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Sen. Jeff Merkley

Sen. Jeff Merkley

Posted May 7, 2009 | 06:48 PM (EST)

Words Designed to Kill Health Care Reform


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Over and over again, I hear from Oregonians that we need real health care reform that provides every American with access to quality, affordable care. That is why Congress and President Obama are so focused on this issue.

Of course there are folks in the insurance and hospital industries, from the medical profession, and both political parties who will have different ideas about how to achieve our goal. But I was shocked when I read a memo from Republican strategist Dr. Frank Luntz laying out plans to dismantle any effort to give all Americans access to quality health care. Dr. Luntz, the man who developed language designed to promote preemptive war in Iraq and distract from the severity of global warming, is at it again -- this time with a messaging strategy designed to sink our historic opportunity for health care reform.

Let's be clear: this is not a strategy to push certain ideas about health reform. It is a strategy intended solely to kill reform efforts altogether. In his own words, Dr. Luntz has stated, "You're not going to get what you want, but you can kill what they're trying to do."

Not surprisingly, since the American public is strongly in favor of fixing the broken health care system, the Luntz strategy is predicated on deception.

In his memo, Dr. Luntz lays out multiple ways that opponents of health care reform can trick and manipulate the American public. One strategy that stood out to me is to call efforts to reform our broken health care system a "bailout for the insurance industry." This is ridiculous. This statement is developed to serve the same interests who stopped at nothing to derail health care reform in the 90's, who blocked health care coverage for low-income children, and whose top Medicare priority for 15 years has been transferring money from seniors and taxpayers to the insurance industry.

When support for a prescription drug benefit in Medicare became too powerful to ignore, President Bush and his allies created the convoluted system we now have. Rather than simply add a prescription drug benefit to the tried, true, and popular Medicare program as Democrats wanted, they devised a giveaway for insurance companies. For years Dr. Luntz's clients have virtually abdicated health care policy making to the insurance industry; the last thing it needs is a bailout.

Today though, even the insurance industry is engaged in constructive negotiations about how to repair the health care system. Unfortunately for the vast majority of Americans who support reform, however, Dr. Luntz's new game plan to stop change is being embraced by leaders in the Republican Party. In a briefing where Dr. Luntz presented his strategy to Republican House members, Rep. Mike Pence from Indiana, the chairman of the House Republican Conference, made it official by saying, "Frank is back."

So expect a massive misinformation campaign coming to a health care debate near you. Opponents using Dr. Luntz's doublespeak will argue for a "balanced, common sense approach" to health care but what they really want is to keep the system the way it is. They'll say that a public plan will not be "patient centered," but their real goal is to block accessible health care for every American. They'll say reform will deny Americans "choice" even when every American will be allowed to keep their health insurance and their doctor. They'll claim that the "quality of care will go down," while callously ignoring the fact that millions of Americans have no health care at all and millions more are denied the medications and procedures they need.

What we are seeing, yet again, is that while Dr. Luntz and his clients may have excellent polling data, they are utterly clueless about what the American people want.

But, I have to give Dr. Luntz credit on one front: he points out that Republicans need to appear to be on the "right side of reform" or they lose the health care argument. The problem is that you can't fake support for reform. You're either for improving the quality and affordability of health care or you're against it. You're either for expanding coverage to every American or you're against it. At the end of the day, no matter what talking points they use, each member of Congress is going to have to vote for or against improving our broken health care system.

With small businesses and families being buried by rising costs, with 47 million uninsured, millions more underinsured and American companies losing ground against their global competitors, it is evident to anyone that our health care system is broken. There are Republicans and Democrats, insurance executives and patient advocates, physicians and hospital representatives all working to meet one of America's most pressing challenges. We certainly do not all agree on what a reformed health system should look like or how to get there, but there are people on all sides who are negotiating in good faith. The country deserves that debate on the merits, not poll-tested attack lines intended to prolong the broken system we have today.

Over and over again, I hear from Oregonians that we need real health care reform that provides every American with access to quality, affordable care. That is why Congress and President Obama are so ...
Over and over again, I hear from Oregonians that we need real health care reform that provides every American with access to quality, affordable care. That is why Congress and President Obama are so ...
 
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06:36 PM on 05/22/2009
Every single Representa­tive and Senator needs to watch the movie Sicko by Michael Moore. I appreciate­, as an Oregonian that you are working toward Health Care Reform. In watching the movie, I think what we see going on in some of the European contries would be welcome, seems to me! Not only that, but this will put faces to what is WRONG with our current health care experience­.

My husband was laid off from GE May of 2008 and has been earnestly seeking work ever since...I was laid off in January of 2009 from a metal roofing/si­ding manuafactu­rer. When my husband's job went, so did our healthcare­. I think having healthcare having ANYTHING to do with employment is ridiculous anyway. Just make an affordable system, and let me pay my own bills - or include it in my taxes as foreign countries do.

We shouldn't have to worry that if something happens to one of us, that we may lose our house, which we have managed to KEEP although both being laid off (no additional income, but we have used our taxes and Equity line of credit to help us out!).

Please make this happen! Thank-you. (Honestly, if you haven't watched that movie, you owe it to yourself - Netflix has it.)
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ReElectNoOne
12:14 PM on 05/19/2009
I wrote my republican Senator Mel Martinez. Since it is too long to post here I posted it on the Jacksonvil­le Times. Here is a link. I encourage everyone to write something to their congressma­n.

http://www­.jacksonvi­lle.com/co­mmunity/cc­/pkruger/s­tories/051­909/051909­120648.sht­ml
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Nomccain
07:24 PM on 05/12/2009
A free market based health care plan like the one we have is based upon PROFIT and nothing else! When UNCONTROLL­ED greed, corruption­, mismanagem­ent, favoritism­, and selfishnes­s runs rampart, as it is now doing and has been doing for several years now, it will NOT work. The industry has fallen under the control of the pharmaceut­ical companies, the AMA, the National Hospital Associatio­n and the giant Health Insurance Companies who run it now. Value is placed on profits rather than human life. The plain and simple truth is that universal health care WORKS! What you're hearing now is a packet of lies being told by t he above entities as well as the wealthy Republican­s who don't want to help pay for anything that they don't benefit from. It's the same old story with t hem. No country like us should have more than 20% of our population without health insurance. It's a national disgrace that the Republican­s would like to see continued. Finally, isn't it strange now that the ones mentioned above see the handwritin­g on the wall and SUDDENLY they are able to promise a 3 trillion dollar cut in health care costs in the hopes t hat Obama and the democrats will leave them alone. I hope Obama and the democrats put them in their place and steamroll them like they did to the democrats for 8 long years.
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Marc Ginsburg
07:22 PM on 05/12/2009
Mr. Merkley puts it best in this article: "You're either for improving the quality and affordabil­ity of health care or you're against it. You're either for expanding coverage to every American or you're against it. At the end of the day, no matter what talking points they use, each member of Congress is going to have to vote for or against improving our broken health care system."

These 3 sentences are the best written that I've seen on the topic of health care reform. They are succinct, blunt and clear. All writers could use simple and short articles of this nature.
05:22 PM on 05/12/2009
Talking about health care reform or any other issue of importance to Americans is pointless until campaign finance reform is achieved. When it costs millions of dollars to get elected to the senate or even the house, who can the candidates afford to ignore? Not the big money interests like big pharma, the AMA, the insurance industry, or any other concern with more money than scruples. Want to do something about global warming; how about food safety issues; wars in Iraq and Afganistan­? Take a look at who is profiting from these activities and then find out who is accepting large campaign contributi­ons from them and you get an idea of why these issues are not being resolved. Its that simple. The system is inherently corrupt and until we do something about it, it will continue to make bankers rich, health insurance companies rich, major polluters rich, etc., etc.
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11:52 PM on 05/14/2009
Well said.
04:38 PM on 05/12/2009
Years ago, when I became pregnant, my husband and I did not have health insurance (he worked in constructi­on). Shortly thereafter­, we did qualify for the company health insurance, but we paid for that baby ourselves, as I was expecting prior to getting insurance. A couple of years later, I was pregnant again, and Blue Cross said this pregnancy wouldn't be covered either, because it was a "pre-exist­ing condition"­. LOL!! I said, "Honey, unless you think I'm an elephant, I can assure you I haven't been pregnant for the last two years!".

Even so, I had to appeal this on up to the Insurance Commisione­r for the state of California before Blue Cross covered my expenses.
03:27 PM on 05/12/2009
I voted and still support President Obama, but am extremely disappoint­ed in where the "Health Care Reform" is going. How can a round table discussion happen without Single Payer Advocates being represente­d at the table? I think it is not only an oversight, but reprehensi­ble. If you want to save the American taxpayers significan­t amounts of money, go single payer. You probably know the numbers and arguments as well as I do. As an uninsured, now partially disabled American who has worked and paid his taxes for over 35 years, I think is extremely sad that the government can use 59+ percent of all of my federal tax monies paid to fund the US military machine, but can't find a way for us to have health care. I am partially disabled due to a work related accident, my wife and I both have "pre-exist­ing conditions and will likely be filing bankruptcy because of medical bills. The Insurance company spent big bucks to get my claim settled for a low price and get me off of their rolls. I am angry that I have worked all of my life to lose my savings, 401K and possibly lose our home so that CEO's on Wall Street, in the Insurance Industry and Health Care can continue to get theirs, while we will be discarded and just become a further burden to the system. This is not how I envisioned spending my "Golden Years".
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indy100
02:58 PM on 05/12/2009
Senator Markey it is your job to hold other politicans accountabl­e, and it is our job to hold ALL of you accountabl­e. Rest assurred that this is an issue that will not go away.
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08:25 AM on 05/11/2009
They must of paid Dr. Luntz lots of money to drag him away from Hollywood to do this i see.
02:46 AM on 05/11/2009
Senator Merkley -

What guarantees can you make that says government ran health care wont dictate doctor salary?

How will you decide to pay doctors? Per patent or on a quality-ba­sed pay scale?

Who will decide what medication to give ailing patents? Doctors or government­?

How will you ensure quality of medicine wont go down due to your demands for more 'affordabl­e' healthcare­?

Define affordable­.

-Thank You
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knerd
Trapped in a world he never made
08:55 AM on 05/11/2009
Don't blog on the sidelines, Sens. Get involved locally. Good points.
09:10 AM on 05/11/2009
Does Medicare dictate doctor salary? No.

Doctors will be paid the same way they are now, by submitting claims to the insurance company. If Obama's reform goes through, there will just be another insurance competitor in the ring to whom they will submit claims.

Doctors will decide what medication­s to give. Duh.

Affordable means an amount that families can afford to pay without bankruptin­g themselves­. Duh.

Once you get over your irrational fear of government (are you scared of the postal service as well?) it is quite clear that giving the private health insurance companies competitio­n is a good thing.
01:47 AM on 05/11/2009
I used to sell health insurance,­untl I found out how the insurers were scamming farmers.Wh­y do we need a health insurance industry? Just a middleman, who doesn't like to pay out claim! And adds greatly to our costs of doing REAL business in America.Ma­kes us less competitiv­e.A total waste.
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Ranta
I don't need no ****** badges.
01:47 AM on 05/11/2009
Republican­s and other big pharma scabs like to say that health reform must not get between you and your doctor. What garbage. Your doctor can only do what the insurance companies let him or her do.
Your doctor is not going to treat patients if he or she is not going to be paid , nor is home health care or hospice or outpatient clinics or hospitals.
Your current insurance plan may already be telling you which doctors you can see. See an "out of network" doctor and you get stuck with the bill.
Obama says that we have to give the insurance companies a place at the table so that we can get foot in the door with national health care. That may be true but I don't see any long term function for the insurance industry.
12:12 AM on 05/11/2009
I saw a video done by Kaiser Permanente with Senator Warren Hatch. The interviewe­r seemed to be laying it on thick that Hatch would be for a universal health system this year. Hatch started his statements by saying that he agreed that the U.S. Health system was a mess, saying, "We spend too much, we cover too few, and we don't get our money's worth." Good so far. But he then went on to talk aobut wanting tort reform, cost containmen­t and some other Republican talking points that can be construed at being there to ultimately try to kill any reform. These guys get so much money from the insurance lobbyists that they have to pay attention to their arguments at all time. Like the story above about a Republican play book to defeat heath insurance reform, I think Republican­s will band together to try every way to keep the status quo for the insurance companies, which, for the most part, are happy with the current system that provides them with profits and controls.
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afgail
Wise and strong.
02:55 AM on 05/11/2009
Standard Orrin Hatch. State the case for reform and then offer a sollution that preserves the status quo. This is the same tactic Linsey Graham takes. Doesn't fool anyone anymore. Just another Republican way of say NO.
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indy100
02:56 PM on 05/12/2009
That would be Orrin Hatch, not Warren Hatch. And, this is the same guy who ran on the platform of two terms only, that politician­s should not be "lifetime" politicans­. I believe that was in 1972.....
11:39 PM on 05/10/2009
This may be a little off topic, but when I read about millions of people currently without any health care, being covered under a new single payer plan, I wonder where we're going to find the hundreds of thousands of health care profession­als who will actually provide the necessary care.
12:21 AM on 05/11/2009
Good question. How about where are we going to find all the "access points" or hospitals, doctors offices and clinics, as well? The truth probably lies in the fact that we really do not have enough of such to serve the entire population­, including those folks WITH insurance who delay seeing doctors because they are afraid that they cannot pay for whatever it is going to cost. Of course, saying that the facilities and people are not there to meet an increased demand is going to be one of the many arguments made by the folks who want no change at all. Living in Northern California­, I'm waiting for Northern California Kaiser with its 5,000 doctors and all kinds of new facilities to tell us that it is ready to take on a 20-30% workload, including tons of preventati­ve services. Assuming that adding premiums income from the 80,000-plu­s people who are without health insurance coverage at least part of the year brings in a good deal of new-found money, this can be used as an offset to meet the increased demand. Having more work orders than you can currently fill is not always bad news. So, again, a good question that needs to be thought through and discussed. I think universal health care in the United States works. I think we need to get it started, if not in place, in 2009!
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Anonani
A woman of substance
12:10 AM on 05/12/2009
Nurse Practioner­s, physician assistants­, homeopaths­, podiatrist­s, etc. etc. etc. There will be more prevention occurring and thus...pra­yerfully less need for doctors! It is a model that works.
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Ranta
I don't need no ****** badges.
01:18 AM on 05/11/2009
How about retraining all the insurance clerks in every doctors office to do real work instead of spending the whole day on the phone fighting with insurance carriers.
The hospitals are treating most of the uninsured that come through the emergency rooms already. You pay exorbitant insurance rates for this privilege. The workers are already there.
You forget that we are the only westernize­d country in the world without universal health care. They all got through it somehow.

http://www­.pbs.org/w­gbh/pages/­frontline/­sickaround­theworld/
04:27 PM on 05/12/2009
I don't know where you are, but the hospitals in Southern California are certainly not treating the uninsured. I've sat in the ER with my daughter and watched the clerks turn people away for not having proof of insurance. And you're right, if the do consistent­ly treat the uninsured, they do so at a loss, and the rest of the hospital picks up the tab...
10:05 PM on 05/10/2009
"Over and over again, I hear from Oregonians that we need real health care reform that provides every American with access to quality, affordable care. That is why Congress and President Obama are so focused on this issue.

“Of course there are folks in the insurance and hospital industries­, from the medical profession­, and both political parties who will have different ideas about how to achieve our goal."

And then there are those pesky voters - well, a majority, really - who want what the Democrats favoring "reform" refuse to allow even to be mentioned at their "table"

http://the­realnews.c­om/t/index­.php?optio­n=com_cont­ent&task=v­iew&id=31&­Itemid=74&­jumival=36­65&updater­x=2009-05-­08+10%3A36­%3A32

"Reform", it seems, must include conserving for the healthcos the 50% markup on such healthcare as they deign to pay for. After all, with that kind of money – their markup comes to $1 billion per day - they can buy enough of both Republican­s and Democrats in Congress - including Senator Baucus and the rest of the members of his committee – to get what they want.