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Republicans Are Irrelevant to Health Care Reform

by: Scott Galindez, t r u t h o u t | Op-Ed

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(Photo Illustration: Lance Page / t r u t h o u t; Adapted From: John Spooner / flickr and Waldo Jaquith / flickr)

    Sen. Olympia Snowe (R-Maine) voted for the weakest of the five health care bills passed by Congressional committees. Big deal. If the bill that goes to the Senate floor is weak enough for her to vote for, then the insurance companies will win and the American people will lose.

    When Sen. Harry Reid (D-Nevada) emerges from private meetings with Sen. Christopher Dodd (D-Connecticut), Sen. Max Baucus (D-Montana) and Obama administration officials, led by chief of staff Rahm Emanuel, the bill needs to have a strong public option or the insurance companies will carry out their threat to raise everyone's premiums, leading to an angry electorate in 2010.

    Democrats can cry foul all they want when the insurance industry threatens to raise rates, but if the final bill looks like the Finance Committee bill, higher premiums are inevitable.

    Why? It is simple economics. Many of the reforms, such as covering people with pre-existing conditions, could cost the insurance companies more money. The insurance companies will say that if they have to insure people that are already sick, they will need more revenue. Without competition, the insurance companies will continue to fudge the numbers and control insurance costs.

    Let's face it, the Republican Party is afraid that they will be irrelevant for a long time if the Democrats deliver anything close to universal health care; the best case for them is a bill that has reforms, but doesn't cut costs. They then get to say "we told you so" to the millions of Americans who will be angry because their premiums went up. They will be able to say "we told you so" to the young people who are forced to pay fines because they choose not to purchase a health care plan because they can't afford one.

    The Solution

    It's simple really, and most Democrats get it: provide real competition with a strong "Public Option." The ideal plan would be to let everyone buy into Medicare. Since this is not in any of the five bills that passed committee, it will not happen.

    The next best option is for the House to pass the strongest public option possible, and for the Senate to pass a bill that includes the public option that is in the HELP Committee bill. When they go to conference, let the House negotiators prevail and use the reconciliation route to get the conference report through the Senate.

    Using this route will require no Republican support, and leave the "party of no" on the wrong side of history once again. It will benefit the American people and will be smart politics for the Democratic Party.

     Finance Committee Bipartisan Route

    If the Democrats choose to continue the bipartisan charade and pass a bill similar to the legislation that Senator Snowe voted for, it won't just be the lack of a public option that will be the wrong prescription. According to USAction, a health care advocacy group, the bill is flawed in five key areas:

USAction Program Director Alan Charney said the legislation voted out of the Senate Finance Committee is unacceptable as a final reform bill for five reasons:

  • It lets employers off the hook. The Senate should adopt the HELP Committee's requirement that employers who have 25 or more employees should pay a reasonable share of their employees' health coverage.

  • It is unaffordable, particularly for those who do not get health insurance through their employer or are unemployed. It will require the typical family to pay thousands of dollars more each year just to maintain their coverage. The Senate should adopt the affordability credits and benefits package in the HELP bill.

  • It lacks a public option. The Senate HELP bill gives consumers the choice of a public option, so that they are not left at the mercy of private insurance companies' high prices and bad practices. Even worse, the Finance Committee bill requires consumers to buy insurance from private companies.

  • It is not inclusive. The Senate Finance bill does not cover many immigrants and it does not fully fund reproductive health care.

  • It raises revenue the wrong way. The Senate Finance bill taxes higher-cost health care benefits, which would hurt many middle-income families. Instead of this approach, the Senate should raise needed revenue to pay for quality, affordable health care by taxing the wealthiest 1 percent of Americans.
  •     Let us hope the private negotiations going on in the Senate majority leader's office result is a bill similar to the HELP Committee's version. If it doesn't, and the Democrats continue the politically stupid Baucus route to reform, Harry Reid should be replaced by a majority leader who will lead and stop compromising. The Republican Party is irrelevant, and the needs of the American people must be put before the insurance industry. What does the insurance industry really provide? Why should we care about an industry that provides nothing and profits on death? And who cares about working with a political party that always says no to the poor and middle class? I guess the rich do, but, the last time I checked, health care is fine for them.

        I really hope the Democrats get it. I hope this attempt at getting bipartisan support was all show, and the Democrats stop worrying about getting GOP support. The label "party of no" is not new for them. They opposed FDR's New Deal (including Social Security), Johnson's Great Society (including Medicare).

        Republican support is not needed, and, at this point, let them be on the wrong side of history as they have been on most great reform legislation.

      

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    Scott Galindez is a Senior Editor at Truthout.

    Comments

    This is a moderated forum. Β It may take a little while for comments to go live. Be civil and on-topic, don't threaten or advocate violence, please keep it under 300 words. Thanks for participating.

    What we need is a massive

    What we need is a massive 'die-off' on the Capitol Mall! If 100,000 people just laid down and 'died' there because their insurance wouldn't cover costs of catastrophic illnss for them and their families, it might give some 'image' to this debacle for members of Congress; but then, it might not. We should, instead, insist that all Americans have the same benefits that our members of Congress have,or if not,that they all have the same bennies that Medicare recipients have.

    Would a national sick in be

    Would a national sick in be of value? If everyone in the nation went to the health care of their choice on the same day, would that " break the bank" of the health insurance industry? Sort of like a run on a bank to take out all of your savings. How must the insurance CEO's be thinking? Could it be sort of a "let them all get sick and die" sort of attitude? They want us scared enough so that we will take out the insurance, but too blind and feeble to find the insurance policy when we need it.

    A talking heads show quest

    A talking heads show quest stated that any public option would only be open to those who cannot get other health care. If this is the case, we also need to punish insurers who deny claims unreasonably.

    This so-called "reform" will

    This so-called "reform" will make health care affordability worse, not better. If single-payer or at minimum a robust public option is not possible at this time, just do some insurance reform. The current bill is nothing more than an industry bailout. Drop the mandate. Outlaw recissions for anyone who has paid premiums 3 months in a row - that should give the insurer adequate time to check medical records. Certainly we can come up with a better, cheaper way to cover pre-existing conditions than to have our government force us to purchase a defective, overpriced product from a private for-profit industry that has gouged consumers for years.

    Scott Galindez's picture
    Lawrence, It depends on

    Lawrence, It depends on which version of the public option passes...Some have more access than others. Everyone is seizing on what Obama said in his speech without looking at the specific bills. Obama used language in his speech to quiet the fears of those who thought the public option would amount to a Government takeover.

    Public Option is the only

    Public Option is the only way to keep the insurance companies even partially on track and not in a position to threaten with increased costs. The multi-million dollar CEO's are greedily fighting to keep their revenues on the backs of the American public with no concern for those who need healthcare coverage for cancer, pre-existing conditions, etc. Being the most expensive care per person and #17 in the world is unacceptable. Having worked for 27 years in a public hospital delivering University level care for far less money and far better results than the private sector. I support without reserve the public option. Yes, on a salary less than 6 figures. No one I know wishes to get out of Medicare either. To consider less than a strong public option is a disservice to the American public. Republicans get a conscience and serve your constituents.

    Universal health care has

    Universal health care has proven to be ineffective and actually detrimental. Both Canada and England have been struggling with their economies as a result of their health care policies. Canada is actually trying to reinstate private health care. In England, patients in need of specialist care inform hospitals of their conditions and the hospitals judge the urgency of each against other patients. Because wait times are so long, Trusts are working towards an 18 week guarantee that means that the hospital must complete all tests and start treatment within 18 WEEKS of the date of the referral from the GP. Also, private hospitals are going bankrupt, and so will all private insurance companies once the Health Care Reform is passed. Employers will only pay for government health care therefore millions of Americans who once had adequate insurance will not have to wait or be passed on by the government if they decide their conditions are not important or too expensive.

    It appears that the

    It appears that the Democrats are also irrelevant since they have failed miserably to fight for single payer under Medicare. They have free, excellent health care, but they don't see why the average citizen should have the right to the same excellent health care. Most annoying is their refusal to admit that the developed countries of the world have all successfully gone to single payer taxpayer funded health care. So they have come up with a bill that FORCES, under threat of fines, the poor mokes who cannot afford the wretched insurance to buy it or face legal action! If that is not irrelevant to the true solution, what is? At least with the Republicans you know you're getting screwed from the git go. This health bill can only be seen as the coffin for the DNC.

    I really like the idea of a

    I really like the idea of a National "die-in." I would participate.

    Is it really in our best

    Is it really in our best interest to have our employers pay for our health insurance? Hasn't this lead to increases in unnecessary procedures, medications etc... And it limits our options in terms of what kind of coverage we receive.

    I sometimes think -- vs the

    I sometimes think -- vs the suggestion on demonstrations (though I'm all for the demonstrations too -- and I especially applaud those getting arrested) -- that, what we need is some kind of organized effort between health care providers and "the common person" so that we can generate a sustainable mass movement in dropping insurance policies, while still being able to get or provide medical care. If enough people from the various assorted groups (healthy, risk, high risk, etc) dropped their health insurance policies, then they would be forced to put through the commonsensical solution -- like a single payer plan. We need clearly designated mathematical goals to put the bastards out of business for good.

    And Scott, it doesn't seem

    And Scott, it doesn't seem to have hurt them. But ordinary Americans need a fair shake on the healthcare front. We really do. My wife and I are both professionals with our own businesses, and we do not trust the insurance companies with our money. We don't trust that if something serious happens, we will be covered. So we go without insurance. Most people seem horrified at the prospect, but we believe they are in no better position with their "insurance". Most people say they're satisfied with their insurance, until they actually use it. Then, almost 90% say they are not satisfied with how they were treated. And over 50% of people declaring bankruptcy after a major medical event? Absurd, with the money people pay insurance companies?! It seems enough has been said about the need for real reform. The question is does Congress care, and are they listening?

    Wasn't Social Security

    Wasn't Social Security created without any Republicans onboard..?... Why are Democrats so afraid to just do what they were elected to do without Republicans if necessary..?... The American People handed them a Super Majority and the White House and said ''Here, We BELIEVE IN YOU..!'.... And now--- what do WE have a Super Majority of--- JellyFish with permed smiley faces who crave Republican approval..?... They can't see that in order to be perceived as Leaders, they have to ACT Like Leaders..?.... Go Figure..!

    Why so many people harp on

    Why so many people harp on theEnglish and Canadian system when they argue against a public option ? There are so many other great examples of how a public option works great and gets the profit out of an ndustry that should be for the good of the nation not for the good of overpaid CEOs of private insurance firms. Germany has a great system. If you earn over 50,000 Euros a year you can choose to buy insurance from a private company. Your employer pays half up to 250 Euros a month, you pay the rest. There are many good companies and competition keeps prices humane. All people , and I mean ALL people who earn under 50,000 MUST be in the public program. It is only fair that a system that takes care of the sickest people also include premium paying young and healthy in the pot. One day they will be older and it will be their turn. The system in Germany is constantly being fine tuned. It is a "process" without end. It is time for the USA to get something on the table that works for the people. It is time to start the "process". The key is, health should a non profit industry PERIOD !

    Kirsten Kaiser: Your

    Kirsten Kaiser: Your information is seriously flawed. I am a Physician in the UK and normal wait times for an operation is 3 - 4 weeks. Some even shorter. Life threatening operations are immediate. Private hospitals are NOT closing but actually more of them are being built. The private hospitals handle BOTH NHS and private patients. BUPA, our major private health insurance company, is alive and doing well. Most of BUPA's policy holders are having their medical care via private hospitals, if the patient so desires it. Other private insurers are available as well. NHS hospitals are being expanded and modernised throughout the UK. Mixed wards are almost a thing of the past and the new hospitals are double or single patient rooms. NHS patients have a selection of hospitals and clinic to go to, can interview their perspective surgeon and make a choice of where they should be treated. Cheers,

    Invoke 'Reconciliation'

    Invoke 'Reconciliation' Process, Please -- It's time for Senate Majority Leader Harry Reid to invoke the reconciliation process and push through a health care reform bill -- WITH a strong public option -- through the Senate with a SIMPLE MAJORITY of 51 votes. It is abundantly clear the the Republicans and the conservative "blue dog" Democrats -- They really should be called "red dogs" -- will not vote for any bill that contains a strong public option. It is equally clear, however, that a bill that does NOT contain a public option will NEVER REACH PRESIDENT OBAMA'S DESK, for the House will never approve it under any circumstances. There are now a rock-solid 200 votes in the House against any and all health-care reform bills that do not contain a public option. Opinion polls show a solid majority of Americans favor a public option. It's time for the "blue dogs" in the Senate to

    In addition to taxing the

    In addition to taxing the top 1%, a stock transactions tax has been proposed. This would raise an estimated $50 to $100 billion per year, and would have little effect on anyone except those engaging in heavy, frequent speculative trading: http://thehill.com/homenews/house/56789-afl-cio-dems-push-new-wall-street-tax I agree with "Is it really in our best" above. There is no real reason to connect health care to the place of employment. And I agree with EDGEOFNOWHERE that the Dems are blowing it by not having come out strong for an expansion of Medicare. And that would be much more easily understandable to folks, and would not require over 1000 pages of legislation to accomplish. But I agree with Scott that we must, as second best, pass the strongest public option possible. If we do not, costs are certainly going to get even more out of control.

    Republicans are irrelevant

    Republicans are irrelevant for anyone that works for a living.

    "...The ideal plan would be

    "...The ideal plan would be to let everyone buy into Medicare. Since this is not in any of the five bills that passed committee, it will not happen. " We can all agree that Medicare has its flaws and needs its own reform, but this would lead us in the right direction. http://cli.gs/Tg16mz

    15:02-Carrie Johnson... I

    15:02-Carrie Johnson... I TOTALLY AGREE... MEDICARE IS A PUBLIC OPTION SYSTEM ALL SET UP, READY TO GO, WITH A PROVEN TRACK RECORD AND VERY HIGH APPROVAL/SATISFACTION RATING..!!!

    Both Parties Irrelevant, as

    Both Parties Irrelevant, as demonstrated by the deep conflicts of interest between them, the health care industry and the federal agencies created by both parties to 'regulate' health care. It is one big fraud system that is designed to sicken people and then price gouge them forever. The protections for the makers of hideous food additives and drugs, along with the lack of information available to consumers (did you know that these corps have successfully mandated that we NOT be allowed labeling info of food makers who offer foods free of certain dangerous chemicals, such as bovine growth hormones?). This country has been taken over by wretched poisoners and villains of the first water - and they sit in fancy offices and trick us all into taking and paying for bogus treatments.

    What we really need is a US

    What we really need is a US version of Britain's National Health Service. We would need a bit more than $900 billion per year to fully fund a US version of the British National Health Service (universal health care) - $900 billion per year in total, not $900 billion in addition to our current spending. In 2007, the combined Federal, State, and local government expenditure on health care was $1035.7 billion. So, we can fully nationalize health care with the US National Health Service, and cut government health care spending by about $100 billion per year at the same time. No additional tax source is needed. Additionally, adopting a US version of Britain's National Health Service will free up more than $1.2 trillion per year in private funds no longer needed to pay for - largely illusory - private health insurance. Adopting a US version of Britain's National Health Service will also save the lives of nearly 6000 infants per year - infants currently being sacrificed on the black altar of amoral corporate greed. The bottom line is that we are already paying for universal health care, we just aren't receiving it. /Data from: the Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group; U.S. Dept. of Commerce, Bureau of Economic Analysis; the U.S. Bureau of the Census; the U.K. National Health Service; and the U.S. Central Intelligence Agency.

    I don't think we need a

    I don't think we need a national die-in or sick-in...just wear a HealthStrong wristband to show your support of health care reform and the public option. This is a movement by the people and for the people to demand a public option. www.healthstrong.org

    the gop is fast becomeing

    the gop is fast becomeing the wing party all over again , its either a strong public option at the least thats why we voted fpr obama . a single payer syestem like the uk or cacada is best , but well start with this an build on it . ALSO ITS GOT TWO START IN 2010 NOT IN 4 YEARS THE VOTERS WILL CLOBBER OBAMA IF THEY PUT THAT IN , THE PUBLIC OPTION MUST BEGIN NEXT YEAR .IF IT DOSENT THE INSURENCE COMPANYS WILL TAKE FULL ADVANTAGE AND PUT UP PREMIUEMS AMD THE GOP WILL SAY TOLD YOU SO .