HuffPo’s Ryan Grim asks the right question. He’s reacting to the compromise of a compromise of a comprise of a misguided effort that has become Congress’ abysmal efforts to reform the nation’s embarrassing health care system.
The LA Times today, reported on the unfair "recission" practices of the nation’s private insurance companies, in which their goal is to deny coverage to anyone they can even remotely argue concealed a prior condition when applying for health coverage.
Executives of three of the nation’s largest health insurers told federal lawmakers in Washington on Tuesday that they would continue canceling medical coverage for some sick policyholders, despite withering criticism from Republican and Democratic members of Congress who decried the practice as unfair and abusive. . . .
Executives of three of the nation’s largest health insurers told federal lawmakers in Washington on Tuesday that they would continue canceling medical coverage for some sick policyholders, despite withering criticism from Republican and Democratic members of Congress who decried the practice as unfair and abusive.
Read the whole disgusting piece and ask yourself, why are these people demanding to be shielded from competition?
And think about what the recission policy says: The current for-profit system creates a perverse incentive for consumers not to be forthcoming about their actual medical needs. Then when those needs become manifest, the insurers penalize the consumer and deny them coverage. That’s nuts. As Ryan would say, "it sucks."
We need a system that encourages consumers to tell their doctors what’s wrong, what their history is, all of it, and not be afraid to reveal prior conditions or illnesses. That’s just good medicine and common sense. But today’s insurance system defies common sense and works to conceal consumers’ real problems and punish them later.
When politicians claim we can’t displace this crowd, because they’re too deeply ingrained in how people are covered today, then at least give consumers a robust alternative that doesn’t have these perverse unhealthy, anti-consumer incentives. Give us a real choice.
Congress has already ruled out, won’t even discuss, not allow on the table, not even allow to speak at Senate hearings — any advocacy of the simplest, most workable approach. It’s called single payer. People get the care they need. They don’t hassle with forms. Doctors and hospitals do what they believe the patients need. The government collects taxes to pay for it. It works, improves care and costs less.
But Congress won’t allow itself to think about that. Instead, its goal is to preserve the existing structure, even though it’s literally killing nearly 20,000 people every year and driving thousands more into bankruptcy. And left unchecked, it’s going to bankrupt the US Treasury.
Accepting this imposed restriction, the best in Congress have proposed a reform that would at least give consumers a decent alternative, a robust, non-profit public option along with the freedom to choose that over what we have now. But apparently, that’s too much to ask of this Congress. Why?
Why can’t we have a health care system that doesn’t suck?
How about some straight answers, Congress.





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The answer to your question is one the Congress is not willing to say aloud for fear of reprisals from constituents: Many in Congress have taken vast sums of money from the Health insurance industry and big pharma, and now “they have to dance with the one that brung ‘um.” (God, I miss Molly.)
Maybe the question should be: Are they really afraid of us? God knows the French government is scared of its citizens; if shit happens there, the workers stop working and shut the country down until things change.
By “us” I mean their constituents, in case that wasn’t clear.
“Why can’t we have a health care system that doesn’t suck?”
For one reason, because we don’t have a health care system. We have an insurance system, which is, of course, manifestly corporate, unethical and driven solely by greed.
great diary. thank you scarecrow.
great diary – thanks for writing it – recommended
It only sucks for consumers. For insurance company executives, it’s a perfect system! People give them money each month in case some unexpected injury or illness occurs, and when that occurs the insurance company gets to keep the money. What a deal!
You’d think that since they’re so out-numbered by the people they’re screwing, they wouldn’t have much of a say…this being a ‘representative democracy’ and all. But then again, numbers of people don’t necessarily out-weigh numbers of dollars. And numbers of dollars is what gives the representatives the chance to represent us. What a loopy system.
They are heavily invested in pharmaceutical and medical stocks, too. The French workers way of dealing with their government would work in the US. A general strike would get the attention of the White House real fast.
That would be a fine thing. I wonder how they organize such a nationwide event in France? Is it spontaneous, or is some group or groups heading it up? I really don’t know how they accomplish it, but they do.
I should think that to qualify to be on the Exchange you would have to commit to certain conditions — one being ‘no preconditions or cancellations while premiums are paid’.
Why should gov’t endorse or assist any insurer who wouldn’t do that?
I believe the French have unions.
People don’t need “Health Insurance.”
Health Insurance does nothing to keep you healthy or restore your health when needed.
People need HEALTH CARE.
The gigantic elephant in the room is the layer in the entire process that is stealing most of the money from the system – the insurance industry.
Do not make the mistake of assuming that Insurance needs to be part of the solution. Obama sure leads yo to believe as much though, doesn’t he?
Health CARE is the solution. Not health INSURANCE.
Eliminate the middle man, eliminate the problem. The reason why that cannot happen and will not happen is that Congress is bought and paid for. Period.
Ask Warren Buffet how many lives any of his insurance companies has saved – directly.
HEALTH INSURANCE IS BAD FOR YOUR HEALTH.
Was the double-entry deliberate?
Insurers want to extend American torture policy to those who “hide” pre-existing conditions.
Pre-existing conditions have a medical history that would’ve been recorded. It’s not the fault of the patient if the insurer is unable to do due diligence when deciding who will be covered by their policies. The fact of the matter is, the insurer wants your money and will take it without due diligence until such time as a claim is filed that doesn’t suit their actuarial targets.
The whole problem with the insurance model is that it doesn’t distinguish commercial property or automobiles from people. They’re all the same to the insurer. It’s a really bad model for health care. Get rid of it.
We don’t need health care reform. We need the same health care benefits that every member of congress and all federal, and state government employees have.
Right. The people who are wailing in Congress about how awful a government insurance plan would be, have a government insurance plan themselves – and don’t complain about it at all.
Have any of these elected officials who are on the public health care teat ever been denied coverage for anything? Have they all been there so long they have No Idea what it is like out here to get coverage in the private sector?
I became “uninsureable” when I tried to switch to a lower-cost plan with the same company. Why? According to them “seasonal allergies” and “mild osteopenia” were enough. Even though I never used their insurance for anything but annual exams, and not even annually at that. I had been paying them/on their plan for 5 years.
I am now in the state insurance pool due to “denial of coverage.” It costs 5 times less and has one fifth the deductible. But I do not have my choice of hospital.
Who do these people think they are kidding?
We live in such a corrupt country. It’s just absolutely stunning.
As Jim Cooper suggested in his post, Lobbyist Land could make sure that any public option is “phony, non-competitive public plans”. It does not have to be a co-op to be an inferior, under-funded plan for the high risk, or sick, people the for-profits don’t want to insure (which they would love). We already see that in State high risk pools and Medicaid (the first places pols go to do their budget cuts and prove to themselves that government programs don’t work). This may be the most likely outcome, and possibly the worst outcome of “reform”. A public option is only desirable if it is high quality; otherwise it’s a smoke-screen used to create the illusion of change and get us to shut up for a while.
I’m a Federal employee — and what I have a choice of is private insurance companies, lower premiums, well yes, but:
Guess what? Even with that, I still can’t afford to go to the doctor, my income is not enough to cover the premiums of the “cadillac coverage” that the Congress-folk get, and if I weren’t paying for coverage under my partner’s plan, I wouldn’t be able to buy prescription glasses or see a dentist.
And I still can’t afford to have the dental work I need done — and lately I’m having trouble paying for my medications.
(BTW, oldoilfieldhand, each state has it’s own civil service and again, they’re buying insurance from private companies…)
“The LA Times today, reported on the unfair “rescission” practices of the nation’s private insurance companies, in which their goal is to deny coverage to anyone they can even remotely argue concealed a prior condition when applying for health coverage.”
Actually, they went even farther than that. They said they’d also continue the practice of ‘rescission’ for any policy holders who develop expensive-to-treat conditions. In other words, get cancer, expect the insurance company to do everything in its power to drop you.
As a human being, for us it’s a matter of life-or-death; for them it’s all about maximizing profit. These two motivations are at utter odds with each other — and it’s the individual human who will always lose.
I still say that we should terminate Congressional health care and pension benefits. Corporations do it, sometimes when execs want to make their bonus targets or don’t want to repay what they’ve borrowed from the pension plan.
It would work no hardship. Most CongressCritters are millionaires and don’t need the coverage. Seventy-ish battered McCain, for example, could never find insurance under the present system, unlike a single payer system, but with a spouse worth more than $100 million, he could probably afford the going rate in Phoenix. Anyway, he’d still be covered under the Navy’s plan, which he’s had since birth.
Don’t terminate medical and pension benefits for Congressional staffers. They work for a living.
scarecrow asks:
then (from pnhp):
now (from the whitehouse):
taking back the white house, the senate and the house? done.
health care system that doesn’t suck? not looking good.
I can’t figure out why some politically ambitious AG or local prosecutor doesn’t call frivilous recission what it is, conspiracy to defraud policy holders. Maybe we could throw some of these parasites in jail.
amen. completely agree.
excellent post
from bernie sanders: A PETITION TO CONGRESS Supporting Single-Payer Health Care
I think you’ve just mentioned the reasons why such a policy wouldn’t work. Very few members of Congress have to worry about health care costs. Few of their friends do, either. They live in a different world, and thus they think differently.
and maybe they’re after something even worse – in the last thread, in response to Selise’s news that Harkin was barkin’ about co-ops – Sufilizard said:
that is the very thing that would have been lost on people like me until it was too late to do anything about it. thank dog I have y’all to help me out
I don’t equate “electing a Democratic majority and President” with “taking back the white house, the senate and the house”. You’ve illustrated some of the reasons why.
For-profit insurance companies have a fiduciary responsibility to maximize profit and return the best dividends they can to their investors. They are NOT in the business of financing good health care for the policyholder. When the two objectives are in conflict, the shareholders and overpaid executives will ALWAYS win. And therein lies the crux of the problem.
NO healthcare or health insurance “reforms” are going to be more than nibbling around the edges of this gigantic money-making machine unless we totally remove private, for-profit insurance companies from the picture and replace them with a not-for-profit, single-payer, government-administered, tax-funded insurance system that automatically covers EVERYBODY.
Every other advanced country has adopted some version or other of this system and, in none of them – not even in Canada – are the people out in the streets demanding their system be junked and the American system be substituted.
ANY service that is primarily intended for the general public good, whether it be health care, police and fire protection, bank and S&L insurance, interstate highway construction, public education, border and port security, the military, and a hundred more examples, MUST be publicly run by the government if it is to make the welfare of the citizens its first and only priority. Private industry can do some things well, like make products where competition spurs innovation and keeps prices fair (though I’m more and more willing to question even that limited assumption, given our recent history from Enron to GM and Chrysler).
But, when a social service is critical to the well-being of the entire society, there simply is no way that privatization is going to be able (or willing) to provide what is best for the entire populace.
Game Theory’s non-cooperative games have consistently revealed the core flaws of the unregulated free-market philosophy and the Ayn Randian ideology that each individual, left free to strategize for his or her perceived best interest can somehow, magically, produce the best result for the individual and the community. On the other hand, cooperative games invariably result in better results for both the individual and the community.
Google “The Tragedy Of The Common” and “The Prisoner’s Dilemma” for some simple, but enlightening examples.
from national nurses: Single Payer vs Public Option Health Care – all you need to know in one graphic
(imo, not all we need to know but still a very cool and helpful table)
Good graphic. The bits about cost sharing are especially interesting.
That’s a great set of points there, BlueSun. Especially the one–
If America’s healthcare system is “the greatest in the world, the greatest the world has ever seen” (the words of some GOP dink I don’t remember who), then why hasn’t any other country in the world tried to duplicate it?
Thanks selise — I just signed the petition.
By the way, one can interpret this passage “it’s important for our reform efforts to build on our traditions” (emphasis mine) as suggesting to we need to further enrich those who already engorge themselves on insurance premiums. This is not a good sign.
Thought ya’ll could use a laugh
gee, wonder what that could be. . . .
Here is why. We are paying for a Caddy and getting a Pinto.
One of the things that makes Medicare, which I’m on, a successful program is that it does not allow exclusion of anyone for pre-existing conditions (with one exception). AND it has coverage and choice that is as good or better than most private plans. Well, it doesn’t include dental, but old and disabled people don’t need teeth! Conservatives have tacked on complicated so-called “cost-control” rules that limit coverage and probably just add to the cost of administering the program, and make it less efficient, and have the nice-for-them side-effect of leading people who can afford it to get Medicare supplemental private plans. But the program works and you can’t be terminated from it unless you fail to pay the premium for the optional medical plan – which is quite low. The premium for the hospital plan comes out of your Social Security check automatically; people can’t opt out of that part. It also has some genuine cost and quality controls which keep costs down and limit unnecessary, ineffective treatments, and rules that protect consumers and allow us to make appeals. Doctors accept the insurance and say it has less burdensome coverage limitations, paperwork and overhead costs for them than most private insurance. Why can’t everyone have it? Good question.
The White House has been getting more calls against the public plan than for
http://www.dailykos.com/story/…..han-FOR-IT!!!
But I believe — and I’ve taken some flak from members of my own party for this belief — that it’s important for our reform efforts to build on our traditions here in the United States.
Just imagine if Obama had been president at the time of his idol, Abraham Lincoln. He would not have signed the Emancipation Proclamation or fought the Civil war, but would have built on “our traditions” to negotiate a bi-partisan deal with the slaveholders agreeing that slaves got a half-day off on Sunday and could not be whipped more than five strokes at a time.
If he had been president in 1919, the XIX Amendment would, no doubt, have upheld “our traditions” and provided women the right to speak publicly about who they would have voted for, if they only had the right to vote.
One thing that seeing President Barack OBusha in action should have taught the American people is that our entire political system is corrupt beyond repair, so diseased as to corrupt even good people who enter its arena – and that any chance of somehow returning this country to a democratic society has long ago faded into the mists. The best we can hope for now is to admit our “Grand Experiment” in Democracy has finally turned ten toes up. I will be interested to see what new systems emerge over the 21st century as new powers replace the dead and dying decadant West.
“Remember, democracy never lasts long. It soon wastes, exhausts, and murders itself. There never was a democracy yet that did not commit suicide.”
— John Adams
And why has the World Health Organization ranked it 37th in the world?
Delta is ready when you are
thank you. my error. you are absolutely correct.
NPR reported this morning by Bob Dole that bipartisanship should rule the day. Bob Dole said the Democrats don’t want to run any big legislative acts like health care through without the backing of Republicans. That would be a big mistake according to Bob Dole.
NPR concurs. Obama concurs. The D Party concurs. The R Party is laughing their asses off.
from helen thomas:
i just copied a bit from the beginning and the end but i recommend the entire essay.
Done, thanks fo da linky.
i agree. also, keeping employer based health insurance is just nuts as industrial policy. as marcy said she wanted to ask obama at the presser on gm:
o/t
Austin, Texas representin’!
the little alarm in my gut is going off about Ensign – he’s apparently forgotten the whole cover up is worse than the crime thingy – there’s blood in the water
Aren’t those the same people that wanted to kill the Iranians last year?
BlueSun sums it up quite nicely.
And I signed Bernie’s petition on Wednesday. Everybody should.
Because anyone with half a brain would fly to the public option since overhead (and therefore costs) is one third of any private plan.
Everyone involved in the discussion and sausage making knows this, (but can’t discuss it in polite company) so the public option is constantly attacked.
because the democrats don’t want a health care system that doesn’t suck. They want insurance lobbyist money. We need a new party. If they fail on this, they are worthless, dump them! All we have gotten for our votes is the bank bailout and the imf bailout! They are just shitty!
because congress doesn’t care about its constituents. It’s really just as simple as that. out-of-touch.
How can you truly empathize with the people you serve when you have what amounts to a lifetime position, enormous perks, and an annual salary of nearly $175,000?
it’s like daschle not realizing what the big deal about not paying his driver is, because he forgets most people don’t HAVE drivers, and many don’t even have cars!
Just another snake!
Today’s news is that health insurance premiums are expected to rise at least 9% next year. One of the reasons? Workers who are worried about losing their jobs are using more health care services then they did before.
Scarecrow you should have heard George Will this morning on C-Span’s Washington Journal this morning talking about health care. Damn he should get out of his bubble more and get out on the streets. Will said that Americans are not “clammoring” for change in our health care system. Obviously George Will is deaf to the “clamoring” Chooses to be deaf
(wish I could link from this computer) The George Will segment is at Washington Journal.
I have been amazed this week at how much coverage the Iranian protest is getting in our MSM. Far more than the protest here in the states after the 2000 Presidential selection and far far more than the coverage the anti invasion of Iraq protest that I attended (6 of them) Hell there were hundreds of thousands who were on the streets protesting and we were not only demonized we were basically ignored by the MSM. But protest in Iran have gotten 24/7 coverage here in the states. Really something how folks like George Will, Rep Pence and others who basically called those of us protesting against the potential invasion or the selection of a President un American and yet the celebrate the protesters in Iran. What a bunch of pathetic hypocrites.
Demonize or ignore American protesters Celebrate Iranian protesters
The White House is saying that they are getting more phone calls against the public option. Many people cannot get through. Remember the illegal phone jamming in 2004 election? Think maybe the insurance companies have anything to do with the calls to the white house? Christ, you would think that they could read the pols.
Extremely important …41
Quite important …….35
Not that important ….12
Not at all important …8
Not sure ……………4
76% in favor.
Yeah and on Washington Journal this morning George Will said that the American public is not “clamoring” for a change in our nations health care policies. Will is deaf to the “clamoring” from the middle class and working poor
They were rescinding policies on people based on notes the doctors made, but didn’t tell the patients about. They’ve denied coverage to people based on decades-earlier treatments for problems which didn’t recur. They deny drug coverage to people who need the drugs to hold jobs to pay for the coverage.
They want coverage to be mandatory, but they don’t want to provide coverage that’s either affordable or undeniable.
What does it take to get Congress to recognize that this is legalized theft?
I disagree with the last item about cost control. But, on all the other items the public option looks fine and it’s a lot less disruptive to implement.
Hey, let’s get some B*lls like the Iranians and take it to the streets!
Why can’t we have a health care system that doesn’t suck?
Why is it that nobody preparing the legislation has bothered to get on a plane and come study how health care systems are set up in the Nordic countries?
Answer: Because it is not about sensible provision of health care for the population at reasonable cost. It is about giving our elites a chance to stage a great Passion Play. We all know what role Tom Daschle is auditioning for, and no problem casting Max Baucus. Many slots still to fill…