One can only wonder at the anonymous quote Jane cited from The Hill to the effect "everyone knows" the Baucus bill is the blueprint for a successful health reform bill.
"President Obama clearly articulated his blueprint in his speech, and everyone knows Finance has the bulk of the bill that reflects that blueprint," the source said. "Everyone, including the White House, knows the Finance bill is the only bill that’s paid for and can pass. In short, the White House wants a win, and using the bulk of the Baucus bill is the playbook to get the ‘W.’ "
Really? On which planet? Think about what this "courageous" Democrat is saying.
Everyone else knows that the only reason Baucus’ bill may escape his own committee is because everyone is sick of the Finance Committee and will pass almost any atrocity to get this dysfunctional group out of the picture. That’s the only way the rest of the Senate can fix the catastrophe the Baucus bill represents for the Party.
If the Baucus bill were the only game in town, it’s not clear it could get even a majority of Democrats on the Committee, let alone the full Senate. Rockefeller hates it because he knows it’s just a give away to the private insurance companies; Wyden hates it because it shields the insurers from competition, and he knows his expanded exchange amendment got screwed by Baucus, Conrad and the CBO. Schumer and Cantwell, and probably Kerry and Menendez, want a Public Option, but Baucus and Conrad are willing to ignore the large public and Democratic majorities in favor of that choice. These Senators know the American people may revolt in 2010 if they’re required to buy insurance at prices they can’t afford and there isn’t a viable, non-profit public alternative that isn’t trying to evade the reforms and screw them.
Most Democrats are worried about the mandates and affordability. They think the premiums are too high, the actuarial value too low, the subsidies too small, the eligibility for them too narrow, and the private insurer "competition" too concentrated, dysfunctional and weak to push bloated insurance rates down. And at least some must realize that without a strong public option and Medicare-like bargaining power, there is no mechanism to serve as the model for putting downward pressure on provider costs, which is the principal driver of exploding health care costs.
In short, Democrats know the Baucus framework is a boon for insurers but a failure for the 20 million it will leave uninsured and an economic millstone for the 25 or so million upon whom it will impose a huge burden that the Republicans will spin as a massive tax on the middle class. They know the hope for cost containment is a risk for seniors, and the only means CBO recognizes to lower costs for non-seniors is to tax their high-end insurance and medical devices.
Every sensible Democrat knows this is a political disaster, and they know the only way to fix this mess is to get the bill out of Max Baucus’ and Kent Conrad’s hands so they can put enough bandaids on it to make it look half-way presentable.
And no one should have any doubt about who created this mess. Leaving this to Baucus’ "bipartisan" skills and looking to Conrad and Snowe for ways to evade the public option were White House ideas from day one, and they got exactly what they wanted. The Senate leadership acquiesced because it didn’t want to take responsibility.
This is what happens when you don’t have principled leadership and a President who’s willing to take risks for something he actually believes in.
More:
WaPo, Discrimination by Insurers Likely Even With Reform
Examiner, Insurance premiums still unaffordable under Baucus bill
Kaiser, Health Reform Subsidy Calculator
HCAN, Affordability comparison with HELP





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Brian Schweitzer for Senator 2014!
Well said.
i’m assigned to be your reader today, Scarecrow.
From Robert Greenwald;
Netting $2.5 billion in profits last year wasn’t enough for WellPoint, the nation’s largest insurance company.
Now, WellPoint’s affiliate, Anthem Blue Cross and Blue Shield, is suing the state of Maine for refusing to guarantee it a profit margin in the midst of a painful recession.
As if Mainers didn’t have enough to worry about just struggling to put food on the table, WellPoint is intent on forcing them to cough up 18.5% higher premiums on their insurance policies.
While WellPoint lobbies against granting Americans the right to affordable coverage, it’s claiming that it has the right to a guaranteed profit margin, paid for by struggling working families. Mainers are outraged, and they’re fighting back.
Do you know anyone who lives in Maine? Ask them to sign up for our Maine WellPoint Watch list to make sure WellPoint doesn’t get away with it.
Yours,
Robert Greenwald
and the Brave New Films team
Edit for link: http://sickforprofit.com/?utm_source=rgemail#maine
thanks
Thanks, Kathryn.
ok I’m in, but only if we go some distance to ensure we aren’t getting another “A deal’s a deal” Tester
This is the best post I’ve read on the Finance Committee disaster.
I cant believe Wyden is considering voting NO on this! *swoons* I was really worried about my senator for a while, but he’s finally standing up for us. I hope he follows through. This bill is CRAP
To think that the Democrats’ 2004 presidential hopeful is a member of the Finance Committee, and taking the lead on the Healthcare Issue; – go Kerry!
“This is what happens when you don’t have principled leadership and a President who’s willing to take risks for something he actually believes in.”
Would someone translate this statement for me, please.
Nicely written, but the tag line begs the question of what Obama really believes in.
Apart from his status as Mr. Quo, Obama’s arm twisting of supporters of the PO doesn’t seem matched by any twisting of arms of those opposed to it. That would fit neatly with Jane’s thesis that Bahma & Rahma already cut their deal with the insuresters and big pharma and are sorting out how and through which luckless senators to implement it without appearing to have done so.
Mr. Obama’s tenure as president and his place in history rests on how well he reforms medical care in the United States and in whose interests he does so. Merely cutting the baby in two, giving the bill to the American people and the body to the insuresters, will not win him anything but money and the mercurial thanks of the Village.
Credibly reforming medical insurance and care in America would make Barack Obama a 21st century FDR. My fear is that he seems to imagine he can do both: spike reform and have the electoral success and respect of FDR.
I suggest he fuggedabout it and dance with the voters who brung him, not the sexy insurester who will dance with anybody that buys her a drink and who absolutely, positively means what she says, just not for very long.
This is why I’m still hoping against hope that this
bailoutbill doesn’t get out of committee. Nothing will emphasize the point that we want and will demand real reform more than Baucus becoming political toast for trying to promote something that isn’t. So, here’s to hoping that Wyden or Rockefeller do the right thing and Lincoln and Snowe both do the wrong thing.I think this can go one of two ways. Either 1) a robust public option and an individual mandate with sufficient subsidy to compete or 2) neither a public option nor a mandate, just insurance company business practices reform.
I’d actually prefer #2 because #1 will be half baked of half baked and might just well be so DOA that it does more harm than good to public support for a more ambitious project.
We will be at Anthem/Blue Cross’s San Francisco offices tomorrow to declare it a crime scene. Find out where your local demonstrations against Anthem’s criminality are tomorrow here.
I have begun doing some research for my entry on Obama and healthcare reform for my Obama’s scandals list. As far as I can tell this debate has been going on since March 5, 2009 when the White House held a forum on healthcare, to which pointedly single payer supporters were not invited although of course industry officials were. Both Baucus and Grassley were in attendance. Even then Grassley was complaining about the public option and Obama’s answer was luke warm to non-committal. In any case, my point here is that this has been going on for 7 months. It seems like forever and all we have to show for it is some rough beast slouching to be born.
another way to look at this, is either we get real reform – a strong PO that keeps prices down plus reforms, like no-denial and the mandate – which allow for universal insurance – or we’ll be right back to the table with even more of a mess in 5 years time, when costs are 50% higher than they are now, 80 million Americans are uninsured, and the system (including Medicare) is on the brink of failure. We have to get this right. There is simply no alternative.
eek! Anthem CA! That’s my insurer! You’re going to declare my insurer’s office a crime scene? Does that mean I’ll still be covered? ;-)
My understanding is that the Baucus approach is to hold up a handful of new rules and regulations in the left hand while the right hand slips a whole lot of handouts to the private insurance companies.
So now we’re banking on the right thing happening in Harry Reid’s conference room, with Peter Orszag writing the merged bill to send to Kent Conrad’s Budget Committee, who will report the bill to the Senate floor?
I am not comforted. It would be great if the Kennedy Bill (HELP!) would go to the Budget Committee solo. Fuck Baucus.
From HCAN:
BIG INSURANCE CRIMES:
It’s a crime that insurance companies
* Rack up profits by denying patients treatment even when doctors recommend it!
* Discriminate against people with pre-existing conditions!
* Keep premiums and out of pocket costs high so that care is unaffordable even for those who have insurance!
* Rescind coverage for patients when they need it most – when they become sick!
It’s a crime that 64% of all bankruptcies are caused by medical debt.
It’s a crime that every 12 minutes someone dies because they can’t afford the escalating cost of health insurance.
That’s why on Tuesday October 6th we’re rallying in support for real national health reform and exposing those guilty of lining their pockets while the people of California suffer. You already know that 7 million of our fellow citizens across this state currently lack health insurance – and millions upon millions more are plagued with inadequate health insurance.
I recommend calling Wyden and Rockefeller and pitching them on a no vote. It looks like Baucus is going to stall the vote until at least Wednesday (AP is reporting), which probably means he isn’t confident he has the votes, either on the Wyden/Rockefeller side or the Lincoln/Snowe side, or both.
Nobel and Lebon in San Diego? Good luck finding parking anywhere near there. Use mass transit.
The more costs rise, the greater the constituency for substantial reform. The facts are that no public option on the table is going to be able to bring down costs to the degree needed to make a difference. It seems clear that the Democratic Party leadership is pulling out all of the stops to deliver that kind of a bill.
The only way that what you suggest could become reality is with mass organizing to demonstrate broad based public support for a robust public option based on Medicare. There are no shortcuts. Showing up with the “best” bright idea doesn’t get you much. Speaking truth to power only tells them what they already know.
Hundreds of thousands in the streets in the big cities nationwide will convey the message.
Short of that, you’re talking to the hand.
Both the Liberal and Blue Dog Dems are looking for a Patsy, someone they can blame for making them either pass or defeat the Public Option.
In todays political climate who can blame them. So now is the time to give them that Pasty and it is Us, the “Liberal Wing” of the party. It’s is perfect because Beck and Rush whine and blame us all the time and constantly claim we liberals are forcing votes on the Congress, so we can accept that type of blame right ? Even Pres. Obama can have his Chief of Leakers, Rahm, have a few anonymous sources blame us by saying he just had to sign the Public Option because he needed to reclaim some of his Political Capital. Everyone knows he is going to need all he can get to make Afghanistan palatable to the Peaceniks ; )
The prefect Patsy…. tadaaa
Knoxville, how do you like all these trouble making Firedogs?
Good post. Thanks for keeping us so well informed.
“the premiums are too high, the value too low, the subsidies too small, the eligibility for them too narrow, and the private insurer competition too dysfunctional and weak”
Thank you, Scarecrow: that’s a really excellent summation.
which is precisely why I believe that we need to make sure the Baucus bill fails and there is a come-to-Jesus moment in Congress and the WH when they realize that they have no choice other than to go back to the drawing board, and that neither your #1 or #2 are viable options – even if it means that the process stalls for months while public anger grows and the president sees the light and backs real reform. I agree with you politically, but it doesn’t mean that we have any real choice about this. For all the astroturfing, there really is a crisis going on.
Scarecrow, Whoever provided the quote you presented must be engaging in a willful act of selective hearing.
Unfortunately, Blue Dogs seem to have heard only the same few parts of the speech that the anonymous speaker of this quote heard.
I heard a different speech. I think that what President Obama said breaks down into three parts.
1) The problems in our health care system are severe:
2) The system must be fixed now:
3) The best way to fix the system and achieve the goals laid out regarding costs is by means of a public health care option that will largely pay for itself.
The bulk of the Senate Finance Committee’s bill can’t reflect the President’s blueprint when it doesn’t have a public option, which the President clearly said is the best way to achieve his goals!
#2, if you don’t fix it now, you won’t have a system to fix in 5 years. It’ll be called the National Health Service.
Hey Frank33! I didn’t see your comment from earlier today until a few minutes ago. Nope, I didn’t get enough sleep either. Sorry!
I just got a response from the White House to my letter in which I strongly asserted that we need real health care reform with a public option. The response is a form letter (no surprise). It just rambles about the problems in our health care system and the need to fix them. It says nothing about the President’s support for the public option. It does not mention the public option at all. In other words, the response from the White House is “no comment.”
Seems like President Obama heard only the same parts of his own speech last month that the Blue Dogs heard…
Honestly, maybe when the President’s speech got to the part about him believing that the public option is the best to fix our health care system, Joe Wilson should have shouted “A month from now, everyone’s going to know that YOU LIED.”
I hope you are not blaming yourself. Because my lack of sleep is due to a whole lot of other weird things. I have been upgrading my computer. My cat makes me play with her. I am researching health care. Did you know Goldman Sachs controls or is trying to control medical diagnoses and medical treatments. And that includes mental health under a Goldman Sachs New World Medical Order?
Thanks for the link! I have four cats. One of them is a little crazy. They need a lot of attention, too. I’m going horizontal for a little while. Bcz of lack of sleep, my brain’s functioning even more slowly than usual!
Blub is right. Right now I think the best strategy is to put pressure on the Finance Comm dems to kill the Bacus bill and the take the House financing in conference. We should also add Kerry to the dems who ought to be bendable in this direction and I bet that if it becomes clear that the committee bill will fail if put to the final committee vote Baucus will find a way to reopen it to Rockefeller’s and Wydens ammendments.
hi hugh. just a quick drive by… to let you know it started way before march, at least as early as january (during the transition). here’s an old comment of mine that has a few links on that:
http://seminal.firedoglake.com…..ment-48835
also, for your research, you might like these links if you don’t already have them:
http://www.pnhp.org/news/2008/…..n_sing.php
http://www.wpasinglepayer.org/PollResults.html
Reid’s office’s comments today were also quite interesting: “Sen. Reid will work with President Obama and members of the Finance and HELP Committee to put together a bill that garners the 60 votes necessary to overcome a Republican filibuster. But the final action is going to be on the Senate floor, where the Senate will work its will.”
I presume he means to use the Finance committee bill as amended as his base for these actions but notice he is no longer saying that explicitly. I can only read this to mean that he knows there is a chance they’ll have to start over from scratch.
We can’t allow Barack Obama to define the terms of the debate, given his failure to clearly define those terms and his record so far with respect to Wall Street. I’ve lost trust in him as far as serving (us up to) industry.
The best we can do right now is for the business practices regulations to pass without an individual mandate, which would force the insurers to honor existing contracts–to take on new customers irrespective of “preexisting conditions” and to eliminate the notion of lifetime caps–all with a voluntary customer base.
The frame of the debate that insists insurers need an individual mandate in order to do an honest business cannot be tolerated.
The individual mandate has nothing to do with who provides the insurance. It’s a moral hazard issue linked to the no-denial reform, and it does us no favors for us to conflate the two, since someone might very well take us up the offer as a means out of the present impasse by diluting down no-denial and then giving us the elimination of the individual mandate. In which case we end up with nothing.
Instead, we need to continue to do what we’ve been doing – make it clear that the current bill, without a public option, is unacceptable in any form, with or without an individual mandate. PO or No. And I do mean a strong PO.
The only thing the Repugs and Dems respect is money. I suggest everyone call the DNC and tell them you will NOT be donating to any Dem candidate if a real (not fake) PO isn’t passed by Congress. Closing our pocketbooks is just about the only leverage we have.
Millions can’t wait for another election and kicking all this down the road. So I can’t focus on electoral politics anymore. We want Medicare for All now! Let the cranky baby boomers sign up. They seem to be the most active in the reform movements. So give ‘em Medicare and maybe
theywe will shut up and stop harassing crappy Congress critters.If you haven’t closed your pocket books months ago, then that is part of the reason these jerks still think they can pull one over on us and then count on us forgetting. I have been telling every organization “No, not a dime until I get to buy into Medicare. Not a dime.” “Hi, can you come to a fund raiser for Jon Tester?” “No, not until I get a national health care plan. Not a dime.”
But it would be a good idea to call the DNC Finance Department and repeat the message.