Via Big Media Matt (who is auditioning to be Versailles’ next Richard Cohen) comes this bright idea hyped by Ezra Klein
The details remain a bit sketchy, but the basic idea seems to be that he’ll move Medicaid patients — and a fair number of the uninsured — into managed care plans that would receive a fixed rate per patient (the rate would vary with health status). That would eliminate the perverse incentives of fee-for-service care, presumably. But in order to ensure high quality outcomes, there would be financial incentives if physicians met certain performance criteria. Medical homes and more coordinated care would be a major part of the transition.
Clearly this will be nothing but a new form of the denial-of-care-business model. It can’t work, it is designed not for health care, but to fool people like Ezra Klein.
I don’t like to go after fellow bloggers, but I consider health care defeatist to be the biggest single barrier to Medicare for All, for they are instrumental in marginalizing single payer. No matter how much how much Congressional support we have, no matter how many elections we win, people like Ezra refuse to acknowledge that single payer has the most support among all health care proposals.
So here is my challenge to Ezra and Big Media Matt: put Health Care Now, Guaranteed Healthcare, and Physicians for a National Health Program in your RSS reader. Pick up the phone and call ask John Conyers, Barney Frank, or any other co-sponsor of HR 676 for a comment occasionally. Or call Shelia Kuehl or Chuck Pennacchio. Unless you do these things you are not journalists, you are just part of the AHIP/HCAN’t axis of wankers.
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I don't understand
why single payer isn't treated as a matter of national pride: How dare you say America can't do it when all the other nations can? Why do you hate America?
DCB-four commenters at Ezra's say other states have this
same approach, that it's nothing new. So why is itbeing touted by Matt and Ezra as some New Big Thing/Thinking?
Bcz they're drinking a new Kool-Aid for "bipartisanship"?
11/14 - 3:40PM--CA
11/14 - 3:54PM--TX
11/14 - 3:48PM--AZ
11/14 - 6:26PM--WI
11/15 - 3:21 Commenter says the innovations are the Medical Homes and Pay For Performance features.
I don't know enough to evaluate--what is actually new?
thanks
i was just reading this [as i was skimming through several other defeatists' ecstasies on baucus and his nonplan].
jindal's proposal looks similar to medicaid privatization scheme that florida has been "experimenting" with. it doesn't appear to be exactly popular with the 'beneficiaries' -- 287,015 enrolled, and 111,603 disenrolled.
ezra can wonk himself out on the year 2 final report here [humongous pdf].
Daschle - "putting together Obama's health care proposals"
"Rumor: Ex-Sen. Tom Daschle is putting together Obama's health care proposals and is in frequent touch with members of Congress -- Sen. Max Baucus, Rep. John Dingell, Sen. Ted Kennedy -- who are working on the issue.
Fact: This is true." -- http://marcambinder.theatlantic.com/arch...
I wonder what this means?
Daschel not consulting Conyers?
how typical
none of them appear to be consulting conyers
the groundswell really does seem to be all about the health of the insurance companies.