George Will has decided to bring his and WaPo’s destroyed credibility on climate change and arctic ice melting to the health care reform debate. You see, the wealthy, healthy, fully covered George Will has concluded that there’s nothing fundamentally wrong with America’s wonderfully competitive health care system.
Will apparently believes the current system isn’t broken, even though the industry itself admits it is and is scrambling to offer "reforms" to avoid more radical changes. Will adds that if there are minor tweaks that might be helpful, the best way to do that is to make sure government does not force the private insurance system to compete with a public option.
Above all, Will pleads, save us from a government-sponsored health option, even though varieties of successful public health systems exist all over the world, providing universal coverage, equal and/or often better care than the US system and costing only half to (at worst) two thirds of what America pays.
Will fears that if people had the choice of a public plan, they’d choose it because its cost structure is inherently more efficient. In Will’s contorted philosophy, that’s not fair competition, so the solution is to deny that choice to protect the inefficient. What he’s describing, however, sounds like a natural monopoly condition — as in single payer? — but never mind that.
But none of these basic facts, let alone any of the millions of personal horror stories that literally kill thousands of people and bankrupt thousands more, intrudes upon Will’s thinking.
According to Will, we don’t have a major problem of leaving 46 million uninsured. No, many of those folks are uncovered by choice, because they’re simply in transition between jobs — presumably from the jobs they lost thanks to the Bush/Bernanke global financial calamity to the jobs that probably won’t exist without massive government stimulus and an intelligent industrial policy — policies that Will adamantly opposes. More here.
And let’s not forget that Will is one of the zealots who insisted that hundreds of thousands of auto industry workers should be forced through bankruptcy to lose the health coverage they’d worked and bargained for for decades.
But Will doesn’t just blame workers for losing their jobs and coverage. Another chunk of the uninsured are just a bunch of immigrants who shouldn’t have come here anyway. They should just go back.
Will then pretends that everyone else is fine, ignoring countless surveys and studies (here, here, here, here and here) that show that millions of "insured" people are in fact "underinsured" or de facto uninsured even though they pay premiums. They simply can’t afford the co-payments and deductibles, so they choose not to get care. For Will, these folks are insured, and it’s their choice how they spend their money, so what’s the problem? He apparently hasn’t talked to anyone outside the Green Room.
Will is at his most disingenuous as an avowed zealot for private markets. Apparently he is unaware that in the health care "market," the way the private insurance sector profits is through rationing care and denying coverage. It makes money by denying coverage, denying claims, delaying payments and hassling health care providers. And it pads its profits by hiring and rewarding legions of people whose sole function is to find even the slightest hint a consumer withheld information about previous conditions, and then uses that as an excuse to rescind their insurance coverage.
But what truly takes away your breath — and other people’s health — is Will’s fantasy that we have an efficient competitive market in the provision of care and insurance coverage. He cites the existence of 1300 insurance firms but then conceals the results of numerous studies showing substantial concentration throughout the industry, to the point where the vast majority of regions have only 1, 2, or 3 options. Every economics text book tells us that condition produces less supply, worse quality and higher prices.
If the market Will worships is uncompetitive, then his prescription for the "protractedly uninsured" — "give them money" — is not a remedy for a corrupt, inhumane and excessively costly system. Instead it’s Will’s excuse to prop up that corrupt, inefficient system with billions in federal tax dollars.
George Will’s health care plan: I’ve got mine; screw you.
Update: Digby picks up on this story about how our system forces people to self-ration themseles out of needed care.





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That’s not just George Will’s Health Care Plan; it seems to be the generic response from Will and other Republicans to just about every issue on the table today.
Yep.
George Will has Medicare. He mentioned showing his Medicare card to his doctor. He could have turned down Medicare and stayed with his private policy if he thought it was such a great idea.
awesome diary. i really like the explanation of underinsurance which is a tremendous problem.
and i just have to stand up and cheer every time i see the words “single payer” in the body of a post.
thanks scarecrow.
Thanks, Scarecrow. Hope you emailed a copy of this to Will.
You should be careful about that. My next post may say “single payer is a really bad idea,” and you’ll be on that chair.
LOL!
actually, it’s the open debate and discussion that i want. i’d much rather have an honest and open argument than the silent treatment… it’s the difference between the circle of legitimate debate and the circle of deviance (per jay rosen).
anyway i really appreciate that you’ve been willing to have some of that discussion. thank you.
McLaughlin actually said that there’s no lack of access to healthcare; so what if some people have to go to ER’s? They don’t pay for it. (Huh? If they’re not indigent, they sure do. With interest.)
Good grief!
It must be something in the DC water; they seem to be reverting to arguments against single payer or public plan that were discredited long ago.
Another thing McL came out with was a solution was to just put the uninsured on Medicare, as if insurance actually insures everyone adequately. They really don’t get it.
Maybe the BHIP*pers and their enablers are just getting cocky and thus writing off the “little people.”
*BHIP–Big Health Industry Players
Yea, McLaughlin really didn’t get it. “You can just go to the emergency room.” You could hear Eleanor Cliff try to get in that a person is treated in the emergency room, but they also have to pay for the enormous bill. But people talked over her. When McLaughlin said ” We have the best…Why mess with it?” Lawrence O’Donnell’s mumbled “But we have the worse way to finance it” but nobody really heard him. “Bye Bye”.
Will truly was disgusting, he becomes more insufferable every time I see him. Similarly, Tom Davis appeared this morning on the Washington Journal and a lady caller told him she couldn’t obtain coverage for an pre-existing condition, diabetes. Davis demanded to know if it was Adult Onset and when the lady confessed it was Type Two, Davis told her to she needed to watch her diet, exercise more and lose weight. He concluded the conversation with, “Good Luck”.
George Will is evil.
Leni Riefenstahl made a film, you know: The Triumph of the Will.
Somebody need to do a “Good Luck” diary. Davis was awful But Kevin Baker was a breathe of fresh air after that Davis farted up the joint.
I need to be very careful, since Im one of a certain age. Nevertheless, I keep hoping that we are on the cusp of a very significant generational change. Remember when Gloria Steinem said something like the Sr. Bush = one’s first husband ;)) I’m reminded of the rich guy picture on the other post with Howard Baker, Daschle, Mitchell.
Those guys have all had their day. Obama wanted to give Dash. a reeeealy, reeeealy big job. He flunked the background check. The election was so much driven by excited, young people. Maybe we will start to see their arrival and brains and newness.
Last time I went to the emergency room the power went out (complete extended darkness) twice. When I left they gave me simple pain pills which were billed at 7.50 each. Three days later a pharmacist sold me the exact same pills for .40 cents apiece.
The Rethugs showing their ignorance talking about health insurance reminds me of their coverage of the Katrina debacle. They had (have) no clue how the other half lives.
Clearly these guys have really good health insurance, and never have to look at a bill (I bet they have accountants who do that for them), or they’d know what it actually costs.
(If I read my pay stub correctly, if I had insurance, my company would be paying $300 a month for it, and that doesn’t count my share plus whatever other stuff would be involved. That’s for the absolute minimum that I could get. On my own, I’d never get insurance, because of a genuine pre-existing condition.)
F*ck the insurance companies!
Ha! it’s a bit like that old song Hotel California with a new twist.
You can check in (the ER) anytime you like, but you can never pay it off.
I think you misspelled “Good Luck”. It’s F-U-C-K Y-O-U
; )
I also thought it rich when Mr. Will pulled out his Medicare card. If people of his ilk (or ick) would have a consience & forego Medicare it would cover a lot more needy seniors.
Yep. My first job out of school was as the administrator of the business office of a really small, really horrible manufacturer. This was before the law changed and companies could give separate health care coverage programs to executives than they did to the rest of the workforce. The workforce there was poorly paid and had no coverage. Once a month, I’d get a visit from the county sheriff with the list of ‘garishees’ – our workers or a member of their family would get sick, have an accident etc. and end up in the local hospital ER – some of these folks had so much of their wages garnished that they literally were not taking any pay home at all; they were basically working to pay off the ER bills.
I am unable to take my physician’s preferred drug for my kidney cancer because in the contract with my employer will not cover it for 6 months after it was FDA approved…… so instead of some government person coming between my and my physician’s treatment, no it is a cost containment clause in a contract between my insurance company and my employer……
pushing a diary on oxdown….McCain has government sponsored health coverage all his life
Amen to Dakine09.
Thanks for a fabulous, brilliant post, Scarecrow! And yes, you should definitely send it to Will!
Does Will really have Medicare? Where’d you learn about that. esseff?
Regarding the diabetic woman vignette noted by nonplussed above:
One of my PNer friends, who has diabetic neuropathy on top of his life-long epilepsy, is an incredible community activist working endlessly and quite effectively. given the odds, on behalf of the elderly and disabled, operating in many area state, county and local venues.
He just shared with me his latest wonderful letter to the California legislature outlining a variety of ways to solve our state’s financial crises. His last point was as follows:
Let’s eliminate the Waste Management Board and create a WAIST management Board, with the Dept. of Health Services. (Those from California will appreciate the reference to the WMB in the budget debate.)
Bless my older/disabled friend whom I’ve come to respect, who’s huge gut and hamburger diet will eventually kill him for all his many miles a day of walking for lack of adequate public transportation services. For years he’s asked his Kaiser Permanente doctors for help on his weight loss needs and has yet to get any positive response. Why am I not surprised?
I can tell Tom Davis that REAL, EFECTIVE HELP for Diabetes II patients, and those with Diabetic Neuropathy, is, as far as I’m concerned, criminally and pathetically absent in even the most informed HMO programs, and God help the PPO folks; and forget it for those going to public county clinics and the homeless who can’t even get in to those. And if they go to the ER room, they won’t get any effective help there but for only the most gross acute issue. Believe me, I know these things from talking with many of them.
And if you’re an older male (God help ‘em, as Molly Ivins might have said), forget about trying to get them to seek competent and adequate health care; even if their failure means the lack thereof will put them in total disability and/or an early grave.
And if you’re an older female, God help them too, for the medical community – regardless of how they’re paid, pretty systematically discriminates against older women, and particularly so if they are
obese, but even if they’re not.
If you try to be an assertive patient (as we all must become) you’re noncompliant, a troubled/troubling patient and your doctors will turn against you. I’ve seen it happen time and again.
And if you gotten to presumed helpful advocacy resources, such as the area Health Rights Hotline, they won’t really work for you, because they physically can’t; they’ll refer you on, basically to nowhere. Still, I continue to refer folks to them because there’s nothing else. I hate it that I’ve seen dozens of the poor spin their wheels in hopeless frustrated realities of a system that really doesn’t give a damn.
And when I’ve tried to advocate on their behalf with their clinics or doctors, I’m either essentially told to go to hell, nicely, of course, or maybe not, and/or totally ignored.
So that’s the way it is here in NorCal, and lots and lots of other places in the US.
Nevertheless…. blessings to all,
I think he’s right though. The government does not need to compete in health insurance. It should compete in healthcare provision. Why the “public option” is not a national healthcare service is a mystery to me. What kind of fucked-up country do you have in which there is basically no support in your parliament for healthcare? In the UK, you could not get elected if you stood against single payer!
Good question…It’s the W country…rugged individualism, bootstraps, cowboy grit. Never mind that we all need each other/social contract, etc.
In Will’s contorted philosophy, that’s not fair competition, so the solution is to deny that choice to protect the inefficient.
Maybe the Dems should run a t.v. ad showing George Will holding up his Medicare card as an endorsement for a government-run plan.
The polls are showing the public wants a public option and in many regions it’s really needed to make any kind of competition work.
What kind of public option?
Without breaking the bank we need to cover as many as we can while still having some money to expand the number of doctors, clinics and other care services which would increase competition.
The House bill expands Medicaid and the drug companies will pitch in some to fill the Medicare donut. Though that’s very good they help improve the current system and also REMOVE money that might be used on the brand spanking new plan. It’s hard to say the new reform costs $X because it’s carrying baggage like this.
But the big thing the House bill does is offer a new ‘public option’ which isn’t subsidized, but is backed by an individual mandate requiring everyone to get covered. It also offers a gov’t defined basic plan which would help a lot of people get that coverage.
It’s expensive. How expensive? They say it’s about more than we’ve got.
Where’s the compromise between cost and covering more people?
The employer-mandate would cover a lot of people. How many I’m not sure, but of the 45M uninsured it would have to be at least 5M (just a wild guess). It’s hard to decide what’s best when you don’t have any real hard numbers. Ga Bwess Congwess for their extraordinary powers to figure these things out.
So, of those not to be covered by employers, how much will the remainder cost to cover? Let’s see
45,000,000 people * $3,000 subsidy each ==> 90,000,000,000
OR $0.9T over 10 years
That sounds okay compared to the $1.5T some mention or $3T McCain rants.
But but but, we don’t subsidize them in the House plan. So, it’s …
45,000,000 people paying their own way via the Exchange.
Remind me again, where’s all the money going?
The system the health care people devised did away with a lot of clinics and replaced them with doctor’s offices where you can be seen, but not really treated (except the prescription pad) and the main hospital for big things (very expensive) or the ER for surprise big things (supposedly, but really it’s for everything at big prices like the $7.50 pain pill).
It’s rigged to do away with family physician care in clinics where they can deal with runny noses, broken arms and other non-life-threatening things.
It’s rigged to push prices up because some people a long time ago thought being a doctor was a great way to get rich.
Now they’re killing us all financially and in some cases literally.
Will is a whore just like so many of our politicians. They know who butters their bread. Their place in society depends on factory fodder, and cannon fodder to fight their wars (think war industry and how many billions it steals from the American people every year). George Will you are a whore.
Your health is not a commodity.
Your health is not a profit center.
It appears as if the author and most of you respondents are factually challenged. Let me skim the article:
“even though varieties of successful public health systems exist all over the world, providing universal coverage, equal and/or often better care than the US system and costing only half to (at worst) two thirds of what America pays.”
First of all, TERRIBLE and very lazy sourcing. Also there is some subjectivity here as to what “better” is. And the big fat elephant sitting right in the middle of other countries’ government sponsored health plans is the fact that the taxpayer is getting nailed for it. France and Germany were driving their economies into the ground not 10 years ago with bloated government services like their healthcare systems.
Secondly, no other country has the debt or international obligations the U.S. has either financially or militarily. To compare us to any other country that’s a mere fraction of our size in terms of population, economic output, and international obligations is to effectively compare apples to oranges.
As an aside, in case none of you noticed – we’re broke. And not even progressive economists know where the President is coming up with the numbers he’s claiming the government is going to be raking in to pay for this.
“According to Will, we don’t have a major problem of leaving 46 million uninsured. No, many of those folks are uncovered by choice, because they’re simply in transition between jobs…”
That’s not according to Will, that’s according to the facts. He gave the breakdown on that, and that’s not something he just made up. It’s a FACT that a huge chunk of those are illegals. It’s a fact that a huge chunk of those are those who choose not to purchase health insurance. It’s a fact that a huge chunk of those are on medicare/mewdicaid. It’s a fact that a huge chunk of those are eligible but just haven’t signed up. The real number of the truly uninsured is somewhere around 8-13 million. Basing numbers and massive overhaul on such a fraudulent number as 47 million and a knee-jerk tug-at-the-heart-strings argument instead of looking at WHY they’re uninsured is damn near criminal and it STILL won’t fix our healthcare system.
“presumably from the jobs they lost thanks to the Bush/Bernanke global financial calamity to the jobs that probably won’t exist without massive government stimulus and an intelligent industrial policy”
Oh how unpredicatable! A little dig at good ol’ G dub. Only Bush didn’t cause the financial calamity. To suggest so shows a striking lack of understanding of basic economics and civics. Rather than educate, I’ll just hit a few keywords/phrases – congress=budget (who has control of congress and for how long?), subprime rate and Fannie, the CRA, credit default swaps (look at who the executives of those guilty institutions sent capaign contributions to)…and I’ll stop there for now because I’m way off track. And try not to fall on your tax cut fainting couch here.
“And let’s not forget that Will is one of the zealots who insisted that hundreds of thousands of auto industry workers should be forced through bankruptcy to lose the health coverage they’d worked and bargained for for decades.”
Zealot? Because the UAW overplayed its hand? Retiring at 50 with full benefits? Outdated business models? Noncompetitive products? It’s a shame so many would be affected, but I’ve paid for my poor life decisions and I don’t feel like bailing out someone else for theirs. And hey, I pay for my own medical expenses and I don’t feel like paying for someone else’s. Even though I already do, maybe it’s more accurate to say I don’t want to pay more for someone else’s expenses.
“Will then pretends that everyone else is fine, ignoring countless surveys and studies (here, here, here, here and here) that show that millions of “insured” people are in fact “underinsured” or de facto uninsured even though they pay premiums. They simply can’t afford the co-payments and deductibles, so they choose not to get care. For Will, these folks are insured, and it’s their choice how they spend their money, so what’s the problem? He apparently hasn’t talked to anyone outside the Green Room.”
Bull. I only had time to hit the first survey, but I take issue with the fundamental premise that a 5 or 10 percent threshold of spending on healthcare equates to being underinsured. Five percent is excessive??? Nonsense. For that reason, you’ll forgive me if I pass on the rest of the sources listed. He hasn’t talked to anyone outside the green room? Apparently you haven’t talked to any physicians with their own practice who can’t get people to pay a $5-$10 copay. Or who perform unnecessary procedures because they know medicare/medicaid isn’t going to pay them enough to remain solvent. Newsflash – the government will only make it worse.
Now here’s the kicker, I’ll go right along with anyone here and agree that our healthcare system needs an overhaul. The answer is health insurance reform. The government can easily unscrew the problem by getting in there and tightening it up a notch or twenty. Health insurance providers are already scrambling in the face of what seems to be coming. Ironically enough, it’s a free market principle. Now if the government would stop just shy of implementing it and say “ok, we knew you guys could reign this back under control, but just in case, here’s a few new laws to make sure you don’t lose your minds again” that would be great.
The government becoming a player will give you a system akin to the VA or what the active duty military has – far crappier care than what you get in the private sector. And it will take you longer to get it. You want to talk about rationing health care?
Just you silly folks wait until you sign up for the gubmint stuff.
That’s an interesting argument. What you just said is that if the US is broke, has enormous financial obligations, massive debt etc, we should ignore the fact that other countries spend substantially less of their GDP on health care, and yet provide universal care (we don’t) that appears no worse than the care we provide without universal coverage.
If you are genuinely concerned about our financial condition, you should support the most cost-effective way to provide health care, and it’s not ours. You should be clamoring for the health care systems of other countries.
You then comment that other countries are struggling under enormous financial problems. But of course, if that’s true, then they should be thankful they don’t have the US system which would cost even more money than the ones they have.
Truly dizzying logic.
But but…George Will has the public option, non? I’ve always despised that sanctimonious twerp.
I am one of those people who have coverage..but we don’t have employer health care. the only way we can afford coverage is a $3500 deductable – per person, which means that all our annual medical expenses are out of pocket. We (I) have postponed many critical annual exams because of the cost. I went 5 years without any medical consultation and I’m working on my next 5. Lucky for me I’m a healthy horse, but there is cancer in my family (will my insurance be rescinded now?). The shadow follows me everywhere.