The cost of securing the support of one unneeded Republicans senator keeps growing. To add to the list of other terrible ideas that Sen. Olympia Snowe (R-ME) is urging be part of health care reform, here is a new one courtesy an interview with Ezra Klein.
What are your personal concerns going forward?
I’m still struggling with affordability. The Congressional Budget Office has produced charts showing that the American people will achieve savings, but we have to make sure that is the case. Just thinking out loud here, maybe you make the “young invincible plans” more available to people, or bring down the bronze plans to 60 percent [of expected actuarial value].
This is probably the single worst way to deal with the issue of “affordability.” Instead of providing everyone with affordable, quality health insurance; her solution is to provide people with affordable, high deductible, worthless junk insurance.
In the aggregate this will not make health care more affordable on average for Americans. It will just allow people to pay less in premiums. Unfortunately, millions of Americans will still be driven into medical bankruptcy because the “insurance” they have does not fully cover their medical needs. Regular people can’t afford the roughly $12,000 yearly in-network out of pocket cap they’ll have to pay if they had a serious medical problem. This is the kind of “solution” that will hit the people who most need help.
What Snowe does not want is universal health care; she simply wants to cheaply provide people something labeled “health insurance.” Letting people buy “insurance” that still does not protect them from financial ruin is not just terrible policy, it’s also immoral. Defining down coverage until it is practically meaningless is not the solution to the problem of affordability. Real reform that actually drives down cost (like drug re-importation, high minimum medical loss ratios, or a robust public option) is how to really help people, not just pretend you did.





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How sad for our country that the administration and senate leadership
have put this preening narcissist in the position of being able to dictate terms.
Snowe-storm.
So, lemme see if I got this straight.
Almost thirty middle and high income countries in Asia, Oceania and Europe have figured out cheaper ways to provide adequate comnprehensive health insurance and health care to their citizens, using private, government run, and social insurance funding systems, and that produce as good or better population health.
But the US cannot do it.
Because it is the American Way that coprorate sharks are allowed to rook and cheat people, and pad their proftis.
Disgusting.
Obama had the guts to give a good healthcare talk today. Now let’s encourage him to dump the corporate lackeys, tell Reid to put the public option in the bill, and ram it through.
Or Truman’s and TR’s ghosts will haunt him the rest of his term! That is a bipartisan threat I can get behind.
As far as O’s concerned, talk is cheap. Lucy & the football come to mind. He speaks often enough to keep the Charlies in line, and then snatches it away.
Don’t know which is worse, this one Republican, the Democrats in the leadership who keep pushing the idea that her vote matters, or the five asshole Blue Dogs who think they can threaten their caucus’s leadership and so take over the Senate with a de facto veto power.
There are already 52 members of the Senate who will vote for a public option like the one that appears in the Kennedy-Dodd HELP Committee bill.
What are they still hammering out? This spectacle is sickening. Good thing I already have health insurance…
Not as scary as Snowe-Ball.
Have I already called her a fucking asshole today?
Difference between snowman & snowwoman is snowballs.
How was the first day, Dem? I’ve always hated the first day of a new job. Did you wear a Hilary pantsuit?
Not to mention the carrot!
Saw that some of teabagger types sent her rock salt. That was funny.
“…affordable, high deductible, worthless junk insurance.”
No thanks, I already have one of those. I’ll take my robust public option now please.
It was only an interview, which I missed ’cause I got really lost. Long story. Wore the slacks, jacket and make up. Looked like a R lobbyist to them. Other than that, don’t ask. :(
Not giving up the gym job, to be honest. :)
If you have a carrot, ya better not forget the hat.
an R. guess I have to talk out loud in my head…
Funny. A rabbit. A Republican. An R. English is weird, huh?
Arrrrghhhh.
sorry, man. interviews blow. I’m the worst. One time I’m really uptight. Next i tell myself to relax and relax too much. I’ve been honest for the very last time at a job inteview. Gotta grab these guys by the collar. “Hey asshole! That’s honesty!!! I’m a breath of fucking fresh air!! Geddit???!!!”
See, we miss each other alot ’cause you’re on the left coast. What gym job?
does anyone really expect her to say anything differently? She has never changed her position and we need to ignore her. Trying to get her to change her position is pointless, and so is giving her any more attention. She’s Obama’s fetish, not ours.
Well, what do you expect from a woman who voted in favor of George Bush’s economic and foreign policies 80% of the time? She’s a hateful old Greek woman who can’t be trusted. A true snake in the grass. The End.
Signed up at a gym six months ago when my daughter got engaged. Told me, Mom, ya gotta get in shape. Worked on that. When someone quit, they asked me to work there. A little paper work. Some training others. Lotsa yapping and making people feel comfortable and encouraged. Lost a little weight. Get a little pay check. Could be worse.
Hateful. She’s always impressed me that way, too. What a crank.
OK kids, get out your calendars and mark this down, I predict if the US does not get a good healthcare reform bill now, we will be dead last in life expectancy at all ages within five years. The countries that are doing worse than us now fall into several categories.
Denmark tried to run a government run system on the cheap when it was really too small a country to get away with that. They have been fixing that through various measures, including introducing the dreaded comparative effectiveness research to increase efficiency, and paying for care provided in neighboring countries if patient has to wait over a certain time period for complex procedures.
The Netherlands and Denmark have had trouble with bad health habits, particularly middle age smoking and diet. That is getting fixed slowly. Denmark flat out banned transfats about seven years ago, for example.
Portugal is the country that in the past could be counted on have worse popuulation health than the US. But their National Health Service as made huge strides in improving life expectancy from birth through 65 years since it began 35 years ago. Once they get their middle aged male heart disease issues solved, they can no longer be counted on to do worse than us.
It is only going to get worse from here without major reform. Everyone has to keep working on healthcare reform, unless you plan on becoming ultra rich or can relocate.
End The Wars, bitch!
I could go for that. You’re not, like, a boot camp type-trainer? I could imagine you doing that. But seriously, that’s important. I’ve made a few false starts at getting in shape again and am starting again. The encouragement helps alot.
If we don’t get good healthcare reform now, I predict we will be dead in 5 years.
I don’t know about hateful – Conservative, Republican maybe. And rolling this Congress is no hard trick, especially when the Commander-in-Chief hands you the keys and tells you to do your worst.
This is Obamas to make or break. Can you blame Snowe for saying “Thanks, I’ll drive”?
I gotta go watch the Jankees a minute. Some not good stuff goin’ down. Be right back
Alright, soldier. Give me 50!
So. Not. Oh, honey, I love your new shorts. YMCA!
Fuck. Bases loaded. Wild pitch. Run scored. 2-2.
I like the YMCA near me. Only place i go. Not many muscleheads and the few there are are cool.
Pizza’s done.
Wasn’t Mount Olympia where the Greek gods hung out? No wait, it was Olympus… never mind.
I like Olympia Snow, but as a progressive I think it is time to cut her loose from getting this done as we need it.
Maybe we all get out of our insurance and travel to the FREE HEALTH CLINICS. If you donate your insurance premiums and deductibles plus overcharges we as a country can afford to continue to run FREE HEALTH CLINICS across the country and let the insurance industry crumble. We would be able to raise enough money to pay for the doctors, nurses and others for their help.
Then, the Senators, Congresspeople and government employees will be the only pool for the industry in their pool. I wonder what there costs will be then?
In my view we never should have been in a position of “cutting her loose.” She’s not on our side and never has been. Just my opinion.
thanks bf,
i was gunna say ‘Cut her loose? Snow has never been a progressive.’
parseology 101
She is pretty lean so it shouldn’t require a great deal of helium to launch “Balloon-Senator.”
but now that Obama has put her on The Team it would be better to cut her late than never. but it’s not gonna happen.
back to watch the Jankees. later
Cujo369’s diary is promoted!
Muslim Supervillains On Rampage!
Just to make it clear when I said Portugal has made “huge strides in improving life expectancy from birth through 65 years”, that includes life expectancy at 65. So Portugal has been rapidly catching up with the US in health for the elderly as well as for other ages.
One of the most infuriating aspects of this vile healthcare ‘debate’ has been watching murderous hypocrites scaremongering the elderly on health. Since the early 1980s, the US has lagged almost every other high income country on health for the elderly. That might be used as a talking point against Medicare, except that most other countries that have Medicare-for-all systems did better, and the US performance for younger than 65 was almost as bad, and that was mostly private.
From the early 1980s until four or five years ago, if you looked at achievement (life expectancy itself) or progress (growth rate of life expectancy), compared to other high income countries, the US was killing old women like flies. Yet healthcare reform that might change that is being blocked by hypocrites telling lies in order to protect corporate profits, and for no other cause that I can see. It is a really disgusting spectacle that is a disgrace to this country.
Now the health of elderly women has managed to pick up a bit so the US is barely managing to keep up with the lower half of other high income countries. Life expectancy for elderly men is continuing its lack of progress, and is moving from merely average to definitely below average for a high income country.
we beat them at the last World Cup, though.
We have to stop wasting time worrying about Snowe, and the blue dogs. We’ve got 52 Senators for the PO. We need to get them to go after the filibuster in the context of an attempt to amend Reid’s bill. Then we can get both a strong PO and good legislation from now on because we won’t have to worry about the Republicans or less than 10 blee dogs on any issue.
Of course, this will require Biden’s cooperation, but not Reid’s. The procedure’s described here. It may not work because the 52 may not hold firm. It also may not work because Obama gets Biden to decide against junking the filibuster. Nevertheless it’s still useful to push it because it force Obama into a corner and unmask him if he opposes getting rid of it.
How much are you willing to pay for this public option? The total costs of the insurance needs to be spread out between all that are covered. People seem to think you by insurance for $500/m so you should be covered for everything up to the moon. The recent first dollar thing that insurance has moved toward should make people become more educated and pressure hospitals to lower costs but to many are to slow and blame it on the insurance companies. Take your car insurance for example…. Do you file a claim when you need new tires, how about windshield wipers, oil change??? Car insurance would be outragous if we all did that. Health coverage should be seen the same way. Health insurance is there to save people from the crippling costs of prolonged disease or costly accident or injury or surgery. Insurance does cost a lot but we get and ask a lot from it. We need to understand the true costs and budget appropriately not look to blame. Fixes need to be made legally as well but we first need to fix our understanding and additudes.
That is true, you do have high deductables for many kinds of property insurance. But if you are cheap and use deductables on your insurance as an excuse not to fix or maintain your car after an accident, there are no state and federal laws that require an auto-repair shop to come to your rescue when you car breaks down during rush hour. Your car gets junked at no cost to anyone but you. There are laws that require provision of healthcare with no provison for compensation at all for peoples’ health if they are sick with life or organ threatening crises. So, if you want your analogy to hold you have to propose doing away with those laws that require emergency care for sick people. Do you want to propose that?
Your reference to ‘first dollar’ insuarnce is dated. That is 1960s and 1970s stuff. The move towards higher deductable and co-pays, and away from first dollar coverage has been going on for over twenty years and it has not fixed anything.
Further, if you will look at international statistics, the US does not have high rates of primary care utilization for people seeing the doctor for trivial reasons, or preventive care, or check-ups, or anything else. It has one of the very lowest rates. It does have high rates of utilization for advanced expensive procedures for very sick people.
I hope that reform does make access to primary care easier for selected preventive care services and check-ups than is currently the case. Most other high income countries with lower healthcare costs and better popualtion health do it that way. Simply proposing more indiscriminate slashing of affordable access to primary healthcare (more of what has been tried and has failed for the last 20 years) will not work.
And by the way, I am willing to pay quite a bit for a public option. My rates for a private policy are sky rocketing with more and more cuts in benefits. At least with a public option I would have more promise of honest delivery of service and some say through my representatives in policy design.
“Universal Underinsurance”
What a great description of what we will probably end up with.
The worst effect of our system of campaign financing
… isn’t that our Congresscritters are bribed into supporting bad policies. It’s that they have to be so good at fund-raising to survive and thrive in this environment, that they don’t have the time and energy to devote to things that don’t contribute to their re-election, things like understanding the policy issues.
What I see in this statement of Snowe’s, and in everything a Baucus or a Conrad says on the subject, is not mainly the hand of their industry paymasters (though, Lord knows, that’s there). The most striking thing about what these “centrists” have to say on the subject is its utter assininity. They’re just dumb shits, at least on this issue, not even smart enough about the issues to come up with clever rationalizations for doing the industry’s bidding. I’m sure they’re utter geniuses at fund-raising. Too bad that’s not what we need them to understand…
.
Think about it: The government would force working families to pay a big tax increase in the form of overpriced junk insurance, and when they get sick they still go bankrupt. Does that sound like a political winner for Democrats??
In other news today, the NYT Editors *finally* came out for a robust Medicare-like public option!!!
The public option is on the march, baby…
wash represents corp america
when will americans wake up to that reality
the demos only pretend to be for the middle class
they will fold they have to fold for the lobbyist money
in a republic we deserve our politicans
best kept secret in america
mega profits off the sick and needy what more needs to be said about american values????????
selfish, self righteous, greedy, and arrogant
and of course love their wars for profits
and they want to dominate the world
700 military bases around the world is imperialism defined
trillion dollar military budget that is war mongering defined
two unwinable wars makes mega profits for the industrial military complex
yes we have met the enemy and it is the middle class or former middle class fast becoming lower class status
keep blaming snowe while the wealthy rob you blind
she is only doing what the rich are telling her to do
give credit where credit is due, she is doing her job well very well
“It’s that they have to be so good at fund-raising to survive and thrive in this environment, that they don’t have the time and energy to devote to things that don’t contribute to their re-election, things like understanding the policy issues.”
Perfectly analogous to what many of us have observed in our careers: Too often people get promoted to managerial rank not because they are good at the central task of the business, but rather because they are good at office politics. Apply this to gov’t and you have put your finger on a MAJOR flaw in American society.
Snowe seems to me like of those people (politicians, businesspeople, whoever) who escaped from humble beginnings and NEVER looked back. I suspect Reid is like that as well. FDR actually did something for the disadvantaged because he was forcibly humbled by polio and was reminded everyday how tough life can be.
This woman has too much power! We have the votes, let’s do it!
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It’s not just corporate sharks. If Obama could snap his fingers and instantly give us, say, the Canadian health care system, which by just about any measure has better outcomes and lower costs than the US, he would undoubtedly be a one-term president.
A major challenge is that a significant chunk of Americans have really good health insurance and access to great care. These folks are the mostly republican affluent and mostly democratic union members. Both politically active and powerful groups. So health care reform needs to find a way to expand coverage while not making the coverage/care of those who already have it good, worse or more expensive. This is a non-trivial challenge.