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Michael Brenner

Michael Brenner

Posted: July 30, 2009 08:43 PM

The Heavenly Host of Health Care Authors


The health care bill is 1,000+ pages. As long as the Old and New Testaments, with a few centuries of The History of the Decline and Fall of the Roman Empire tacked on. That in itself raises justifiable suspicions as to what is in it. All conceivable explanations for such unseemly length suggest that these doubts are well founded.

The legion of authors is one reason. Most all congressmen, their armada of staffers, armies of lobbyists, and even the occasional White House operative have had a hand in writing this opus. Unhappily, the all too common motivations of ego satisfaction and promotion of self-interest are a lethal combination as far as the public interest is concerned. That's one. Then there are the myriad of qualifiers, addenda and exemptions incorporated at the behest of some special pleading party or other. That's two.

Complexity and rephrased repetitions similarly serve to open opportunities for dispute as to what exactly has and has not been stipulated. Multiple interpretations can be a form of compromise between drafters and/or a way for legislators to put their own spin on the bill when defending it before constituents. That's three. Confusion as to specific aims and purposes also can be the more or less innocent outcome of a turgid, wearisome process. To quote the prophet Isaiah, "Take counsel together and it shall come to nought." Protracted deliberations on this scale pretty much ensure that we have gone beyond 'nought' and passed into negative territory. Amazingly, Isaiah had this blazing insight without ever serving on a Congressional committee or having attended a faculty meeting. That is four.

A persuasive explanation can be compounded of all four hypotheses. That is not reassuring, especially for those who doubtless will encounter the hardships of trying to obtain affordable medical care -- the point of the exercise, supposedly.

Those of a more positive frame of mind will be free to celebrate the modest signs of bipartisanship that marked the bill's tortuous odyssey. No small thing; after all, even the Good Book is bipartisan. Consider the fair and balanced admonitions of Matthew (7:7): "Seek and you shall find," he counsels Republicans while comforting Democrats with the words, "ask and you shall be given." Perhaps reflections on Scripture will give Barack Obama peace of mind on his holidays.

 
 
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HUFFPOST PUNDIT
jmpurser
See My micro-bio
01:44 PM on 07/31/2009
HR676, the single payer bill in the House is 30 pages of REAL health care reform.
01:29 PM on 07/31/2009
For anyone who takes the time to read the papers written by our Founding Fathers (the Declaration of Independence, Constitution, Federalist Papers, etc.) you will find logical, simple, direct words being sparingly used. It is this very simplicity and directness that makes these documents great. People all over the world could read and understand them. That honest, simple and direct way of writing these documents is what made America a beacon to the world.

Today, Congress participates in having laws written for them by lobbyists and for profit corporations. They then hide their often criminal collusion behind lengthy, obscurely written laws too complex for most individuals to read or understand. Eventually, the Supreme court must decide what the laws actually mean, and that is through a partisan, not legal prism. Just think back about who it was that put George W. Bush into the Presidency. It was five Republican-appointed, partisan political justices.

Thanks to the author and shame on our Congress.
11:47 AM on 07/31/2009
For the "What would Jesus do?" crowd, I would offer for their consideration Luke 6:19: "[He]...healed them ALL". Sounds like universal, equal-access health care from where I sit.

One wonders how right-wing, Bible-quoting, latter-day pharisees will try to spin that one!

Nevertheless, as a staunch supporter of HR 676 and as a Christian, I think there's value in reminding fellow believers that we are called to follow Christ's example. Coming soon to bumper stickers in my neighborhood!
10:54 AM on 07/31/2009
Those writing the health care proposals are not interested in the public good, the viability of genuine economic recovery, or benefitting the businesses and individuals being crippled by the soaring costs and decreased accessibility of health care. They're interested in preserving the gross profits of the insurers, big Pharma, health care suppliers, etc. They're offering concessions to the GOP and Blue Dogs, while the conservatives continue to balk, stall, spew mis-information, skewed facts, and use the familiar Rovian scare tactics to block any reform of a system by which they obscenely profit and are lavishly compensated.

The simplest solution would be to extend Medicare to everyone (cradle-to-grave), raise payroll taxes to cover the cost and eliminate insurers all together. Insurers offer physicians incentives to delay or avoid costly treatment, while simultaneously charging them outrageous premiums for liability. This forces doctors to practice defensive medicine and to spend more time filling out forms than curing or treating their patients. Insurers deny coverage to those with pre-existing conditions, deny claims, and exponentially increase premiums once an individual suffers an injury or illness, (or their coverage is dropped). The insurers are the true villains, playing doctors against their patients, while reaping profits from each side. Medicare for all would eliminate the need for tort reform, since few can or would sue the government. Doctors would be able to lower or contain their fees, and the cost savings (not having to buy insurance) to businesses and individuals would be enormous.
11:39 AM on 07/31/2009
Man, could you be more wrong?

First, insurance companies charge high premiums for malpractice suits and doctors practice defensive medicine because of the overwhelming number of malpractice lawsuits and ridiculous jury awards.

Second, whether or not people can sue the government is debatable but people aren't suing the government (much like they're not suing the insurance companies). They're suing the doctors who will still be paying high premiums for malpractice insurance whether we have medicare for all or not. We must have tort reform if we are to have a reduction in defensive medicine and malpractice premiums.
12:02 PM on 07/31/2009
You're right to recognize that medical malpractice suits contribute to high insurance premiums--but not to a relatively small extent.

It would be nice to reform the way torts are handled in our judicial system, but that's a battle for another day. It is ESSENTIAL we reform health care. It would be a grievous mistake for proponents of health care reform to tie tort reform to whatever HCR bill Congress may eventually pass.
10:27 AM on 07/31/2009
The only way to make it fair is to outlaw health care altogether.
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BookKeepersSon
Don't take me alive
11:10 AM on 07/31/2009
I'm afraid you're right, my friend.
11:41 AM on 07/31/2009
Well, the single-payor system gets you closer to that end by rationing health care for all. And since when in the great history of this country has fairness been necessary?
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10:08 AM on 07/31/2009
We currently have 1,300 health insurance companies. The big guys have the bill designed to shrink it to the big 4-5 companies. Bash the insurance companies, but the reality is that the bill is the Health Insurance mercantilism bill, cut it to a few with the best lobbyist. Those few are major contributors to the 1,00 pages of text floating now.
10:59 AM on 07/31/2009
We already have just 4-5 health "insurance" companies. The 1300 are subsidiaries of the former.

In answer to Mr. Brenner -- simplification is what we need. Universal Medicare, available at the signing of the bill, not mandatory, but as the "public plan option" as it is now called. No employer or tax mandates. With $3000/per person per year less, there will be some $900 BILLION per year to cover the uninsured. Easy to administer, the structure is already in place. A no-brainer.
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blaze
Nice day for somethin'
09:24 AM on 07/31/2009
To quote the prophet Isaiah, "Take counsel together and it shall come to nought." What a sad, sad, cynical statement. And what a sad state for Christians who have such devotion to their prophets.
What is happening in DC is not "counseling together", rather it is obfuscating, vascilating and outright lying. Counseling together implies good will and an intention toward an agreed end. The problem here is that there is no agreed end.
Single payer is absolutely the only way to go. The reason everything is going to be so expensive is that we are protecting insurance companies' profits (not prophets). People complain of $600 billion dollars cost in 10 years. Well that is exactly what insurance companies' PROFITS will be over that same year.
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HUFFPOST SUPER USER
minerva117
This space for rent. Cheap!
09:23 AM on 07/31/2009
I can solve the whole thing with 5 words. Make Medicare available to everyone. See?! Wasn't that easy?
Bernique
Solar is clean, cheap and plentiful
03:30 PM on 07/31/2009
minerva, yes, and call it something innocuous like "Public Plan Option".
11:43 PM on 07/30/2009
Mr Brenner, you would love HR 676. It's only 30 pages long and would save $400 billion.
Read about it here:
http://www.healthcare-now.org/
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yakmeat
My bank account is emptier than my micro-bio.
01:50 AM on 07/31/2009
Bingo! The only reason for a bill to be 1000 pages long is to include all of the favors bought by special interests.

Take a look at the constitution. It contains some very fundamental laws and principles that are stated simply, unequivocally, and briefly. While the details of tax structure, finance and such will probably amount to more than a few sentences, the basic premise of "all citizens of America shall receive any needed medical care regardless of ability to pay for it" doesn't take 1000 pages to spell out.
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HUFFPOST COMMUNITY MODERATOR
CTtransplant
"We don't stop playing because we grow old; we gro
10:58 PM on 07/30/2009
Look, I don't know if the rest of you are as fed up as I am with the obstruction and political gameplaying going on with this health care reform...but I DO know this - the Republican obstructionists and the Blue Dog Dems have absolutely NO clue what the rest of us are going through with healthcare. Maybe it's time they did!

If you agree, please sign the petition below, and forward it - any way you can - to anyone and everyone you know! Time to let them know how we feel!!!!

http://www.petitiononline.com/PubOp676/petition.html