Obama: Medicare savings part of reform

Now, that is what you call leadership, unless, of course, you are a Republican or a corporatist !! In either case, we know the obvious reasons for their refusal to help the people with their healthcare problems !! They want the greed factor to ride the wave, as it did on Wall Street, with those lousy crooks !! Well, it seems that President Obama is calling that scam, I mean, scheme, worn out and unacceptable. Too many people are without insurance, or are paying outrageous premiums and co-payments, that they have little, with which to live. That's not America, that's a corporate take-over of America !!
Thanks to President Obama, a realistic discussion is under way and, I, for one, am in full agreement with President Obama's position. I know of what I speak, since I was just informed, that, as of July 1, I will go, from being covered by employer-based insurance, as a retiree, paying into the plan, while I was working, to being charged $550 a month. I retired early, due to illness, so my monthly pension check, will actually be cut in half and that is not counting drug costs, premium increases and co-payments !! This was a contractual arrangement, the healthcare plan, after retirement, but the company, a public transportation agency, saw fit to tear up the terms and rewrite the contract, in their favor !! How is that for fairness and honesty ? That is why President Obama's initiative is so important, to all of us and that is why we will get into the streets, if we must. Corporate America is killing us, by actions, unconscionable and based in greed, through politics !! Lend a hand to President Obama's attempt to right a great wrong, that Corporate America has perpetrated against America's citizens, who dying because of corporate greed !!
SUPPORT OUR TROOPS, BRING THEM HOME, ALIVE AND WHOLE. NOW.

Notice how Obama failed to list the out of control costs incurred by having to practice defensive medicine or the outrages expense of medical malpractice insurance that the trial lawyers and their malpractice cash cow impose upon our healthcare system. A great example is the malpractice insurance premium for an OB/GYN many times exceed 120K a year ( that is 10K/month, 334 dollars a day, before one even gets up in the AM or while one has a day off to take the often neglected family to the lake) and a neurosurgeon's is so high that many just stop surgery altogether. It does not stop there, as costs skyrocket for needless tests and referrals that are often done only to cover a doctor's or a hospital's (or any healthcare provider) butt against the ever lurking vultures eager to litigate any possible appearance of error or omission of only the highest and often the most expensive standard of care. Even natural mistakes due to forces beyond the control of mankind (ie nature, genetic) are brought to bear upon us. Or how about failing to mention a preventive helpful suggestion during a busy, stressful day? Yep, sue me. Did you know that the greatest cost of a stepladder is for potential litigation expenses due to injury from using it? Tired of all those lawyers on TV, trolling for litigants to sue over potential harmful side effects of lifesaving drugs I may prescribe to save your life, even if they were misused by the patient? Call Obama. Folks, you must realize that these lawyers are driving up the costs of healthcare ( and everything else in our society) for each of us. In essence, they do little to improve the quality of healthcare (ya right, they are protecting us, well this argument is not cost effective) and their added expense to every bill is a great economic burden that could be eliminated. Until Obama and the Dems, speak and address this vast problem in our healthcare they are just blowing smoke up our collective a**es. That's a fact and ask yourself one question; why do we not here the Prez. or any Dem. speaking of this, supposed to be "comprehensive" isn't it?

Lies, lies and more lies from the so-called Anointed One. Every independent outfit shows this costing more than the administration says -- by far! Shoot, his administration still predicts growth this year, which no one has all year long. His budget deficits are out of sight for years to come and all he does is spend, spend, spend. He's giving Palou $200 million to take care of a few Gitmo prisoners. They go from one tropical island to another, and even nicer ones at that in Palou and Bermuda, all of which costs us taxpayers hundreds upon hundreds of millions of dollars. Ridiculous. But then what else was expected from a far left, incompetent loon like Obumbles.

"...I am announcing an additional $313 billion in savings..." I guess if BO announces it, it must be true. Sort of like the "3 million jobs" he announced that he was going to "create or save". BTW, he's down over 2 million - better create or save 5 million.

"... if doctors have incentives to provide the best care instead of more care..." Currently the doctors' incentive to provide more care is caused by lawyers. Sqeezing dollars from this process needs to involve tort reform.

We all know that cost savings alone will not provide the money to provide the USPS version of health care. Let's see where the tax money is going to come from. Taxing the health benefits of thoe that have private health insurance? Taxing undesirable foods? Cap and Trade? For the 95% that BO said he would not raise your taxes - he LIED. He has alredy raised taxes of 20% of those by raising cigarette taxes.

1. Obama shouldn't talk about leaving a "mountain of debt" for our children when he is the president who SPENT more than ALL the presidents combined with his unread stimulus package!

2. Obama, plain and simple, is cutting Medicare and Medicaid. So, all those baby-boomer that sent in money to the government now will have to have reduced medical services.

3. Obama seeks to INcrease TAXes to get his nationalized healthcare coverage. $600,000,000,000 to cover just the BEginning costs.

4. So, not only do we, taxpayers have a Value Added Tax from Obama to pay for his healthcare program..

We have the Stimulus Tax and we have the Cap and Trade Energy Tax.

Obama is going to tAX soda, beer and alcohol.

This is not the kind of nation I want with this president.

Too much TAXING and too much SPENDING.

No to democrats. No to local democrats who raise taxes and no to state and federal democrats who raise taxes.

At the rate we are going 50% of our income will go to taxes.

Vote out democrats.

With the Republican smear-the-public-option campaign---designed by Wingnut mouth-breather Frank Luntz---in full swing, here's a handy, crystal-clear rebuttal you can print out and leave on windshields and utility poles (and even in emergency rooms!) across America:

5 THINGS YOU NEED TO KNOW ABOUT PRESIDENT OBAMA'S PUBLIC HEALTH INSURANCE OPTION

1. Choice, choice, choice. If the public health insurance option passes, Americans will be able to choose between their current insurance and a high-quality, government-run plan similar to Medicare. If you like your current care, you can keep it. If you don't—or don't have any—you can get the public insurance plan.

2. It will be high-quality coverage with a choice of doctors. Government-run plans have a track record of innovating to improve quality, because they're not just focused on short-term profits. And if you choose the public plan, you'll still get to choose your doctor and hospital.

3. We'll all save a bunch of money. The public health insurance option won't have to spend money on things like CEO bonuses, shareholder dividends, or excessive advertising, so it'll cost a lot less. Plus, the private plans will have to lower their rates and provide better value to compete, so people who keep their current insurance will save, too.

4. It will always be there for you and your family. A for-profit insurer can close, move out of the area, or just kick you off their insurance rolls. The public health insurance option will always be available to provide you with the health security you need.

5. And it's a key part of universal health care. No longer will sick people or folks in rural communities, or low-income Americans be forced to go without coverage. The public health insurance plan will be available and accessible to everyone. And for those struggling to make ends meet, the premiums will be subsidized by the government.

It might not hurt to give your senators a jingle and ask 'em which they embrace more: campaign contributions from the big insurance lobby and Frank Luntz's Republican propaganda, or historic legislation that will enhance their legacy and make them heroes among their constituents for improving the health and well-being of all Americans. Be patient---sadly, it could take some of 'em a while to decide.

Washington, D.C. – The nine Republican Senators who sent a letter to President Barack Obama to express their opposition to a central part of his health care plan have benefited greatly from health care and insurance industry donations, a new analysis from Public Campaign Action Fund shows. The Senators have collectively taken $17.7 million from insurance and health care interests, according to data analyzed at the Center for Responsive Politics website, opensecrets.org. That amounts to nearly $2 million per Senator over their careers.
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http://www.campaignmoney.org/pressroom/2009/06/08/senators-who-signed-letter-opposing-public-health-plan-took-17-7-million-in-campaign-cash-from-health-care-

Republicans in the back pocket of the Industrial Insurance Industry? I'm shocked.....NOT!

bubba, John D., Terri, Erin:
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You are all absolutely correct.

It breaks my heart that the President of the United States would stand behind such and obnoxious plan and such lies, and thereby jettison any semblance of common sense in favor of a corrupt and failed ideology. He doesn’t even have the guts to come out and tell us the obnoxious details. He only hints at them. The only thing that breaks my heart even more is that there are enough people in this country - and in Congress - to see to it that we will all be saddled with this monstrosity. I guess brains, integrity and vision come at too high of a premium for government anymore.
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Here we go folks. Say goodbye to freedom. We’re all going to live on the plantation from now on.
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Socialism: It’s not just for poor people anymore.

We all remember the commercials that were made by Republicans and their pals at the Big Insurance Industry to trick Americans into thinking that health care reform would hurt average working families. We now see what has happened to the health-care system. CEOs rake in the big bucks from the huge profits they take in as health-insurance costs have skyrocketed.

FierceHealthcare reports the following top 10 CEO salaries for 2008:
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* Ron Williams - Aetna - Total Compensation: $24,300,112.
* H. Edward Hanway - CIGNA - Total Compensation: $12,236,740.
* Angela Braly - WellPoint - Total Compensation: $9,844,212.
* Dale Wolf - Coventry Health Care - Total Compensation: $9,047,469.
* Michael Neidorff - Centene - Total Compensation: $8,774,483.
* James Carlson - AMERIGROUP - Total Compensation: $5,292,546.
* Michael McCallister - Humana - Total Compensation: $4,764,309.
* Jay Gellert - Health Net - Total Compensation: $4,425,355.
* Richard Barasch - Universal American - Total Compensation: $3,503,702.
* Stephen Hemsley - UnitedHealth Group - Total Compensation: $3,241,042.

My rates go up and coverage goes down every time I turn around. And then they just decide not to cover certain medications without an explanation. Even scumbag criminals are resurfacing like Rick Scott to try and con America for a second time -- and the corporate media does nothing about it.
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http://crooksandliars.com/john-amato/dont-let-third-way-ben-nelsons-or-repub

Here's the key to why Republicans want to sink any health care reform written by Democrats:

They recognize that Democrats fixing the health care mess would cook the Republicans' electoral goose for at least a generation or two.

Ask yourself this:
If your employer announced that you were going to be laid off tomorrow because of the economy, and that if you wanted to continue your insurance coverage by COBRA, it would cost of $915 a month (the average cost), how long would you be able to keep yourself and your family covered? Nationally, COBRA coverage costs around 83% of the average unemployment benefit....and that's just fine with the angry old rich white guys who make up the Republican party, but the rest of us here in the real world can't afford it.
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http://www.post-gazette.com/pg/09010/940941-28.stm

The insurance crisis could be your problem, tomorrow, through no fault of your own, as it has for millions of hard working americans in the last few months.

The more Obama talks up his Health Care Plan more tax burden on the working people.
Lets just hope the AMA doesn't get sucked in with his smooth Teleprompter speech Monday in Chicago.

Since Mark "I don't talk to Republicans even though I'm a political journalist" Silva won't mention the Republican response (can't have equal time at a newspaper!), here's a newspaper article I found on Cong. Mike Pence's address. The full address is on youtube.

"Rep. Mike Pence, R-6th, continued GOP criticism of the Democratic energy plan in remarks set for delivery today after President Obama’s weekly radio address.

Pence said the plan would hike family expenses $3,400 a year and a pollution-control plan could cost 7 million jobs.

“That is a heavy price to pay for a plan that will do very little to clean up our environment, since manufacturers will probably ship their plants and their pollution to countries with less stringent … safeguards,” he said.

He said a better idea is a GOP plan for more domestic oil and gas drilling, more nuclear energy, investment in renewable and alternative energy, and incentives for greater conservation."

It took about 20 seconds online to find the "equal time" and help Mr. Silva out.

Why should we trust the government to force the public option upon us when they won't honestly tell us what it will cost and who will have to pony up. For more, see www.MDWhistleblower.blogspot.com. We all know that whatever funding he claims to have will never be enough, as we are learning in Massachusettes.

Who exactly do Republicans think make the decisions about whether or not your health insurance policy will cover your illness? Who rejects millions of people for "pre-existing conditions"? Who decides to jack your premium up 20-30% a year, putting your doctor so far out of affordable reach that you could fit a room full bureaucrats in between? Who decides that your prescription won't be covered by your existing policy? Who decides which doctors you can go to? It sure as heck isn't the GOVERNMENT!

It's the for-profit Big Insurance Bureaucrats that are in the back pocket of almost every Republican in Congress!

You know the "we need to maximize profits at all costs" types. How do you think insurance companies make their insane profits? By DENYING CLAIMS. For-profit companies are driven (by definition) by...you guessed it...profit motive. And the only way to make a profit in the healthcare biz is to gouge people on premiums and deny, deny, deny claims.

Don't let the Republican party, their special interest groups and lobbyists scare you, people.

8 Myths About Health Care Reform - And why we can't afford to believe them anymore:
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http://www.aarpmagazine.org/health/8_myths_about_health_care_reform.html

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Posted by: 52095187 | June 14, 2009 3:43 PM
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You are gravely mistaken, or have been deluded, or both, if you believe the government will not make distinctions and deny coverage or needed care. They do it already. Medicare and Medicaid have numerous regulations that prescribe the kinds of treatment the government is willing to pay for, and those for which it is not. No one has mentioned any reason, and I can’t think of any, why this practice won’t persist if and when there is a government takeover. In fact the reasons in favor of rationing would increase in the latter case, since a government run medical system will result in jamming everyone into a system that doesn’t have the capacity to care for everyone at the moment.
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If you want an example of this, go take a look at the various “senior advantage” plans that are available. They are funded through a combination of Medicare and patient co-payment plans. They limit the kinds of care the elderly are able to receive. Some of that is HMO greed. However, a good portion of it is limited by Medicare regulation. I have heard health care providers quote federal regulations many times as reasons to deny health care services. Many are happy to provide services up to the point that federal funding permits it; and then it drops of the table once federal regulations cut off the funding.
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So, maybe HMO bean counters are denying health care services to people. I won’t deny it. But there are also federal government bean counters doing the very same thing. Handing the whole thing over to the federal government is just going to shift more of the same bean counting job from the private sector to the federal government.

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Posted by: William Jenkins, M.D. | June 14, 2009 5:01 PM
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Way to go, Doc.
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You have added to the confusion with your post and the referenced web page. The positive spin in the article is illusory. The results depend on how the federal government ultimately handles the health care issue. Since neither you nor anyone else knows the contents of the plan the federal government will eventually adopt, there is simply no way to predict whether the positive results predicted in the article will come to fruition. It is not beyond the pale for the federal government to totally screw up something like this. It’s happened before (cf. Medicare, Medicaid and Social Security). Even if it isn’t totally screwed up, it can still be implemented in such an inefficient manner (which is the federal government’s default mode) that the cost of health care will go up. Right now, despite the voluntary cooperation of the medical, insurance and pharmaceutical industries, there is no guarantee this won’t be temporary or that they won’t raise their prices and push people out of the market. The push to ram this legislation through threatens to deprive Congress of the deliberation and care necessary to consider all of this and do it correctly.
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In the second place, neither you nor the article addresses the concerns of many people over the results of a federal “overhaul” of the nation’s health care system. You fail to address, for instance, the trouble with freedom and autonomy. Unlike you, not everyone is thrilled with either the medical profession (Hippocratic Oath? What Hippocratic Oath? Oh, you mean the Hippocratic Oath that has been superseded by Doctors’ obligations to insurance companies and HMOs!) or government control over privacy and personal decision-making about important medical choices. Did you forget, perhaps, that we have a tradition in this country of requiring that all doctor-patient relationships be entirely voluntary? How well does that fit with a health care system into which everyone is effectively forced to expand the insurance pool that makes it all affordable? How is forced participation conducive to privacy and autonomy when federal law permits the disclosure of patients’ medical records to “interested” third parties? How does one trust the federal government to protect the “privacy” interests of patients when protecting against governmental intrusion has been the big fight all along in protecting people’s privacy? Isn’t that a little like trusting the hen house to the wolves, or sending carrots by carrier rabbits?
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There are other problems which a person like you, presumably untrained in the law, might not genuinely appreciate. For instance, as mentioned, Barack Obama’s basic idea for a health care plan gives everyone the choice between a private health care plan and a government sponsored or subsidized plan. He doesn’t appear to be interested in giving people the third option of self-insurance (if Ted Kennedy’s draft is any indication). For the first time in history, the government would be imposing a monetary obligation on everyone to contract with a health care provider. This obligation cannot be classified as a tax, because taxes consist of money paid to the government for public use, rather than to a third party for private use. If imposed against a person’s will, forced participation would involve a confiscation of property for the benefit of a private third party. One would have thought, by now, that the government knew it couldn’t do such a thing without running afoul of the “taking clause” of the Fifth Amendment.
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I also suppose it didn’t dawn on you that forced participation in such programs is likely to violate the rights of many to the Free Exercise of Religion as guaranteed by the First Amendment. It is plainly obvious that forcing everyone into some insurance plan would require everyone, regardless of religious scruples, to actually support and fund abortions as well as pay for the consequences of other highly risky behaviors (unprotected non-marital sex, drug use, etc) that violate their moral and religious precepts. Many view it wrong to be “unequally yoked with unbelievers” in worldly affairs such as heath care. It is unlikely in the extreme that the federal government would exempt insurance carriers from providing the objectionable services, or that they would exempt people on religious grounds from participating. I can imagine there won’t be a few lawsuits over that issue.
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Moving beyond the immediate perniciousness of confiscatory laws and its intrusion onto the private affairs of individual citizens, there is also the question of whether the federal government has the constitutional authority to enact a health care program. The immediate health, welfare and safety of citizens has always been the traditional subject matter of State power. None of Congress’ powers go as far as mentioning or authorizing such a large, overarching program. Jurisdiction under the Commerce Clause requires “commerce” as the subject matter, and medical services don’t fit the definition. Jurisdiction under the so-called “general welfare” clause only works if the government is spending money. It doesn’t work when the government is forcing private citizens to spend their money on third party services. Moreover, given the tension between state powers over local police, health and welfare, a broad reading of any of Congress’ power to authorize such a program raises serious questions about federalism and the 10th Amendment.
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Posts like yours fill me with such contempt for the medical profession. You represent a profession that has sold its birthright for a bowl of pottage when it embraced the insurance industry to guarantee the flow of shekels. Before we worry about how to pay for health care, people like you have to start thinking more about how to deliver services that more closely resemble health care, and to be satisfied with remuneration that doesn’t put everyone in the poor house.

Republican Corporate-Sponsored "Patients United Now" - A Big Insurance Industry Lobbying Group, Funded With GOP Dollars, Is Trying To Kill The National Healthcare Plan For Middle-Class And Poor Americans:

After orchestrating and funding the so-called "Tea Parties" movement, "Americans for Prosperity" — a nationwide front group founded and funded by the right-wing polluter Koch Industries — is launching an ad campaign characterizing President Obama’s effort to reform the health care system as a government take-over that will ration care and care and deny treatments.

"Americans for Prosperity" is notorious for its fake Republican grassroots efforts, funneling millions of dollars into conservative campaigns designed to undermine public initiatives. As Lee Fang put it, “AFP is a professional Republican AstroTurf machine”:

~ They Hosted ‘Drill Baby, Drill’ rallies around the country.

~ They Financed Joe the Plumber’s tour against the Employees’ Free Choice Act and other anti-EFCA rallies.

~ They Started NoStimulus.com, “a grassroots website that we hope will be a focal point for the widespread frustration ordinary Americans feel at the runaway government growth that we see during good economic times and bad.”

Now, they're operating under the name "Patients United Now, Americans for Prosperity", (which is mostly funded by large multinational corporations) and they're masquerading as an organic grassroots movement pretending to be "outraged" over the Presidents health care proposals.

The effort provides cover or ‘grassroots clout’ for conservative politicians and activists to oppose the President’s health care initiative. But this collection of trumped-up charges, outright lies and complete fabrications makes little headway in critiquing the President’s actual proposal." Just like all other peddlers of the “government take-over” critique — Frank Luntz, Conservatives for Patients Rights, Betsy McCaughey, Rick Scott and Sally Pipes — the goal is to define Obama’s proposal in their terms rather than to engage in a debate about health care or offer real solutions to the crisis. As Frank Luntz admitted to the New York Times, “we don’t know what he is proposing".
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http://wonkroom.thinkprogress.org/2009/05/27/pun/

Our health care system is disintegrating. Today, 46 million people have no health insurance and even more are underinsured with high deductibles and co-payments. At a time when 60 million people, including many with insurance, do not have access to a medical home, more than 18,000 Americans die every year from preventable illnesses because they do not get to the doctor when they should. This is six times the number who died at the tragedy of 9/11 - but this occurs every year.

In the midst of this horrendous lack of coverage, the U.S. spends far more per capita on health care than any other nation - and health care costs continue to soar. At $2.4 trillion dollars, and 18 percent of our GDP, the skyrocketing cost of health care in this country is unsustainable both from a personal and macro-economic perspective.

It always makes me laugh when I hear people say they want to preserve "insurance choice" in this country. What choice do you have when you work and are nominally "insured," but your insurance coverage doesn't pay for anything you need? Are you then going to have the ability to run out and purchase extra coverage on the wages you make? Well, I guess you have the "choice" to rob a bank or maybe win the lottery to pay for it, but that's about it.

Republicans and their rich oligarchy supporters will do anything to kill a good healthcare bill because they know people will like it and when that happens their electoral goose will be cooked for generations - if it's not already.

The Grand Old Prevaricators (GOP) , the political arm of WallStreet with the Insurance Corporations are desparately trying to disrupt any attempts for the public to get reduced health care costs . Their objectives are to influence the uninformed electorate . A Public healthcare program would kill the insurance companies . If we all stopped paying for insurance and just pay what ever bill we get for ailments there would be big competition among doctors and among hospitals and their prices would drop . Instead of paying Insurance premiums put the money in a safe local bank with FDIC insurance . If we never get sick we would have a nice nest egg . If we do get sick we will get bills from doctors and hospitals then we could make payments or a down payment to them . Insurance is a bet . You put up your money betting you will get sick . Meanwhile we do everything possible to stay well . As is we are paying even if we never see a doctor . Ask your job for a raise and tell them no more health care payments.
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http://www.huffingtonpost.com/bill-mann/americans-whove-used-cana_b_215256.html

Obama seems to have zeroed in on what I view as the major barrier to health care, and that is spiraling cost. He also seems to have recognized that a major facet of this is the over-prescription of tests. This is where he wavers. He suggested at the AMA speech today that the reason for unecessary tests is that doctors have financial incentives to order unnecessary tests. While this may be true in some instances, it is a cop out to suggest this is the primary cause and ignores a broader issue.

The major reason for over-prescription of tests is that the doctor needs to cover his/her rear end from malpractice claims. If a neurologist is called to the ER to see someone with headaches, the clinical symptoms and plain films can make the doc 99.9% sure there is no bleed/stroke, but the only way to be sure is an MRI of the brain. That also costs several grand. What does the doc do? He orders the test. First, there is no disincentive to order it; it costs him nothing. Second, if the doc doesn't order the test, and there does turn out to be a bleed, the doc will get crucified in a lawsuit. Why take the risk? Answer - they don't. As the president of the AMA, Dr. Rohack, said today "unless we have protection in a courtroom for not ordering a test, we're going to order that additional test." Obama paid lip service to this, but of course will not commit to doing anything that will challenge the trial lawyers bar, which has considerable clout. Unless Obama addresses the issue of malpractice in a meaningful way, he will not get the support of the AMA.

Another facet leading to spiraling costs that Obama has not addressed is that market forces are not putting downward pressure on cost. Whether it's an HMO, Medicare or Medicaid paying your bills, it's always a third party. People don't pay attention to price. If I need to see a specialist, I don't shop like I'm buying a TV - this guy is $400 an hour, but this gal down the street is only $250, etc. If someone else is paying, people typically demand the best, or worse, don't even pay attention to cost. So despite it being a "free market" in health care insurance, market forces are not applying because there is no meaningful price competition. Adding a public option to compete with private insurers does not address this issue, unless that public option is going to tell you who you can see or how much you can spend. If it doesn't, it's just another layer added onto the problem.

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Posted by: Herbie H. | June 15, 2009 9:20 PM
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But Herbie, you can’t expect them to take on tort reform. Oh, no! Never mind that medical malpractice insurance is one of the highest costs of doing business for doctors. They don’t want JUST a health care system. They want to run a health care lottery too. Break a leg - get treated free. If the doctor can get accused of screwing up your leg too - everything is good - you’re made for life. You don’t even have to buy a separate ticket. And just what would all of those Obama’s supporters in the personal injury bar do for a living if serious tort reform went through? I mean, don’t you know that Obama still has to create or preserve three million jobs? And, besides, it’s pretty hard to pay the rent and buy cases of pink Shiraz while defending court appointed cases.
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You make too much sense, Herbie. That’s why no one is going to listen to you. Reason has sailed. Frustrating, isn’t it?

I worked all of my life and put my $ into medicaire and now Obama is removing that health care from me so he can get what he wants when he wants like a spoled child!