Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Saturday, September 19, 2009

Everyone Hates Health Care III: Revenge of the Senate


Max Baucus, the chair of the Senate Finance Committee, has finally unveiled his much anticipated health care bill this week. And much like everything else associated with the health care debate, everyone hates it.

Senator Baucus' bill is the cheapest of all the bills circulating through Congress, totalling $856 billion over the next 10 years. But, the bill, which despite being negotiated with Republicans for months on a daily basis, at times, did not even win the endorsement of Olympia J. Snowe, the Republican Senator from Maine, with whom the Democrats have hoped to win support. Now the bill is drawing fire from both Democratic and Republican Senators alike, and a hailstorm of opposition from the House.

Among the many contested elements of the bill, is a 35 percent excise tax on high cost insurance policies. The threshold for these taxes would be on individual policies totalling over $8,000 a year and family policies totalling over $21,000. Republicans and Democrats alike have expressed concerns that the tax will only serve to hurt those in the middle class with more generous policies. While the tax is estimated to raise $215 billion over the next 10 years, many are still concerned that the tax will negatively affect many consumers. Senator John Kerry expressed his concern over the tax, stating that he felt the threshold was far too low. Not only is there this tax but there are tremendous fines for those who do not obtain healthcare coverage, penalizing individuals with a $950 fine and families with up to $3,800. So it would appear that, more than likely, you're gonna pay.

Another element of the bill that has drawn alot of fire, particularly from House Democrats, is the inclusion of citizenship verification for all those applying for government subsidies for healthcare. A similar element was introduced in the House by Republicans, and quickly defeated. The Bill also eases income requirements for those applying for Medicaid, the already troubled and overburdened healthcare system for the needy. Senator Baucus' bill would also make massive cuts to the Medicare system totalling $500 billion. However, Democrats have assured that the cuts would not restrict benefits.

Of course, no discussion of the health care debate would be complete without discussing the never ending issue of the public-run insurance plan. The Senate bill is one of the few, if not the only, bill to not include the now infamous public option. Instead, the bill would create non-profit insurance co-ops that would help to foster greater access to affordable health care. Liberals are outraged that the public option has not been included and have made quite clear that they would not expect such a bill to make it through the house. Meanwhile Republicans have made quite clear that they would not endorse bills with the public option.

The Senate bill is likely the last bill to be put on the table by both houses of Congress. And now, we debate. Democrats are desperately struggling to find the 60 vote threshold that would allow them to prevent any filibusters of the bill. However, while the Democrats are one senator short of having that number, it is far from certain that the Democratic Caucus would be unanimous in keeping a filibuster off the table. The senate democrats are extremely divided over what they feel is important in the bill and their own individual concerns as to what the bill does and does not address.

With all of the opposition from all sides, it is hard to even imagine what will happen when it comes time to stick a bill together from the House proposals and the Senate proposals. But I must say that when it's televised I will have my popcorn at the ready for watching all the drama unfold.

“Do I believe there is enough consensus around here to get a bill done in the end? Yes,” says Senator Bob Casey of Pennsylvania. “But I also believe it is going to be a difficult couple of weeks.”

I guess we shall see....




Sources:


NY Times

NY Post

NY Times


Saturday, August 8, 2009

In the News: Everyone Hates Health Care Even More

As America descends into chaos over the proposed Health Care legislation, one has to wonder: Has America lost its mind? The answer is no. We stopped allowing people to think for themselves. Or so it would appear.

Congress members have begun holding town hall style public forums to address concerns of their constituents regarding health care. And of course, when you talk public forum, you tend to find some of the cream of the crop. People from both sides of the political spectrum have been flooding these town hall meetings with quite a bit to say. Reports of shouting matches, offensive signs, fights and even arrests have abounded from town hall meetings across the country. And we've finally seen the return of Nazi comparisons with signs depicting Obama as Hitler and using swastikas and SS symbols.

The Liberal media has been quick to denounce the outspoken opponents of what the media likes to call "ObamaCare," calling them "Fake Protesters." It would seem that you are a "fake protester" if you are an opponent of ObamaCare and listen to any of the more conservative ideals of the Republican Party. The media as well as the White House have been criticizing those websites, bloggers and talk show hosts who have encouraged people to attend the public forums and speak out against ObamaCare. The Liberal Media has been quick to say these "fake protesters" are just being organized by the Republican party solely to disrupt these forums. It would seem that the only voices that should be heard are those of ObamaCare supporters, who are the only people with real and valid opinions. For we must remember that Democrats do not disrupt public forums, compare government officials to Nazis or encourage their supporters to flood public forums to express their support.......

WAIT A SECOND!

The Democratic party has acted in the same way to help get their supporters to the town hall meetings and show their support as the Republicans have to get their voice of opposition heard. Last time I checked, it was not only appropriate but common circumstance to encourage members of your party to voice their support or opposition to legislation, particularly at a public forum meant to hear the concerns of constituents. And a Democrat can yell just as loud, and often just as ignorantly, as any Republican. And I'm sure that Nancy Pelosi, who has spoken out against protesters depicting the Obama Administration as Nazis, will remember the many protests during the Bush Administration where we saw Bush depicted as Hitler so often it stopped being impactful.

It's clear to me that it has become far too easy to cast those not in the majority as mindless followers. While both parties have their fair share of straight-ticket voting, brainwashed masses, some people still use their brains (I hope) and are able to form their own opinions and protest or support that which they believe in. To sum up this article I'm going to include some of my favorite quotes surrounding the Health Care Debate from this week:

When asked if she felt protesters at town hall meetings were legitimate grass roots opposition or "astro-turf" Nancy Pelosi replied: "I think they're AstroTurf. You be the judge. They're carrying swastikas and symbols like that to a town meeting on health care."

The Democratic National Convention put in their two cents on the protests at town hall meetings calling them: "mob activity straight from the playbook of high-level Republican political operatives. They have no plan for moving our country forward, so they've called out the mob."

And for all my left-leaning friends, I thought we could all get a chuckle out of the GOP's favorite loony. "The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama's 'death panel' so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society,' whether they are worthy of health care," "Such a system is downright evil." - Sarah Palin, via Facebook




Sources:

NY Times

Real Clear Politics

NY Post

Thursday, July 30, 2009

In The News: Everyone Hates Health Care

It would seem that no one can agree when it comes to the health care debate on Capitol Hill. Each group has something nasty to say about another group and sometimes even about their own groups. It's Democrats vs. Republicans. Blue Dogs vs. Liberals. Freshman vs. Veterans. House vs. Senate. Energy and Commerce Committee vs. Finance Committee. Executive vs. Legislative. There is no end in sight for the battles being waged over the Health Care Mess.

It would seem that no one is united when it comes to the fight over Health Care. My question is: Why the rush? Why is everyone trying to get a bill passed before the August recess? With one week left before the recess and no one agreeing as to how to pull this off, what is everyone expecting to accomplish, aside from an unsuccessful vote?

It is looking as if the only real hope of a bill that won't be rushed through Congress and shoved down the throats of America is coming from the Senate Finance committee, who is actually working, and very hard at that, to achieve a bipartisan bill. However, the Finance Committee has made it very clear that they will not have a bill finished before the August Recess.

In the House we see something very different. The Liberals are very quick to try and get exactly what they want, but are running into opposition not only from the dreaded Republicans but from some members of their own party. The fiscally conservative Blue Dogs successfully created a 10 day impasse in the House Energy and Commerce Committee as they opposed the measure to use Medicare fee schedules to pay doctors and hospitals, which would, undoubtedly lead to sub-market prices being paid to doctors under the proposed public insurance plan. After giving in to the Blue Dog demands in an effort to break the impasse, Liberals were sent screaming to the press about how their ideas for the public insurance plan were now being compromised. Under the proposed bill in the House Committee, employers would also be required to provide insurance to all their employees or pay a steep payroll tax of eight percent, clearly pushing employers toward the proposed public plan. Blue Dogs as well as committee Republicans have been opposing this measure as well, with some success.

There have also been struggles within the Democratic Party with freshman congressmen from districts recently taken from Republicans. Several have bound together, including some of the Blue Dog group, to oppose budgeting and other questions in the proposed House health care legislation and have helped to postpone a floor vote on any of the legislation.

Overall it would seem that there is no end in sight for the ongoing health care battle. With many questions still hanging over all the versions of proposed legislation, it is unclear how it will all turn out. But one thing is for sure, public approval is dropping quickly as Congress argues over what to do. Liberals lose more and more ground and the proposed legislation grows more complicated each day as the not so pretty side of health care reform is seen. Will we ever pass Health Care Reform or will the Obama administration put its foot in its own mouth. It would appear the old saying, "Easier said, than done" would apply perfectly to Health Care Reform. I guess only time will tell how it all plays out.

Sources:

NY Times - Criticism

NY Times - Impasse

NY Times - Freshmen

Tuesday, July 28, 2009

In the News: $147 Billion Weight We Can Trim from Health Care

Health Affairs Journal published yesterday that new studies, "estimate that the medical costs of obesity could have risen to $147 billion per year by 2008." This is almost double the $78.5 billion dollars spent on obesity 10 years ago, half of which was being financed by Medicaid and Medicare. This new "analysis presents updated estimates of the costs of obesity for the United States across payers (Medicare, Medicaid, and private insurers), in separate categories for inpatient, non inpatient, and prescription drug spending," Health Affairs says in the article published yesterday online.

In a time of economic recession as our government is struggling to find a solution to curb mounting health care costs, (emphasis on the struggling), it is clear where we need to trim some fat. The National Centers for Disease Control and Prevention cite two-thirds of the American population as being overweight to obese. This huge problem also brings with it, clearly, tremendous medical bills. An estimated 9.1 percent of all medical spending is on obesity and weight related problems.

These figures make it clear that if we want to trim our health care budget, we need to trim our weights. It's become clearer than ever that we need to do more to get Americans leading healthier lifestyles. Clearly fast food and video games aren't the recommended diet anymore. Anyone living in New York City can now clearly see the calorie counters at any fast food restaurant. However, let me be the one to clue you in that to reach the lower end of the counter (450 calories vs. 1500 calories) you need to peel the skin off your chicken, not eat your sides or biscuit and drink water. But what would help Americans more than anything? EDUCATION! I can't stress the importance of not just teaching the same old "proper dieting" schpeel. It's important to teach people about how to comprehend the revamped food pyramid, which I don't think I speak for just myself when I say it's slightly more than complicated to read. It's also important to teach people that the so-called "Nutrition Facts" on the back of every soda bottle are not quite so straight forward. (200 calories per serving isn't that bad, except when you just unknowingly drank 3 servings.) Finally, how many people do you know that live on a 2000 calorie diet? It's great to imagine a world in which we all do and we can look at our percent daily intake based on that. But let's face the facts, if we all lived on a 2000 calorie diet... I wouldn't be writing this article.

The answer is clear. Educate people. Let them know that, contrary to what the television tells you, you can't lose weight just from taking a miracle pill. And you aren't taking in only a few calories with each soda you drink. Let's take the time to develop a physical education program in schools that doesn't alienate those who aren't quite so athletic. Frankly, it's quite sad that one of the greatest health issues facing our country is obesity, and I personally, have faith that with some education.... and maybe some motivation... we can move ourselves in a better direction.


Sources:

Health Affairs Journal


New York Post