David Kirkpatrick in the New York Times writes about the warring health care industry stakeholders, and their fight to carve up the medical industrial complex bailout pie. We are truly ruled by lobbyists:
Hospital lobbyists, like the drug makers, have a deal with the White House to limit their costs and are pushing hard to pass a bill. But the hospitals are haggling with the Senate Finance Committee over another proposal: a newly empowered Medicare oversight board that could impose payment reductions.
Two hospital lobbyists, speaking anonymously because the discussions are confidential, say their deal should protect them from further cuts the board might seek. White House officials dispute that, though when asked about the matter recently, Rahm Emanuel, the White House chief of staff, said the hospital deal included cuts it might have taken a decade to achieve.
It’s amazing how they can go from never inquiring about the deals made over the summer between the Baucus Caucus and stakeholders to the presumption that everyone knows what they are in one clean leap.
And still we get reporting like this:
Sept. 4, 2009: CNN has learned that the White House is quietly talking about drafting formal health care legislation after allowing Congress to work on its own for months.
How does "negotiating the deals with lobbyists who expect them to be memorialized in the Baucus bill" jibe with "allowing Congress to work on its own for months"?





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It’s the Eternal Sunshine of the Spotless Media Mind.
Don’t follow the leads or connect the dots, because that might piss off our advertisers — who are the same people working to destroy reform.
Shhh Jane! That’s just some of the “secret ingredients that goes into the sausage making” that’s supposed to make it taste scrumptious for us when the bill is finished. /s
Listening to Obama rail against the insurance industry at today’s rally in Minneapolis,
and then reading Jane’s post, I feel like we’re trapped in a James Ellroy novel.
May I suggest Stephen King?
These times strike me as inspiration for a Twilight Zone episode – where people figure out what their leader is really doing by listening to what he says, and then assuming the opposite is true.
Listen, if any reporter worth their salt isn’t pissing SOMEBODY off, they aren’t doing their DAMN job!
Umm, isn’t that Orwell’s “1984″?
what did you think you were getting with obombya? a progressive? a chicago pol.
are you such a naif?
How does “negotiating the deals with lobbyists who expect them to be memorialized in the Baucus bill” jibe with “allowing Congress to work on its own for months”?
Lessee. The insurance companies have their deal – Pharma has its deal – evidently the hospitals have their deal – lemme think for a moment – who is it that’s not yet represented?
oh yeah – me.
I know what you mean. What kind of bizzarro alternate universe am I living in anyway.
Pfft…details, details. ;)
The more layers of deceit, the more complicated the scheme, the more conflicting nonsense fed to the media, the more difficult it is for the public to understand and for people to explain. I believe that the dlc dem’s dynamic duo of deceit, the pope of hope and his sidekick emanuel, are quite aware of that and that is part of their calculations.
Z
Sad. True. Annoying! The American People are not being represented. Can’t we tell the truth now? Congress, especially needs some truth sprayed and transparency powdered.
Oh heck, We can just go ahead and pull the curtains back on the Wizard of Oz!
for some reason, The Who’s Who Are You keeps bangin’ around in my head….
first time I’ve ever had a rhetorical song stuck in my subconscious.
Sure looks like the lobbyists are suffering the same amount of whiplash over their deals as we are over the public option.
And it looks like they are divided against each other. An insurer’s cost control is a provider’s revenue loss.
And Gloria Borger knows what the White House is “quietly” talking about. Yeah, right. It is either quiet or she knows it from someone. Can’t be both. That one sounds like a staffer trying to stampede something, someone talking out their hat, or a Politico-like construction.
It more and more looks like either (1) there ain’t squat going to come out of the Baucus Committee or (2) the White House is waiting for a Senator from Massachusetts.
Wonder how Keith Ellison’s conversation with Obama on Air Force One went.
Hey, we wouldn’t want them to litter their beautiful minds with actual facts. The details of the plans concocted with Big Hellth, Big Pharma, and Big Insurance hardly matter now, since we can always watch the re-runs of these negotiations on C-SPAN.
Didn’t someone promise to put all those negotiations on C-SPAN when he was seeking the Presidency? What happened to that guy?
It’s no big deal – UnitedHealth administrates public healthcare plans for the government already. At least that is what I inferred from an artice at slate:
Oh heck, We can just go ahead and pull the curtains back on
the Wizard of Oz!R-A-H-M-?just tryin’ to help…..
“We’ll work it out in conference” needs to be added to “The check is in the mail” and “I promise I won’t cum in yer mouth”
What happened to that guy?
Now there’s a good question.
The response that leaps to mind is that he got elected.
Oh, Teddy. Always with the romance…
and “I promise I won’t cum in yer mouth”
now, now – I’m pretty sure I would have remembered that one…..
I suspect somewhere in the last several years we shifted into the universe where Spock has a beard and it’s the Terran Empire, not the United Federation, that has the space navy.
We are so in trouble.
Okay, let’s pull that curtain. Cause I’m positive he didn’t run in the campaign and I KNOW I didn’t vote for him. If he is making policy, then yeah he needs to be pulled on the carpet and given a few burns.
Sorta. I mostly remember that you couldn’t trust anything they said. Was it usually the opposite of what they were actually up to?
Oh yeah, the media is a mess. It’s nothing more than the Jerry Springer show with suits.
Total embarrassment for our country and our citizens. No facts, no truth, only propaganda and police blotters.
Only one thing that is never brought up by all these so Representatives of the People is HR676… I wonder why? Oh I know it is the only bill that gives the People what they want. Good AFFORDABLE health Care!! They are all assholes if it is not passed… Fuck big Pharma, big Hospital conglomerates and Big so called Health Insurance companies. They are all in it for one thing PROFIT!!!
As far as I’m concerned, he works for the guy we did vote for. That’s who needs to get pulled onto the carpet. It’s his decision to hire or fire his CoS. If Rahm’s not doing what his boss wants him to, the President has a remedy at hand.
True. So do you think Rahm’s remarks and his pushes to Congress are what Obama wants?
What happened to that guy?
It really *is* a question worth asking.
The man who made such romantic promises, eliciting innumerable $20 donations from damn near everyone in the country who is not a proud 23%’er, has now put those same people at the absolute back of his mind, at not even a factor in his machinations.
He now courts the traditional corporate big bucks – which contributed nothing to his election campaign, and has consciously and very deliberately set about actively working against the people who got him elected. Everybody’s pissed – campaign workers, supporters, contributors, volunteers. None of those seem to matter anymore – he’s in The Big House.
What in the world would make him think that the entities he campaigned against will supprot him sufficiently so as to give him a shot at re-election?
They pay per issue, not per candidate, especially when one has the dreaded “D” after his/her name.
I’m beginning to think that Editor of the Harvard Law Review must be open to some pretty dumb motherfuckers.
… and if Rahm’s actually doing the boss’s bidding, but liberals don’t like it much, we somehow get all hot & bothered at RAHM. Does anyone think he’s operating as a free agent? I don’t. I think he’s doing exactly what the boss wants.
If Rahm’s not doing what his boss wants him to, the President has a remedy at hand.
Pretty much answers that un-asked question, huh?
oh – and ta heck with your quick fingers.
Your beverage of choice?
Yes, this is where we become starry-eyed – the prospect that Obama is shielded or has broadly delegated, and Rahm is running his own offense – from which he can be pulled back.
If untrue, we are miles behind where we hoped.
“If untrue, we are miles behind where we hoped.”
It sure looks like it from here. We are also piles behind in $$$$.
As a person with a pre-existing condition who would be able to get health care coverage I am so impressed by far left liberals who deride my situation as little more than an insurance company “bailout.” Thanks again for championing the little guy.
May I ask where you saw one of us call your Health Care issue a bailout?
Thanks again for championing the little guy.
Did you say something?
(sorry – just tryin’ out my elected-representative-speak).
In most organizations, it’s not that simple. Direct reports, if persuasive enough, can get asked to do something that allows them to work their own agendas. Or get the boss to work their agenda; that’s called reverse delegation and it happens almost routinely in the current management culture.
In addition, you have internal disagreements. I don’t think that Rahm is going to run over Valerie Jarrett if they disagree; that is probably an even match. History of relationships matters.
Finally, you have folks trying to horn in on the action because it’s the “in” thing. I would think that Rahm and Messina might not be working the same agenda sometimes.
And big picture managers can be led in a different direction when they give too much freedom in the delegation of the “details”.
Scarecrow’s diary is upstairs!
How to Slash Medicare Spending
And being concerned about how much your premiums would be is not being concerned for the little guy.
Am unable to link from this computer. Billionaires for Wealth Care made it to the teabagger march today. Posted over at Seminal. Damn they do great work
Dr. Broun, I presume, from deepest, shadiest North Georgia.
A quick change of them what delivers the direct reports might remedy that real quickly.
All in good time. You don’t want to confess to a bad hire after 8 months.
Given the way that the government is curently structured, there is really very little hope that it will abide by the needs of the general public and the sooner this reality is accepted the better. It does little good to rale against the moon.
The only vehicle to providing health insurance at an affordable cost is a not for profit plan. It is also the easiest to impliment in order to accomplish the goals it needs to satisfy, which are that it insures all comers and has to have a sufficient number of low risk participants to be able to meet the cost of all participants, including those that are high risk and represent high costs. Presumably the overall cost will be covered with pemiums for those that afford them and subsidies for those that can not the premiums.
Whatever the premiums turn out to be for this not for profit plan it is bound to be less than an identical plan that is for profit no matter how low that profit may be.
Public pressure can be brought to bear in shaping the outlines of this simple plan. However it is futile to keep trying to reshape the current for profit plans given that there is so much vested interest in having them continue to generate profits for the benfit of a handful at the expense of the rest of us.
Unrelenting pressure for the PO is indispensable and can not be compromised lest a the system that is frought with influence continue.
Jim White’s diary is upstairs!
Dick Cheney Spied on the State Department–Did He Intercept Torture Whistleblower Emails?
First line in the post:
“David Kirkpatrick in the New York Times writes about the warring health care industry stakeholders, and their fight to carve up the medical industrial complex bailout pie.”
My premiums won’t get me covered for an operation if I need one since I’ll just be booted off my insurance if I need an operation due to my pre-existing condition. Also, premiums for poor people would be lowered for everyone under a public option trigger and lowered directly for the poor through direct subsidies. I thought you said you wanted lower premiums? If you think reform is a “bailout” then you’re not in favor of lower premiums.
Yes, within any reasonable margin of error. A chief of staff is about the most important person an executive appoints. He’s the one who makes the staff do what they’re supposed to. In the case of the President, he’s usually in charge of the President’s schedule. Ideally, not only are an executive and his CoS on the same page, but they can finish each others’ conversations.
If Emanuel isn’t a reflection of Obama’s own philosophy and poltical beliefs, then Obama was an idiot for hiring him. I don’t think for a moment that Obama is an idiot.
Andy Card CoS to George W. Bush describes the job.
Bad link for me.
I think I am more and more going with the original Republican position of no reform. Sadly Obama has compromised himself and deceived the public and this now anemic whats left of it, public option, that I wquld rather wait another year or two and let the whole health care system collapse. Nothing is going into effect until 2013 anyway, so what do we have to lose?
Hey Jane, what is up with Pelosi? It is totally disgusting how quick they will change their tune. I thought she was solid against anything if it did not have the public option. If you read my post above I think we are at a point where maybe we should join the teabaggers and and defeat this thing hands down. Then maybe we can get a medicare for all bill passed and then join the teabaggers again and scream, keep you hand off our medicare. LOL>
You bet that what his boss wants. The boss is the one feeding us the bullcrap after having the meetings and selling us all up the river. LOOK AT THE ENTIRE PICTURE, everythiNG Obama has done to date and you see GEORGE III. Yes, we’re screwed.
Have you noticed that Baucus is grabbing the climate bill now? When he’s finished with that one and sells cap and trade up the river, we’re all going to drown or be killed in some “natural” disaster, so there’s nothing to worry about. There won’t be any children who get stuck with all the S#@T coming out of this administration and congress. Don’t worry, be happy while you can.
I’ve also wanted to know what “deal” Baucus was referring to when he said this last May at a Kaiser Family Foundation event:
(He probably wasn’t referring to anything specific, but then again….)
Lobbyists were writing legislation for 8 years under bush. Democrats did not even get a chance to read it before having to vote.
Bill Friske had urgent legislation after 9/11. No overtime for nurses, firefighters and policemen. Just ’cause he and his family owned a chain of hospitals and that cutting out the nurses overtime would have saved them money. …..there was urgency.
What has changed? Max Baucus stays holed up for months while the lobbyists write the legislation. Think there will be a big push to rush it through? Once the lobbyists are done that is?
When the corporations run the govt. , you are living under fascism. The journalists and MSM aren’t lazy…they are “state media.” Why continure the delusions?
lmao @ people thinking rahm is going rogue. the much simpler answer is that rahm and the blue dogs are giving obama cover for what he wanted all along.
Obama didn’t want the public option which is why he campaigned on it in the primary and the general election? Do you believe 9/11 was an inside job as well?