Tags: Congress

Why health reform supporters’
mood rings are turning blue

In : Health Care Reform, Posted by Steve on Mar.03, 2010

ring with a pink stoneAn interesting poll surfaced yesterday, revealing that – in the days since health reform legislation was passed by the U.S. House of Representatives and signed into law by President Obama – more Americans have taken a favorable view of the legislation than they did before the vote.

Nearly 50 percent of those polled now say the legislation was “a good first step” that should be followed by more action.

Was the poll showing that more Americans had suddenly come to the realization that the health reform legislation really was a good thing? Nah. We think the poll simply shows that supporters of health reform can finally feel good about wanting change.

We think this poll wasn’t so much a poll as a mood ring.

Before the vote, the legislation’s supporters had been pummeled by the bill’s detractors for months. For every bit of evidence showing that the legislation would help millions of Americans, there was an equal or greater counterattack – saying the legislation would make insurance more expensive, that it would increase taxes, increase the federal deficit, increase the size of government.

And the arguments were not just that the logic behind the bill was unsound. The arguments suggested that anyone who supported the bill was reckless, or stupid, or naive, or preoccupied with a political victory, or unAmerican. The entire debate was the emotional beating that opponents intended it to be.

But we suspect that the passage of the legislation changed the mood of its supporters, including supporters who were beginning to think that the months of political wrangling had ultimately done more harm than good to the legislation.

Their mood had been deflated by months of watching Democrats stalled again and again as they attempted to fine tune legislation in response to each new attack. It was one thing for health reformers to promise that they would look before they leaped. It was another thing entirely for reformers to look before, during and after leaping.

Finally, reformers of health care realized that they’d been right all along – and voted their consciences. They realized that a complete failure to move forward would be more than a huge political liability. It would be a complete letdown for the millions of Americans who trusted Congress to do something to fix the system.

And when the reformers stood their ground, it restored their supporters’ confidence. They believed again. Change, it turns out, is not impossible.

Now, health reform is on track and – like motorists who have been stuck in traffic far too long – supporters are relieved and exhilarated to be moving forward. New scenery. Wind on our faces. The promise of a new and better destination for millions of us.

Our mood ring is decidedly dark blue.



Biggest pro-life vote in history

In : Health Care Reform, uninsured, Posted by Chuck on Mar.03, 2010

lifeOur statement has nothing to do with the last-minute deal cut between the White House and Rep. Bart Stupak (D- Mich.). Here’s why the historic vote authorizing health insurance reform is the biggest pro-life vote in history:

Fifty-five thousand Americans die every year because of lack of health insurance coverage. Those are deaths that no longer need to happen, thanks to important market reforms the Obama Administration and Democrats in Congress bravely passed.

Democrats have been trying to provide health care for all since the days of President Truman. This last attempt took more than 400 days as they worked to allow all members of Congress including the Republicans across the aisle to have their say.

That’s a real “pro-life” move to us. And change that we can all believe in.

Bravo President Obama – bravo to all those who voted to make health care available to all. Today, history is made.



Toe-may-toe … toe-mah-toe …

In : Health Care Reform, uninsured, Posted by Steve on Mar.03, 2010

Throughout the health care debate, it’s been fascinating to watch opposition responses to each bit of reform-related news. The complete inability of opponents of Democratic reform proposals to see anything positive in the legislation has been simply stunning.

How determined were opponents of reform?

toemaytoeDetermined enough to threaten that legislation promising free assistance to those who might need counseling on hospice and other end-of-life issues was – in reality – a plot to kill off our weakest Americans?

Determined enough to charge that the President’s desire for reform is nothing more than an attempt to hijack democracy (Destination: socialism)?

Determined enough to refute every economic forecast that illustrated proponents’ determined attempt to enact reform without further ballooning the deficit (a deficit left as a pillow mint by the previous administration)?

Determined enough to claim that legislative maneuvers to counter the no-holds-barred obstructionism of health reform opponents was unconstitutional – despite the fact that the same tactic had been used repeatedly in the previous administration?

Determined enough to continue promising that the free market will solve our health care problems – even as insurance premiums increase by 10, 20, 30 or 40 percent?

Opponents were determined, no doubt. But despite it all, reform proponents now have the goal line in sight.

By now, we know that despite imminent passage of this legislation, the howling and the threats and the fear mongering will only intensify. Nothing proponents can say will appease opponents. The sides will simply not agree to disagree.

And that will be OK for the millions of Americans who want reform. The noise will be tolerable – tolerable compared to the fear of increasing premiums, or the fear of medical bankruptcy or fears of an increased likelihood of medical disaster or death now faced by the uninsured.

As proponents say “toe-may-toe,” their detractors can say “toe-mah-toe” all they want.

Health reformers are still not calling the whole thing off.



Allow me to translate

In : Health Care Reform, Posted by Steve on Feb.02, 2010

deafThere’s a lot of debate today over what President Obama was saying to his supporters last night when he described what he thinks needs to happen with the health reform legislation from here on in.

The point he made that seems to be drawing the most speculation is this passage:

“That’s why I think it’s very important for us to have a methodical, open process over the next several weeks and then let’s go ahead and make a decision. And it may be that if Congress decides, if Congress decides we’re not going to do it, even after all the facts are laid out, all the options are clear, then the American people can make a judgment as to whether this Congress has done the right thing for them or not.”

Greg Sargent speculates that the President is “raising the possibility that health reform may not happen.” Jonathan Chait thinks the President was saying that Congress can’t ignore the bill and “let it die.”

My take on it is simply (and perhaps over simplistically) this: that Obama is telling Congress

1. that once the facts are laid out and discussed in public, Americans will see that the legislation is worthy of passage and

2. if Congress STILL is somehow unable to pass the legislation, they’re going to be held accountable by their voters.

Which is pretty much what we said earlier today.



Let’s NOT start over on health reform.

In : Health Care Reform, Posted by Steve on Jan.01, 2010

goallineIn the days following last week’s special election in Massachusetts, it wasn’t surprising at all to hear opponents of health reform announcing that America had – loudly and clearly – told Congress to start over on health reform.

But here’s the thing: If the Democrats had barely eked out a win, opponents would have said the same thing. If Brown had lost by 10 points, opponents would have gloated that – even in the Democratic stronghold of Massachusetts – voters were giving health reform efforts a big thumbs down. The message would have been the same, regardless of the outcome.

Of course, we’re not buying it. First of all, it was not a national referendum. It was a vote in Massachusetts. Second, there was definitely more on Massachusetts voters’ minds than health reform. Personalities, for instance, were a huge factor.

But more importantly, Americans have, for months, said that they’re ready for health reform. National polls have repeatedly revealed a public that wants health reform. Even a poll of voters for Brown after his election showed that while they wanted Scott Brown, they wanted him to work with the Democrats on health reform.

And groups that have been working with the Obama administration for months STILL want health reform.

Who’s been calling for Democrats to start over on health reform? The same folks who’ve been putting up roadblocks – and not just since the legislation was introduced last year, but for YEARS.

It IS time for our elected proponents of health reform to listen, but not to the pundits who are predicting that the next election will spell their doom. It’s definitely not time to listen to renewed suggestions that less is somehow more. Less is definitely less.

It’s time for legislators to listen to the very words that propelled them to the one-yard line of health reform success, because the rationale they have used for months to support their efforts still holds true: The system is still broken. Millions are still uninsured. People without coverage continue to die every day.

If they do listen to the opposition, we hope they’ll listen closely, because they’ll hear the real message loud and clear:

Starting over will be the beginning of the end of health reform.



Is the Senate bill really unfit for consumption?

In : Health Care Reform, Posted by Steve on Dec.12, 2009

edibill

Jonathan Cohn of the New Republic said today what a lot of liberals have been saying about the Senate bill. Basically, it’s been stretched and pulled like a gob of saltwater taffy as it morphed into something barely acceptable to barely enough Democrats, but also largely disappointing to a large contingent of other liberals (and completely offensive to most conservatives).

But Cohn also asks the important question, which is whether the bill is still a decent bill – even after a kitchen cram-packed with cooks alternately spiced up and watered down the original recipe until it was, in the eyes of many, not fit for consumption.

So he looked at what the Senate bill would do to families. He took calculations from a pointy headed health care expert from MIT named Jonathan Gruber, who based his calculations on CBO official cost estimates. The result was this nifty chart.

And it doesn’t look … ah … not fit for consumption. In fact, in each of the four scenarios (ranging from 150% of the federal poverty line to 350% of the federal poverty line) examined, the annual premium dropped, the annual out-of-pocket max dropped and the total percentage of income used for health care dropped.

Could it be better? Cohn says, yeah, it could. But should the bill be scrapped, as some liberals have charged? Nope. As Cohn concludes, “we should also recognize the Senate bill for what it is: A measure that will make people’s lives significantly better. Surely that’s worth a little enthusiasm.”

You’ve got our enthusiasm, Jonathan.

Another great question is whether the health reform is ultimately going to look completely different from the proposals President Obama envisioned and talked about during his Presidential campaign. And the answer there, too, is “not so much” (we’re paraphrasing), according to health reform pundit Ezra Klein.

Klein actually says this:

But the basic structure of the proposal is remarkably similar. Here’s how it was described in the campaign’s white paper:

The Obama-Biden plan provides new affordable health insurance options by: (1) guaranteeing eligibility for all health insurance plans; (2) creating a National Health Insurance Exchange to help Americans and businesses purchase private health insurance; (3) providing new tax credits to families who can’t afford health insurance and to small businesses with a new Small Business Health Tax Credit; (4) requiring all large employers to contribute towards health coverage for their employees or towards the cost of the public plan; (5) requiring all children have health care coverage; (5) expanding eligibility for the Medicaid and SCHIP programs; and (6) allowing flexibility for state health reform plans.

So if we stay with our food analogy, Colonel Obama’s Original Recipe may be a little more crispy, but it’s still basically got the core herbs and spices.

We still don’t know what ultimately is going to end up on our plate. Opponents feel they need to continue to fight until the bitter end in the Senate. And then, if the legislation survives the Senate, there’s still the challenge of merging it with the House bill.

The cooks aren’t done tinkering with health reform. It could end up a little spicier. It could end up a little more bland. But for now, at least, we haven’t lost our appetite for change.



Joe Lieberman continues to play
Grinch Who Stole Health Reform

In : Health Care Reform, Posted by Steve on Dec.12, 2009

JoeGrinch

Anyone who thought passage of a health reform bill in 2009 would be easy, given the Democratic majority in Congress, was deluded. To think that all of Congressional Democrats – and the Independents they court – would vote in lock step was just plain fantasy.

But even Democrats who knew reform legislation would be all about compromise seem to be completely flattened by this week’s impasse with Sen. Joe Lieberman, who just last week forced Democrats to push aside dreams of a robust public option and drove them to create a “Grand Compromise.” Now that compromise, too, is a non-starter for Lieberman, who promised to vote against the bill if it included an expansion of Medicare.

Progressive Democrats and reform proponents are pretty ticked at Lieberman (one blogger calling him the “Worst Person in History of Universe”) who yesterday said that he was optimistic about an even more stripped-down version of the legislation. “Put me down as encouraged in the direction these discussions are going,” he said. No public option? Great. No expanded Medicare? Even better.

Now, Democrats – who seem more and more like the hapless residents of Whoville – appear ready to roll with the latest punch from Joe and to move on with their ravaged bill, worrying out loud that no bill by Christmas could mean no reform bill at all. Not in during this administration, at least.

The question is whether Lieberman is finished – as Ezra Klein said yesterday – “torturing Liberals.” But it’s also, who will torture the Liberals next? If Lieberman finally steps aside, will Sen. Ben Nelson step in?

I guess, in the spirit of the holidays, what we’re really asking here is:

Will the REAL Grinch please stand up?



When it comes to reform legislation,
size really does matter.

In : Health Care Reform, Posted by Steve on Nov.11, 2009

legislationOne of the things that has bugged us for months and months is health care opponents’ preoccupation with the number of pages in the health care bills that have been introduced in the House and Senate. The most recent bill to emerge is the Senate bill unveiled by Harry Reid yesterday and SURPRISE … it’s 2,074 pages.

As Politico points out, the bill “runs more pages than War and Peace, and has nearly five times as many words as the Torah.” Transcript of whiny health care opponents, please:

“While Americans have been clear about their opposition to thousand-page bills for new government programs, it’s now abundantly clear that Democrats haven’t been listening,” Senate Minority Leader Mitch McConnell (R-Ky.) said.

McConnell is undoubtedly railing against ANY bill Democrats might introduce, but he mentions that it’s a “thousand-page” bill. And our question is, “So what?”

Are the kind folks who demand good government (and less government) saying that a bill with such far-reaching implications – a bill that stands to affect virtually every American – would be better if it was simply shorter?

I suppose their argument might be that a shorter bill would mean there are fewer proposed changes to the health care system, and if that’s their point, too bad. The fact of the matter is that the U.S. health care system has been broken for a long, long time – and when proponents of change sat down to craft legislation, they had a lot to fix.

If the health care industry had historically responded to a legislative tweak here and there by implementing significant consumer-friendly improvements all along, we wouldn’t be looking at a tome that rivals the Encyclopedia Britannica. But here we are, decades into the history of health insurance and we’re having to talk about issues like denial based on pre-existing conditions – issues that should have been tackled decades ago.

We think opponents of the legislation should stop carping and look on the bright side: the legislation is extensive and explicit. It’s good news that the bill’s authors are being thorough. And honestly, if the legislation was shorter, wouldn’t opponents be lobbing accusations that Democrats aren’t spelling out everything that’s in the bill? Uh huh.

So enough about the number of pages. We read through the first House bill – and we’ll take a run at this Senate version. It will surely cause eye strain and likely some nodding off.

But we think our pain and suffering will be worth it in the end. After all, health reform has been a long, long time coming.



How would health reform help or hurt?

In : Health Care Reform, Posted by Steve on Nov.11, 2009

There are plenty of stories out there about the nightmares already faced in the nation’s existing health care system. But folks really want to know how coverage will look after health reform legislation is passed. (We’re assuming it will be.)

That why we liked this story, which examines what the current legislative proposals would mean to both the uninsured and those already insured. Max Baucus should be pleased with the coverage of The Missoulian, which provided a look at five Montanans and how his legislation would affect them if passed.

There’s a sense of optimism about expanded coverage balanced with against deep concern about how long it would take for health reform provisions to actually kick in. And that’s OK, because we’re concerned, too.



Somebody get Harry Reid some steroids. Stat.

In : Health Care Reform, Posted by Steve on Nov.11, 2009

reidWhen the House passed its version of health reform legislation last week, the development may have sent chills down the spines of those who oppose the Democrats’ proposed solutions. But a quick read-through of Suzy Khimm’s piece in The Treatment yesterday should be equally chilling to folks who think the battle over health reform is anywhere close to being over.

Khimm’s piece should serve as an eye opener to anyone who might suggest that Harry Reid is padding his schedule when he says a Senate bill won’t pass until Christmas – at the earliest. (Other Dems are saying even that is optimistic.)

For as much as talking heads keep pointing out that Reid needs 60 votes in the Senate to stop a filibuster, what hasn’t been talked about much is the fact that Reid needs 60 votes at least three times in this process: 1) for a “motion to proceed” (a vote that could happen as early as Tuesday) 2) for a vote to move past a Republican “point of order,” and 3) for a final vote on passage of the bill.

That final vote happens only after debate on the bill’s amendments – and there are likely to be many introduced by Republicans. But that’s just the beginning of opposition stall tactics that could well include the reading of the entire bill aloud on the floor, as threatened already.

Reid’s work, Khimm points out, will be “heavy lifting.” We think that’s putting it lightly.

We think Reid’s going to need some steroids.