Izvestia: the middle ground in health care reform is a public option that's public in name only

Izvestia-on-the-Hudson "reports" today that Senator Schumer, "scorched by Republican opposition to the idea of a new public program like Medicare," (scorched? what're they gonna do, take away his birthday?) offers a "middle ground": a public plan based on a set of principles, the first of which is that it won't be supported by public funds:

The public plan must be self-sustaining. It should pay claims with money raised from premiums and co-payments. It should not receive tax revenue or appropriations from the government.

Yay! What a good idea! Wish I'd thought of that. That should work out about as well as expecting high-quality mass transit to be self-financing. We get miserable, loud, dirty, infrequent buses for the rabble and clean, convenient high-speed trains for the members of the Creative Class. Problem solved. Although our intrepid reporter allows that "some thorny questions remain." Mere details, the contemplation of which will be useful for diverting our attention from the fact that we've just been robbed.

Watch that Overton window, dang it, I think I just got my fingers mangled in it as it slid to the right; the article ends thus:

On Monday, some insurers and Republican lawmakers circulated a video clip of a recent speech by Representative Jan Schakowsky, Democrat of Illinois, in which she said insurers were right to fear that a public plan option could “put the private insurance industry out of business.” Ms. Schakowsky said that might happen because of “the superiority of the public health care option.”

No mention of what really scares them, which is what we are demanding now: single payer.

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We pushed the Overton window right ourselves

By accepting definitions of a "public plan" that are what the health care insurers wants. I've tried to say here over and over again that we need to differentiate between a public subsidy for health care insurance companies and a real public option, such as expanding Medicare for anyone who wants it. Further, we should not have accepted as a definition of the "public plan" any room for private insurers to pick and choose their clients. A Medicare expansion that is on the exact same footing as the private insurers should have been the only definition we accepted for the "public plan/option".

Since the fight is just beginning, I don't think its too late. By framing the public option as a medicare expansion we also keep alive "medicare for all", either eventually or immediately.

Only tyrants rig elections.

Sebelius spoke today about necessity of healthcare "reform,"

whatever the fuck that actually means to the Obama administration.

She talked about the cost of Big Insurance, 30 cents out of every dollar, without actually mentioning Big Insurance. Grrrrrr.

"Approximately 30 cents of every health care dollar are spent on billing, overhead and administration. Spending on the uninsured and the health care bureaucracy takes up nearly one half of every health care dollar and results in a system where we all pay more and get worse results. "

And to fix it???

Sebelius said reform would have to include the following elements:

* Choice in providers and doctors. "No American should be forced to give up the doctor they trust or the health plan they like," Sebelius said.

That means no HMO's, right? No PPC's? Or just for those who can afford the top of the line coverage?

* A cost-cutting element and quality drive

* Reform of the health delivery system

* A slowdown in the growth of costs of health care for businesses and government, which is driving the budget deficit

What about for individuals? For non-business organizations?

* Affordable, quality health coverage for all Americans so that people do not lose their health care if they lose their jobs (My emphasis)

Anyone want to parse those bullet points?

Note: I found this reported on by AP on AOL, but didn't note the exact site it came from, thought it was a radio or TV station which began with "k." I can't find it now, either by googling or searching AOL. Weird. Didn't show up on my history either.

Is AP demanding articles be takon off any web sites??

I swear one of the bullet points in the AP article was about a "public option." Undefined, of course. But I am sure I saw it...could easily be misremembering....

But why can't I find the article?

"health plan" = health INSURANCE plan

I wish they wouldn't use euphemisms!

And what's this "No American should be forced to give up the doctor they trust or the health plan they like" crap? "Give up"??? I don't even have the doctor or plan I like in the first place. (And I'm one of the lucky ones who has health insurance through my employer.)

What fricking universe are these people living in?

And why does anyone buy this crap? I mean, it sounds good, as long as you don't think about it very much or at all, but it doesn't describe the reality of American health care as most people know it.

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We can't afford not to have single-payer!

Needs to be pushed further left than that, GQM

"Public option" is too weak a starting point. We should (and do) focus on "single payer," and let them come crawling with an acceptable "public option," not that there's any chance these weasels will do even that.

Amen, and as DCblogger emphasizes:

If the feds won't do the right thing, at the very least we need to make sure that any plan that passes does not exclude the states from passing their own single-payer plans.

(My own State Senator, Eric Schneiderman, is a sponsor of a single-payer bill for New York State. I have to give credit today to the one local pol who isn't making me feel a bit dirty.)

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We can't afford not to have single-payer!

Not sure how much time we have to fight this-I think Obama wants

to rush this through, for many reasons, including political capital erosion, but also to prevent the public from actually knowing what's being done to them.

From my link to the Sebelius article:

Sebelius said there was "unprecedented" bipartisan cooperation to speed through reforms this year.

"In the Senate, Democrats have been working closely together and with their Republican counterparts. Key chairmen have committed to passing reform legislation out of their respective committees in June," Sebelius said. (My emphasis)

I wonder if reform of the Medicare prescription mess still on the table...?

We know they're trying to rush it through

Thus, the plans to use the budget reconciliation process:

House and Senate Floor Consideration: The Budget Act specifies that Congressional Action on reconciliation legislation should be completed by June 15. It provides specific expedited procedures and restrictions for floor consideration of reconciliation measures, to ensure timely completion. In the House, reconciliation legislation is normally brought from the Budget Committee to the Rules Committee, which grants a special rule governing floor consideration of the measure. Under the Budget Act and traditionally under these special rules no amendment is in order that would increase spending or decrease revenue levels relative to the base bill without equivalent decreases in spending or increases in revenues. In other words, amendments must be deficit neutral. Also, non-germane amendments may not be offered to the package absent a waiver from the Rules Committee.
In the Senate, total debate on a reconciliation bill is limited to 20 hours, although the actual time for consideration of the omnibus package often exceeds this time limit set in the Budget Act. Motions and amendments may be offered and considered without debate at the end of this time period. There are also restrictions on the content of a reconciliation package and on the amendments which may be offered to it. For example, any amendment to the bill that is not germane, would add extraneous material, would cause deficit levels to increase, or that contains recommendations with respect to the Social Security program, is not in order. The Budget Act also maintains that reconciliation provisions must be related to reconciling the budget. For example, section 313 of the Budget Act, more commonly known as the "Byrd Rule", provides a point of order in the Senate against extraneous matter in reconciliation bills. Determining what is extraneous is often a procedural and political quagmire navigated in part by the Senate Parliamentarian. The Byrd Rule and other points of order in the Budget Act may only be waived in the Senate by a three-fifths vote. Furthermore, the Budget Act prevents reconciliation legislation from being filibustered on the Senate floor.

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We can't afford not to have single-payer!

It's probably the only way a good plan could be passed, as well

as some PINO iced Big Insurers' Protection Plan.

Rushing a good plan in

through budget reconciliation is one thing...

rushing a "bipartisan" crap plan with a PINO option is quite another.

To do the former would take courage (and wanting to stand for the best traditions of the Party Formerly Known as Democratic). What do you want to bet it's the latter they'll try?

Political courage, anyone?

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We can't afford not to have single-payer!

Maybe so. But--

1. We can mark it on the way through. This will not end the issue, because keeping the insurance companies in business through subsidies and denying people more care through electronic medical records doesn't defuse anything.

2. If we preserve state options, there's hope there.

3. Maybe this is a case where nothing is better than something. It depends on how deeply fake the bill is (and I'm betting it's as deeply fake as can be).

They keep floating shit plans -- like Schumer's. That's the result of pressure.

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

I just waded through 500+ comments

on this subject over at the Orange Place, and was amazed that Obama's name was barely mentioned. Those who were deluded about what kind of health reform he would give us are just as deluded as ever - they are putting this all on Chuck Schumer. Will they never wake up?

that's been my take on it too

...to prevent the public from actually knowing what's being done to them

If only the Czar knew!

Sigh....

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

I'm so mad at Schumer I could spit nails. So I'd better calm

down before I write more or call his office. Aaaarrrrrgggghhh!

Soylent Green time...uh, can they make Soylent Green out of those with chronic, serious illnesses? Was that addressed in the movie? What's the business plan on that? Surely Goldman Sachs must be looking into what to do to make a profit off of dead people?

Step away from the keyboard....

I refuse to allow this to be called a "public plan"

Paying only from premiums and copays? WTF?!

Dang. My own senator. Dang and double-dang.

And then: more evidence that Republicans are stark-raving loons (and/or sociopathic tools of the insurance industry):

On Monday, some insurers and Republican lawmakers circulated a video clip of a recent speech by Representative Jan Schakowsky, Democrat of Illinois, in which she said insurers were right to fear that a public plan option could “put the private insurance industry out of business.” Ms. Schakowsky said that might happen because of “the superiority of the public health care option.”

The superiority of the public health care option. Can't have that!

Pardon me while I beat my head against the wall... (no, better not: I can't afford the deductable and copay!)

OK, that's it. No more Ms. Nice Guy. Single-payer or bust, and I take no prisoners!

[edited to add:] About time, too, that I find out where my union, which endorsed HR676 long ago, stands on this matter.

Grrrrrr....

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We can't afford not to have single-payer!

If Schumer is your own Senate-critter, call him!

His staff might actually count your call as worth something. I'm told calls from non-constituents aren't very effective.

The Democrats: a roach motel for progressive energies

- VastLeft

I will call

...once I've stopped growling and snarling.

Also got to call Rangel, who was mentioned by Dean last night apparently. (Charlie's seemed kind of timid to me since last year's events. By which I mean, both the investigations into his personal finances, and the bullying from the Obama campaign because of his early support for HRC. Also, when I call his office I always seem to get aides who have no idea what I'm talking about, and I do not feel very confident that my message gets through intact. I'll have to follow up with a fax. Why couldn't all this be talking place after the semester ends???)

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We can't afford not to have single-payer!

So if the public plan is "superior"...

... why aren't we adopting it?

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

Bad Dems?

Moneyed Party? Big Banksters, Big Pharma, Big Insurance, Big Bidness luvin' Bad Dems?

PINO

"Public In Name Only"

Changed the headline, there, gob, in the interests of greater propagation ;-)

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

Good move on the PINO edit, chief

- two heads, etc.

Thanks

The Democrats: a roach motel for progressive energies

- VastLeft

Thanks are due to gob

for so many posts on single-payer recently that I've lost count!

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We can't afford not to have single-payer!

My face is red -

either because I'm blushing modestly or because my hair is on fire.

Truly, I feel time is running out, they're getting ready to ram this down our collective throat, and I hear my fellow activists talking about their plans for six months down the road. Six months! Too late!

The Democrats: a roach motel for progressive energies

- VastLeft

It's all about forcing us to do business...

... with the insurance companies, and giving Eric Schmidt a few more billions for electronic medical records data conversion projects, so the insurance companies can "nudge" us to deny us care. No change is better than that change, because you know that while the mandate and the loss of privacy is forever, the subsidies for the mandate won't be enough in the first place, and will be reduced over time. Thank you, FKD!

"First they ignore you, then they ridicule you, then they fight you, then you win." -- Mahatma Gandhi

PINO, love it

Lather, rinse, repeat. Always repeat!

Only tyrants rig elections.

What does the weasel say?

When my kids were little, it grew tiresome just to do the traditional "What does the cow say? Moo!" game. So, we'd improvise things like "What does the weasel say?," followed by a sniveling sound. This was before I knew about Schumer, of course.