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RJ Eskow

RJ Eskow

Posted: September 21, 2009 03:17 PM

Why, Oh Why, Do They Never Listen?

What's Your Reaction?

Why, oh why, do they never listen? I've been warning the Democrats since 2005 (not that I'm anybody special) that an individual mandate without meaningful out-of-pockets limits would be a hardship for working Americans -- and that eventually Republicans would figure out how to call it a tax hike and run against it.

Now Politico writes:

... Questions about tax increases are part of an emerging Republican line of attack. Senate Republican leader Mitch McConnell on Sunday said "... We don't think it's a good idea to raise taxes on small businesses and on individuals in the heart of a recession."

Democrats: They have ears, Lord, but they hear not. It was especially disappointing to see the President defend himself from these charges by claiming they're not new taxes ...

Obama's New Taxes

... when they are. It's bad enough that the Baucus bill says "the consequence for not maintaining insurance would be an excise tax" and the House bill requires a "tax on individuals without acceptable health care coverage." I could defend these provisions if there were a strong public option and other cost containment measures. That might make this mandated insurance affordable to middle-class Americans.

But those things aren't there.

Now PresidentSenator Olympia Snowe is reiterating the position that 13% of income is an acceptable maximum out-of-pocket cost for health premiums. That is financially devastating for families at 400%-700% of the Federal Poverty Level (and many at higher levels). Since the President has ceded extraordinary power to her (as Robert Reich explains), this is likely to become law if she so chooses. It's a windfall to the insurers and a body blow to working Americans (what should they sacrifice? That savings account for their kids' college education?)

The President also spoke up in favor of the tax on "Cadillac benefits," which is becoming his other new tax. This idea might have some merit if a) it prevented insurers from passing on these new taxes to their customers and b) the tax was actually based on the benefits being offered. If most Americans pay deductibles and copays, the portion of a deluxe plan that covers 100% of these out-of-pocket costs might legitimately be considered taxable income. (Although even then union plans should be excluded, since many workers gave up wages for their benefits.)

But this new Democratic tax is based on plan cost, not benefit design. So plans with lots of older, costlier Americans will be more highly taxed than others. That means it will hurt aging workers financially while encouraging businesses to discriminate against them in hiring. It's also indexed to general inflation, which rises much more slowly than healthcare costs. That means more and more plans will be taxed every year. As the law is currently designed, those costs are likely to go straight back to the consumer.

Let's not pretend Democratic health reform doesn't include new taxes -- and mandated fee payments to highly profitable private companies. If their bill passes in this form they'll pay a heavy political price for it. And they'll deserve it.

We're Not Swiss

While we're at it, let's stop defending this proposal by using Switzerland as an example, as Paul Krugman and a number of others do. We're not Switzerland. First or all, Switzerland is a wealthier country: OECD figures show that the median household income there in 2007 was $60,288, versus $50,233 in this country. Despite their greater prosperity, roughly one-third of its citizens receive government assistance paying premiums. (Granted, they don't have an employer health insurance system and we do - but that system is eroding quickly.)

All insurance companies in Switzerland are non-profit. What's more, the Swiss system includes rigorous price controls that would never pass ideological muster in the US. And to top that off, the Swiss system includes strong managed care components that Americans would find unacceptable. The Swiss can't "choose their own doctor," to use the President's catchphrase.

Needless to say, the Swiss pay much less in healthcare costs than we do, and their costs are rising much more slowly. But our leaders don't intend to do things the Swiss way. You can't impose a Swiss-style mandate on a system that is more expensive, has less control, and is profit-based.

Next topic.

Reverse Triggers

Sen. Snowe (sorry about that "President" crack - "Czar" might be more appropriate) is bringing up triggers again, reportedly with the help of Rahm Emanuel. So, apparently to woo her, the President is opening the door to the idea that a public option would be "triggered" in states where "affordable" healthcare isn't available through the private market.

This is very bad, in two ways: First, it's a state-by-state solution, not a national one. A state-specific public option will be costlier to maintain and run. That means it will cost the rest of us more money. Secondly, what's Sen. Snowe's definition of "affordable"?

Thirteen percent of income!

They have ears, Lord, but they hear not. Fortunately for our sanity, we have the satirical (also politically incorrect and pretty foul-mouthed - but funny) blogger Bobblespeak. Bobble posted this "tweet" yesterday: "Reverse trigger: public option is created, to be taken away from the people if the insurance industry completely fix US health care by 2012."

Now that makes sense! But wait ... a public option is optional by definition. If the insurance industry fixes US health care, nobody will join the public plan. That means that it will die (or "sunset," as lawmakers like to say.) That's a good enough "reverse trigger" for me.

It should be good enough for Olympia Snowe, too.

RJ Eskow blogs when he can at:

A Night Light
The Sentinel Effect: Healthcare Blog

Eskow and Associates

Follow RJ Eskow on Twitter: www.twitter.com/rjeskow

 
 
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05:33 PM on 09/29/2009
13% of income is, quite frankly, insane. That is far far too expensive and is without a doubt budget busting for all but the wealthiest families.

Lets take a normal family of college graduates starting out and making a decent living. This would mean both of the two parents making around 35k, a very middle of the road income for a college graduate (especially in high cost states like California or New York where much of the population now lives). 80k, of course, removes all government assistance so its straight up 13% of income.

For this family that means 9,100 in cost or around 800 dollars a month. I have no idea how that fits into any middle income budget, it sure doesn't fit into mine.

Lets look at a normal 70k family budget. You have 1,000 per month for payments/insurance on 2 mid range cars, 1,500 for rent in a modest 2 bedroom apartment (assuming very small family here) near job centers like LA, 500 for student loans for 2 graduates, 500 a month for a modest family food budget and about 20,000 in taxes and yearly fees not counting sales tax. Thats 1000+1500+500+500+1700 per month or 5200 in just basic fixed bills. Add in 800 for insurance and that puts the monthly expenditures up to 6,000 or 200 dollars MORE then monthly income, thus pushing the family into deficit territory every single month.
03:27 PM on 09/29/2009
Mandatory insurance, required of all citizens or residents, is a tax. There really is no way to dance around that fact.
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unitron
My email notifications are in Spanish now...
03:09 PM on 09/22/2009
Where's the guy I voted for?
05:00 PM on 09/22/2009
I was told, as a child, that "every man has two tongues. One in his mouth that he talks with and one in his shoe that he walks with. If you want to know who that man truly is, watch the one in his shoe and ignore the one in his mouth."
12:09 PM on 09/22/2009
Oh they are listening....just not to policy people like you...or the people that are being destroyed by health insurance, or the base that put them into office. They only have ears for their corporate masters, and until we as a country stand up and jettison BOTH of these corrupt political (corporate) parties from the stage of govenment, it will be more of the same. They use inconsequential social issues and petty squabbles to keep their bases emotional and distracted....they use PT Barnum style showmanship to manipulate us into looking another direction while they rob us blind. And its not going to change until enough people are damaged....until the middle class is driven to extinction....to make enough people angry enough to put us on the brink and drive the populance away from voting for them (if its not too late by then).
11:40 AM on 09/22/2009
How absurd that the probable bill that emerges will penalize Americans with mandated payments and penalties while further enriching the insurance companies with millions of new clients, many of whom, I have no doubt, will have all kinds of problems when they actually submit claims. The Baucus bill may be amended, but it will beyond doubt retain it's most salient feature. It is a huge government enforced subsidy designed primarily to make the insurance industry (and big pharma) richer and more intransigent that ever, and the expense of, as usual, the American people. It only goes to show what continues to be painfully obvious. Repubs and Demos may bicker and quibble and claim that they are polar opposites in thier approach to public policy. They are not. They are two sides of the same corrupt coin.
11:33 AM on 09/22/2009
I find this argument interesting as well. From a legal blog:

"The otherwise uninsured would be required to buy coverage, not because they were even tangentially engaged in the "production, distribution or consumption of commodities," but for no other reason than that people without health insurance exist. The federal government does not have the power to regulate Americans simply because they are there. Significantly, in two key cases, United States v. Lopez (1995) and United States v. Morrison (2000), the Supreme Court specifically rejected the proposition that the commerce clause allowed Congress to regulate noneconomic activities merely because, through a chain of causal effects, they might have an economic impact. "
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Zeus9000
Alterum ictum faciam
12:03 PM on 09/22/2009
Interesting. So the argument becomes "You should purchase insurance, not becuase you want it, but because it makes it more affordable for other individuals."
01:00 PM on 09/22/2009
The way I read the legal opinion is that constitutionally, Congress does not have the power to mandate that US citizens be required to purchase health insurance if they choose not to. The wording in the most current bill in the house, though it seems to change more often than my daughter's mood, would require anyone without a 'qualified plan' would have to sign up for the public option, buy into a co-op, or some other private, qualified plan, else be fined, via your taxes, up to $3,000. As far as I can tell, the whole premise of 'health insurance for all' is, right or wrong, unconstitutional.
11:00 AM on 09/22/2009
I am 100% behind a public option, heck give me Single Payer Universal Health care now. I've heard and understand all the arguments that the average family will save money because companies will save money buying into reduced health care insurance costs via the competition the public option introduces. But no one has been able to explain to me how a family that is barely scraping by each month, even when income is a respectable 400% of poverty level, is suddenly supposed to come up with more money each month to pay a mandated insurance?
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HUFFPOST COMMUNITY MODERATOR
jayraye
10:54 AM on 09/22/2009
I predict that if the Individual Mandate passes then Republicans will sweep the 2012 elections by promising to undo it. By 2012 Citizens will understand that the Mandate binds them, and their children, and their children's children to a private corporate interest for life with the IRS as enforcer. The Dems could have remained in power for years had they passed Single Payer, or at least tried to, and then ended up with a strong public option.
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11:05 AM on 09/22/2009
From what I can tell...this is only the Baucus Plan...not "the Democrat Plan"... which will never be passed "as is" (Baucus certainly does NOT represent all Democrats, not even close)
01:13 PM on 09/22/2009
Weird, cause I thought Baucus represented Republicans.....for real. Everything I read pretty much has bolstered my perspective, I had no idea he was actually a Dem---maybe someone should tell him?
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HUFFPOST COMMUNITY MODERATOR
jayraye
02:35 PM on 09/22/2009
Haven't you heard, President Obama now supports the Individual Mandate. Candidate Obama was against it, and that is why I supported him over Clinton, and sent his campaign alot of $.
HUFFPOST SUPER USER
THISTLE
10:51 AM on 09/22/2009
The richest country on the planet can't - won't provide health care for its people.
President Obama has the House, the Senate and the White House, and he can't
get this through. He has spent most of his time on his knees to the Republicans,
who have proudly touted, they want to make this his "Waterloo."
President Obama has shown ZERO leadership on this.
He has shown ZERO fight and no passion. The media blitz also lacked
fight, passion and push. So here we are...
Is the "Decider" going to be a Republican from MAINE - MAINE?
As I have said, over and over and over, we need an FDR, an LBJ - and we
have a Dukasis (sp) sans the helmet.
01:15 PM on 09/22/2009
How is "richest country on the planet" defined?

Because by every measure, we are *far* from the wealthiest country in the world. Dead last in infant mortality in the 1st world. a dismal 39th in health. And we are certainly not the richest in terms of individual family annual income.

Sad, sad, sad, and politicians fiddle while we sink.
10:06 AM on 09/22/2009
A few weeks ago, I and others were posting about the level of rage that would result in passing a bill with mandates and no PO. People were mocking the progressives and saying we had delusions of grandeur.

Now, seeing many of the same people who were mocking me echoing the same sentiments (if this passes I'll vote Republican/third party/won't vote), I'll resist the urge to say "I told you so" and just urge you, instead, to call your representatives and the President and express those exact same opinions to them.

If enough of us make it clear just how extremely politically expensive this Trojan horse of a "reform" bill will be for the Democratic party they just might -- MIGHT -- change course.

In the long run, I care little for the fate of the Democratic party (I'm starting to think that they're on the verge of becoming almost as irrelevant as the Republicans). What I care a great deal about, however, and am STILL willing to fight tooth and nail for, is affordable health care for all.
09:53 AM on 09/22/2009
It seems these days we are always teetering on the edge of things getting worse before
they get better, and this is just another example. Healthcare costs going up the way they
are, in ten years it's going to be really horrible, and a lot of damage will have been done
along the way. But that's ten years from now. Maybe five years from now, we'll still be
saying that. Are we not like frogs, put to the boil?
HUFFPOST PUNDIT
wethepeople3884
09:25 AM on 09/22/2009
Mandates are a joke to be called reform - they are strict enforcement and support of a system that is eroding our country from within. Without a public option of government subsides or strict and comprehensive regulation that is easily enforeable, a mandate becomes merely a way to force americans to pay insurance companies - how is that reform? Where does that help anybody? Obama did not write the baucus bill so I still hold out much hope that in the end, he will not sign the bill as it is written but my hope in a change America can believe in is being suffocated by the scent of betrayal. The healthcare reform have been dubbed by some, a possible defining moment of his presidency. I laughed at this, thinking that he has years of policy left to make his mark on this country but now I realize I overlooked that notion. For if Obama can turn his back on real reform with a mockery piece of legislation that is just dubbed as reform, then, this will actually be a defining moment because it shows all of his supporters that president obama is NOT synonymous with the change that we sought.
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PaxEterna
09:58 AM on 09/22/2009
Obama took Single Payer off the table at the getgo.

He has made private commitments that = giveaways to insurance cos and BigPharma (notice they aren't complaining about any of the bills.)

And he says a lot of things that sound like change, but his actions, at this point, speak volumes about what he will actually do.

Failure to reform = his failure to lead.

This game is being played exactly as he wanted it to be played. Public Option will now be swept off the table also, as it is the only threat left to insurance mandates, and it is a weak solution AT BEST to the overall problem we face as a nation.
HUFFPOST PUNDIT
wethepeople3884
11:07 AM on 09/22/2009
I dont understand how obama thinks this won't destroy his relationship with his base while eroding public confidence in his ability to invoke real change. We are not as stupid as they think - everyone knows that the democrats hold the sway in every part of government. Every knows that whatever comes out of congress will not really be a compromise as much as the will of the democratic party. A failure to act means a failure to get re-elected. Passing a bill called reform is not the same as passing reform and ever educated democrat knows this. They are not fooling anyone with the hyped up rhetoric. Frankly, the baucus bill won't pass. He should just listen to bill maher - i think his viewers are the same ones that represent the passionately pro-obama for president at one point. Maher just destroyed the bill the other day. We all share the same sentiment as maher at this point. If obama has any hope for a second term, he cannot cave in to this bill. He is destroying the confidence of his own voters and those that killed themselves to get him elected.
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PaxEterna
08:54 AM on 09/22/2009
Here is reality in MA where I live:

We have mandated insurance and fines if you don't pay.

The plans are concocted by the insurance companies and approved by the state. Catastrophic
is not considered adequate, and so you are fined if you buy one of these.

More importantly, the plans are sliced,diced, tiered and steered so the poor get little choice of doctor or hospital. Mass General and the other prestigious hospitals are for the rich.

Second, if you make one penny over 52K for a family of 4, you get no help from the state.

Third, the plans discriminate on the basis of locale, and age. The Baucus plan says insurance companies can charge up to 5X more for older Americans than they do for younger ones.

Fourth, the newly mandated have inundated the not for profit hospitals. The state has cut Medicaid and Medicare reimbursements to precisely the same population that have been ordered to get insurance and whom the taxpayers of MA are supporting. Boston City is suing the state.

Several thousand MA residents are still without coverage because they can't afford any of the plans. The cheapest for two costs $775 per month.

We are stuck with a tab that = more than 20% of our income.

Meanwhile, insurance cos and their executives continue to make obscene profits and salaries.

I don't know why the media doesn't tell it lie it is.
10:01 AM on 09/22/2009
'We have mandated insurance and fines if you don't pay.'

A small but important correction. The 'fine' is that you lose
the personal deduction on your state income tax, which will
cost you around $500 per year. Health insurance premiums
can cost you at least that much per MONTH. So, in effect, the
MA deal is you face a modest tax increase if you DON'T get
the insurance. And a lot aren't, which provides a modest tax
revenue increase for the state.

It looks like the Congress has found this mistake and decided
to fix it by coming up with a much larger penalty, which MA has
considered but does not have the will or means to implement.
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11:09 AM on 09/22/2009
Isn't MA'S plan the product of Gov. Romney?
07:21 AM on 09/22/2009
The reason no body listens to you, Mr. Eskow, is that your entire argument is based on minutia. You are so bogged down in formulas, statistics, and senseless comparisons(USA vs Switzerland?) that people lose interest after the second sentance.
Nobody cares if USA is "37th in Health Care". Nobody cares where the trigger point is. Everyone understands that the way to stall Senatorial Stupidity is to shout opposition to percieved "Tax Hikes!". At that point all the beauraucratic geeks get caught up in endless arguements over "Is Not - Is Too!" and America lives to see another day!
09:43 AM on 09/22/2009
"our entire argument is based on minutia."

I'm trying to figure out what your argument is based upon... actually I'm trying to figure out what your argument IS? What's your solution? What should we shout that will not end up in "endless arguements over "Is Not - Is Too!" " ? I think the purpose for revealing the truth is alert voters about who is selling them out and how. One must reveal the deception practiced by our elected officials.

"percieved" tax hikes ??? Unfortunately the perception is based on rather sordid reality. Not only the Obamucus plan imposes new taxes, it imposes them for the benefit of private entities. These entities are not elected, they don't vote before increasing taxes, they simply... do it. It's taxation without representation and you are invited to study what that is.
06:07 AM on 09/22/2009
NPR ran a story on the Mass experiment with requiring health care. Apparently they have run up against a funding wall. How are we going to pay for extending medical coverage, really?

I wonder if anyone has done any breakdowns on income, weight, political orientation, and state--what I'm getting at is that it seems to me that a lot of less-educated people with lower incomes may lack insurance and also have disproportionally high degree of medical issues due to obesity, smoking, etc, bad health practices associated with low education and income levels etc. So if the section of the society with bad health habits is also the underinsured section, then extending subsidized insurance to this group could actually be more expensive than expected. Ironically, I suspect there are a good number of rednecks pissed off at "liberal elites" who are themselves well-insured and are trying to extend health insurance to said rednecks. I also think its relevant to look at welfare and think of the tragedy of the commons--will offering too much health care to those who are not really used to taking care of themselves well lead to overuse of the system or dependency on its ability to "repair" health problems. If someone else is paying to fix my car, why shouldn't I just skip oil changes--after all, I can get a new engine free! It's analogous to moral hazard in some way that eludes me at this hour of the night.
08:53 AM on 09/22/2009
The "bad health habits" argumen isn't really relevant, exactly because they are habits, sometimes addictions, and will be pursued under any insurance program, just as they are today (providing excuses for insurance companies for raising their premiums). And people who think they can sicken themselves with their enjoyment of bad habits and then health care providers will cure them don't really understand human physiology. If your car breaks down you get a new car; if you get lung cancer from smoking, you spend days and days suffering pain through miserable treatments or surgeries, and you still come out not being able to breathe properly again (and there's a good chance the cancer will return in 5 years) - or you die.
Again, this is true under any health insurance system, However, as long as you maintain it your automobile can sit in a garage for years and still be ready to roll. But the human body sometimes breaks down accidently, and sometimes because of traits inherited from parent or grandparents. You can avoid smoking and all other external potential causes for cancer, and still wake up one morning with leukemia - a cancer with a high degree of genetic involvement.
Does a civilized society have a responsibility to collectively assist in the alleviation of the suffering of individuals, especially when there is a high risk that such suffering is caused incidentally or accidentally where the individual's responsibility is not at issue? I believe it does.
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HUFFPOST SUPER USER
capitaldysfunction
White male never voted Republican
05:18 PM on 10/07/2009
Yes, our challenged national character demands health care reform. The question becomes is the proposed reform(s) not only legislatively doable but also politically sustainable over the long run. R J Eskow in "Why, Oh Why, Do They Never Listen?" correctly points to some sustainability problems in the current proposals. Olympia Snowe is as bad of an influence on this legislation as she was on the stimulus bill (she removed support for the states that would have provided badly needed recession jobs for state government workers in the stimulus bill). I am beginning to believe this group of legislators will never construct real sustainable health insurance reform.

The best alternative? A Republican filibuster, cots in the Senate chambers, new elections to follow up on replacing nonperforming bought-and-paid-for Senators of the present lackluster lot. And of course, daily news casts of the Republican health care filibuster. The Rethugs know that the angry vote. The Democrats should learn the same politics.