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On Health Care Reform, Maybe Liberals Need More Spock and Less McCoy

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by Steven C. Day

Yesterday, I declared myself undecided whether the current highly flawed health care “reform” bill should be adopted (once all attempts to improve it are exhausted). I’m still undecided, but I do think I’m starting to look at the issue through a clearer lens.  

I remain undecided mostly because we don’t even know what the final product will look like. Ben Nelson — a man who appears to be suffering from Joe Lieberman envy — sounds determined to make the bill even worse. Quite a legacy for a previously obscure legislator to draw to, isn’t it? Maybe they can put it on his tombstone some day: “Here Lies The Man Who Killed Health Care Reform And In The Process Thousands Of Uninsured Americans.”

But assuming the bill stays in more or less its present form, I will probably end up giving it a sad thumbs-up. Today’s column by Paul Krugman has a lot to do with why:

(New York Times) Pass the Bill

Bear in mind also the lessons of history: social insurance programs tend to start out highly imperfect and incomplete, but get better and more comprehensive as the years go by. Thus Social Security originally had huge gaps in coverage — and a majority of African-Americans, in particular, fell through those gaps. But it was improved over time, and it’s now the bedrock of retirement stability for the vast majority of Americans.

Look, I understand the anger here: supporting this weakened bill feels like giving in to blackmail — because it is. Or to use an even more accurate metaphor suggested by Ezra Klein of The Washington Post, we’re paying a ransom to hostage-takers. Some of us, including a majority of senators, really, really want to cover the uninsured; but to make that happen we need the votes of a handful of senators who see failure of reform as an acceptable outcome, and demand a steep price for their support.

At the end of the day, liberals need to decide where we stand on this issue unemotionally. Less of the quick-tempered “Bones” McCoy: more of the logical Mr. Spock. The fact we’re pissed off at Joe Lieberman, disappointed in Barack Obama and feeling generally fed up with politics — all well justified feelings, mind you — is ultimately irrelevant here. What matters — the only thing that matters — is whether this bill represents a step in the right direction. Because if it does, to kill it out of anger or disappointment would not only be unwise, given the number of people in desperate need, it would be immoral.

From what I’ve read, fair arguments can be made either way on the merits of passing the bill. But the bottom line for me is that, Governor Dean notwithstanding, most progressive health care experts do favor passing it.

I still think liberals need to throw a hissy fit. I still think that we need to demand that our representatives stop selling us out. We need primary challenges. We need to tear the walls down.

But we shouldn’t hold the uninsured hostage in the process of doing so.

Last Chance Democracy Cafe




thanks

support but demand some scalps from Obama

from one of two sources:

  • CORPORATE OWNED DEMS:  Rahm Emanuel's, Joe Lieberman's or one of the other blue dogs or DLCers that jammed this up and diluted it to almost nothing.
  • INSURANCE CO. EXECS:  Direct the Justice Department prosecute insurance company execs who denied reasonable care and caused people's deaths.  Treat them with the same care and deference we do serial killers and terrorists--no deals, no bail, and no club fed.  And not just the guys who answer the phone, but the people at the very top who set the policy.

Hell, I would be happy if he did that with Goldman Sachs, AIG, Blackwater, or any of the other corporate malefactors.  Show us that these guys are subject to the rule of law and that they can't kill people and destroy our economy then turn around and demand favors from the government. 

Or better yet, one of each of those, so we know that our government represents us and doesn't sell our very lives and financial well-being to the highest bidder.

Professorsmartass.com

I'm not so sure.  The

I'm not so sure.  The mandate that we all purchase this "product", totally unaccompanied by any attempt to limit the insurance cabal's ability to raise its prices to whatever, appears to me to be a very dangerous thing to make into law.  If fact, it seems to me to be an even more visceral version of the mercantilist policies that spurred the American Revolution.

...and it makes the insurance companies more money, which makes them even more our masters.  We need to destroy monopolies and preposterously disproportionate wealth, not promote them.  I am urging my Senators to reject the bill.

 

 

Ken Duerksen Oxford, Ohio

health care

The Senators undoubtedly knew some time ago that they would not turn on their masters. How would they get all the seed money they need to get elected?

Monopolies are considered the wave of the future now. Corporatism demands "disproportionate wealth" and the power inherent in a monopoloy. Choice is a luxury of the past.

author lacks logic

Spock would have had more common sense then to vote for this piece of (fill in the blank). you site the it will get better argument,when we have a Republican party over the edge of reality and a democratic party and president full of traitors,when will it get better.Congress just agreed to allow drug companies to charge what they want and prices have already gone up 10%. Paying for the bill falls on the hands of the middle class and poor as Obama reneged on promises of making the rich pay for it because of their hugh tax breaks.People are dailey losing jobs or taking more wage cuts and we are going to tax their insurance,which by the way many will lose because of soaring health care insurance cost.And if you can't afford insurance you will be penealized.Billions will be cut from medicare but with promises of no lose of service,do you think hospitals and doctors will work for free,no many of them will follow suit and refuse to take medicare and our elderly will suffer.the uninsurable can now buy insurance but Obama and the democrats have said they can charge much more to them,kind of like the system we have now.All i can say steven Day is you must be a klingon spy trying to trap the humanoids in a deadly plot

closing the door to real reform

This "reform" bill should be killed.  First, as usual, the politicians and media confuse 'insurance' for 'health care,' which it is not.  This bill won't provide any health care, it's all about insurance.  It should be titled "The Private Health Care Insurance Company Enrichment Act." Rather than a foot in the door of real, affordable, universal health care, this will slam the door shut as it enshrines private for profit insurance as the only way to 'guarantee health care,' which it obviously will not do (if it did, we wouldn't need this bill, eh?).  Obama always said we have to 'reform' within the historic screwed-up system of insurance we already have, and this won't do that either, except to make it worse. Gee, health insurance stock boomed yesterday, wonder why? Maybe because it looks like a new federal law will hand them 30+ million new mandatory customers!  It's Big Insurance and Big Pharma's dream come true!  Howard Dean is correct, this will make things worse, not better.  In fact, this is a formula for paying more and getting less.  Throw out the Senate bill and go to reconciliation, where the Dems win with 51 votes.  Bush did it again and again, to pass things without popular support, but the Dems won't even go this route when the majority supports something!  Pathetic.

At least it's now absolutely clear who Obama's masters really are, and it isn't the two million who contributed what they could to his 'visionary' campaign, it's the huge corporate monsters who Obama was so proud of supposedly not taking money from.

Archaeo

the "health care bill," aka Corporate Insurance Enhancement Act

jbush

I fear that "we the people" will not be the ones getting a foot in the door.  Rather, it will be the greedhead insuranced companies, as we are required to buy their faulty, overpriced product.  That provision is the deal breaker for me.

Great Now I'm Forced to Buy Insurance

The only thing this bill does is now force me to buy health insurance. I have none now because I can't get a job anymore.

Now not only do I have to figure out a way to get a new career, I've got to pony up 3 bills every month for coverage I probably won't need. That might not be so bad except that I know when the time does come that I will need it after paying thousands in premiums, they will not cover whatever the problem is. (or they will lock my into a death battle to get them to pay)

So now I will be paying for something that will give me nothing in return. Thanks Barack, but hey at least you got what you want:

A nice fat BJ to the insurance companies just like the one you gave to the banksters, your jaw must  be getting tired by now.

I say refuse, Refuse to give in to Government tyranny. If we all fight back we can make a change....oh yeah right, that is total BS

Nevermind

foot in the door

I keep hearing the argument for passing the senate non health care bill that we have to "get our foot in the door" or that we need to "start somewhere."  We already have a foot in the door - Medicare.  In 40 years we haven't expanded coverage to any great extent.  Let's work with the foot we already have in the door.  We will get nowhere as long as we keep trying to preserve the current system of private insurance companies.  That system has failed.  Let's get rid of it.

It's time to get Emotional

I'm not a Democrat, but I did vote for Obama, I did so with my eyes wide open, unlike many.  I kept pointing out his many flaws to those with their eyes tightly closed, and they kept denying what I was telling them.  Up until the Republicans put crazy Sarah up for the VP position I had planned to vote third party AGAIN!  I have been so disillusioned by both parties over the years that I have been voting third party for a while.  Except back when Bush ran for reelection.  I tightly held my nose and voted Democrat to get him out.  Then did so again to keep the crazy out of the White House.  And look what good that did!

I say it's time for the Progressives to get EMOTIONAL!  For TOO LONG they have been the "rational" or "Grown-ups" and look where it has gotten them.

So, you "Liberals", or Good Democrats keep calling us Progressives names but we will not stop fighting against the business as usual of the Washington Plutocrats.  We've had ENOUGH!!!

"He that is good for making excuses is seldom good for anything else." ~ Benjamin Franklin


The grown up in the room

Very wise and mature attitude Mr. Day. I disagree. It's not JUST health care Mr. Day. See the Dems promised in 2006 if I voted for them that they would get us out of Iraq. Nearly four years later I'm still waiting.

It was difficult but I remained relatively silent while President Obama bailed out the banks and insurance companies instead of putting most of them in jail for fraud.

Okay, I don't agree but President Obama did campaign on expanding the war in Afghanistan.

President Obama also compaigned on single payer health care reform. He backed off single payer to a public option. Then he backed off public option to an expanding Medicare. Then he backed off expanding Medicare to a corporate welfare program for health insurance providers.

Neither Mr. Obama or the Democrats speak for me. And I'm tired of being lied to.

Bad bill = bad 2010

$1500-3800 fine.  IRS.  CEO bonuses. 

$1500-3800 fine.  IRS.  CEO bonuses. 

$1500-3800 fine.  IRS.  CEO bonuses. 

$1500-3800 fine.  IRS.  CEO bonuses. 

$1500-3800 fine.  IRS.  CEO bonuses. 

$1500-3800 fine.  IRS.  CEO bonuses. 

Kill This Bill

Giving in to blackmail and extortion just to win a pyrrhic victory is not reform! Once we are locked in to this bad bill, there is no way in this sick world that the insurance companies will ever grant any alterations in the law which is making them incredibly profitable - unless it benefits them with even more profits.

There are many loopholes in the law that will likely allow many of the egregious outrages currently perpetrated upon policy holders to continue. There is no guaranty that you will have your pre-existing conditions paid for. There is no cap on how much you will be charged for your coverage. And you will pay much more as you grow older.

Then there is the "excise" tax on the benefits some of us receive. Put a similar tax on executive compensation and I might agree to this. Not until.

Are you ready to trade having a life for working it away in order to pay your insurance company? I am not. Don't reward criminal behavior masquerading as the law just to get nothing for something. Kill This Bill!

Do not kill this bill!

I completely agree with you that emotions and hysteria have begun to control the debate.I am totally  not in the Dean, Olbermann, Schultz camp.  Ed Schultz has turned me off with his emotional outbursts. Pres Clinton and Paul Krugman rationally argue that we must get a foot in the door. I think that is obvious.  Of course progressives are outraged, but they better not blow it when this is the farthest we have come in reform. Many are angry with Pres Obama, I give him credit for demanding that this be worked on.  Would progressives be happier with McCain.  I think progressives need to take a deep breath, continue to fight for better reform, but move forward not backwards.

By their Actions Shall Ye Know Them

@ felinetta

Emotional response is all that remains open to us to oppose what is clearly a bad bill. If we aren't heard now, then there is no continuing the fight for better reform. Once the insurance companies lock their future profitability into the law, how are we going to "reform" anything?

If you think that Baucus and Nelson and Lieberman stood tall up to now, what about when Blanche Lincoln saves her sorry ass with insurance money? Think she will be more agreeable to reform then? What about when Mary Landrieu really does live down to the epithet leveled at her by Fox? Think she is going to care about the people who elected her once she's on the insurance payroll?

There will be no possibility of later reforming anything once the bill passes. It will stand untouched for decades, except for small incremental adjustments made when an opportunity for higher profitability arises. It has to be stopped NOW before it kills off any possibility of saving the remainder of the middle class. Can YOU afford 9 to 22% of your gross income AND up to a 40% benefit "excise" tax just to get lousy health care insurance that doesn't guaranty that you will be covered? I cannot - and I will fight as long and as hard as I can.

Please get real. Time is short.

Happier with mccain?

Yes, I would be. I prefer getting screwed by my enemies to getting screwed by my own party. Obama needs to be run out of washington on a rail. I will never vote for him again.

What "Foot in the Door"?!?!?

What it is is Obama's own "Mission Accomplished!" moment - so he can sign a bill that gives the Insurance Cartel a Big Old Bailout, forces us to buy insurance from those corrupt assholes with no guarantees they will keep prices down, and doesn't even outlaw pre-existing conditions any more! What kind of "reform" is that, I ask you?!?!?

I am SICK of you so-called "liberals" shaking your heads, bending over, and doing NOTHING - not even PWN!ing that Treaonous Quisling Fuckhead LIE-berman!

"What kind of "reform" is that"???

Why, ......... the answer is obvious, "Doc" ........

... it's the kind you voted for last year.  It's the kind of change you urged everyone else to vote for last year.  It's the kind of "Change" you get when you play the race card by accusing other Democrats of being racists to help Obama win.  It's the kind Obama-worshipping Clinton-haters get when you allow yourselves to be duped for what ....... the millionth time?

Any other questions?

2010

You can call me emtional, call me emotional all you want - the Democrats are going to lose in 2010 because of this bad bill.  You can say that 2010 was a major defeat because people were emotional, if that makes you feel better about facing the predictable consequences of irresponsible action. 

The Republicans are going to

The Republicans are going to take care of that foot in the door, so there isn't any foot in the door - there is no foot in the door.  Actions have consequences, and forcing this mandate has consequences.  You can not simply call people emotional, and make those consequences go away.  Calling me emotional does not do anything about the consequences.  A bad bill means loss of support, a $1500 fine means loss of support, a $3800 fine means loss of support, calling me a dead-beat does not make it okay to send the IRS after me to pay up my CEO bonus money.