it would be nice if people were healthier and all, but at the end of the day isn’t that just too expensive? Seems like some people should just die to save money. (Not rich people, of course.)

The fact is that if all these benefits were actually realized, the country would be far, far better off, both financially and otherwise. Nobody expect that spending will go down, merely that the growth in spending will be less. Therefore, if the government finds itself having to pay out all that money in health care benefits, this healthier, more prosperous nation can surely afford to levy the necessary taxes to pay for it, right?

I don’t give a damn what this is going to cost in 2029. And nobody else should either because these projections are based on bullshit. Nobody can see that far into the future. If we can pay for it now, then we should do it now. And if it costs more down the line, then we will find a way to pay for it. This nonsensical obsession with deficits decades into the future is nothing more than a scam designed to keep the gravy train going for the wealthiest Americans at the expense of everyone else.

If these numbers are correct, then the fiscal scolds are going to have to argue that people today have to die so that wealthy people in 2029 don’t have to pay higher taxes. It’s that simple.

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Blue Dog Howl

by digby

It looks like some people don’t know who they work for:

Yesterday, Arkansas’ Mike Ross, an influential Blue Dog Democrat, stated that he was opposed to a public option in the Democrats’ health care reform package. “An overwhelming number of you oppose a government-run health insurance option, and it is your feedback that has led me to oppose the public option as well,” Ross asserted in a letter to his constituents.

Ross may well have gotten a significant number of letters and e-mails against the public option. He may have hosted a town hall forum before an audience who was skeptical of such a provision. But if Ross had actually polled his district, it’s unlikely he would have found overwhelming opposition to the public option. Instead, he might even have found a that a plurality or majority of his constituents supported the public plan.

[…]

While Arkansas-4 does not have a lot of Obama voters, it does have a lot of people in poverty: 20.5 percent of its population, which ranks it 50th out of the 435 Congressional Districts. It is basically like an exaggerated version of Kentucky where, according to the Research 2000 poll, 46 percent support the public option and 45 percent oppose it. That the public option is “overwhelmingly” unpopular in such a district is unlikely.

We can systematize these results by means of a regression analysis that accounts for the Obama vote share and the poverty level in each district. (Technically, we’ll be using a logistic regession, treating each of the voters included in one of these surveys as a separate data point.) This analysis finds that support for the public option nationwide is about 55 percent, against 36 percent opposed, similar results to what I believe to be the most reliable polls on the subject.

What’s more interesting, though, is where we project the public option in individual districts. We find that:

— The public option is estimated to have plurality support in 291 of the 435 Congressional Districts nationwide, or almost exactly two-thirds.
— The public option is estimated to have plurality support in 235 of 257 Democratic-held districts.
— The public option is estimated to have plurality support in 34 of 52 Blue Dog – held districts, and has overall popularity of 51 percent in these districts versus 39 percent opposed.

Mike Ross works for Blue Cross, like all Arkansas politicians. But while he may think because of that that nobody will ever bring up his probable vote against health care reform, I tend to think otherwise. It might not be a Republican, mind you (although don’t rule that out … they have no shame) but there are some people in politics these days who are kicking ass and taking names and who will very likely to be willing to run ads against them.

Most people are willing to be practical if somebody comes from a district that is truly conservative and demands that they vote a certain way. Democracy is democracy. But these corporate lackeys and village shills who refuse to represent their constituents and act like Republicans are another story.

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