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	<title>Comments on: And Oh, By the Way, We Blew Up the White House Deal With AHIP</title>
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	<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/</link>
	<description>Politics for liberal newsgeeks</description>
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		<title>By: mfpdx</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53838</link>
		<dc:creator>mfpdx</dc:creator>
		<pubDate>Tue, 13 Oct 2009 15:12:48 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53838</guid>
		<description>If you&#039;re still here you must be doing just fine :)  What&#039;s going on right now is an outrage, and Obama owes us better :(  I don&#039;t know anything about any deal with Harry Reid, but that guy the THE worst &quot;leader&quot; the Dems could ever hope to have.  What a mealy mouthed, worthless guy.

And Rahm?  I KNEW Obama wouldn&#039;t deliver when he picked him and then picked all those conservadems and R&#039;s - WHERE are the progressives in his administration guys?  This is another sell out - and after all that hope.

Screw them.  The dems will continue to suffer until we learn that putting conservatives in our seats and calling them Dems is the same as cutting our own throats;  Our ONE chance and look at what they&#039;ve done to us!  Obama calls us &quot;fringe&quot;?????  Yeah, THAT is Rahm.  I detest him and always have.

He&#039;s a republican.........shill.</description>
		<content:encoded><![CDATA[<p>If you&#8217;re still here you must be doing just fine :)  What&#8217;s going on right now is an outrage, and Obama owes us better :(  I don&#8217;t know anything about any deal with Harry Reid, but that guy the THE worst &#8220;leader&#8221; the Dems could ever hope to have.  What a mealy mouthed, worthless guy.</p>
<p>And Rahm?  I KNEW Obama wouldn&#8217;t deliver when he picked him and then picked all those conservadems and R&#8217;s &#8211; WHERE are the progressives in his administration guys?  This is another sell out &#8211; and after all that hope.</p>
<p>Screw them.  The dems will continue to suffer until we learn that putting conservatives in our seats and calling them Dems is the same as cutting our own throats;  Our ONE chance and look at what they&#8217;ve done to us!  Obama calls us &#8220;fringe&#8221;?????  Yeah, THAT is Rahm.  I detest him and always have.</p>
<p>He&#8217;s a republican&#8230;&#8230;&#8230;shill.</p>
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		<title>By: klynn</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53807</link>
		<dc:creator>klynn</dc:creator>
		<pubDate>Tue, 13 Oct 2009 14:52:52 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53807</guid>
		<description>Jane,

Wonderful work. Absolutely wonderful.

Keep the calls going folks.</description>
		<content:encoded><![CDATA[<p>Jane,</p>
<p>Wonderful work. Absolutely wonderful.</p>
<p>Keep the calls going folks.</p>
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		<title>By: gamd521</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53805</link>
		<dc:creator>gamd521</dc:creator>
		<pubDate>Tue, 13 Oct 2009 14:51:13 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53805</guid>
		<description>Hi:

Your points, I think, bear some scrutiny regarding their implication:

The basic fact when considering an alternative to private insurers is that any plan that does not devote a portion of the premium to profit will necessarily be cheaper. This applies both to the PO as much as to the single payer plan. Public plans have a comparative advantage with respect to the price of premiums over private for profit plans. Everything follows from this fact.

An as yet missing piece of information is when does a plan to manage risk become viable. That is, what element of a plan to manage the cost of a risk allows for the price of the premium to fall. Presumably this happens when the aggregate cost of the risk decreases as the number of participants in the plan increases. But this can only happen when some proportion of the participants with low risk associated cost is reached relative to those participants with high risk associated costs.

If this is correct than it doesn’t matter what the total number of participants in the plan is.  What matters in attaining the lowest premiums, is the proportion of low risk low cost participants relative to high risk high cost participants. This will be true if the number of participants is 47 or 300 plus million participants.

In this regard it bears re-emphasizing that premiums will always be lower in a publicly administered plan than in a for profit managed plan, because it is more efficient. That is, paying a bill is done more efficiently by single entity (think Medicare) than by 1,300 entities paying that same bill but retaining a portion of it for themselves.

So:

1- point number one becomes moot
2- even if mandates were imposed what matters is not the imposition as it is that the people that are mandated to acquire insurance be allowed to purchase a public as well as a private plan. And given that a public plan is cheaper presumably that plan will be chosen, if freely allowed.
3-costs of the premiums will be reduced by public plans relative to private plans, but the cost of the health services provided are a different matter altogether and have nothing to do with how the cost of premiums are arrived at between public vs. privately managed insurance plans.

Of course there is very strong need for clarifying with readily available calculations the benefits related to cost of premiums that public plans offer. It makes arguing for it so much easier.</description>
		<content:encoded><![CDATA[<p>Hi:</p>
<p>Your points, I think, bear some scrutiny regarding their implication:</p>
<p>The basic fact when considering an alternative to private insurers is that any plan that does not devote a portion of the premium to profit will necessarily be cheaper. This applies both to the PO as much as to the single payer plan. Public plans have a comparative advantage with respect to the price of premiums over private for profit plans. Everything follows from this fact.</p>
<p>An as yet missing piece of information is when does a plan to manage risk become viable. That is, what element of a plan to manage the cost of a risk allows for the price of the premium to fall. Presumably this happens when the aggregate cost of the risk decreases as the number of participants in the plan increases. But this can only happen when some proportion of the participants with low risk associated cost is reached relative to those participants with high risk associated costs.</p>
<p>If this is correct than it doesn’t matter what the total number of participants in the plan is.  What matters in attaining the lowest premiums, is the proportion of low risk low cost participants relative to high risk high cost participants. This will be true if the number of participants is 47 or 300 plus million participants.</p>
<p>In this regard it bears re-emphasizing that premiums will always be lower in a publicly administered plan than in a for profit managed plan, because it is more efficient. That is, paying a bill is done more efficiently by single entity (think Medicare) than by 1,300 entities paying that same bill but retaining a portion of it for themselves.</p>
<p>So:</p>
<p>1- point number one becomes moot<br />
2- even if mandates were imposed what matters is not the imposition as it is that the people that are mandated to acquire insurance be allowed to purchase a public as well as a private plan. And given that a public plan is cheaper presumably that plan will be chosen, if freely allowed.<br />
3-costs of the premiums will be reduced by public plans relative to private plans, but the cost of the health services provided are a different matter altogether and have nothing to do with how the cost of premiums are arrived at between public vs. privately managed insurance plans.</p>
<p>Of course there is very strong need for clarifying with readily available calculations the benefits related to cost of premiums that public plans offer. It makes arguing for it so much easier.</p>
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		<title>By: GDC707</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53776</link>
		<dc:creator>GDC707</dc:creator>
		<pubDate>Tue, 13 Oct 2009 11:51:07 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53776</guid>
		<description>I&#039;m pretty healthy and I would join the PO just on general principles. Wouldn&#039;t you? The #&#039;s of people who would sign up, thus enlarging the pool and lowering the risk profile may be greater than we think.</description>
		<content:encoded><![CDATA[<p>I&#8217;m pretty healthy and I would join the PO just on general principles. Wouldn&#8217;t you? The #&#8217;s of people who would sign up, thus enlarging the pool and lowering the risk profile may be greater than we think.</p>
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		<title>By: JamesJoyce</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53775</link>
		<dc:creator>JamesJoyce</dc:creator>
		<pubDate>Tue, 13 Oct 2009 10:52:24 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53775</guid>
		<description>Americans are entitled to health care.  Billions of dollars in taxpayer money has been spent and continued to be spent in the evolution of medicine, bettering the human condition.  Tax exempt insurers and health care providers are to lessen the burdens of government, in return for tax exempt status?  USE the tax code to control corporate behavior!!!!!!

Americans fought a civil war so slaved could have access to constitutional protection, and not be considered &quot;property!&quot;  So what happens when we are all considered property to have access to health care and Life?</description>
		<content:encoded><![CDATA[<p>Americans are entitled to health care.  Billions of dollars in taxpayer money has been spent and continued to be spent in the evolution of medicine, bettering the human condition.  Tax exempt insurers and health care providers are to lessen the burdens of government, in return for tax exempt status?  USE the tax code to control corporate behavior!!!!!!</p>
<p>Americans fought a civil war so slaved could have access to constitutional protection, and not be considered &#8220;property!&#8221;  So what happens when we are all considered property to have access to health care and Life?</p>
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		<title>By: JamesJoyce</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53774</link>
		<dc:creator>JamesJoyce</dc:creator>
		<pubDate>Tue, 13 Oct 2009 10:42:02 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53774</guid>
		<description>Blackmail,   simply blackmail and extortion of America, by corporations as Jefferson warned.....

Who would you trust, AHIP or Thomas Jefferson?</description>
		<content:encoded><![CDATA[<p>Blackmail,   simply blackmail and extortion of America, by corporations as Jefferson warned&#8230;..</p>
<p>Who would you trust, AHIP or Thomas Jefferson?</p>
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		<title>By: sander</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53773</link>
		<dc:creator>sander</dc:creator>
		<pubDate>Tue, 13 Oct 2009 09:07:05 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53773</guid>
		<description>I&#039;m just wondering. Would it be effective to organize a strike against the health insurance industry? Do you think it would influence them if all of us who have insurance threatened that we would give it up, stop paying premiums, if there is no public option? Do we have the numbers? I remember a saying from the &#039;60s: &quot;they may have the guns, but we have the numbers.&quot;

I know it&#039;s risky because many of us are old enough or have kids (or both) and feel we need insurance. But really, this is important enough to take that risk. What would happen if we all said &quot;enough&quot;? For 3 or 4 months we just stop giving them our money. Would they worry?</description>
		<content:encoded><![CDATA[<p>I&#8217;m just wondering. Would it be effective to organize a strike against the health insurance industry? Do you think it would influence them if all of us who have insurance threatened that we would give it up, stop paying premiums, if there is no public option? Do we have the numbers? I remember a saying from the &#8217;60s: &#8220;they may have the guns, but we have the numbers.&#8221;</p>
<p>I know it&#8217;s risky because many of us are old enough or have kids (or both) and feel we need insurance. But really, this is important enough to take that risk. What would happen if we all said &#8220;enough&#8221;? For 3 or 4 months we just stop giving them our money. Would they worry?</p>
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		<title>By: sander</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53772</link>
		<dc:creator>sander</dc:creator>
		<pubDate>Tue, 13 Oct 2009 09:05:29 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53772</guid>
		<description>I</description>
		<content:encoded><![CDATA[<p>I</p>
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		<title>By: djfourmoney</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53770</link>
		<dc:creator>djfourmoney</dc:creator>
		<pubDate>Tue, 13 Oct 2009 07:43:28 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53770</guid>
		<description>Yeah 77% want a Public Option (Again who are they asking? Not me...). But as they said when details come out -

 1) No Universal Access (if your job offers you a plan, your SOL), this is all the bills, which one looks like Hacker&#039;s NONE OF THEM!

 2) Mandates, Mandates, Mandates! Giving the real &quot;Death Panels&quot; our money just for the f__k of it, no other reason. It work for Mass. Didn&#039;t it?
 
 3)No true cost reduction

 That&#039;s why support drops into the 50% range

 This is why again, if AHIP is going to throw a hiss-fit, then really &quot;sock it to them&quot; and say were just getting warmed up - Medicare For All

 Nothing wrong with Blogs, its what politicians fear most. Because anything they say or do is instantly EXPOSED.

 I like Cheetos and if you count sweats and a t-shirt as jammies then so be it, blog on...</description>
		<content:encoded><![CDATA[<p>Yeah 77% want a Public Option (Again who are they asking? Not me&#8230;). But as they said when details come out -</p>
<p> 1) No Universal Access (if your job offers you a plan, your SOL), this is all the bills, which one looks like Hacker&#8217;s NONE OF THEM!</p>
<p> 2) Mandates, Mandates, Mandates! Giving the real &#8220;Death Panels&#8221; our money just for the f__k of it, no other reason. It work for Mass. Didn&#8217;t it?</p>
<p> 3)No true cost reduction</p>
<p> That&#8217;s why support drops into the 50% range</p>
<p> This is why again, if AHIP is going to throw a hiss-fit, then really &#8220;sock it to them&#8221; and say were just getting warmed up &#8211; Medicare For All</p>
<p> Nothing wrong with Blogs, its what politicians fear most. Because anything they say or do is instantly EXPOSED.</p>
<p> I like Cheetos and if you count sweats and a t-shirt as jammies then so be it, blog on&#8230;</p>
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		<title>By: iremember54</title>
		<link>http://fdlaction.firedoglake.com/2009/10/12/and-oh-by-the-way-we-blew-up-the-white-house-deal-with-ahip/#comment-53768</link>
		<dc:creator>iremember54</dc:creator>
		<pubDate>Tue, 13 Oct 2009 05:33:55 +0000</pubDate>
		<guid isPermaLink="false">http://campaignsilo.firedoglake.com/?p=3232#comment-53768</guid>
		<description>Obama&#039;s poll numbers are because of the people who are advising Him, leading Him to do all the wrong things. Rahm is part of the problem because He keeps telling Him that He can get what is right out of the congress. He got the Recovery Act, WoW. Now they are going to give us something worse on healthcare.

We thought we were getting a leader with Obama, but got an appeaser, and a congressional suck up. He keeps letting the people who made the problems do the fixing for them. 

His economic team isn&#039;t much better it&#039;s filled with people who supported what caused the problems, didn&#039;t see it coming, were even in on it, and have no real idea on how to fix things. Good Job Mr. President.</description>
		<content:encoded><![CDATA[<p>Obama&#8217;s poll numbers are because of the people who are advising Him, leading Him to do all the wrong things. Rahm is part of the problem because He keeps telling Him that He can get what is right out of the congress. He got the Recovery Act, WoW. Now they are going to give us something worse on healthcare.</p>
<p>We thought we were getting a leader with Obama, but got an appeaser, and a congressional suck up. He keeps letting the people who made the problems do the fixing for them. </p>
<p>His economic team isn&#8217;t much better it&#8217;s filled with people who supported what caused the problems, didn&#8217;t see it coming, were even in on it, and have no real idea on how to fix things. Good Job Mr. President.</p>
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