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Richard Kirsch

Richard Kirsch

Posted: January 5, 2011 10:30 AM

Why are we beating around the bush? Yes, there are a lot of good benefits in the health care law that would be lost if it were repealed. But there's also a basic truth: health insurance saves lives. A study by doctors from the Harvard Medical School calculated that about 1,000 people will die for every one million people who are uninsured. Since the health care law is expected to cover 32 million currently uninsured people, a vote for repealing reform is a vote to kill 32,000 people a year.

Who are these people? They are people like Tifanny Owens, the Seattle mother of the 11-year-old boy who stood next to President Obama when he signed the health care law. Tifanny died after she lost her job and her health insurance because her illness was making it hard for her to get to work. Without health insurance, she couldn't get the treatments she needed to stay alive.

They are people like Billy Koehler, the Pittsburgh man who died when he couldn't afford to replace his pacemaker because he lost his health coverage when he was laid off from his job.

While Tifanny and Billy are dramatic examples, most others are everyday tragedies. Many of the uninsured people who die early die because they don't get early diagnoses and treatments for chronic diseases like high blood pressure, asthma and diabetes. Instead, they end up being given expensive emergency treatment when their medical condition is advanced, too often leading to early death.

The 32,000 deaths don't include all the "insured" people who die because they have lousy insurance. Like Melanie Shouse of Missouri, who didn't get the treatment that she needed for breast cancer because her insurance had a very high deductible and didn't cover much of her care. And then there are people who are maimed because they are uninsured, like Marcus Grimes of Virginia, who lost his eyesight when he couldn't afford eye-saving surgery because his job didn't include health coverage.

Somehow, it's not politically acceptable to talk about the truth -- repeal will kill and maim tens of thousands of people. When Florida Rep. Alan Grayson said that the Republican health care plan was for people to "die quickly," he was roundly attacked by Republicans and the right-wing media. Why did the right go after Grayson so hard? Because they realize that a real debate about how opposing health reform means sentencing working families to death would cut through all their horse manure about a "government takeover" of health care. Unfortunately, most Democrats were cowed by the vitriol of the Republicans' personal attack on Grayson -- just what the right hoped would happen. Instead, Democrats should have defended him and amplified his truth-telling.

Dr. King said, "Of all the forms of injustice, inequality in health care is the most shocking and inhumane." The key word here is "inequality." We spend twice as much per person on health care as any other developed country, while those nations provide good coverage to everyone with almost no out-of-pocket cost. We have the most unequal health system in the world, and it kills tens of thousands of people every year -- that's the shocking and inhumane part.

So as the Republicans rant about repealing reform to stop a government takeover, Democrats should do more than just remind people that repeal will take away real benefits, let the insurance industry off the hook, and increase the deficit while cutting a decade off the solvency of the Medicare trust fund. Democrats should make it crystal clear that repeal will end "life, liberty and the pursuit of happiness" for 32,000 Americans a year.

Cross-posted from New Deal 2.0.

 
 
 
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06:36 PM on 01/10/2011
Well, if we truly want to hold our representatives feet to the fire to repeal, we have to make them sign the repeal pledge here:
http://www.therepealpledge.com/
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Jeff Norman
10:35 PM on 01/07/2011
What if the individual mandate is unconstitutional?
11:21 PM on 01/05/2011
If Al Qaeda killed 32,000 Americans on American soil, they would be recognized as the enemy and America would be at war. When it is insurance companies, Congress looks the other way. It just goes to show how powerful the insurance lobby is and who is actually running our country.
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Kara Kramer
08:47 PM on 01/05/2011
The key difference between the president that got health care reform and all those that failed, is that his mother died, because she posponed diagnosis trying to avoid running up a monstrous bill for her family.
And most of the people who oppose health care reform do so from the envious position of never having lost anyone they loved to the disgraceful sysytem which has been in place for far too long.
Yet as they stand around and fight to deprive others of life, I wonder what they think they look like.
05:11 PM on 01/05/2011
The healthcare law is a terrible plan, that will only make things vastly worse as the years pass. You cannot, and will never, solve a long term problem of affordability, but just handing out money. It always creates additional inflation, which requires even more money.

Want to see the future under "Obamacare"? Just take a look at what has happened with the cost of college tuition. Same concept, same result.

Healthcare is in dire need of repair. But, the law that was passed is not a solution; It is an even greater problem.
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rray
Jazz Fan in Floriduh
08:02 PM on 01/05/2011
Cut the defense budget and provide a single payer plan, it's the moral choice for the so called leader of the free world.
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trekbette
Country Before Party!
08:49 PM on 01/05/2011
"The healthcare law is a terrible plan, that will only make things vastly worse as the years pass."

So many headlines say the healthcare bill will cost so much, or save so much... and take so many jobs, or create so many jobs... I would really like less generalities and more specifics.

Please tell me one specific provision of the healthcare bill that you think is terrible. Just one.
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05:03 PM on 01/05/2011
There was once a time when the GOP could pull a rabbit out of their hat. Now, it is just some elusive Kapooki.
04:51 PM on 01/05/2011
Well...Roe v. Wade has killed over $50 million people. Where's all the Dim outrage about that?
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Kara Kramer
08:51 PM on 01/05/2011
Where are you getting your figures from?
And how do they stack up to maternal mortality rates in countries where abortion is illegal?
Or are pregnant women not people in your books?
To get the number of lives saved or lost by Roe V Wade, even if we count, as you clearly do, a handful of cells as a person, you'd have to take the number of pregnant women who died in the years before Roe V Wade, subtract the numbers that die now, then add the number of abortions.
Is that what you did?
I thought not.
DanBest
My micro bio is empty
03:28 PM on 01/05/2011
"When it comes to making care better and cheaper, changing who pays the doctor will make no more difference than changing who pays the electrician. The lesson of the high-quality, low-cost communities is that someone has to be accountable for the totality of care. Otherwise, you get a system that has no brakes. You get McAllen. Annals of Medicine The Cost Conundrum - Atul Gawande PHD
.
We seem to miss the point made above by Dr Gawande. The public option or single payer is not the silver bullet. But right has distorted this debate to the point that the party of "personal responsibility" defends individuals who aren't being so with their own healthcare. As long as EMTALA (the law that requires ERs to render and stabilize all patients, regardless of their ability to pay) medical costs will continue to go up to cover these uninsured patients. The phrase I heard from every con was "I shouldn't have to pay for someone else's medical care".This displays a stunning ignorance about how our HCS works or for that fact how insurance works. If you have fire insurance, your premiums go to pay for someone else's house to be repaired in the event of fire. The problem with private health insurance is that everyone eventually gets sick, not everyone's house burns to the ground

Read more http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande#ixzz1AC2sGbSp
03:05 PM on 01/05/2011
While I am also against repeal and I believe that the overhaul can help a lot of people, I don't think you can convince people that "repealing it will end liberty". Critics of the law believe otherwise. For them, the health care reform is the start of more government intrusion and more ways to collect more taxes.
The currently uninsured and the sick see it as their hope. But there are a lot of healthy people who don't want to look ahead and pay for something they don't think they'll need anytime soon.

Anne C
NY Health Insurer
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Kara Kramer
08:53 PM on 01/05/2011
And what happens when they do need it? Somone else pays for it. All those fighting the individual mandate are really looking for a free ride, like their brethren in congress.
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rray
Jazz Fan in Floriduh
02:53 PM on 01/05/2011
And waiting for 2014 for the the rest of the plan to kick in will kill many more.
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jmpurser
See My micro-bio
04:06 PM on 01/05/2011
There are so many things wrong with this health care law you really don't have to make things up in order to criticize it unless you just want to prove you have no clue what you're talking about.
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rray
Jazz Fan in Floriduh
05:52 PM on 01/05/2011
Yes I'm criticizing it, but I'm not making anything up. I pay 450.00 a month for a 5.000.00 deductible with no pre-existing condition. There's a lot of people who cannot afford to pay for insurance, and if they have to wait for something magical to happen in 2014, yes they will die. This so called HCR has been a joke from the beginning, and if I was Mr. O, I would be ashamed to have any part in it.
nothingchanges
too soon old, too late smart
01:57 PM on 01/05/2011
"But there's also a basic truth: health insurance saves lives"

I take issue with that statement. Insurance never saved anyone, a person providing treatment or care did.

Health insurance for profit is the biggest scam in America. Those that like it the most, pay for it, and are lucky enough not to need to use it.

Name one other business where the happiest customers are the ones that never use the product.
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jmpurser
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03:03 PM on 01/05/2011
Exactly.  The author is pretending that "health insurance" equates to "health care" despite the long history of proving the two aren't the same in this country.
03:25 PM on 01/05/2011
We may have the BEST healthcare but, who can afford it? ONLY the very rich.
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jmpurser
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01:52 PM on 01/05/2011
No, there aren't "a lot of good benefits" in this law.  We took a failed, broken system that was killing people and we expanded it to cover more people at horrendous cost in order to maintain the profits of the health insurance and "health care" industries.  We moved some people from the fire to the frying pan but only by explicitly keeping others in the fire.
DanBest
My micro bio is empty
03:35 PM on 01/05/2011
What is your experience with the healthcare industry. Do you have the "waiting room view"? To claim that no good will come from this bill ignores the components that compel insurance cos to pay out at least 80 of revenue to claims, no denial of medical claims and no denial based on previous conditions. You can cynically claim that these won't occur,although that would put you in the position of fortuneteller, but you can't claim that these aren't good steps towards a better HCS. We on the left, just like the right, seem to forget that everyone doesn't agree with us and that democracy is ALWAYS a compromise. No one on the left was initially happy with the results of SS or Medicare or for that fact any other progressive legislation.
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jmpurser
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03:43 PM on 01/05/2011
Taking a failed, broken system and REQUIRING americans to not only invest in it but to subsidize it is a BAD ideal.  On top of that we did NOTHING to address the quality of care, cost of care, or provide universal coverage.

This bill was a failure across the board.
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parlimentMike
Terrorists keep you in fear
01:40 PM on 01/05/2011
Keeping it could kill 100,000 per year.
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jmpurser
See My micro-bio
03:02 PM on 01/05/2011
The truth is bad enough.  When you lie to make it "worse" you just demonstrate that you have no clue what's going on.
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parlimentMike
Terrorists keep you in fear
04:10 PM on 01/05/2011
Oh really, how do those left out of the current bill get care? There are millions of people not covered by this insurance and drug-industry giveaway, that would be covered in any other of the top 20 World economies.

Another victory for dividing and conquering the enemy, and as has been the case for 30 years, the enemy is the People. And the People join in once they get theirs.
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Oceras
Tax High Incomes!
05:57 PM on 01/05/2011
And you believe this why?
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parlimentMike
Terrorists keep you in fear
06:49 PM on 01/05/2011
It intentionally leaves out a sizable population, while locking in a 20% cut for some political sponsors and locking in guaranteed highest retail prices for another set of political sponsors; thereby ensuring that it will take much longer to find budget dollars to cover the negotiated out little people.

Obama's reform increased the profits of the predatory fat cats, and only covered part of those not covered. The system remains the worst in the industrial world.
01:31 PM on 01/05/2011
Very well said. I think many Republicans would love if we can go back to a time where eugenics was still accepted in order to prevent the poor and middle class from growing. The GOP is constantly showing their hatred for these groups by trying to block any piece of legislation that will benefit the lower and middle classes of America. Repealing helath care is their way of legally killing the people they hate in this country.
whochi
Liberals think 2 + 2 = Bush
01:30 PM on 01/05/2011
This study has been debunked more times than Obama has used a teleprompter.

This study also points out that people with government insurance (medicare etc) are more likely to die than those who have no insurance at all.
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jmpurser
See My micro-bio
03:04 PM on 01/05/2011
Neither statement is true.
DanBest
My micro bio is empty
03:40 PM on 01/05/2011
The old teleprompter gag, huh? You do know that Bush used one as well. But on to your "point". Link to that portion of the study that says what you say it does since I'm sure you read the study in its entirety and know exactly where it is, right? You're not just regurgitating what your mother's sister's friend heard on FoxNews, right?