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Tom Pappalardo

Tom Pappalardo

Posted: March 24, 2010 10:16 PM

Obama Perfectly Posed to Push Public Option

What's Your Reaction:

If Obama's advisers had any killer instinct, they would push him to zero in on an absolutely golden opportunity to include a public option in the historic HCR bill. There appears to me to be no downside to this move unless Obama and his peeps are worried about how the corporate world would react to doing something that could actually put right what is so very wrong with health care in our country.

The reason this jewel of an opportunity exists is that surprise surprise after the house passes the senate's HCR bill we have a real from the heart kumbaya moment where the love is flowing the tears are rolling and the polls are loving this HCR victory. Can anyone really see any of those 219 Democratic representatives being the one who once again drives HCR into the ditch. No way no how.

Axelrod says Obama is a warrior. Oh how I would love to really believe that is true. For our prez to gain warrior status in my book, he goes in for the killer move that truly leads to real health care reform. Now I know this is asking a lot of him but is it really asking too much? It sure as hell is not. The Dems are feeling that rush of blood when you have your hand on the wheel and pedal to the metal knowing you are taking this baby home. This is real power they are experiencing and a true sense of making history that is good and possibly great. However, instead of taking advantage of their new found confidence and the support they have by the majority of Americans instead of letting that sense of power bloom and take root President Obama and those so called geniuses that advise him are letting fear of blowing another rare chance to fix health care, control them. What should be driving their behavior is the raw sense of power that comes from winning a hard fought battle against great odds and knowing that Right is on your side and is a powerful wind is blowing at your back.

 
If Obama's advisers had any killer instinct, they would push him to zero in on an absolutely golden opportunity to include a public option in the historic HCR bill. There appears to me to be no downsi...
If Obama's advisers had any killer instinct, they would push him to zero in on an absolutely golden opportunity to include a public option in the historic HCR bill. There appears to me to be no downsi...
 
 
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03:20 PM on 03/25/2010
Reform is LAW. Instead of expending energies on other options, advocates, activists and Chamber of Commerce should work to implement REAL reform NOW. Healthcare costs affect viability of many companies in your area. This is a useful topic for local aggressive investigative newspaper / TV reporters. Here are helpful pointers.

Research your local hospitals and healthcare insurance companies in your area. What will you find?

1. Hospitals over-bill for services delivered; often accepting as payment only about 20% to 30% of what it bills. Do you accept your hospital to be like a bazaar in the Mid-East? Hospitals need to adopt a "billing code of conduct" with no more cost-shifting and other shenanigans.

2. Do hospitals have a Quality Improvement and Utilization Review committees? What's their monitoring criteria? What have they found? How does their data compare to national averages?

3. From your insurance companies, (or state health commissioner's office) what are COSTS and OUTCOMES among various healthcare providers in your regions for different illnesses? How does the data compare to regional and national averages?

4. What are above groups doing to monitor and correct the widely reported high incidence of over-treatment, under-treatment and inappropriate-treatment?

5. What are hospitals / community doing to end non-emergency visits to the ER?

6. What's the community doing to reduce high cost of end-of-life care?

Wake-up and take-over at grass-roots. Politicians will not do it for us. Its not a Left or Right issue.
QuietLightTraveler
Scientist, Teacher, Naturalist, Photographer
11:58 AM on 03/25/2010
Cmon, these wussies don't have any guts. They didn't take on the health insurance or pharmaceutical industries to cut costs. It's apparent they have no balls. Oh what I wouldn't give to have a president with some real guts.
11:36 AM on 03/25/2010
I have read the article in question and there is no question he made this deal just like he made a deal with big pharma and why there are no cost controls in this bill and no serious competition for the monopolies and so on. Look at what has happened to insurance stocks during this last year and it is obvious how positive the industry is about the passage of this bill.
11:27 AM on 03/25/2010
Senator MICHAEL BENNET of Colorado led the effort to show that a majority in the Senate supports the public option. Was it all for show? Did Michael Bennet only champion the public option when he thought it didn't matter?

Now that the reconciliation bill is going back to the House, Bennet has no excuse not to come through on his promise to save the public option.
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snapshot1940
"We have met the enemy and he is us"
11:19 AM on 03/25/2010
I have already started calling Senate offices (God help my phone bill) to urge ANY senator to add a public option to the bill. Please, I urge you, do the same and let's get this amendment passed. We owe it to ourselves and there are enough votes in both houses to pass it.
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curledup
11:36 AM on 03/25/2010
You go, snapshot!
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Suntio
Amat victoria curam.
10:58 AM on 03/25/2010
Indeed, the Republicans gave him a golden opportunity to take the health insurance reform from barely OK to really good. If the POTUS wants a public option, he can get it, so I guess now we'll see what he's made of.
10:54 AM on 03/25/2010
Tom, could the Dems re-introduce the "trap amendments" from the past days (e.g., Viagra/molesters) and vote "yes" on them now? If so, wouldn't that be good to do?
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12:05 AM on 03/25/2010
Tom, I like the cut of your jib, and your ideas too, man.
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Tom Pappalardo
11:35 PM on 03/24/2010
That of course is shooting for the moon. A robust public option tied to medicare rates is probably the most we could hope for at this time. However as I am most likely just dreaming here why not as you point out dream for the best possible way to go.
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ProudLiberalDan
Standing up an fighting conservatives since 1987
11:28 PM on 03/24/2010
Miles Mogelescu has already showed how Obama agreed to kill the public option in a deal with the hospital industry.

The President may not be worse than anyone else in politics, but he's shown he's just the same.

The only thing that the President will do now is deposit those corporate campaign checks he'll receive for delivering a mandate to buy private insurance with no choice of any form of public option -- the exact opposite of his campaign platform.

He's no warrior. He's a just typical politician and a brilliant one at that.

All the noise we hear about a future public option or Medicare buy-in from some members of Congress and commentators are just weak-willed progressives trying to cover their behinds with the base after not keeping their promise not to vote for a mandate without a public option.

They played us all for fools and because we are so desperate to believe they didn't, we'll believe anything they say.

I would love for my cynicism to be proven wrong, but I don't believe it will be.
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Tom Pappalardo
12:20 AM on 03/25/2010
I read that article too but you got to wonder after the massacre in Massachusetts, whether the stranglehold Rahmbo apparently had in leading Obama down the corporate garden path is not now considerably weakened. If that is the case the ruthless corporate types know the art of not only when to make a deal but when to break a deal. Deals are made when it benefits both sides and broken when things dramatically change from one side to another. The winds of change are blowing hard at the moment. They dont like it but these corporate weasels do understand it because they have done it. That is why what our country desperately needs is another voice in Obama's ear telling him to cut bait with these Rahmbo led deals and do what he was elected to do not what the corporate whores like his chief of staff thinks is the so called smart move.
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JohnFromCensornati
The End is near
06:19 AM on 03/25/2010
He's not going to burn bridges. He has other legislation he'd like to pass.
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12:00 PM on 03/25/2010
I think that progressive legislation will not come from Obama's advisors so much as from us. Obama said if you want change, you have to make me do it. WE HAVE TO MAKE HIM DO IT.
His support of the public option has always been tepid at best, and now there's other legislation for Obama and his advisers to attend to. The calculation may be that getting banking reform legislation, etc. passed will boost the position of Dems in time for the midterm elections.If Dems are going to seriously take up the PO, Progressives have to make them do it, not an easy task, especially when other legislation is pending which also requires our attention.
10:01 AM on 03/25/2010
The NYT article that Mogelescu keeps citing over and over had to do with a PO at medicare rates. Hospitals take a hit on medicare patients and make up for it by charging other patients higher rates, and a PO at medicare rates would kill practice, which is why hospitals wouldn't want that type of PO. They aren't against the concept of PO in general. In fact, they'd prefer PO because it's the most reliable form of payment. But they didn't want a PO at medicare rates, which is what the NYT article says.
Also, the NYT article is dated 8/18/2009, yet the WH pushed a triggered PO for the Senate bill and supported the House PO in November, disproving any notion of a deal to kill PO in August (or earlier).
Maybe there was a deal to not have PO at medicare rates. That makes sense with what the Congress eventually (tried to) pass: The PO passed by the House and persued by Reid weren't at medicare rates.
There was no deal to kill PO in general, and even the "damning" NYT article cited by Mogelescu says so. Go read the NYT artlcle for yourself.
Mogelescu complains that nobody else ran with the story, since you'd think that such a story would be huge. The reason nobody ran with it is because everyone already knows that medicare rateed PO was killed because hospitals didn't like it and that the Congress eventually persued a PO at higher rates.
10:51 PM on 03/24/2010
Or single payer?