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Linda Bergthold

Linda Bergthold

Posted: November 7, 2010 06:29 PM

Despite brave and bullying promises from Republicans to repeal the health reform "monstrosity" this past week, they can't do it. Not in the next two years, and maybe not even in 2012, no matter who wins the presidency. Why? For now, because even if the Senate agreed with the House and passed a repeal bill, President Obama would veto it. By 2012 the growing number of Americans (more than half) who already like provisions of the new law, will want to keep them.

If not repeal then, what about death by a thousand cuts? Most policy analysts believe that there are several provisions of the law that could well be revised or starved, if not outright repealed. Most of those provisions will mean little to the American public (e.g. the Independent Payment Advisory Board (IPAB), the Center for Innovation in Medicare, the Patient Outcomes Research Institute (PCORI), the 1099 reporting requirements), but at least the first three are key to cost control in the long run. The much debated individual mandate, requiring everyone to have insurance, is making its way through the courts and could well end up in the Supreme Court, where the outcome is unknown. Republicans have vowed to have hearings every week next year, many of which will focus on the health reform law. The goal of those hearings is to stab health reform in its heart over and over again, and advocates for health reform can only hope that Americans are too busy trying to survive to listen to C-SPAN.

There are at least four groups of Americans who will gain a lot from health reform and who should push back on repeal or revision - 1) Those who can't buy any insurance because they are or have been sick 2) Those who can't afford insurance even if they are well, 3) Those who are employed but would love to leave their job but are afraid of losing their insurance, and 4) Those whose livelihoods depend on getting paid for providing care (i.e. doctors, nurses, hospitals, pharmaceutical companies, etc.) The latter category is a huge constituency for most of the basic aspects of the health reform law, since the burden of the uninsured on hospitals and doctors is becoming unsustainable. Even the health insurer constituency supports aspects of health reform like the individual mandate, since if everyone is "in", the healthy can subsidize the sick in a reasonable way.

The most important question to ask now is: What would the Republicans propose IF they could repeal health reform? Unfortunately, their answers are as old as the debate itself. There is absolutely nothing new in the pledges to America of Reps. Cantor and Boehner. They make the same old talking points they have been making for 20 years: 1) Selling insurance across state lines; 2) malpractice reform; and 3) more personal responsibility for health care. These solutions sound innocuous but they will not solve either the crisis of the uninsured or the need to bring costs down. John Goodman has made some good points about the value of selling insurance across state lines, but his argument relies primarily on a public that is willing to pay less to get less, and then not whine when they get sick and want more! Selling insurance across state lines means that insurance companies will base themselves in states that have little regulation and few mandates to cover things like maternity care or even emergency services. Malpractice reform has been shown over and over again to contribute less than 2% to the costs of health care, so while it is a good idea, it is not "the" answer to the most pressing health reform issues. And more personal responsibility usually translates into high deductible plans that requires the member to spend $2500 or more out of their pocket before any serious coverage kicks in. These "consumer driven" plans, as they are called, are much the same as the high deductible plans that many Americans currently hold, although occasionally they cover doctor visits with a co-pay. They are based on the theory that buying medical care is like buying a car or a refrigerator, which of course it is not. Despite Republican attacks on health reform, at least ten of the main ideas in the Affordable Care Act have previously been proposed by Republicans, according to the Center for American Progress.

What should we watch for in the next year or so? Regular hearings by Congress which will require key Administration officials to spend time preparing for and defending health reform; symbolic gestures like bills that have no chance of passage but will appear like "progress" for those that oppose health reform; provisions that take away the money (or try to) from the implementation of full reform in 2014; and countless provisions of the law attached to other bills like defense that make them hard to vote down. Symbolic politics is just that. It is symbolic not action. It does not solve problems. It makes Washington politicians "look" like they are solving problems. But in the end, Americans and their families who are not lucky enough to be completely healthy with jobs and health insurance, will struggle to get coverage and keep it. Buyer beware, you say? Voters already rejected that idea. But if you voted differently, you need to pay attention to what is about to happen and help your friends and families understand the real purpose of these activities. It will be more important than ever to keep refuting the lies and misrepresentations of health reform.


 
 
 
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Lisa Spurgeon Bullock
10:21 AM on 11/24/2010
Healthcare should not be a business. Corporations are making their money off of the sick and dying. Everyone should be outraged.
08:07 PM on 11/12/2010
I look forward to the day I don't have to pay $300 (cash up front) to see a gynecologist for a routine exam. I look forward to having a mammogram ( currently $350 (cash up front).

Do I care that women will FINALLY have maternity coverage and that nursing moms get a break and a clean place to pump or nurse their babies? That's in the bill, too. Why would I care?
Well, I DO CARE.

I care because I live in a state (Florida) which has received a FAIL or UNSATISFACTORY ratings for every single significant women's health concern category, based on national status indicators for care. And this is despite a health care industry that has doubled it's rates, denied coverage, and lowered benefits, all the while charging outrageous rates.

Luckily, Florida has just elected, as Governor, Rick Scott (REP), former CEO of Columbia/HCA who resigned in 1997 amid an FBI probe that ultimately led to the company paying a record $1.7 billion in criminal and civil fines for Medicare fraud.

So, yes, I am FOR Health Care Reform.
08:06 PM on 11/12/2010
I'd like to add to the group of Americans who will gain from health reform - Those who either have a job, or would like to have a job. Health costs have DOUBLED in the last 10 years, while co-pays have gone up and coverage has been reduced. Think it doesn't matter, since your employer pays for it? Think again. Employers in his economy can't afford it, either. That means YOUR job security, or you're spouse's (or your eligibility as an employable candidate) is going to become based not on your skills or talent, but will be determined on your health care costs to the employer. Time we faced up to that.

The unemployment disaster can not and will not be resolved without meaningful Health Care Reform. I don't understand the current bill more than anyone else - but I do know this - it won't be enough (gutted as it has been) & it won't be in time.

I would be happy, for $5000/year, to get the health care I need (no more, no less), in an efficient way, receive preventative care from a team, rather than just my primary MD, without a cap on coverage (that would currently bankrupt me), without being dropped if I become sick, or be denied coverage if I have a pre-existing condition, & if I earn less than $43k per year, I'll pay less.If I change jobs, I'll have affordable coverage. That, I know, is in that bill, and I do want that.
10:16 PM on 11/09/2010
Yes we can abolish all healthcare legislation and regulation. The whole thing is unconstitutional. Any action on health is in the jurisdiction of the States only.
09:22 AM on 11/11/2010
There are lots of things that can easily be considered unconstitutional... the EPA, CIA, FBI, Social Security, National Park Service, public education, etc, etc... pretty much anything created after the ratification of that particular document could technically be considered unconstitutional... so this lame argument does not work here or anywhere else (unless it is a law that directly attacks the Constitution itself.... like the USAPATRIOT Act ot the Military Commissions Act of 2007, free-speech zones, the "Citizens United v. FEC" ruling) and is only used by the weak minded fool who has no idea what they are talking about!!
02:57 PM on 11/09/2010
Before making a massive make-over of the HC system, they should have done smaller less invasive changes to start. State competition will lower rates and offer lower cost options to those who need it. If they don't like it, chose another. The promise that if "you like your current healthcare/doctor, you can remain with them" is now at risk. If your employers choice is pay an 8% penalty and send you off on your own to get HC, that pretty much sets the stage. Stuff like this needs to be gutted from the bill. Force the unions to be part of it - why were they so adamat to be excluded. Thats BS,. Maybe the auto companies should drop all their UAW HC paid insurance and pay the fine, send them off like everyone else - see if they still support it..
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R.W. Sanders
Numerous questions, too little expertise
10:55 AM on 11/09/2010
Maybe when everyone realizes that they are only one sickness away from bankruptcy, health care will be recognized as a human right rather than a "choice." You have no choice when you are sick and your private insurance company cancels your policy, you go bankrupt. Nothing like being sick and fielding calls from collection agencies. Hospitals plan their budgets to do well on the 80 percent that insurance companies pay. The extra 20 percent is just gravy because they inflate their charges so much. The entire "health care industry" is just a scam. What would Jesus do? Would He say, "yes, I'll heal you if you have the right insurance." For those who think health care is a consumer's choice, when you are in pain you have no choice. Will you say, no I will endure this pain because I don't want to spend the money? Anyone who believes that our system is ok has not thought out the issue. Too many are healthy now and cannot imagine getting sick, or having an accident. When they do need health care and cannot get it, they will quickly change their minds. Until we get Medicare for all, we will continue to be a barbaric third world country.
11:28 AM on 11/09/2010
Nonsense. Separate "healthcare" from "insurance", and your assertions fall apart.
01:17 PM on 11/09/2010
Please explain how to separate them. I would also like to know know how you view the assertion falling apart.
08:34 AM on 11/09/2010
Where do you sign up for obamacare? Why are insurance premiums rising? If its so great, why not make it optional? If its so good wouldn't everybody want it?
yougg
just a citizen
08:24 AM on 11/09/2010
My personal favorite is a single payer system. But a public option might work too. EVERYBOODY contributes-including government workers. Did not like being delivered to the insurance company for their abuse.The system that we had had to go. Having people use the ER for primary care has to stop. Hospitals try and tack on the uninsured costs on to YOUR bill. Find it interesting that the Republicans got in the unfunded Bush prescription program. Were'nt they supposed to be the fiscally responsible party of NO? People don't understand their own health insurance any way. Have to say that the Democrats and Obama did't do a very good job at explaining/selling it. Health insurance reform was long over due. Not perfect-but a start. There is no free ride for anybody. Didn't like the part about being forced to buy insurance or be fined. Thank the Republicans for that one.
09:06 AM on 11/09/2010
That just doesn't make sense. If you'll allow for a little littoral license, here's why I say that. You assert that using "the ER for primary care has to stop. Hospitals try and tack on the uninsured costs on to YOUR bill." A perfectly reasonable position; why should the debts of a few drive up the costs for everyone? The problem is, you preface that with: "....a public option might work too. EVERYBOODY contribute­s-includin­g government workers." Do you see the inconsistancy? You are advocating that everyone bear the burden of the debts from a few, because it's unacceptable for the debts of the few to burden everyone else. How does that make sense? (snicker)
08:16 AM on 11/09/2010
We all have a front row seat with our families experiences in dealing with contrived insurance and health care systems that do not give a damn about us or our kids except for the money they can steal from us.

Two systems one public one private coexisting could instantly fix the mess, with a public VA style system funded by a national sales tax instead of insurance caring for everyone using publicly funded care and for everyone who chooses to use its free services and for people who like buying private insurance and using private providers they could do so.

The bonus of this system is that no one would go without high quality care, VAs patient outcome statistics are superior to any providers at any costs and this system would reduce health care costs nationally by $ 1 trillion from the $2.6 trillion spent last year.

Efficient, compassionate, cost effective instead of ripoff of the American people by our politicians and the health care industry.

Next real financial reform and an attorney general like Eliot Spitzer to get the criminals in government and on Wall Street who are destroying our country.
09:08 AM on 11/09/2010
The solution to your quandry already exists.

Join the military.
01:02 PM on 11/09/2010
Unless of course the military won't take you because you are sick and can't afford to get healthy before they let you in.
07:41 AM on 11/09/2010
Health care for all is the only solution. Why is it that only old people get insurance. I sure would like a hover round to ride around in when I come home from work. "And with Medicare and my insurance, my hover round didn;t cost me a penny." No but it cost us thousands of dollars lady, not that you care. The elderly are sucking the life out of this country.
09:10 AM on 11/09/2010
...that way, we can ALL suck the life out of this country. It's only fair, right seawolf?
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MDhome
life is a paradox
09:12 AM on 11/09/2010
Why the hell would anyone want a hover round cluttering up the house?
abetterplace
Capitalistic reverand
07:36 AM on 11/09/2010
I wouldn't bet on it. They've got my vote.
07:33 AM on 11/09/2010
did any repugs protest against bushdrugcare? forcing seniors to enroll in big pharma's bogus drug plan ???? of course not....hypocrites !!!!!!!!!!!!!!!!!!!!
07:42 AM on 11/09/2010
Didn't hear no complaining about big government then. Republicans only complain when the handout goes some one else's way. Does anyone remember enyone saying we ant these drug benefits. I know I didn;t . And yet poof there it was. Give old people a lot of free drugs.
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MDhome
life is a paradox
09:13 AM on 11/09/2010
Republicans are the ultimate hypocrites!
06:05 AM on 11/09/2010
Stop writing about Health Care Reform. The correct language is Health Insurance Reform.
06:23 AM on 11/09/2010
Obama Health Care Insurance Reform. Taking $500 billion out of Medicare to support other parts of the "Reform." It cost me just less than $600 per month in Medicare and supplement insurance. At the rate "Reform" is going, the sooner the elderly pass on, the better shape Social Security/Medicare will be.

Read the "Reform" legislation, you will be surprised what it will cost those of the living. POTUS and Congress can go home after their tenure in DC without a second thought for devastation they have started (with many of their social engineering legislation).

I'm through first 1,000 pages. How much of the "Reform" have you read? You will be unpleasantly surprised at how hastily the "Reform" was put together by the legislative attorneys and then NOT read by Obama or most of the members of Congress.

Good luck to the current survivors and future generations.

Elijahblue8
07:12 AM on 11/09/2010
I'm not surprised. The point is that Health Insurance Reform is careful terminology; it is the fine print that indicates the limits of the measure. The President's insistence on that particular naming convention should have put everyone on notice. We weren't paying attention to the lawyerspeak.
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Jafafa Hots
USA out of Microbio NOW!
02:33 AM on 11/09/2010
I dunno. He might not veto it, he might just sign it in order to be "bipartisan."

feh.
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Devaron Namsaar
01:53 AM on 11/09/2010
The Republicans represent two unhealthy factors in this National Health insurance BS... One, they did not have the balls or the intelligence to put something like this together and two, the reason for this is because they were too busy catering to the Insurance industry, (both for private and business insurance) and of course lets include the high cost of malpractice insurance which has put so much in their personal bank accounts and of course in support of the Republican party. Basically the insurance business is the greatest money making scam ever concocted except for the Federal Reserve phony money scheme. Hell no the insurance companies don't want national health insurance like all the other civilized countries in the world... such a policy would curtail their ability to economically rape the American people as have done for so many years.
Mankind presently has three mortal enemies: Capitalism - Government (as in out of control) - Religions (don't confuse the belief in God with dogmatic religions). These 3 have been the cause of nearly every war and wrong doing since the beginningof human time.