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Health care reform

FDL Action Health Care Update: Friday (12/11/09)

by: FDL Action

Fri Dec 11, 2009 at 17:21:23 PM PST

Here are the FDL Action health care reform highlights for Friday, December 11.

1. Jon Walker says that the "'Medicare buy-in' idea might not really be Medicare at all, it might in fact be fake Medicare, one which "would lack almost all the benefits of Medicare." Walker adds, "A Medicare buy-in program that does not actually allow people to fully buy into real Medicare is a farce."

2. Jane Hamsher writes that Harry Reid, "who is solely responsible for crafting the bill that he introduced in the Senate, decided that there should be a limit on lifetime benefits."  Meanwhile, "Reid is also manipulating procedure to keep the Dorgan drug reimportation amendment, which would save both the government and consumers hundreds of millions of dollars, from coming to a vote." Hamsher wonders why "Reid never uses the powers he has against Joe Lieberman."  

3. Jon Walker believes that, "For the past few days, Obama and Reid have rather publicly fought against bringing down America's health care costs."

4. Jane Hamsher writes a letter to the Susan G. Komen for the Cure Foundation, calling on them to "ask Hadassah Lieberman to step down as a 'Global Ambassador' for the organization in light of the inherent conflict of interest her continued presence brings." Hamsher invites everyone to sign a petition urging the Susan G. Komen for the Cure Foundation to do just that.

5. Jon Walker writes that Harry Reid has "quietly gutted one of the most important consumer protections in the bill, the ban on annual limits."  Walker argues that by adding the "'unreasonable' qualifier {Reid} added is a loophole you can drive a school bus through." Jane Hamsher adds that the Department of Health and Human Services knew about this and even has been "quietly promoting" it for a while now.

6. Jon Walker reports that the Centers for Medicare and Medicaid Services (CMS) has concluded that the "new excise tax on employer-provided health insurance will result in most people getting worse health insurance from their employer, insurance that covers less."  Walker adds that if "this excise tax is the core of the plan to 'bend the cost curve,' it is a failure."

7. Jon Walker argues that the "reason Reid dropped the annual limit from the Senate bill was to make his bill appear cheaper in the CBO score, and make insurance premiums appear lower." "Of course," Walker points out, "eliminating the ban on annual caps makes a mockery of the entire idea of 'insurance.'"

8. Finally, Jon Walker has highlights of CMS' analysis of the Senate health care bill. Overall, Walker concludes, "the report is a mixed bag," with "very slightly higher" national health expenditures in 2019, but on the other hand it "shows a bad bill can still greatly expand insurance coverage without noticeably increasing our national health care spending." Ergo, Walker concludes, "Imagine what could be done with a good bill that is not full of massive corporate give aways."

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FDL Action Health Care Update: Thursday (12/10/09)

by: FDL Action

Thu Dec 10, 2009 at 18:23:38 PM PST

Here are the FDL Action health care reform highlights for Thurssday, December 10.

1. Marta Evry says that Rep. Bart Stupak's New York Times op-ed is not harmless, as Stupak claims, but "would effectively ban reproductive choice services coverage in the exchanges." According to Evry, "We  can't let that happen. We just can't." Evry urges that everyone join a "One Voice for Choice" phone bank or start one of your own: "It's easy, it's fun, and best of all, you will make a difference."

2. Jane Hamsher reports that Mike Stark of Stark Reports is "back up on the Hill for FDL, covering Congress."

3. Jane Hamsher points out that Harry Reid claims he has no time for a House-Senate conference, but that he has time to attend a "$1,000 plus per plate fundraiser" this weekend.  Hamsher encourages people to call likely Nevada Democratic voters and let them know what Reid is up to.

4. Jon Walker says that the Senate health care reform deal is actually "less a health care deal, more an agreement on vague parameters for a possible deal." As Walker notes, "It is always easier to reach agreement on vague ideas," but as "with all things in this health care reform effort, it will all come down to details, details, and more details."

5. Jon Walker believes that nobody should be "shocked when the Democratic base doesn't turn out in 2010." Walker asks, "Who would want to support a party" in which "a simple temper tantrum by Joe Lieberman, Blanche Lincoln, or Ben Nelson really cause the other roughly 300 elected Democrats in Washington to abandon every promise they made and every principle they claim to stand for?"

6. Jane Hamsher writes about Nancy Pelosi saying "that a bill without a public option is now possible in the House."  Raul Grijalva, co-chair of the Congressional Progressive Caucus, apparently isn't going to be one of those votes, as he told Mike Stark that "what the Senate is doing is effectively emasculating an opportunity to have a public option."

7. Jon Walker reports that Joe Lieberman, "the biggest champion of the health insurance industry in the Senate, will chair the committee that oversees [the OPM-run] 'alternative' to the public option." Can we say "foxes and henhouses?"

8. With signs that the Senate health care bill might just "ping pong" straight past the House of Representatives without a full conference between the two chambers, a frustrated Jon Walker asks, "Why Don't We Just Go A Step Further And Abolish The House?"

9. Jane Hamsher asks, "what kind of a platform we should ask Medicare for All candidates to agree upon?" Hamsher adds that "[i]f you'd like to volunteer to lead a search committee in your district for a single payer candidate, you can do it here."

10. Finally, check out Jane Hamsher on the Ed Show as she  invites Progressives to recruit primary challengers for any "Democratic member of Congress [who] decides to support the corporatist agenda and vote for a health care bill that makes the insurance companies say 'we won.'"

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FDL Action Health Care Update: Wednesday (12/9/09)

by: FDL Action

Wed Dec 09, 2009 at 16:56:45 PM PST

Here are the FDL Action health care reform highlights for Wednesday, December 9.

1. Marta Evry points out that it's far too early to "fold up our tent and start our Christmas shopping early" with regard to protecting women's reproductive rights in health care reform legislation. Evry notes that, "so far, One Voice For Choice is the only campaign going on out there that's targeting the Stupak coalition of conservadems" on this issue. She encourages everyone to join a "One Voice for Choice" phone bank or start one of your own. Thanks.

2. Jane Hamsher says that "despite the fact that the country wants a public option, the President campaigned on one and Nancy Pelosi and Harry Reid both promised there would be one in the final bill, the woman who took $763,000 from health care interests for her upcoming Senate race is allowed to dictate what happens." And that woman's name is...you got it, Blanche Lincoln, who until recently claimed on her website that she supported "a quality, affordable public plan." And if you believe that one, I've got some awesome, low-priced private insurance I'd like to sell you. :)

3. Jon Walker writes that, at this point, "it is impossible to even evaluate this pile of vague ideas that may or may not be part of this 'deal.'" Walker concludes, "Fancy names like 'Medicare buy-in' sound good, but it could easily be worthless subterfuge, just like the trigger. I recommend everyone stay very skeptical and hold judgment for a day or two until we actually know what we are dealing with."

4. Jane Hamsher is incredulous that OFA is fundraising off of a health-care reform package that she sees as - to put it mildly - subpar.

5. Jon Walker warns Howard Dean that the "Medicare buy-in" he is talking about "might not at all resemble the Medicare buy-in that [he] wants." Or it might. The main thing right now is to "wait until you hear details" of this plan; until then, "we are simply chasing vapor."

6. Jane Hamsher urges everyone to sign a petition urging President Obama to "save the public option and make these statements more than mere campaign promises."

7. Jane Hamsher reports that she contacted Physicians for a National Health Program to see what they thought about lowering the Medicare age to 55. The response was that it "only works if it is mandatory...Otherwise it becomes the place where all the sickest patients get dumped."

8. Jon Walker asks, "Why Did Snowe Not Demand Giving Americans The Freedom To Buy Cheaper Drugs From Canada?" More broadly, Walker finds it "very unfortunate that Snowe decided to use her new-found power for evil instead of good."

9. Jon Walker notes results from a new Quinnipiac poll indicating strong support for a public option, "even as Senate Democrats look to kill the idea."

10. Jane Hamsher provides a timeline indicating longstanding support in the Obama administration for a "trigger," stating that this is "something that Rahm Emanuel has been fighting for all along."  

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FDL Action Health Care Update: Tuesday (12/8/09)

by: FDL Action

Tue Dec 08, 2009 at 16:15:19 PM PST

Here are the FDL Action health care reform highlights for Tuesday, December 8.

1. Marta Evry reminds everyone that doing a "One Voice for Choice" phone bank is "easy, it's fun, and best of all, you will make a difference." What more can you ask for? :)

2. Jon Walker writes, "As a substitute for the public option, this OPM exchange is worthless, but I strongly hope this OPM exchange is structured to at least help fix the terrible, state-regulation-gutting "nationwide plan" idea."

3. Jon Walker says that the "grand compromise possibly being discussed is frighteningly similar to my theoretical compromise, although it is noticeably weaker," and that "Harry Reid, Barack Obama, and the Senate Democrats could have saved themselves lot of heart burn by hiring me four months ago." Yes, but then what would they do with all the time they would have saved? Focus on the economy and jobs? Deal with climate change? Pass comprehensive immigration reform? Pass appropriations bills so that federal agencies don't have to operate for months on continuing resolutions?  What ARE you thinking, Jon Walker? (snark)

4. Jane Hamsher asks rhetorically, "You Mean 'We'll Fix It In Conference' Was Just BS?" The sarcastic answer? "No!"

5. Jon Walker explains how Medicare expansion can be "done right" ("Simply dropping the age for Medicare eligibility from 65 to 50 would help tens of millions of Americans, and be a win for progressives.") or "done bad" ("Conversely, I can imagine a convoluted set of restrictions that would prevent the proposal from helping basically anybody.").  Unfortunately, Walker concludes, "it sounds like the negotiations are much closer to the latter than the former."

6. David Dayen reports that a motion by Barbara Boxer to table Ben Nelson's anti-abortion amendment has passed with 54 votes. According to Dayen, "So the question becomes, what now?" Good question.

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FDL Action Health Care Update: Monday (12/7/09)

by: FDL Action

Mon Dec 07, 2009 at 17:39:23 PM PST

Here are the FDL Action health care reform highlights for Monday, December 7.

1. Marta Evry asks that you consider joining a "One Voice for Choice" phone bank or starting one of your own. As Evry says, "It's easy, it's fun, and best of all, it works."

2. Jane Hamsher says sarcastically that there's "[n]othing like having Joe Lieberman running the country." Except maybe John McCain or George W. Bush running the country?

3. Jon Walker argues that "the new 'alternative' to the public option" is "nothing at all even like a public option." Instead, "It is an OPM run exchange for current, private, non-profit insurance companies." Great stuff, huh?

4. Jon Walker warns that "Sen. Debbie Stabenow is prepared to kill the public option to make Joe Lieberman and Blanche Lincoln happy." As I always say, anything to make Joe Lieberman and Blanche Lincoln happy! (snark)

5. Jon Walker says that Sen. Ben Nelson's anti-abortion amendment "is as close to the Stupak language as possible...it would have an incredibly long reach, and could make abortion coverage extremely rare in this country." This must be stopped, hence the efforts of "One Voice for Choice".

6. Jon Walker reports that "Senate Democrats are considering a possible early Medicare buy in for older Americans." Walker believes this proposal on its own could have merit, but "without more concrete details about exactly what the proposal is, I will not really know if it has value."

7. David Dayen believes it's possible there might not be a conference committee for health care reform, "with the House expected to accept whatever the Senate passes." Dayen believes this is ominous, particularly when one considers "the recent history of the credit card bill."

8. Finally, Jon Walker agrees with the health insurance industry that if "the Senate bill ends up like I fear: no public option, no serious regulation on insurance, no real medical loss ratio, very low insurance standards, and an individual mandate the private insurance companies will have truly won." Let's make sure that doesn't happen.

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FDL Action Health Care Update: Friday (12/4/09)

by: FDL Action

Fri Dec 04, 2009 at 17:48:36 PM PST

Here are the FDL Action health care reform highlights for Friday, December 4.

1. Jane Hamsher points to a new Mason-Dixon poll indicating that Senate Majority Leader Harry Reid trails two potential GOP opponents.  This doesn't make Hamsher particularly sad, to put it mildly, given that she believes Reid "is doing what he always intended to do - take the public option out of the bill."

2. Jon Walker warns that "unless we do health care right, every private sector union will be dead in nine years." The reason? "Manufacturing in this country will not expand or even survive as long as health care insurance is an ever-growing overhead cost," which means "there simply will not be a manufacturing sector to unionize." I'd add that there won't be a healthy economy in general if health care costs continue to rise and health care expenditures make up an ever-growing portion of our GDP.

3. Jon Walker has Part 5 of his series on "what the Senate bill does better."  In this episode, we've got the fact that "the risk adjustment mechanisms in the Senate bill (page 226 - 238) are slightly better [than in the House bill]."  Well, that's something at least. :)

4. Jane Hamsher announces that "Blue America is going to be working to get single payer candidates on the ballot in every Congressional district across the country."  Also, "Tomorrow at noon ET, Blue America will host Jonathan Tasini, a long time single payer advocate who is running for the US Senate in New York." That should be interesting, check it out.

5. Jon Walker writes that he has been "watching the debate on health care reform for the past five days, and it is amazing how much time and effort the Republican party has dedicated to defending massive government waste and huge corporate giveaways."  Walker is talking, of course, about Medicare Advantage, "a network of private plans that the government pays to provide Medicare-eligible seniors with health insurance instead of covering them with traditional Medicare." The problem is that "[a]s the result of a broken payment formula (put in place by the Republicans), the government overpays these private insurance companies by roughly 12%." It's a huge corporate giveaway, in other words, which certainly helps explain why Republicans are so enthusiastic about it!

6. I highlight an interview on Blue Arkansas with the founder of "Draft Bill Halter" to primary Sen. Blanche "No Public Plan For You" Lincoln.

7. Speaking of Blanche Lincoln, Jon Walker says that she's trying to "shake her corporate shill image with [a] faux-populist amendment," but that "it is unlikely that most insurance companies will even be affected by this amendment."  Walker concludes, "Sorry Blanche, but no amount of meaningless symbolic amendments will change the fact that you are doing everything you can to defend the profits of the private insurance industry."

8. Finally, Jon Walker predicts that the Senate "like all entrenched institutions, will only change when there is a crisis." And, Walker believes, "[t]his is the perfect moment for the progressives to force the crisis needed to change how the Senate works." Walker believes that if this doesn't happen, it "will pretty much guarantee not a single piece of really progressive legislation is passed during Obama's presidency." On that cheery note, have a great weekend! :)

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FDL Action Health Care Update: Thursday (12/3/09)

by: FDL Action

Thu Dec 03, 2009 at 16:06:59 PM PST

Here are the FDL Action health care reform highlights for Thursday, December 3.

1. Jon Walker reports that "Thomas Carper's terrible new "alternative" to a public option is not winning over progressives in the House," with Rep. Raul Grijalva of Arizona saying, "I think that compromise is totally unacceptable...It basically emasculates the public option." Jon Walker adds, "If there is a choice between Carper's worthless fig leaf and no public option at all, I would choose the latter." Yes, it's that bad.

2. Jon Walker writes about a report in Politico that " Snowe, Lincoln, and Landrieu have submitted an amendment that would effectively eliminate all state regulations concerning what insurance companies must cover." According to Jon Walker, "This is a very bad amendment that will make health insurance worse for millions and millions of Americans." Uh, guys? That's not what we mean by "reform."

3. Jon Walker reports that a new poll by Thomas Reuters finds that "59.9% of people favor reform containing a public option." In other words, the part of health care reform that's supposedly the most "controversial" is also the part which polls strongest among the American people.  And we wonder why people are cynical about politics and politicians?

4. Michael Whitney asks for help to "raise money to make a big move against Harry Reid in his home state of Nevada." If you would like to contribute, please click here. Thanks.

5. Jon Walker reports that Sen. Barbara Mikulski's "relatively uncontroversial" amendment dealing with cost-sharing for women's preventive care passed earlier today by a vote of 61-39. Three Republicans (Olympia Snowe, Susan Collins, David Vitter) voted yes, while two Democrats (Ben Nelson, Russ Feingold) voted no. Walker believes that "Vitter's yes vote is a big surprise," but that perhaps he is "hurting with women in his re-election polls." Apparently, the diaper and prostitutes weren't bad enough to lose him a chance at reelection. Sigh.

6. Jon Walker remarks that Sen. Mary Lasndrieu (D-LA) "has created the unholy grail of terrible gimmicks meant to cripple the public option...a several-year-delayed, triggered, state-based, non-public co-op limited to the exchange option."  This may sound funny in a way, but according to Jon Walker, "If Senate Democrats think they can pass a bill forcing Americans to buy extremely expensive junk insurance from for-profit corporations, with only the vague promise that possibly, after five more years of abuse, they might get the to choose a completely unworkable, state-based, non-public 'alternative,' they are in for a rude awakening."

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FDL Action Health Care Update: Wednesday (12/2/09)

by: FDL Action

Wed Dec 02, 2009 at 17:26:32 PM PST

Here are the FDL Action health care reform highlights for Wednesday, December 2.

1. Jane Hamsher announces the launch of One Voice for Choice, "a national phone bank that will launch calls into the districts of the Representatives who voted for Stupak." For more on this, see Politico. To volunteer, please click here. Thanks.

2. Jon Walker reports on Day #3 of the Senate "debate" on health care reform, with not "a single vote on any amendment." Given this snail's pace, Walker concludes that a final vote by Christmas is "highly unlikely."

3. Jon Walker says we can "get ready for Carper's non-public non-triggered co-op non-option." Walker believes that Carper's proposal "will serve none of the goals of the public option, and will be completely worthless." Other than that, he loves it. :)

4. Jon Walker writes about Republicans spending the last three days "defending the massively wasteful corporate giveaway to private insurance companies," also known as the Medicare Advantage program. According to Walker, you "can't be a defender of the broken Medicare Advantage program and still be a fiscal conservative." And yet Republicans will do just that and claim to be fiscal conservatives. Of course, these are the same people who racked up much of our national debt, so what else would you expect from them?

5. Jon Walker notes that "Ben Nelson is currently threatening to filibuster reform if it does not contain a version of the anti-choice Stupak amendment." Of course, as Walker points out, "for months now, Reid has had the option of using reconciliation to pass a decent bill without the Stupak language and with a public option."  Apparently, that would be too easy.

6. Jon Walker believes that "Democrats made a huge mistake not pushing the bill through months ago using reconciliation" and that now, having failed to do so - and given Republican obstructionism and delaying tactics -  "this is going to be an extremely long debate."  So, pull up a chair, grab some popcorn, and "enjoy" (or, more likely, not)! :)

7. Finally, Jon Walker advises that we should not "confuse capitulation with compromise" when it comes to the public option, especially since a "handful of conservative Democrats" -- Joe Lieberman, Ben Nelson, Blanche Lincoln, and Mary Landrieu -- "have all the power." What's that saying again about Democracy being the worst system ever invented, except for all the other ones?

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FDL Action Health Care Update: Tuesday (12/1/09)

by: FDL Action

Tue Dec 01, 2009 at 16:21:36 PM PST

Here are the FDL Action health care reform highlights for Tuesday, December 1.

1. Jon Walker has some advice "for every potential manufacturer and transnational company looking to expand...don't start a single business-or expand an existing one-in this country until we really try to rein in health care costs." Walker elaborates, "As a nation, we will not be able to compete going forward if we are spending upwards of an extra $6,000 on our workers health care compared to Germany, Japan, Canada, the UK, etc." But wait, aren't those all "socialist" countries? (snark)

2. Jon Walker takes issue with Peter Orszag's assertion that "basically everything that has been put forward in health policy discussions for a decade is in this [health care reform] bill." To the contrary, Walker writes, "This is not true at all, and Orszag knows it. The Senate bill does not even contain many of health care reforms championed by Obama on the campaign trail last year." The result, in Walker's view, is that the "bill does not do is take the serious steps that could reduce our national health expenditures by trillions of dollars in this country."

3. Jon Walker argues that "We will never see a Washington not run by lobbyists until we make a commitment to hiring sufficient numbers of highly qualified staffers committed to doing the job long term." Excellent point.

4. Jane Hamsher reminds us that Sen. Tom Coburn (R-OK) "wasn't always so enamored of Medicare Advantage," a program "which Jon Walker recently said 'may have the dubious distinction of being the biggest and most wasteful form of corporate welfare in the country.'" Wait a minute, a Republican is being a liar and a hypocrite? I'm shocked! Shocked, I tell you! :)

5. Jon Walker writes that even Sen. Thomas Carper (D-DE), author of the terrible "non-public triggered co-op" idea, says that "the decision to add his worthless idea to the bill is completely up to Harry Reid."

6. Continuing his series of "what the Senate bill does better," Jon Walker points to SCHIP, which will be eliminated under the House bill but, "[t]hanks in large part to the efforts of Sen. Jay Rockefeller (D-WV)," will remain intact under the Senate bill. According to the CBO, "maintaining the SCHIP program would be roughly $15 billion cheaper than eliminating the program and moving the children into the new exchange." Can we say "no brainer" on this one?

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FDL Action Health Care Update: Friday (11/30/09)

by: FDL Action

Mon Nov 30, 2009 at 17:29:25 PM PST

Here are the FDL Action health care reform highlights for Monday, November 30.

1. To put it mildly, Jon Walker believes that the Urban Institute's new report "endorsing the idea of a super-hard trigger for a robust Medicare-style public option" is off base. Walker argues that the idea of a "magical robust theoretically super-awesome trigger" is "purely a fantasy of health care wonks that does not have a prayer of ever becoming law."  And Walker has a great punchline to all this, apparently riffing off of Prince's "When Doves Cry": "This is what it sounds like when veal moos." Wow, what did Jon Walker eat for Thanksgiving anyway? LOL

2. Jane Hamsher argues that the  opt-out provision "was a trojan horse, championed by liberals who were negotiating against themselves," and that in the end, it failed to pick up a single Republican vote. Now, we're going to get the same charade with "the sequel, 'The Return of Trigger,' starring the Urban Institute and other featured players." Something tells me this is a sequel we don't want to see, but may be forced to anyway.

3. Jon Walker has some good news, "What The Senate Bill Does Better, Part 3: Starts With Greater Access To The Exchange."

4. I've got a post pointing to excellent framing by The Pennsylvania Progressive, who writes, "Sen. Richard Lugar of Indiana says we should stop reforming health care so we can concentrate on killing Afghans...killing is a higher priority than healing." Wow, it sounds so...Republican!

5. Jane Hamsher asks, "Why Continue to Fight For a Public Option?" The answer: "The public option battle has become a proxy war over who controls government, whether Congress has the slightest responsibility to reflect the will of the public, whether Democrats from Obama on down can just casually abandon their campaign promises in the wake of unrelenting influence peddling and whether progressives are going to take a stand for something and refuse to back down." Those sure sound like fighting words to me.

6. Jon Walker riffs off of an article by Ezra Klein which argues, "If you had tuned in six months ago for 10 minutes, you would have had all the information necessary to predict exactly where we'd be today."  Walker concludes that the Senate "just spent almost half a year working on health care reform, and didn't accomplish anything that couldn't have been done in three weeks if they were a functioning legislative body." In other words, health care reform could have been completed last spring, leaving Congress free to turn to other matters, like...uh, the economy perhaps? Clean energy and climate legislation? Comprehensive immigration reform? A million other things? Nah, much better to have spent the better part of a year negotiating against ourselves and chasing the ever-elusive "bipartisan" support. Great.

7. Jon Walker live blogs the Senate debate over health care reform, which began at 3 pm earlier today.

8. Jon Walker summarizes the new CBO report on the Senate health care bill and its effect on premiums, writing that "reform would do basically nothing to reduce or increase premiums for most Americans." According to Walker, this will largely keep U.S. health care costs "nearly twice as high as any other industrialized nation," an outcome that "should not be a surprise" given the "sweetheart deals with all the concerned health industries." And on that happy note...

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FDL Action Health Care Update: Friday (11/27/09)

by: FDL Action

Fri Nov 27, 2009 at 16:26:26 PM PST

Here are the FDL Action health care reform highlights for "Black Friday" (November 27).

1. On Wednesday, Jane Hamsher asked, "Why is HCAN Defending Blanche Lincoln From A Primary Challenge?"  The answer: "[HCAN] will continue to operate as part of the Democratic party infrastructure, try to kill primary challengers and move to protect their 'own.'  And that means Blanche Lincoln.  If health care reform happens in the meantime, well, what a happy coincidence." Or "unhappy," as the case may be.

2. Yesterday, Jane Hamsher wrote about "The PR Push That Helped PhRMA Buy the Government." Included in "Government" are "the 42 members of Congress who helpfully inserted lobbyist language into the Congressional Record in favor of endless patents on biologic drugs on behalf of the prescription drug industry." So nice of those 42 members of Congress, huh?

3. Jane Hamsher wonders, "How is Newt Gingrich Not a Lobbyist?", and concludes that the "definition of 'lobbyist' seems a bit too flexible to prohibit the biggest of the professional influence peddlers from getting their claws in." Not that we'd ever think Newt Gingrich had claws or anything. Heh.

4. Jon Walker provides "13 very specific proven solutions" for OMB Director Peter Orszag, who had "defended the Senate health care reform bill's minor cost-control measure" by suggesting that critics had no ideas of their own for controlling costs. Among the 13 ideas Walker presents: "Turn all health insurances companies into non-profits;" "Allow Medicare to directly negotiate lower drug prices;" "create a much stronger risk adjustment mechanism [on the new exchanges];" and "Create a robust public option that can use Medicare rates and Medicare's provider network." I believe the ball is now in your court, Mr. Orszag! :)

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FDL Action Health Care Update: Tuesday (11/24/09)

by: FDL Action

Tue Nov 24, 2009 at 17:11:06 PM PST

Here are the FDL Action health care reform highlights for Tuesday, November 24.

1. Jon Walker explains "the difference between really trying and pretending to try" by Majority Leader Harry Reid on the public option. Walker quotes Gerald Seib of the Wall Street Journal, who writes, "Maybe Mr. Reid plans to push as far as he can with a bill including a public option, to show his party he has done all humanly possible, before yanking the public option just before the whole effort goes off a cliff."  The problem for Reid, though, is that such a maneuver is not likely to fool anyone. Or, as Walker puts it, "his party's base will not buy it." So much for that idea.

2. Jon Walker has the second part of his series on what the Senate health care bill does better: "the Cantwell basic health program," which Walker argues "is much closer to how sensible countries have designed their regulated health insurance marketplace or exchange." Wait, we're gonna start being "sensible" now? Ha.

3. David Dayen predicts that immigration could become a new sticking point for health care reform legislation, with "Rep. Luis Gutierrez (D-IL), a key ally of Barack Obama's from Illinois, [saying] today that he would find it 'extremely difficult if not impossible' to vote for a health care bill that included the restrictive and discriminatory measure on undocumented immigrants that appears in the Senate's version and has the White House's support." If it's not one thing, it's another...

4. Scarecrow explains why there needs to be a viable public option, arguing that "[w]ithout it, health insurance reform will be just a very bad, very foolish, and very expensive experiment - and clearly not the platform Democrats should want in 2010."

5. Jon Walker asks, "Is PhRMA Afraid Of The Progressive Block?" The question is prompted by the fact that PhRMA is running ads in Connecticut urging Joe Lieberman to support the current Senate bill. Verrrry interesting.

6. Michael Whitney points to a powerful new video contrasting Blanche Lincoln vowing on the Senate floor to oppose a public option with thousands of uninsured Arkansans in Little Rock for a free health care clinic. It's powerful stuff, and if you'd like to help us run the ads, please click here. Thanks.

7. Finally, Jon Walker compares the Senate filibuster to a game of "Shoots and Ladders" with "made up rules." Walker concludes that "Senate Democrats have to decide if keeping their fun, made up rules is more important to them than helping millions of Americans in need." Why does something tell me they're going to go with the "fun, made up rules?"  Sigh.

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FDL Action Health Care Update: Monday (11/23/09)

by: FDL Action

Mon Nov 23, 2009 at 17:11:49 PM PST

Here are the FDL Action health care reform highlights for Monday, November 23.

1. Yesterday, Jon Walker took on Nate Silver, who "believes progressives should trade the public option away, but what he wants in return is far more useless and an even tougher political battle."

2. Jane Hamsher says it all "comes down to a simple question: will Harry Reid allow for majority rule? Or will he let corrupt members of his own caucus block a majority of the public and Congress who want a public option?" Hamsher urges everyone to sign the petition to Harry Reid to pass the public option.

3. Jon Walker writes that Sen. Blanche Lincoln "is willing to force tens of millions of Americans to pay higher premiums for the small possibility it could gain her some political advantage," and that this constitutes "the trifecta of awfulness." For those keeping score at home, that's a lot of awfulness! :)

4. Jon Walker points out "what a difference a serious primary challenge can make." Specifically, "{Sen. Michael} Bennet is currently facing a serious primary challenge from Andrew Romanoff, while {Sen. Blanche} Lincoln is not currently facing a primary challenge."  Walker concludes, "It is amazing how quickly a serious primary challenger turns a senator into a reliable vote on the important issues." Sounds like we need a lot more primary challenges from real progressives.

5. Speaking of progressives, Jon Walker argues that "you can't be a progressive and support the filibuster," which he calls "a tool to thwart the will of the people" and "the great maintainer of the status quo."  It's not like the filibuster is in the Constitution or anything, it's just an internal Senate rule, and those rules can be changed. Is there any good reason not to change it?

6. Jon Walker warns that Sen. Robert Menendez (D-NJ) may be "jumping on the trigger bandwagon." Even if he's well intentioned, the problem is that any trigger in this case will likely "be designed to make sure it is never pulled, so there will never be a public option." Obviously, that's not an outcome we - or hopefully Sen. Menendez - find acceptable.

7. Jon Walker analyzes "what the Senate bill does better," focusing in this post on the "waiver For state innovation." Given many progressives' frustration at this point, it's good to know that the Senate bill "is not all bad," as Walker puts it.

8. Finally, Jason Rosenbaum reiterates that "triggers are nothing but a plan to kill the public option." Other than that, they're a greeeeeeaaat idea. (snark)

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FDL Action Health Care Update: Friday (11/20/09)

by: FDL Action

Fri Nov 20, 2009 at 17:07:24 PM PST

Here are the FDL Action health care reform highlights for Friday, November 20.

1. Jon Walker asks, "Is Harry Reid Laying The Ground Work To Betray Progressives For Snowe's Vote?" In the end, Walker concludes, "Reid does have the power to get a public option passed, there is no good excuse for failure." Cool, so don't fail! :)

2. Jon Walker says that "the crack team of reporters at the Washington Post don't know how to read" and that they "make the ridiculous claim that the public option would not be able to keep down costs." Other than that, they totally know what they're talking about. Heh.

3. Jon Walker discusses why the House bill is much more "small c" conservative than the Senate bill. In short, the House bill "would do a better job of maintaining a health care system similar to the one we currently have" and the "reason for this is the employer mandate."

4. David Dayen reports that "Ron Wyden has reached agreement with the leadership to get an amendment into the bill which would allow as many as 1 million additional individuals who get health care from their employers to participate on the insurance exchanges, including selecting the public option." Dayen believes that this could "lead to significant changes in the current health system by expanding the risk pool in the exchanges, strengthening them, and setting a precedent for moving away from the employer-based system."  The Republicans' worst nightmare, in other words.

5. David Dayen reports that Bill Clinton told FDL's Eve Gittelson that it would be problematic for him to attend a free medical clinic being held in Little Rock, Arkansas tomorrow because MSNBC's Keith Olbermann had 'politicized" the event.'" Huh?

6. David Dayen says that while "{e}veryone's talking about the US Conference of Catholic Bishops and their imposition into the legislative debate over health care, particularly abortion," the there's also their "opposition to a restrictive provision in the Senate bill that would ban undocumented immigrants from purchasing health insurance on the exchange with their own money." Go Catholic Bishops on this one!

7. Jon Walker asks, "Why Does The Senate Bill Create Two Exchanges?" The answer: "I have been unable to find a good reason why the decision was made to create two separate marketplaces."  Well, that's comforting! :)

8. Finally, tomorrow (Saturday) at 8pm eastern time is the big vote to proceed to debate on health care reform legislation in the U.S. Senate. We'll see how it goes, but there's little doubt that conservadems love their leverage in this process.  Thrilling, no?

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FDL Action Health Care Update: Thursday (11/19/09)

by: FDL Action

Thu Nov 19, 2009 at 17:11:43 PM PST

Here are the FDL Action health care reform highlights for Thursday, November 19.

1. Jon Walker lays out "eight things wrong with the Senate health care bill," beginning with "Delays Start Until 2014" and including "Nationwide Plans Gutting State Regulation." Definitely a few things that need to be fixed here.

2. Jane Hamsher has a statement from FDL on the Senate health care bill. The statement concludes, "If Harry Reid truly cares about fighting for the good of the country over the good of Wellpoint, he will immediately dispense with the opt-out and move to reconciliation and allow a majority in the Senate to deliver to Americans what they want and desperately need." Unfortunately, it doesn't appear at the moment that Reid is so inclined.

3. Speaking of the opt-out, Jon Walker writes that the "CBO has concluded that the design of the opt-out provision will end up denying the public option to roughly a third of the population in this country." Needless to say, that would not be good.

4. Jon Walker identifies the "most frightening line in the CBO report," regarding risk adjustment mechanisms in the Senate bill that are "dangerously weak." According to Walker, "that might not sound scary, but that line should strike fear in the hearts of any health care policy expert." Find out why by clicking here.

5. Jon Walker writes that "at the request of AHIP, [the] Senate bill guts state  health insurance regulations." Walker says that this "is a dramatic move by the federal government, forcing states to deregulate their health insurance markets," and that it could "gut state health insurance regulations and create a race to the bottom." Other than that, it's great! (snark)

6. Jon Walker examines the House and Senate health care bills and concludes that the House bill is 12% more cost-effective than the Senate bill.

7. Jon Walker analyzes "how the Senate abortion language differs from Stupak". In short, the Stupak amendment "would make it practically impossible for any insurance provider to offer abortion coverage on the exchange for a variety of financial and legal reasons."

8. Jane Hamsher contrasts Sen. Blanche Lincoln (D-AR) "hold[ing] health care...hostage" while Lieutenant Governor Bill Halter "brings Olbermann clinics to Arkansas." Quite a contrast.

9. Finally, Jon Walker reports that, "{l}ike a monster in some B horror movie," Tom Carper is now working with Olympia Snowe "to bring back the trigger, which [Carper] has comically named the 'hammer.'" The hammer? What, is this named after Tom DeLay or something? Weird.

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FDL Action Health Care Update: Wednesday (11/18/09)

by: FDL Action

Wed Nov 18, 2009 at 15:59:57 PM PST

Here are the FDL Action health care reform highlights for Wednesday, November 18.

1. Jane Hamsher reports that voting is now open for the Public Option Please (POP) art contest. There are six finalists, vote now!

2. Jon Walker writes that "it seems [Senator Thomas] Carper [D-DE] has completely reinvented (cribbed? copied?) Snowe's trigger proposal, and must be hoping no one notices."  Whoops, we noticed! :)

3. Jon Walker writes about a new CBS News poll which "found that a majority of Americans (51%) want Congress to pass a health care bill with a public option." Only 26% of Americans prefer "no bill at all," while an even smaller share (16%) would like a health care bill without a public option. Part of that 16%, of course, is Joe Lieberman, who is now being asked by "Concerned Clergy of Connecticut", "what is it that your conscience tells you?"  A scary thought, indeed.

4. Jane Hamsher urges women to "get realistic about your uteruses." I think I'll just let Jane explain this one. LOL.

5. Jon Walker analyzes the Capps, Ellsworth, Stupak, and Senate Finance language on abortion.

6. Jon Walker says that "Ben Nelson is unlikely to block allowing debate to proceed on health care reform" because - get this - he fears that if he doesn't, the legislation would move ahead under reconcilation and turn out less "moderate" (e.g., more progressive) than he and his pal Joe Lieberman would prefer. And that would be a bad thing, apparently. Got it.

7. Jon Walker writes that the Senate health care bill, at long last, will be unveiled tonight, with a vote possible on the motion to proceed as early as Saturday night. Of course, as Walker points out, "allowing a bill to be debated on the Senate floor is a long way from allowing the final up-or-down vote needed to pass the bill out of the Senate." Hey, after decades of waiting, why rush this thing? (snark)

8. I blog about a story in North Decoder on Kent "Coop" Conrad calling Blue Cross/Blue Shield of North Dakota "irresponsible" for a mailing it did on health care reform. What's hilarious is that Conrad has been the biggest proponent of health care cooperatives, yet that's exactly what "irresponsible" BCBS of North Dakota hopes to be under federal legislation. Nice, huh? :)

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FDL Action Health Care Update: Tuesday (11/17/09)

by: FDL Action

Tue Nov 17, 2009 at 16:44:26 PM PST

Here are the FDL Action health care reform highlights for Tuesday, November 17.

1. Jon Walker reports that a new ABC/Washington Post poll indicates the country "nearly divided" on the overall health care reform effort, but "very high popular support [for] the public option and the employer mandate." Isn't it interesting how the most progressive parts are the most popular? Hmmmm.

2. Jane Hamsher comments on an email from Sen. Dick Durbin (D-IL) that says, "The question is no longer if we will have some sort of public option in the final health care reform bill, but instead what form it will take."  To put it mildly, Hamsher is suspicious of what this means. asking if Durbin's and Reid's "online people really think they can burn the entire online left community by manipulating them so shamelessly on something that is this important to them, and that nobody will remember?"

3. I've got a roundup from the state blogs, including Calitics, Loaded Orygun, Blogging for Michigan, Blue Virginia, Minnesota Progressive Project, and West Virginia Blue. Keep up the great work, everyone!

4. Jon Walker analyzes the options for passing health care reform in the U.S. Senate without having 60 votes, and asks, "how many thousands of lives and billions of dollars are they willing to throw away to maintain some of their terrible, anti-democratic, anti-constitutional, special Senate privileges?" The answer to that question, of course, should be "none."

5. Jon Walker writes that we need to address health care costs, and that it's no "great mystery" how to do so: "There are plenty of thoroughly tested, completely proven cost control mechanisms we can directly borrow from other nations." One thing's for sure, though, Walker concludes, "we need to take off the 'free market economagic' blinders" and "start by adopting solutions proven to work elsewhere."

6. Jon Walker is concerned that the Stupak Amendment "could radically reduce the availability of abortion coverage in this country," and that "its reach could be far beyond the exchange." Which is why it's such a bad idea and should be removed from health care reform legislation, ASAP!

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FDL Action Health Care Update: Monday (11/16/09)

by: FDL Action

Mon Nov 16, 2009 at 16:55:22 PM PST

Here are the FDL Action health care reform highlights for Monday, November 16.

1. Jon Walker reports that "HR 3962's Massive Expansion Of Coverage Would Result In Very Small Increase In Health Care Spending." Walker adds, "Despite the Republican talking point, it is not some liberal overreach-this reform bill is extremely modest reform that leaves statue quo mostly unchanged."

2. Jane Hamsher requests that we "[a]sk Sherrod Brown to save us from PhRMA and the Eshoo/Hagan/ lobbyist-written biologics legislation HERE."

3. I blog about a story on My Left Nutmeg, which has a rabbi telling Joe Lieberman with regard to health care reform and the public option, "Do not stand idly by the blood of your neighbors." The rabbi also asks Senator Lieberman, "what is it that you stand for?" That's an easy one: Joe Lieberman stands for Joe Lieberman, not for the people of Connecticut, on this crucial issue.

4. Jon Walker blogs about a report in the New York Times that "the drug companies have dramatically jacked up the prices of their medications this year to lock in profits before reform starts." Wonderful, huh? As Walker puts it, "there goes your magic savings from the PhRMA deal." Ugh.

5. Michael Whitney reports that "Rep. Sheila Jackson Lee (TX-18) will oppose a final health care bill that has triggers or that allows states to opt out of the public option - with an asterisk." The "asterisk" is that she would "allow states to opt-out only if they did provided 'a more progressive option' offered at the state level." Sounds reasonable to me.

6. Jane Hamsher asks "What do you do when you're busted spamming the Congressional Record?" Easy: "Raise Drug Prices!" As Hamsher notes, that takes "some serious stones".

7. I report on the teabaggers in Virginia backing off their plans to burn Nancy Pelosi and Tom Perriello in effigy for supporting health care reform. It turns out, they were scared off by bloggers like Blue Virginia and Firedoglake. Are we "liberal bloggers" really that scary to big, bad tea partiers?  Apparently so!

8. Jon Walker writes that the Senate health care debate is expected to start on November 30, which obviously "does not leave the Senate a lot of time to finish up amending the bill before Christmas." Are we going to miss another deadline on getting a health care reform bill to President Obama's desk for signature? It's starting to look that way, unfortunately.

9. Jon Walker says that Sen. Tom Carper of Delaware "thinks Democrats should embrace Snowe's worthless trigger," and predicts that "Senate Democrats are going to rue that day if they sellout the over 80% of their base that supports a public option in order to win the support of one single Republican." And that's not even counting Joe Lieberman! Heh.

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FDL Action Health Care Update: Friday (11/13/09)

by: FDL Action

Fri Nov 13, 2009 at 17:08:22 PM PST

Here are the FDL Action health care reform highlights for Friday, November 13.

1. Jane Hamsher writes about a Goldman Sachs evaluation that says the House version of the public option would cause insurance stocks to drop 36% by 2019. Jane concludes, "It's hard to look at this as anything but advocacy on their part to apply political pressure to weaken and pass the Senate Finance Committee bill, because it's highly unlikely that no health care bill will be passed."

2. Jon Walker has more on the Goldman Sachs analysis.  Walker highlights Goldman Sachs' belief that "the public option would be the dominant player on the health insurance exchange, with over 50% of that market...significantly more than the CBO's projection that the public option would only sign up 20% of the customers on the exchange."  Walker believes that Goldman Sachs is "much better at this type of analysis" than the CBO, and thus recommends "listening more to Wall Street's analysis than the CBO's."

3. Jane Hamsher marvels at Harry Reid's "list building off the public option," saying she is "[g]lad to hear it" and that "as long as reconciliation is a possibility, I doubt either the AFL-CIO or us will accept him shrugging his shoulders and saying 'what can I say, Joe made me do it' as a solid excuse for ditching it."

4. Jon Walker writes that the CBO analysis of the Senate health reform bill "is taking even longer than expected."

5. I've got a "Voices from the States" writeup by Betsy Muse of BlueNC, in which she writes, "Under the current makeup of our state government, I don't think there is a chance that North Carolina will opt out of participating in healthcare reform."

6. Jane Hamsher highlights a story first blogged on Blue Virginia that "teabaggers" in Virginia are planning to burn Nancy Pelosi and Tom Perriello in effigy tomorrow afternoon.  Fun times in Danville, Virginia! (not)

7. Finally, Jane Hamsher reports that Harry Reid's online poll indicates 67% saying that the public option is the "most important aspect of health care reform."  Hamsher believes that Reid's effort is sincere, given that "You don't list build by appealing to people you plan to punk."

I hope you had a lucky Friday the 13th! :)

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FDL Action Health Care Update: Thursday (11/12/09)

by: FDL Action

Thu Nov 12, 2009 at 16:23:48 PM PST

Here are the FDL Action health care reform highlights for Thursday, November 12.

1. Jane Hamsher writes that "Harry Reid says he has a wonderful relationship with the albatross hanging around his neck," aka Joe Lieberman. Personally, I still can't comprehend how Lieberman wasn't booted from the caucus when he not only endorsed John McCain, but campaigned with McCain and Sarah "Wolf Killer" Palin against Barack Obama and Joe Biden in 2008. Argh.

2. Jon Walker blogs about a Washington Post story "that Harry Reid is looking into possibly raising the Medicare payroll tax for those making above $250,000 a year." Walker believes that "[i]f Reid can get the Senate bill to more heavily rely on taxing the wealthy, and less on taxing employer-provided health insurance benefits, it could reduce the number of contentious issues needed to be settled in conference." Not that there are any contentious issues that need to be settled in conference. Ha.

3. Jon Walker writes that "[w]hile health reform does not directly address many GLBT issues, it does try to fix many of the problems with our current system that do strongly disadvantage the community." Let's hope so, it's about time this issue is addressed!

4. Michael Whitney writes that "[s]ince Monday, activists from Firedoglake, CREDO, and Democracy for America helped put in hundreds of calls to progressive Members of Congress to find out where they stand on triggers and opt-outs in the final health care bill." Whitney asks that "you call progressive Members of Congress and find out where they stand on triggers and opt-outs." Please help out if you possibly can.

5. I report on a new poll by Quinnipiac University that indicates the public option is highly popular in Connecticut, and on balance it's a political loser for Joe Lieberman to oppose it. Not that he gives a rat's hindquarters.

6. Jon Walker writes that this is "only one important battle for health care reform," that even if "a health care reform bill passes this year, there will be at least two more legislative battles before progressives could turn it into a quality universal health care system." Something to look forward to.

7. Jon Walker believes that Rep. Bart Stupak has no plans to "fold," and also that if "the pro-choice block in the House is not serious with their threat, the Stupak amendment will be in final bill." That's an outcome we don't want, so let's hope pro-choice representatives get "serious." Fast.

8. Jon Walker says that Senator Harry Reid "may pay for reform with Medicare payroll tax on capital gains." Walker believes that this is "a smart way to raise money and should be a relatively easier sell, as tax increase[s] go."

9. Michael Whitney reports that "Rep. Michael Capuano's office is telling constituents that he will oppose a final health care bill that has triggers or opt-outs." That's good news, but of course we need more commitments like this. As mentioned above, if you can, please call progressive Members of Congress and find out where they stand on triggers and opt-outs. Thanks.

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