Archive for category Health Care

Right Wing Propaganda Destroys Your Moral Compass

It’s always there, the lack of empathy on the part of right-wing extremists. We all remember the GOP presidential debate audience that cheered for letting people die without health insurance. More recently, we’ve seen an eruption of fear and hatred on the right directed at children fleeing the violence in some Central American countries.

Today we have the story of a California man who came home and discovered two burglars in his house.

“The lady, she couldn’t run as fast as the man, so I shot her in the back twice,” Greer explained. “She’s dead, but he got away.”

“She says, ‘Don’t shoot me, I’m pregnant! I’m going to have a baby!’ And I shot her anyway,” Greer said.

John Amato attempted to explain the “vile behavior” of wingers as an effort to emulate their heroes, the rich:

The thing about right-wing populism is that it’s manifestly self-defeating: those who stand to primarily benefit from this ideology are the wealthy, which is why they so willingly underwrite it. It might, in fact, more accurately be called “sucker populism.”

The 1 Percent want to keep us afraid, desperate, and divided by ignorance and prejudice. Otherwise, Americans might decide to blame Wall Street for crashing our economy. We might demand an end to pointless wars, or want to get rid of tax laws that are unfair to the middle class. We might realize that government health insurance is the best kind. Who knows, we might even want other good things from government such as infrastructure improvements, Internet access, cheap renewable energy programs…

More info:
California 80-year-old satisfied after gunning down fleeing pregnant home intruder
Hey, gun nuts: Shooting someone who is running away in the back is not self-defense
Fox hosts outraged that Texas 911 operators are ‘forced’ to help dying non-English speakers
Tea Party town hall erupts as Texas state Rep urges ‘compassion’ for migrant kids

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ACA’s A Scam, We Need Medicare For All

The original title given to this petition is “Tell Obama: ACA’s A Scam, We Need Medicare For All.” However, I strongly suspect President Obama knows it’s a scam. [Note: the article excerpted below was written by Dr. Margaret Flowers, not by me - the whole thing is worth reading (emphasis added)]:

I am currently uninsured, so I have to make a choice. I don’t qualify for Medicaid and I’m too young for Medicare. By law, I am required to buy private insurance or pay a penalty. But I find myself in the position of not being able to do either. I can’t in good conscience give money to the health insurance industry that I am fighting to eliminate. And I can’t in good conscience pay a tax penalty that will be given to that industry. So, I am going to be a Conscientious Objector to the ACA.

…The mass media and politicians are constantly talking about the health care marketplace. We are being indoctrinated with market rhetoric. Patients are called consumers and health insurance plans are called products. The problem with this is that health care doesn’t belong in the marketplace whose logic dictates that care should be denied if a profit cannot be made. Health care is a public good and something that everyone needs throughout their lifetime.

…The industry spent tremendous amounts of money and time to get a law that would force people to buy insurance in order to protect and enhance their assets. They want everyone to buy their products and to make people feel reckless or irresponsible if they don’t. This is a massive campaign to distract people from asking the questions that really matter, such as whether people with insurance will be able to afford health care, whether bankruptcies from medical debt will continue and whether overall health outcomes will improve.

In the United States, having health insurance does not guarantee access to necessary health care. In fact, rather than creating health security, the ACA is degrading health care coverage in the U.S. It is also creating the largest transfer of public dollars to a private industry ever, as UNITE HERE reports “most of the ACA’s $965 billion in subsidies will go directly to commercial insurance companies.”

…It is essential to remember that nothing about the basic business model of insurance companies has changed. They exist to make a profit and they are very good at it. While they complain about the ACA, because its regulations require more work on their end to find ways around them, it has been very lucrative for them. Health insurance stock values have doubled since the law passed in 2010.

The solution to the ongoing health care crisis is obvious. We need to reverse direction completely and move to a national publicly-funded health insurance for everyone. Some call this a single payer or ‘Medicare for all’ plan. We are already spending enough on health care in the U.S. to provide high quality care to everyone.

Sign the petition if you are opting out of the ACA private for-profit insurance mandate.

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Bill Maher To Democrats: Stand Your Ground, Stop Being Wimps And Embrace Jimmy Carter

Via HuffPo:

Bill Maher points out the obvious- Democrats are mostly political invertebrates, and they are headed for a disaster this November if they don’t find some courage.

“When a Tea Partyer says Obamacare is a government takeover, say ‘I wish!’ Because that would mean Medicare for All. And you know, Medicare is hugely popular in America. So let’s see — getting behind something that’s hugely popular, for all… No, too hard a sell.”

Also, Jimmy Carter was right about energy and so much else. Why are Dems ashamed of him?

UPDATE:
Let’s recall that President Obama dragged his feet for more than four years before putting solar panels back on the White House — because he didn’t want Faux News Channel to compare him to President Carter.

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What Happened To Gary Care?

Gary Herbert is the governor of Utah. Many fast food workers are moments away from having to spend more then they can afford to get any healthcare. Maybe I missed it, but I haven’t seen our governor out there every day to promote his plan to give them the Medicaid plan that might save their lives.

It’s probably too late to prevent the fast-food workers from signing up for the plan, even if Herbert came clean and rejected the Republican plan to oppose Obama at any cost.

Americans shouldn’t have to give up everything they have if they get sick. We should care for our fellow veterans and people by paying taxes. Grover Norquist can go to hell.

We need single-payer healthcare; NOT something that was dreamed up by the “Heritage Foundation”, or the “Americans For Tax Reform”. We need REAL organizations in our country, but who has time?

Update: I changed the post a little, because I have procrastinated on signing up for Obamacare, and it actually looks pretty darn good. I would still prefer single-payer, of course.

Update: I take it back! They are saying that Obamacare is working now, but I can tell you it isn’t! I have spent ten hours listening to music that fades out and skips like a broken record. Maybe I should have told them I was 22 instead of 62, but I can’t get through.

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Two Devastating Health Care Quotes

First from The Commonwealth Fund:

In 2013, more than one-third (37%) of U.S. adults went without recommended care, did not see a doctor when they were sick, or failed to fill prescriptions because of costs, compared with as few as 4 percent to 6 percent in the United Kingdom and Sweden.

And the second from JDI conservative Andrew Sullivan:

When a private sector system means you have ten times as many people failing to get basic treatment as in Britain’s uber-socialized NHS, you realize just how great the market failure is. I’m all for markets, but the facts seem to me to reveal that in healthcare, they are toxic to most people’s actual, you know, health. In what other area does socialism work so much better than capitalism? Isn’t that a first order question conservatives should address?.

The US healthcare system is a grotequely expensive disaster; plagued with inefficiencies, disconnected from the needs and wants of patients, distorted by massively misaligned priorities and goals, it consumes vast amounts of our national wealth without delivering corresponding benefits.  More and more, it seems to me that healthcare and defense are exemplars of American dysfunction.  Delivering sub-par outcomes in exchange for exorbitant amounts of money, driven by fear and a deep-seated mindset of scarcity, both healthcare and defense are expressions of American’s sense of vulnerability.  We overspend on defense to keep us safe against military and other threats and we overspend on healthcare in a frantic desire for wellness.  In both cases, our actions undermine our goals.

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Health Care Cost Distribution Across the Population

One of the challenges in managing health care costs is the way in which they’re distributed across the population.

According to the Agency on Healthcare Research and Quality, in any year 5% of the population accounts for 50% of health care expenditures, the top 10% of health care users account for 64% of overall spending.  In any given year, 50% of the population accounts for only 3% of overall health care spending.  To put it another way, 50% of the population accounts for 97% of health care spending.  These numbers have been relatively stable since the 1970s.  Half the population is responsible for a negligible portion of overall healthcare spending in any given year.

Who are the 5% that spends half the health care dollars in any year?  They are persons with cancer, heart disease, pulmonary disease, mood disorders, and trauma.

To put it another way, healthcare spending is concentrated on a small portion of the population during any given year.  The problem in managing health care costs whether it’s at a personal level or at the national level is their unpredictability.

We don’t know which persons are going to be in accidents or be diagnosed with cancer or heart disease in any given year.  In our system, even persons without insurance, receive treatment; given the massive costs of the big five, those persons are likely going to not be able to pay the bills.  So they get spread to the rest of us in the least efficient way possible.

Many of the individual plans that have caused the brouhaha about their cancellation don’t meet ACA minimum coverage standards.  That’s why they’re being cancelled.  At a consumer level, they were crappy products – people paid for them and got little for them in return.  The reason the ACA established minimum levels of coverage was simply because people with inadequate health insurance are a lot like people without any health insurance.

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4.8 Million ACA Losers Can Thank Republicans

Medicaid gap

Via TPM (emphasis added):

The Medicaid expansion field is tentatively set for 2014, and the nation is split down the middle: 25 states (plus D.C.) are expanding, and 25 states are not, according to the Kaiser Family Foundation.

… according to the foundation, 4.8 million Americans won’t be covered as the law intended in those non-expanding states. They don’t qualify for Medicaid now, but would have under the expansion, and they don’t make enough money to qualify for financial help to buy private coverage.

States with either a Republican governor or a GOP-controlled chamber in the legislature (or both) are opting out. In Utah, 57,850 people will not get health coverage due to the lack of Medicaid expansion. In Texas, the number will be 1,046,430.

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Does Senator Rafael (‘Ted’) Cruz Have His Own Health Care Plan?

Green eggs and ham

Senator Rafael (“Ted”) Cruz (R-TX), yesterday:

“Obamacare is reducing health care options, increasing costs and hurting jobs. It has no place in Texas and must be repealed so we can empower Americans and their families by offering real health care choices rather than a government-written menu of plans they don’t want and can’t afford.

President Obama should take his broken promises tour elsewhere so Texans can continue focusing on the solutions that have allowed our state to become and remain the nation’s economic and job creation powerhouse.”

Texas needs health care reform more than any other state. In addition to having the highest rate of people without health insurance in the nation, Texas also has the largest number of children without health insurance and the highest rate of poor adults without health insurance.

Therefore, it’s fair to ask if Senator Cruz has his own health care plan that’s better than the ACA. Actually, he does! Through his wife’s employer, Goldman Sachs, he’s enrolled in a fabulous health insurance policy worth at least $20,000 per year, including an $8,500/year federal subsidy.

Oh, you wanted to know if Senator Cruz has come up with a better health care plan for ordinary Americans? No, nothing.

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Republican Sabotage of the Affordable Care Act is (Almost) Unprecedented

Michael Tomasky:

But the sabotage is a story, too. A huge one. It’s almost without precedent in American history, and the precedent it does have includes some of the ugliest chapters in this nation’s history. It gets coverage, yes. But not nearly the coverage it deserves. As is so often the case—as with Benghazi, as with Fast and Furious, as with the IRS—the bigger scandal is on the Republican side.

What’s that precedent?

 . . . to find obstinacy like this, you have to go back, yes, to the pre-Civil War era. The tariff of 1828, the Kansas-Nebraska Act, which led to the civil war in “Bloody Kansas” and ultimately to the Civil War itself. Not  comforting thought. But it’s where we are.

The biggest story is from Politico.

Then, in the months leading up to the program’s debut, some states refused to do  anything at all to educate the public about the law. And congressional  Republicans sent so many burdensome queries to local hospitals and nonprofits  gearing up to help consumers navigate the new system face-to-face that at least  two such groups returned their federal grants and gave up the effort. When the  White House let it be known last summer that it was in talks with the National  Football League to enlist star athletes to help promote the law, the Senate’s  top two Republicans sent the league an ominous letter wondering why it would “risk damaging its inclusive and apolitical brand.” The NFL backed off.

It just gets worse and worse, Tomasky:

Now, with people trying to sign up, some Republican legislators are openly saying that they won’t permit their staffs to answer constituents’ questions about Obamacare. This is really the main job of a member of Congress, especially a House member: People call up all the time with questions about how to slice their way through the federal government’s briar patches, and you have caseworkers on duty—typically a couple in Washington and several more back home in the district regional offices—whose job is exactly that.

Purdum quoted Kansas Rep. Tim Huelskamp as saying he instructs his staff to refer callers to Kathleen Sebelius. But Huelskamp is not alone. Tennessee’s Diane Black says she doesn’t feel comfortable referring people to navigators. Utah’s Jason Chaffetz is referring people back to the administration, saying: “We know how to forward a phone call.”

I think this quote from Mother Jones says it all:

As one White House official told the Post, “You’re basically trying to build a complicated building in a war zone, because the Republicans are lobbing bombs at us.”

There’s a lot more to be said about Republican sabotage of the ACA.  But this is a good start.

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ACA: ‘Cheaper Than Expected’ Not The Same As Cheaper

Obamacare logo

Talking Points Memo weighed in today with a jubilant headline: Final Word On Obamacare Coverage: Cheaper Than Expected. What actually happened was the U.S. Department of Health and Human Services is predicting that private for-profit individual health insurance premiums will be lower than originally estimated by the Congressional Budget Office.

In other words, “cheaper than expected” is not the same thing as cheaper. Health insurance premiums have been skyrocketing across the country for years. Even a reduction at this point means the insurance is overpriced. The ACA requires everyone not covered by employer-sponsored plans to purchase individual health insurance with their own money, unless qualified for Medicaid. In addition to the monthly premiums, “insured” individuals have to pay for any non-preventive health care themselves until they reach the deductible, which can be as high as $2,000. The deductible, coinsurance and copay expenses can amount to as much as $5,950 $6,350 [h/t Ronald D. Hunt for the California rates]. The deductible and out-of-pocket limitations are subject to annual inflationary adjustments. These policies are effectively USELESS for many people, yet the insurance companies still get their monthly premiums.

Also, this is NOT the final word on premiums. FDL’s Jon Walker (emphasis added):

The HHS is extremely happy the premiums are lower than some old CBO estimates but that is a silly metric to judge by. More PR than policy.

It is important to note that no one really knows how many people and which type of people will sign up. These premiums are also simply based on insurers best guesses. After this first year when companies have real data we could potentially see some significant changes in premiums in either direction. 2015 not 2014 will be the real test from a policy perspective.

More info: Healthcare.gov

UPDATE: What Will You Pay For Obamacare? Depends On Where You Live (MAP)

UPDATE: Economist Mark Zandi Debunks Myth That Obamacare Is Hurting Full-Time Work

The evidence is overwhelming that the Affordable Care Act has had little to no impact on full-time versus part-time job growth, and as Fox News personalities continue to push the myth, they find themselves in direct contradiction with analysis put forth by actual economists.

UPDATE: ACA Exchanges Still Have Some Serious Glitches

[T]he administration has had four years to work on implementation. The fact they couldn’t work out all these problems during that incredibly long lead time is not a reassuring sign.

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Fox News Admits ObamaCare Will Reduce the Deficit

Yes – Fox News actually just admitted that Obamacare would reduce the deficit.  Republicans have continually repeated the lie that Obamacare increases the deficit; it doesn’t.”

From Fox News’ September 6 2012 Democratic National Convention coverage:

Full video HERE.

This chart shows both the increase in revenues and costs and the line in the middle shows the impact on the deficit by year. If the line is below zero then it reduces the deficit and if the line is above zero – it increases the deficit. You can see…the estimate is that it reduces the deficit: Source

ACA obamacare CBO10yeargraph-thumb-454x327-18160

The new estimates reflect a couple of factors. The Congressional Budget Office lists them:

- An increase of $168 billion in projected outlays for Medicaid and CHIP;
– A decrease of $97 billion in projected costs for exchange subsidies and related spending;
– A decrease of $20 billion in the cost of tax credits for small employers; and
– An additional $99 billion in net deficit reductions from penalty payments, the excise tax on high-premium insurance plans, and other effects on tax revenues and outlays—with most of those effects reflecting changes in revenues.

Jonathan Cohn at the New Republic digs into the details and rebuts those Republicans who INCORRECTLY say Obamacare now costs double:

To figure out the cost of health care reform, CBO looks at each of the law’s component parts and, for accounting purposes, groups them into different categories. It calls one category “gross cost of coverage expansions” – that’s the amount of money the federal government will spend to help people get insurance, mostly by offering Medicaid to more people or giving people subsidies they can use to help offset the cost of private insurance. Last year, CBO estimated that the gross cost of coverage expansion from 2012 through 2021 would be $1.445 trillion. Now CBO thinks the gross cost will be $1.496 trillion. The number shifted, in part, because the CBO has changed its projections for economic growth. (MSNBC’s Tom Curry has a nice explanation of this.) But, in the context of such a large a budget projection, that’s barely any difference at all.

Watch Sicko (2007) online for FREE!

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No, The Republicans Have Not Gone Crazy (even though their tactics look crazy)

With shutdown fever gripping the Republican party and the commentariat, it’s easy to argue the Republicans have clearly gone insane.  Their tactics – from repeatedly holding votes to repeal the ACA to threatening to shutdown the government to threatening to crash the world economy by refusing to raise the debt limit – are self destructive behaviors of a party gone crazy.  I disagree.  Republicans have not gone crazy.  From the conservative perspective, America is careening wildly toward destruction – worse it’s self-destruction in the form of “creeping socialism” symbolized by the Affordable Care Act.  Republicans are pursuing tactics that can be understood simply as “Desperate times require desperate measures.”

Conservative critiques of the ACA portray it as a government takeover of health care that will lead to catastrophic outcomes – brutal rationing of care and prescription medications, senior citizens denied health care, a nameless faceless board in DC dictating to doctors what treatment their patients can receive (one scenario actually included doctors being issued government controlled iPads that would transmit treatment instructions from DC to the doctors – my boss made company management attend a speech by the ill informed MD claiming this outcome).  If you live in Teabagistan, you’ve heard these stories and you’ve never heard them debunked.  You and your friends have linked and shared atrocity tales about the outcomes of socialized medicine in other countries (a favorite meme is that Canadians are all frantic to come the US for health care because they’re being denied life saving treatment in Canada – usually some experimental treatment).  Again, those stories have been debunked but you’ve never heard it because in Teabagistan, nobody hears the debunking and if they do, they dismiss it as a liberal conspiracy.  For the teabaggers, the ACA is not just a bad policy, it is an existential threat to America.  If it is allowed to go into full effect, the ACA will destroy America.

Believing we face such dire circumstances, the teaparty contingent in Congress (driven by their base which believes we face such circumstances), is fully prepared to do anything to “save” America.  They were sure the Supreme Court would strike down the ACA.  They were certain they could recapture the Senate and White House in 2012.  Those things didn’t happen.  Legitimate, normal avenues of preventing the ACA from taking effect, normal avenues for repealing it were closed.  Repeated House votes to repeal it haven’t worked (despite the obvious problem with those repeated votes, conservative voters read articles saying “House votes to Repeal Obamacare” and then read that it’s still going into effect and conclude some devious force must be at work to frustrate an outcome they believe should be happening).  So conservatives are left with drastic measures.  If you genuinely believe the ACA is an America destroying bill, a government shutdown and all the attendant disruption is a small price to pay to “save” America.  It doesn’t hurt that many teabaggers genuinely believe the government is irrelevant on a daily basis anyway.

Better to suffer through what conservatives believe will be short term discomfort than allow the ACA catastrophe to occur.

 

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