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The backfiring of Republican bullying

THE FIFTH COLUMNIST by P.M. Carpenter

Uh-oh. They, the Republicans, God love 'em, have gone and poked the bear.

In most Democratic administrations this sort of public admonition would be standard operating procedure, but for Obama's young team, it's a seismic breakthrough: "The (m-f-ing) Republican leadership," charged chief of staff Rahm Emanuel yesterday, "has made a strategic decision that defeating President Obama's health care proposal is more important for their (m-f-ing) political goals than solving the (m-f-ing) health insurance problems that Americans face every (m-f-ing) day."

Ah, "a return to normalcy," as Warren G. Harding once neologistically put it: in this case, the White House and Congressional Dems on one side, the GOP on the other, with no pretensions of bipartisan cooperation or common purpose, because, simply, there isn't any. There hasn't been all along.

There could have been; in fact cooperation and common purpose could have been the Republican Party's path to regained respectability -- a political objective that had them befuddled; they thought it over and opted not only for obstructionism instead, but obstructionism in its most malicious form.   

They always overreach. Political sabotage is generally designed -- here, dear Republicans, is what seems like a superfluous primer -- to weaken the opposition and its goals, with some electoral benefit accruing to the saboteur in the process. But in the matter of health-care reform, while achieving (at least momentarily) the former, the GOP has utterly blown the latter, with public opinion polls showing a consistently meager confidence in the pseudoconservative party.

This is the Democrats' chance, since, as the NY Times reports this morning, however belatedly they "now say they see little chance of the minority's cooperation in approving any overhaul." The GOP's "purposely strident tone" has backed Democrats into a partisan corner of, one hopes, internal common purpose -- no longer can their Max Baucuses wear the dense, impenetrable armor of bringing those Chuck Grassleys along; and what's equally hopeful is that -- see Rahm's comment, above -- the White House now "hope[s] to make the case to the American people that it was Republicans who had abandoned the effort at bipartisanship."

That second development, especially, perhaps singularly, is huge, because it unstops the previously existing bottleneck of triangulation. Not only are Republican negotiators unofficially out, it seems, but the White House can no longer claim to be suffering under the Senate finance chairman's intolerable sufferance of GOP fiddlesticks.

In brief, if the Obama administration makes good on its apparent intention to engage a partisan war, then Mr. Baucus will sit marooned, ally-less.

Still, it would be foolhardy to presume that Congressional Democrats will unite in common purpose against unified adversity. In politics there always exists the wiser "should be," but the "is" always prevails, and what Capitol Hill's Democratic Party is, is fragmented, and, at least fractionally, backward. In perpetuity.

Hence, notwithstanding all those thrillingly militant reaffirmations yesterday, from both the White House and Capitol Hill, of a public option as central to real health-care reform, that component remains the Ottoman Empirelike "Sick Man" of a sensible peace. The numbers in the Senate, a compromising Max Baucus or no compromising Max Baucus, persist in stubbornness.

That doesn't mean, however, that all progress -- even fundamental progress -- is necessarily doomed.

Remember universality? Do you recall when that was the principal goal of health-care reform, way back before anyone had even heard of this kind of public option or that? Well, it's making a comeback, of sorts, in priority; most notably, I noticed, in Paul Krugman's weekend piece, "The Swiss Menace."

Krugman, in a rather cheerful search for the upside of things, wrote that "Obamacare," through "a combination of regulation and subsidies," essentially mirrors Switzerland's health-care system of universality. "Everyone," he wrote, "is required to buy insurance, insurers can't discriminate based on medical history or pre-existing conditions, and lower-income citizens get government help in paying for their policies."

And that, anyway you cut it, would be progress. Looking at reform from the angles of cost-cutting and simple humanity, single-payer would be superior, no doubt about that. Yet that, of course, is also politically impossible. Secondarily there's the public option, whose arch benefit, as I see it, is its backdoor potential to single-payer.

But, Krugman emphasized, in what I found to be a major reintroduction of alternative reform, "a Swiss-style system of universal coverage would be a vast improvement on what we have now."

So we conclude with what Republicans will start lying about next: mandates.

 

Please respond to P.M.'s commentary by leaving comments below and sharing them with the BuzzFlash community. For personal questions or comments you can contact him at fifthcolumnistmail@gmail.com

THE FIFTH COLUMNIST by P.M. Carpenter




Equation !

Equation !
 
$1.042trillion (cost of reform) + $245bn (cost to reflect annual pay raise of docs) = $1.287bn (actual cost of reform).
 
$583bn (the revenue package) + $80bn (doughnut hole) + $155bn (savings from hospitals) + $167bn (ending subsidies for insurers) + $277bn (ending medical fraud, a minimum of 3%) = $1.257trillion + the reduced tax on the wealthiest = why not ? (except for magic pill, an outcome-based payment reform & IT effects and so forth)
 
In relation with medical fraud, please visit http://www.npr.org/templates/story/story.php?storyId=111967435, you will be stunned !  Thankfully, in May 2009, the Obama administration announced a new task force made up of officials from the Department of Justice and the Department of Health and Human Services to work on health care fraud.
 
Thank You !
 

No More Health Catrina !

Let's set up the Equation ! 1. All across the spectrum share the urgent need for the reform as the course today is financially unsustainable. By the way, how do we pay for it ? Let's make it affordable while improving quality. 2. Of all choices on the table, saving via efficiency is the best, and Removing Wastes alone is Enough to Meet the Goal. As one instance, please visit http://www.npr.org/templates/story/story.php?storyId=111967435, you will be stunned ! No one knows just how much medical fraud there is, and estimates range from $600 to $6000 billion over the next decade lost to it. And, in May 2009, the Obama administration announced a new task force made up of officials from the Department of Justice and the Department of Health and Human Services to work on health care fraud. 3. Enough Room For Savings ! Many reformers recognized roughly 30 percent of all health-care spending in the U.S. -some $700 billion a year- might be wasted on medical abuse, unnecessary procedures, unnecessary visits to the doctor, overpriced pharmaceuticals, bloated insurance companies, and the most inefficient paper billing systems imaginable, and payment reform could solve this problem. Provided the American people pay around twice the amount of the efficient systems, the result is still well below them, the ratio of waste might be estimated to reach far more than 50% in the U.S. Let's be conservative regarding the ratio. Even If as little as 10% of savings apply to the combined Medicare and Medicaid cost of $923.5bn per year, as of July, the savings of $923.5bn over the next decade are possible. And when these savings add to the already allocated $583 billion, the savings of wastes involving so called "doughnut hole" , the unnecessary subsidies for insurers, medical abuse, exorbitant costs by the tragic ER visits etc, the concern over revenue might be a thing of the past. As a matter of fact, with the promising redesign in the pipeline, some patient-focused clinics in 10 regions have already achieved 16% of savings in Medicare while their quality scores are well above average. Please be 'sure' to visit http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp for credible evidences ! Thankfully, the provisions in the reform include more expansive, systematic policies such as 'a patient's outcome-based payment system' than they have. I for one firmly believe this American innovation, 'a patient's outcome-based payment system' , is capable of turning profit-oriented practices into patient-focused system / value. Dr. Armadio at Mayo clinic says, "If we got rid of that stuff (waste), we save a third of all that we spend and that is 2.5 trillion dollars on health care. A third of that and that is 700 billion dollars a year. That covers a lot of uninsured people." Please visit http://www.kare11.com/news/news_article.aspx?storyid=820455&catid=391 for detailed infos -- Americans' Best Friends Are The Envy Of The Planet ! -- -- Except For The Underinsured, The Uninsured Alone Outnumber The Entire Population In Canada -- 4. Some say, if the reform package is affordable and improve quality, then the inflation/bankruptcy-oriented market can not last, thereby competition should begin with our unfair, unsustainable market value, or let's make another insurer-friendly scheme, even though the inflation/bankruptcy-oriented market share the need for change. 5. CONCLUSION = THE WILL OF REFORM, NOT COST. The runaway premium similar to the peak fuel price last year and left so many folks in despair insists on staying the course with the attitude 'unchanged', clearly this trend could bankrupt individual, business, and government. Now the government subsequently is tasked with these two main assignments, first, to address premium inflation, second, to expand coverage to all in urgent need. In order to cover all and not to add to the deficit, the public option can not set the same rates of private market, rather, it needs to have BALANCING function to keep it in check in terms of INFLATION, too. Unfortunately, this 'unavoidable' direction is being aggressively accused by the runaway premium, citing government 'take-over' . Under the circumstances the energy bill to determine human future and the other major issues are presently piled up, who wants to waste time making enemies ?, which also does not benefit the forthcoming election. with the heartbreaking tears in mind (Nearly 11 Million Cancer Patients Without Health Insurance), private market also needs changes and should join together to complete this reform , as promised, otherwise, the runaway premium only has itself to blame while new firms are filling the void with competitive deals. And It can be said that fair competition starts with a fair, sustainable market value. However, the plan in the House is designed to keep people in an employer-based health insurance system, and the public option would be offered to those for whom employer-provided insurance is not available. And job-based coverage (indirect payment) mandate code, and ample capital, reduced ER costs, IT base to streamline the administrative processes and trim the costs might be favorable to the private market. Over time, supposedly, the public plan will concentrate more on basic, primary cares, and the private insurers will provide their clients with differentiated services. Let me repeat; No More Health Catrina, No More Bankruptcy Of Middle Class ! -- Americans' Best Friends Are The Envy Of The Planet ! -- -- Except For The Underinsured, The Uninsured Alone Outnumber The Entire Population In Canada -- Thank You !

"Pseudoconservative" is good;

so is "regressive." There's even a "regressive antidote" blog, brought to you by the guy who coined the term: http://www.regressiveantidote.net/

Nothing is free

Assuming you're still working and under 65, the plan would not be the free plan seniors get. Instead, to pay for a universal plan that the poor could also afford, there would be a cost (sound familiar?). I'll use me as an example, I'm 51, have paid into it since 1974 and will not get a dime out of it until 2023. But, assuming I live that long, I would have the choice of switching my current private plan in case I wanted the extra security of Medicare. Some workers have catastrophic coverage (i.e., crappy plan), so they would likely join immediately. I'm lucky; my coverage has always been good. But I may want to do it anyway, depending on the particulars. So if I switched, all those dollars would be redirected from my private insurer into the FICA taxes I pay to fund my plan. The big benefit really is for the uninsured and the underinsured, some 80 million Americans and counting. Another consideration for me (and every worker) is that if I stop working full time before I'm 65 (not uncommon), having Medicare guaranteed would be worth the risk, especially considering the risk of expensive medical treatment greatly increases with age. Now that's what I call good public policy. Really, when you think of it, this is the last piece of the basic compact between a civilized country's government and its citizens (social security retirement funds, Medicare, and full health insurance). A reasonable compact, considering many of those 80 million uninsured are parents of veterans who risk their lives defending this country....

Sorry, PM,...

... but Obama is doing the precise opposite of what you're HOPEing he will do.

"Hope" is nice, ....

... but it's no substitute for reality.

Where's Harry?

Hiding under a blanket in Nevada, or taking instruction from a fellow churchman in Salt Lake City??

Doesn't Matter

Reid has no where nearly as much power in the Senate as Pelosi has in the House. His biggest authority is scheduling votes. TIn the Senate, the real power is in the chairmanships. The Democrats should follow the lead of the senate Republicans and stop assigning chairmanships based on senority. Rather let the chairmen be elected.

Watching the demise of the Republican party

is like watching some one you really dislike..commit suicide...horrorfying, fascinating and very welcome...

Keep it Simple Sherlock

Obama must realize that the President is not a deliberating senator, cajoling mediator, or glib folk hero. He's a leader. Here's what I suggest he declare, then move forward to pass the reform bill, and leave the critics behind to lick their wounds:

"Our Public Option is simple, All Americans will be free to choose Medicare early, and pay for that coverage from the money they and their employers send to private health care insurers. All uninsured Americans will be required to enter Medicare early, and pay for it as they are able. It will be pay as you go."

If cuts to current Medicare benefits already provided to elders is necessary to pay for this reform - then identify those cuts and tell them that it's their patriotic duty to pitch in. Were all in this together and all must pay, but their children will have no worries about going bankrupt over cancer and the grandchildren can see the doctor whenever necessary.

Sounds good to me

seeing as how I've been paying into Medicare since I was sixteen years old, out of my first dishwashing job. I, for one, would be delighted to be allowed to collect my hard-earned Medicare benefit a few years earlier than currently scheduled. And given the princely sum I have contributed all these working years, I cannot for a moment comprehend anyone suggesting that I eat a benefit cut for the privilege. Yes, I have examined many of my pay stubs over the years, and I can recommend the exercise to anyone interested. It says right there, I'm prepaid.

Simple Question

"...the pseudoconservative party".

I like that. For once, a column that tells it like it is. Calling this radical right-wing party "conservative" is Orwellian doublespeak.

Single-payer is still an option, with many dozens of congresspersons co-sponsoring Kucinich's bill. If the Democrats won't even give us a public option, send a message to them next election by voting Green.

It's a simple question: Do they stand for citizens or corporations? If they don't support single-payer or a public option, they stand for corporations, and should be treated as the enemy in the voting booth.

"Staffed By Idiots?"

John Aravosis seems to have the right idea about the Obama administration being either liars or "staffed by idiots" (http://www.americablog.com/2009/08/somebody-at-white-house-needs-to-be.html) and concludes with what seems to be the best question to ask about Obama's regime: "Is this what the next four years are going to be like?"

Promoting change like Candidate Obama did implied that he had a vision for the country, and he seemed to express in his speeches that he had a plan to get us there. In hindsight of his accomplishments so far, his talents are wasted in Washington. He should be working on Madison Avenue in New York creating advertisements for drug and insurance companies.

To quote a Fame-us 'Merkin who had a way with words, "fool us once, cain't be fooled agin!"

Who Moved His Cheese

I suspect what really took this White house off guard has been its total inability to mobilize its base via it grassroots network. During the election, the network was awesome and a thing of (political) beauty. Now, Mr. President is standing there with a limp noodle in his hands. This is not a good feeling. had he gone lights-out for a progressive package and at least given Medicare For everyone a fair chance. We would have been in the trenches fighting. But an army does not fight for a capitulation. I think these guys now know that. The question is whether it is too little too late.

What would we fight for?

Obama really has given his army nothing to fight for. He pulled he one thing many of us wanted (single payer) off the table before doing anything else. Now, depending on the time of day, there is/isn't going to be even a public option.

Armies usually have a reason to fight. The Dems are caving on everything that the Republicans want. I am not about to lift one finger to support the Republican agenda. If we get nothing, that would be better than a crappy plan the Republicans won't vote for anyway. If the Dems blow this, it is time go back to the Green Party.

To generalize Barney Frank's

To generalize Barney Frank's wonderfully refreshing response to the fool with the Hitlerized Obama picture, trying to argue with Republicans is like arguing with a dining room table.

Just don't. Call them what they are and do what's right. Ignorance requires a remedy, not a voice.

So, Pres. Obama set this up? Giving Repugs Rope to Hang Selves?

Nah. I mean, Pres. Obama couldn't be smarter than all we SCAPEGOATING, Arm Chair, Progressive Quaterbacks, now could he?!!!!! Nah. :-) YES, WE ARE THAT STUPID. YES, PRES. OBAMA IS THAT SMART. WILL WE "PROGRESSIVES" LEARN? IN TIME? DO WE EVEN WANT TO LEARN? Nah. Scapegoating is just to damn much fun.

This is the longest game ....

... of 12-dimensional chess, ever. Or, it just plain, old checkers, and Obama has just sold out progressives.

"YES, PRES. OBAMA IS THAT SMART...... YES, WE ARE THAT STUPID"


Maybe you should speak for yourself.

Welcome to the Party

P.M. Welcome to the "There is no such thing as Bi-Partinship with the Republicans" Party! Better Late Than Never.

New Term for the Thugs..

The Republican Party, aka the PARTY OF NO, is the party of MONO-PARTISNSHIP. It has no interest in compromise--only defeating their perceived enemies. It is only concerned about party and politics--not about the welfare of the nonrich and nonwellconnected. It is the party of distractions and disseminating ludicrous false koolaid to the gullible, ignorant, paranoid sheeple who blindly worship them and can't accept the fact that Obama won the election. Good for Rahm for showing some backbone and a pair in calling the "M_F_RS" exactly what they are.