Snowe has long been opposed to some of the most important elements of reform. I’m not just referring to her opposition to a real public option and her support for a worthless trigger proposal.
Snowe opposes a real employer mandate, and instead favors a disastrously stupid “free rider” provision. It could have serious consequences for low-income workers.
She is against giving the exchanges the power to negotiate with private insurance companies. This is a provision that should help keep down the cost of health care. It would save individuals money and the government money. Snowe fears it is too much government involvement. John Kingsdale, who runs Massachusetts’s exchange, called Snowe’s insistence that the exchanges not have the power to negotiate price with insurance companies a recipe for disaster.
Just today, during the committee hearing, she reaffirmed her support for “national plans.” This would allow health insurance companies to sell national plans in any states. Individuals state would lose the power to regulate these insurance plans sold in their states. The national plans would be exempt from all minimum benefit requirements mandated by the state legislature. This has been for a long time one of the top goals of the for-profit health insurance industry.
These are only the few changes that I know Snowe requested. Other good ideas, like a minimum medical loss ratio for insurance sold on the exchange, a stronger regulator, and a better defined minimum benefits package, could also have been excluded at the request of Snowe. For Example, Cantwell’s “basic health plan” amendment did not get Snowe’s vote in committee. It may be left out of the merged bill because Snowe opposes it.
I fear all of these terrible ideas from Sen. Snowe will make their way into the final bill. Obama has signaled his desperation to win the support of Snowe, and seems willing to accept any idea she has regardless how bad. Snowe’s vote may make it easier for the Democratic leadership to declare a political victory, but the cost of winning Snowe’s support could be that health care reform is a policy failure. In which case, it is the American people who are the real losers.





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All for President Snowe.
Her Administration is going GREAT!
Two words for this.
Snowe job.
Ir is all so sad for this country.
The Senate Dems are pretty much wankers, with a few exceptions, and hiding behind Snowe won’t change that.
Will the good guys refuse to vote for a bad bill, though?
Everybody knows that the voters want access to Medicare. (public option is a crappy term because it doesn’t mean anything)
Everybody also knows that the Senate doesn’t want to let people have access to Medicare.
And that is the story in a nutshell.
I still think this is what the White House wants, anyway. They’ll screw us whether or not the Republicans get on board. To not do so would mean they give up the campaign cash, and they won’t do that.
Well, fuck.
Now remember, people, perfection is the enemy of the good.
We should count our blessings that the vote was bipartisan.
A few quick, off-the-cuff reactions:
1. Cantwell’s state has some real leaders in ‘health care delivery’ who have a track record that Snowe doesn’t have in Maine.
2. Cantwell’s state (like Wyden’s) is a national leader in delivering cost-effective healthcare focused on outcomes; it’s no surprise these Washington and Oregon senators have genuine insight into fixing health care in the U.S.
3. If the WH wants a ‘win’, they’ll go with proven track records. Both Cantwell and Wyden have those in their states.
Why is it so goddamned important to have any Republican at all support a health care bill? Who needs them?
Is there actually any breathing rational human type person paying attention to this fucking mess, that thinks Sen. Snowe-job will vote to pass a health insurance reform bill? Forget a finance commitee pass out vote which is all but meaningless. A yea vote on a full Senate bill? She is nothing more than the designated mole, sent in to undermine the foundation and she has accomplished exactly that (with a huge assist from max-tax). I still want to know why the finance commitee was given so much room on health care legislation.
Oh, almost forgot; fuck you, harry reid.
Thank you very much for the extraordinary work today, Jon.
You forgot to type the punchline I think…good thing we got Snowe’s vote because ??? (otherwise this POS bill wouldn’t have made it?)
I’ll be shocked if a strong public option without any tricks passes at this point. I suspect a public option in name only simply for PR reasons.
That said, what happened to the Opt-Out idea? Was that just some idea someone floated? I’ve admittedly stopped following the ins and outs of this so closely because the good and bad news roller coaster, the mixed signals, was driving me crazy.
Sorry, forgot my manners; Hey pups!
I’ve said it before, but the whole health care fiasco reminds me of those fake pony versus real pony commercials on teevee.
“The national plans would be exempt from all minimum benefit requirements mandated by the state legislature. This has been for a long time one of the top goals of the for-profit health insurance industry.”
Why can’t Congress set minimum standards period, and regulate commerce, in this instance health insurance, set minimum standards across the nation? Uniformity, and control the behavior of corporations? Should not the role of the federal government be to protect the rights of the governed from “corporate abuses” orchestrated at the state level. Jim Crow laws, segregation undermined the rights of Americans just as health insurance corporations discriminate, segregate risk, and bankrupt America, under the color of law.
You didn’t say you wnated a real pony.
True. Both sides of “The Ruling Class” party. And a fine one it is, too..
“Another bottle of Dom over here for Senator Baucus…”
states must have the right to impose tougher regulations. especially as our fed gov appears to be currently incapable of any significant regulation of FIRE industries.
and personally, i’ve been living in MA for the regulations the state imposes. i don’t want to see the fed replace the state regulators here.
Yer beginning to sound like me. *g*
Why do I have such an overwhelming feeling of dread pouring over me right now???
Good points. The outcome of this mess may be that forces for sensible reform have to use it as a ratchet to move reform forward from the future mess it will become.
Increasing competition across state lines will be a good idea if there is a requriement for a reasonable minimum benefit package, and strong federal regulation. If not, it is a very bad idea. I think most of us have relatives or friends who got ripped off by cheap rip-off insurance policies. That rip-off will just occure more often if no strong federal regulation.
So, if we do get interstate competition with no reasonable minumum comprehensive plan and weak regulation, then we will just have more ripped off unhappy people in the future. We will have to move the ball foward, not backward, after that scam blows up.
awful is also the enemy of the batshit crazy.
doesn’t make me want to support either.
Jefferson warned of corporate aristocrats usurping constitutional in the lust for endless profit. Seems the Baucus plan is a boxing in of “Americans”, for the benefit of corporation, as Jefferson warned. First the bankers take the property of American’s by deflation of currency value, then the corporations around the banks increase cost and inflate prices to further deprive the consumer of an wealth. No health insurance corporations lobby congress for an individual insurance mandate with no mechanism to control their behavior or cost! Jefferson is correct!
I’ve always been like you …..well except for the inability to write and the poor spelling and grammer and the slow draw and the ….. oh, wait….never mind.
Snowe Failing on Ceders.
Thanks allan and selise. My only comment is the the perfect is the enemy of the good does not mean anything if the good can be shown to be unworkable.
Then it is like a Fire Marshall Bill saftey tip: hey kids, when you check for a gas leak in a dark house, always use a match for light, not a cigarette ligher. The cigarette lighter contains butane, which could explode and really burn your hand if the house blows up (huh, thanks, Bill).
We are close to that situation the way the Senate Finance has been handling reform.
Request for info: where is the best place to find a good summary of the Finance Bill that was passed today. I looked through recent FDL posts on reform but did not see a link.
Because it appears an awfull lot like we are about to fucked?
The feds stepped into segregationist states. It was federal civil rights which trumped segregation. Health Insurance is predicted on discrimination. It is the federal governments responsibility to protect the rights of individuals from discriminatory practices which undermine basic constitutional rights, by corporations people or states!!!
Oh! I knew it was a familiar feeling!
Selise,
Have you seen this?
http://www.ama-assn.org/ama1/pub/upload/mm/368/compstudy_52006.pdf
Check out MA comp stats Then look at Maine…….
Chris Matthews just said only 30 Democratic senators will vote for the public option.
Does he know he is lying?
“We” have decided to delete health care from the list of basic human rights. Very much unlike every other nation on the planet with the where-with-all to provide it for all of it’s citizens.
Seems to me that if we get crummy interstate competition regime for health insurance, there soon will be a movement to scrap reform, or tighten up regulation, after the system starts under delivering. I would argue strongly for keeping reform and strengthening regulatory regime using Congressional power of regulation of interstate commmerce.
Thing to press for is a uniform basic comprehensive plan, not a minumum, but one unique basic comprehensive package as the basic plan for everyone. Only that is workable.
People who want more coverage buy it on a less regulated supplemental policy market (with no BS penalties for so-called ‘gold plated’ coverage).
That will be only basis for a stable system based on private insurance that can deliver cost control withouth onerous rationing. That will be the next step. Once we get a system that will not start falling apart as soon as it is established, then we would have something close to a Swiss system, but except without additional regulation for provider payments, and no rational system for determining healthcare supply. So, it would not work as well as Swiss system, but at least it would be a stable, and not get in the way of solving other problems of the system.
We can fight it out over how to move from there. Switzerland, Germany and France all are about same cost as percentage of GDP, so that private system (that some may not like). One hopes at that point we could argue about staying with private (Switzerland), contracting private insurance to adminster an essentially single payer system (Dutch), Medicare-for-all single payer (Australia), or France, whatever.
I guess I am grimly optimistic and thinking ahead, huh?
Did you honestly think a progressive bill would emerge from the Baucus committee?
There were always only two things that could happen in the committee: nothing passes, or something ugly passes. The second option was the only “good” option in that it keeps the game alive.
Yes, I am aware that this bill is bad and that we don’t want a mandate passed without a public option — but this was never going to happen in the Baucus committee. Time to move on.
Hey I know all of us dynamiters wanted this turkey to hit an iceberg but here is a little consolation: Anthony Weiner’s website (countdowntohealthcarereform) said in his post that on balance it’s better that this thing has passed and now we can move forward to improve the bill (by performing some major surgery-my words in parentheses.) Things look bleak but they have counted us out before. Ready . . . Aim . . ………..!
gallows humor! my favorite!
thanks for the laugh.
thanks. looks like maine sucks extra bad?
Would you all rather have this bill or one with an opt-out that so many here in the sheep pen shrieked to kill?
Makes alot of sense. Probably why they are so desperate to get her on board. I could see how they would be stupid enough to think they could pin the final destruction of the middle class on her.
glad people could read my comment. All the line breaks got removed and half a sentence dropped. I have problems connecting.
Anyway, we all need to press for reform until we get a good stable system, unless you have plans to move overseas, or plan on dying young and leaving a good looking corpse.
Maybe that is a good line for friends and family. At the rate this system has been falling apart, what will it look like when your 65? Will it still love me, whenI’m 65?
If you aren’t good at picking up languages and relocating, what are your chances without reform. I got 20 some years, but does that give me more hope for reform in the meantime, or mean that there will be a true ruin when I get on towards my older days?
I hate that lying, egomaniacal, interrupting, crappy moderator, self-important jackass. So there.
Unless this bill goes through radical changes, the democrats will lose the house in 2010 and probably The White House in 2012. I’m done giving money to the party. Let the republicans run the country into the ground. It deserves it.
Something else is happening while we read and write. The anti-trust exemption for insurance companies is out of the bag, and there are Democrats like Grayson who are ready to exploit it. To the companies: You believe in competition? Make my day! There are two tracks to reform, both complementary. One is the public option; the other takes away the ability of insurance companies to collude in order to raise their profit ratios. Cost control demands both, and I think this is what we are going to see when the House gets down and dirty in the next few weeks. The power of the Insurance industry derives from its capacity to threaten. Once they lose that clout, their ability to pressure our congress critters will be greatly diminished. I’m hopeful, for a change.
and if there’s a mandate, they can kiss my ass. I’m not buying their inflated, over-priced insurance.
Someone needs to figure out how to transition the millions of folks who work for the insurance bureaucracy into productive jobs as part of a sweetener for the insurers’ elimination.
Thanks, Jon. A bad day for reform indeed.
Answer: Just watch a really violent, ugly, viscious, porn rape movie and you’ll have your summary of the finance bill.
I’m not sure he’s lying, just stupid sometimes. He equated signing the letter with being for it. But what was really irritating was his attempt to take the PO “off the table” by saying that only half the Dem caucus was for it. Even had that been true that half is enough to torpedo anything else if they stick together. So, as long as a position has 30 Senators it’s worth talking about.
A good description.
Three out of four Doctors recommend the Public Option.
(Remember all the commercials that started “Three out of four doctors recommend…” or “Four our of five Dentists recommend…”? Well, three out of four Doctors DO recommend the Public Option, so why haven’t some of these 75 percent of doctors run a commercial stating their support for the Public Option? We trust Doctors when they make a medical diagnosis and prescribe, often-lifesaving, treatment and medication, so why are 75 percent of U.S. Doctors suddenly NOT trusted when they diagnose that our current healthcare system is ill, injured, needs repairing, needs reform? Why?)