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FDL Action Health Care Update: Friday (10/23/09)

by: FDL Action

Fri Oct 23, 2009 at 20:59:40 PM EDT


(FireDogLake Action is a PAC organized by members of Fired Dog Lake Blog to bring progressive causes, especially universal health care with a public option, to fruition. - promoted by KathyinBlacksburg)

Here are the FDL Action health care highlights for Friday, October 23.

1. Jon Walker asks, "Is the President fighting to kill the public option just to please Snowe?" Walker adds, "The fog is starting to clear, and we will soon know where Obama really stands." {Note: This evening, Marc Ambinder reported that "The White House is denying reports that officials are pressuring Sen. Harry Reid to scale back the scope of the "public option" that'll be attached to the Senate health insurance bill."}

2. Jane Hamsher believes that Harry Reid is "covering up a secret filibuster" and "allowing members of the Democratic caucus to threaten a filibuster behind closed doors." Hamsher concludes, "If Harry Reid is cutting secret deals in smoke-filled back rooms to water [the public option] down, he's not credible as anything other than Wellpoint's hatchet man until he names names."

3. Jon Walker says that "[f]or a Republican, Olympia Snowe seems to have a real disdain for states' rights when it comes to health care reform." Specifically, Walker charges that Snowe's "opposition to the idea of state-based public options is a massive federal government encroachment into state matters," especially given that there is "nothing currently stopping states from creating a public plan today."  That's a good point, one I hadn't thought of before.

FDL Action :: FDL Action Health Care Update: Friday (10/23/09)
4. David Dayen reports that Rep. Raul Grijalva of the Progressive Caucus says the House is currently about 6-7 votes short of the 218 needed to pass a bill with a robust public option.  Getting closer and closer...c'mon, guys, you can do it! :)

5. Jon Walker points out that "[h]ealth care reform will not start until 2013," and that "Democrats really need to break the news to the American people, or it is going to get really ugly."  Seriously, whose brilliant idea was it to pass health care reform but not let it start until after the next presidential election?!?

6. Jon Walker writes that "Democrats who are against the robust public option are basically stealing $1,400 from the pockets of each working class American family."  Walker adds, "If a Democrat wants to fight against helping working class American families save roughly $1,400 a year they should be forced to do so publicly" and not "[hide] behind anonymous whip counts."  But, but, but...that would be so democratic, small "d"! (snark)

7. Finally, David Dayen brings us a hilarious bit of musical parody, courtesy of "the group 'Billionaires for Wealthcare' as they crashed the AHIP (America's Health Insurance Plans) conference today." Check it out, but make sure you don't have any milk in your mouth or hot soup on your lap when you do. :)

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State health insurance (0.00 / 0)
There is no impediment at present to an individual state's having its own health care plan, says Jon Walker. I myself thought Hawaii and Masachusetts did have such plans, Hawaii's seems to be working okay and Masschusetts is having problems containing costs. I have suggested a partial state plan for Virginia myself to my Delegate, David Bulova... but the current economy squeezes state budgts so hard it is unlikely that any new programs could be developed, especially if you have a Republican-dominated legislature or a Repub in the governor's house.

Given Virginia's large geographic size and diverse population, there are vast swathes of the commonwealth underserved by doctors, running from Appalachia to inner cities. Also, given the horrendous cost of obtaining a medical education and becoming a doctor, new doctors are carrying such a burden of school loans that they must earn a high income to pay off those loans, and therefore charge high fees and do not go to poor areas where the population cannot pay those fees.

I suggest that the state develop a plan to pay for the education of doctors in Virginia, and in return require new doctors to spend year-for-year serving in clinics built by the state in underserved areas; they would be paid a basic salary and the patients could be asked to pay a flat, minimum fee (some would be totally free based on need). It would be general practitioner medicine, special cases would be referred out to specialists. Same could be done with dentists.

The US Army in the past has educated doctors under an ROTC program and brought them into service in just such a way successfully. I have utilized such military doctors, and had one of them tell me "I've learned more serving at Army hospitals, seen a wider variety of cases in one year than I ever would have in an entire lifetime as a civilian doctor."    


Maryland (0.00 / 0)
WAMU earlier today broadcast an episode of This American Life with a Planet Money segment on health insurance companies and cost control.  According to a Princeton University expert named Uwe Reinhardt, in most states prices vary widely for the same medical treatment, depending on the market power of the particular health insurance companies in that particular part of that state.  In Maryland, however, the state sets uniform rates for services.  According to Reinhardt, this sort of government intervention is much more effective at controlling costs than the types of public options currently being considered by Congress.

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