Politico: ObamaCare in "Real Jeopardy"

Spend, spend, spend.

Public anxiety about red ink ó muted during this winterís debate over an economic stimulus package ó has come roaring back, with a Gallup Poll showing deficits and spending as the only issues where more people disapprove of Obamaís performance than approve of it.

Republicans think the ďborrow and spendĒ issue may be the biggest single vulnerability for Obama and the Democrats in the midterm congressional elections of 2010 and the presidential year of 2012. The presidentís own advisers privately agree.

Thatís one of the reasons Obama is emphasizing what he calls ďsavingsĒ ó otherwise known as cuts ó that would help pay for his plans.

That is why Democrats admit that it was a public relations disaster this week when the Congressional Budget Office issued a report this week concluding, from a partial draft of a Senate health committee bill, that the plan would cost $1 trillion over 10 years but only provide coverage for 16 million of the estimated 50 million Americans who are uninsured.


Sen. John McCain (R-Ariz.), a member of the health committee, said on Fox News Thursday that he considers the CBO finding ďa devastating blow to the administrationís plan.Ē

Sen. Max Baucus (D-Mont.) now says Democrats will need to come up with a bill that costs less than $1 trillion ó but many liberals say it would be meaningless to do something that small and leave so many people still uninsured.

Democratic Rep. Cooper writes that the plan is "on life support:"

[W]e are explicitly told not to work with Republicans.

Now, my personal belief is that Congress could begin marking up the bipartisan Wyden-Bennett Healthy Americans Act right away. Smart commentators like Jonathan Cohn at The New Republic and Ezra Klein at the Washington Post have praised this bill. Itís progressive, itís bipartisan and itís deficit-neutral.

All I know is that health care reform is on life support because the Senate canít figure out how to pay for it. Jon Cohn and Ezra Klein are worried. Iím worried. And Iím speaking out today because Iíve been through a failed health care reform process before. We canít afford to repeat those mistakes this year. Letís follow President Obamaís lead and work together to finally provide health care to every American. And letís do it right now.

"Those mistakes" refers to the 1993 HillaryCare failure. Cooper was a Congressman pushing for health care then, too.

Meanwhile the public isn't quite as hot for Hope and Change in health care as might have been thought. Public support for big changes is actually lower than it was in 1993, when Hillary's plan ended in Epic Fail.

A majority still says it's more important to expand care, but there was a +54 point advantage for "expand care" in 1994, and a mere +20 advantage for it now.

According to the Politico argument, many liberal Democrats feel that there's no point trying to craft a bipartisan bill (they're probably right, too) and so, of course, will table the issue until spending is controlled and we have the money to pay for this.

No, of course not. They want to ram it through on not just party-line votes, but liberal only party-line votes, losing moderate and conservative Democrats entirely (except for those few votes they can buy through bribes to get a razor-thin majority).

Michael Barone sees trouble for Obama on several fronts, including health care:

But consider these findings from the NBC/Wall Street Journal poll:

● 69% say they have a great deal or quite a bit of concern about government ownership of General Motors and a 56%-35% majority opposes government aid to General Motors in return for a share of its stock

● 58% say the president and Congress should concentrate on keeping the budget deficit down, even if it takes longer for the economy to recover

● when presented with arguments for and against a government health insurance plan, it was favored by only a 47%-42% margin

● when asked the most important economic issue facing the country, 24% chose the budget deficit and only 11% chose health care

● a 52%-39% majority opposes closing the prison at Guantanamo Bay

Or consider these findings from the CBS/New York Times poll:

● when asked to volunteer the most important problem facing the country, 38% said the economy, 19% said jobs and 7% said health care

● only 44% approve Obamaís handling of health care, while 34% disapprove

● only 41% approve his handling of the problems facing the auto industry, while 46% disapprove

● by a 52%-41% margin they prefer reducing the budget deficit to stimulating the economy

● only 30% think Obama has developed a clear plan for dealing with the budget deficit, while 60% believe he hasnít

Polls keep indicating the public does not agree that health care is a "crisis," as Obama claims. They seem to think runaway budgets are something closer to a crisis, which his bank-breaking health care schemes would turn to 11.

Karl Rove thinks Obama's plan can be beaten, but only, he says, if Republicans have some kind of alternative to point to. Which they also won't be able to pass, but they can draw away support with a better alternative.

He endorses a plan by some Congressional Republicans which, unless I'm missing something, looks a lot like McCain's old plan, minus McCain's plan to tax health care benefits.

(Which was actually a tax cut in the net, because it came along with a government rebate for health care that would exceed the taxes paid for employer-provided health care by a fair amount for most people. In other words, if your employer provides your health care, you could use the tax rebate to pay the taxes on the health-care-given-as-compensation and put the excess of the rebate right in your pocket.

It makes little financial sense to give the rebate without taxing employer-provided benefits -- in the net, more deficit spending -- but 1) there's little chance of this passing anyway and 2) we need an attractive alternative and 3) people are dumb.)

Posted by: Ace at 02:54 PM



Comments

1 Don't get cocky, it aint over yet.

Posted by: Max Power at June 19, 2009 02:59 PM (q177U)

2 When they scheduled the ABC infomercial I knew their internal polling was telling them very bad things. I hope this abomination blows up in the most spectacular way.

Posted by: UofC Conservative at June 19, 2009 02:59 PM (3FkM/)

3



keep the pressure on. don't let up. epic fail.







Posted by: RED131 at June 19, 2009 03:01 PM (p9cod)

4 This space reserved for a spectaculary stupid remark.

Posted by: Pale n' Schlemiel at June 19, 2009 03:01 PM (ERJIu)

5 Dammit. If this doesn't pass, how will I ever be able to have healthcare that resembles the service I receiveat the DMV?

Posted by: jaleach at June 19, 2009 03:01 PM (gHrZU)

6 I willing to tell my reps to take a hard line on this. Don't compromise - force the liberals to try and ram through a liberal-only bill. If they fail, sweet victory!. If they succeed, then they own the resulting disaster which can be repealed (I'm such an unrealistic optimist) after the 2010 elections.

Put it another way, if they ask the conservatives for help in crafting this miserable idea the conseravtives should reply, "you won"

Posted by: Comrade Arthur at June 19, 2009 03:01 PM (KAQja)

7 Politico: ObamaCare in "Real Jeopardy"
Oh, what a shame.

No wonder they don't want opposing viewpoints.

Posted by: nickless at June 19, 2009 03:01 PM (MMC8r)

8
Good job Michael Steele, Lindsey Graham, John Cornyn, and the rest of the GOP leadership! Keep attacking!

.
.
.

hahahaa that felt weird! sure would be nice to actually be able to say something like that about the GOP, wouldn't it?

Posted by: Dang Straights at June 19, 2009 03:02 PM (Haq+B)

9 I hope they fail.

Posted by: Caunotaucarius at June 19, 2009 03:02 PM (7IDY+)

10 yea, health care stocks are all up this week based on the "Hope" that Obamacare will turn out to be too expensive and not pass, hence allowign thsoe companies to keep making profits.

only in Obama's America.

Posted by: Anti-Harkonnen Freedom Fighter at June 19, 2009 03:03 PM (5r0Tz)

11 The original plan was to reduce costs by culling the herd of non-believers in Dear Leader, but then we realized that they're the ones who actually pay taxes. Now we're thinking along the lines of open-ended indentured servitude.

Posted by: Honest Democrat at June 19, 2009 03:03 PM (tcMQZ)

12 the conservatives can reply "you won" also.

Hey Ace, get a preview option!

Posted by: Comrade Arthur at June 19, 2009 03:03 PM (KAQja)

13 Every vote counts. Put the fear of defeat in your representative and he'll roll over like a dead fish.

Posted by: joncelli at June 19, 2009 03:03 PM (RD7QR)

14 All we need is a federal law allowing people to buy any policy they want without the ridiculous state mandates for shit like acupuncture and addiction therapy. The mandates are what drives the cost of a policy through the roof. Let people buy a bare-bones policy with a big co-pay or deductible that only covers emergency care and chronic illness.



Governor Sarah Palin needs your help!

Go to conservatives4palin.com to find out more.

Posted by: ol_dirty_/b/tard at June 19, 2009 03:03 PM (dYG7I)

15 I really really hope this is Epic Fail. Can't happen to a more deserving group of people.

Posted by: alexthechick at June 19, 2009 03:05 PM (SHHaV)

16 Pelosi gets it through by a handful of votes in the House, and it goes to the Senate to die. Awesome.

Posted by: Dave J. at June 19, 2009 03:05 PM (naTdL)

17 the us healthcare system sucks, that's why so many americans flee to canada for cheaper medical care.
i have no proof of this, but youll have to find links to refute me

Posted by: palin stale at June 19, 2009 03:05 PM (TEr8e)

18 We canít afford to repeat those mistakes this year.

We can't afford to NOT FAIL here.

Posted by: Purple Avenger at June 19, 2009 03:05 PM (Slx41)

19 I sure can afford my insurance right now, though.

Posted by: Dang Straights at June 19, 2009 03:07 PM (Haq+B)

20 I want him to fail on this.

Posted by: Z Ryan at June 19, 2009 03:09 PM (PDeVA)

21 oh I was beat to it

Posted by: Z Ryan at June 19, 2009 03:09 PM (PDeVA)

22 Maybe I'm not well-versed enough in DC-speak, but how can a measure be deficit neutral if it adds $1.6 trillion, at a minimum, to the federal deficit over the next 10 years?

Posted by: Insomniac at June 19, 2009 03:09 PM (E+oQ7)

23 Anyone can go online and get insurance for $100 per month. So, why are we talking about this?

Posted by: wHodat at June 19, 2009 03:11 PM (+sBB4)

24 My constant comeback on this issue is that the Government already runs one of the biggest single medical plans ... for our Great Veterans. It is a large system, and should deliver absolutely the best care in the world for our Veterans.

When that system can run with the BEST care and the LOWEST cost, then I say lets think about implementing the best parts of it into the private industry.

Until then, I will continue to believe that the best thing that the government can run is the DMV, and that they should keep their hands to themselves in the area of any private business.

Posted by: Mephitis at June 19, 2009 03:11 PM (ehXLT)

25 Is that a cloud heading this way? So thirsty.

Posted by: The Tree of Liberty at June 19, 2009 03:12 PM (5aa4z)

26 We haven't even run our infomercial yet.

Posted by: All Bama Channel at June 19, 2009 03:13 PM (knHvu)

27 but how can a measure be deficit neutral if it adds $1.6 trillion, at a minimum, to the federal deficit over the next 10 years?

We'll cut that much out of Defence, of course.

Posted by: President Net Spending Cut at June 19, 2009 03:13 PM (vsUUu)

28 Time to go on the offensive: The only good healthcare reform is tort reform.

Posted by: AmishDude at June 19, 2009 03:14 PM (FWbHu)

29 We'll cut that much out of Defence, of course.


Posted by: President Net Spending Cut at June 19, 2009 03:13 PM (vsUUu)

Yeah, exactly. Missile Defense, most likely. Everybody knows we'll never need THAT in our new world of hopenchange.

Posted by: Dang Straights at June 19, 2009 03:15 PM (Haq+B)

30 In one sense, it is cost neutral. We already pay for the uninsured.

Posted by: wHodat at June 19, 2009 03:15 PM (+sBB4)

31 28 Time to go on the offensive: The only good healthcare reform is tort reform. - That would be a good start. Insane medical malpractice awards driving up the costs of doctors insurance rates is a nice sized chunk of the problem. But then, you would have attorneys passing laws that would have the effect of other attorneys not making as much money. And possibly themselves also once they're voted out of office. Yeah, I can see that happening.

Posted by: teej at June 19, 2009 03:19 PM (c459z)

32 #28

Has the GOP ever bothered to give a stat on what the overall costs of premiums would be if tort reform were enacted?

Posted by: I have a Jalen Rose jersey at June 19, 2009 03:20 PM (4yrb2)

33 #31 #28 - plus the costs of "extra" teststhat doctors have to requestto cover their backsides should something go to court......

Posted by: teej at June 19, 2009 03:21 PM (c459z)

34 That would be a good start. Insane medical malpractice awards driving
up the costs of doctors insurance rates is a nice sized chunk of the
problem. But then, you would have attorneys passing laws that would
have the effect of other attorneys not making as much money. And
possibly themselves also once they're voted out of office. Yeah, I can
see that happening.

Ah, the unintended consequences. You see, Americans dislike lawyers and especially the culture of lawsuits.

Most politicians and virtually every Democrat politician is a lawyer. Defending lawyers is never a good position, especially those that sue doctors and hospitals.

Posted by: AmishDude at June 19, 2009 03:26 PM (FWbHu)

35 And now we know why ABC won't let Harry Louise have a say.

Posted by: toby928 at June 19, 2009 03:27 PM (PD1tk)

36 I like the idea of people being able to use tax free savings accounts to pay for their own health care. You put the costs on the individual, the individual will take better care of themselves. If we all share in the costs of a socialized health care plan, look out for those waistline mandates, no more than 1 beer a week mandates, and fines for high blood pressure. For some reason, that kind of government intrusion seems to be OK with about 52% of the population.

Posted by: InCali at June 19, 2009 03:27 PM (Oah9O)

37 Democratic Rep. Cooper: "...All I know is that health care reform is on life support because the Senate canít figure out how to pay for it."

Um, yeah. Paying for anything is always a problem and the. core. issue. of anything governmental. This is a eureka moment somehow?

Very insightful, Mr. Cooper. You've just discovered the essence of your being and why committing to handing out freebies is a bit of a problem.

Good Lord.

Now for some snark: Hey, why not feed the unicorns some straw and beg Rumpelstiltskin to get them to shit gold instead of skittles? Gold is at a premium right now, so we can even forget about Uncle Sam's Money Tree.

Posted by: AnonymousDrivel at June 19, 2009 03:27 PM (XvkQc)

38 It's ridiculous for him to be pushing this now. Are they afraid of getting hammered in 2010?

Posted by: Jean at June 19, 2009 03:28 PM (L64A6)

39 plus the costs of "extra" teststhat doctors have to requestto cover their backsides should something go to court......

Oh, it's way further than that. Include malpractice insurance costs, settlements to pay off cases of no merit that would cost more to defend than to pay off, insurance against liabilities for every drug, piece of equipment, and caregiver, plus things that aren't medical tests that are still done to guard against lawsuits (why did they have to wheel me in and out of everywhere when I had a mole removed?)...

Posted by: nickless at June 19, 2009 03:28 PM (MMC8r)

40 Maybe Michael Steele can pull his feet out of his mouth, stop bashing his own party, and start reminding people of the last time they were in a government office like the DMV or Post Office.

The TV ads write themselves. Get real DMV and Post Office workers and film them at work.

copy would say:

Narrator: "Know what the difference between a doctor's visit under Obamacare and a trip to the DMV?"

"Scrubs."


Posted by: sifty at June 19, 2009 03:29 PM (SMDcj)

41 A side note. Has anyone looked at the profit margins of the largest "evil" private health care providers? From yahoo finance the top four in that business sector average about 4% profit margin.

Posted by: robtron at June 19, 2009 03:29 PM (gue+Q)

42 Calling Michael Moore !

Posted by: Helen A. Handbasket at June 19, 2009 03:29 PM (PMMiM)

43 Has the GOP ever bothered to give a stat on what the overall costs of premiums would be if tort reform were enacted?

A better one is three simple stats of malpractice suits (and a whole list of related health-related suits): What do the plaintiffs get? What does it cost you? What do the lawyers get?

That's the key. If people think that lawyers are getting rich off of the system, they'll react emotionally to it.

Posted by: AmishDude at June 19, 2009 03:30 PM (FWbHu)

44 The English Language just filed a petition to have me take some kind of remedial class. I din't pay attention.

Posted by: sifty at June 19, 2009 03:30 PM (SMDcj)

45 Karl Rove thinks Obama's plan can be beaten, but only, he says, if Republicans have some kind of alternative to point to.
I think this is a dangerous way for pols to think, particularly if they want to pretend to be conservative pols.
If Rove means having a plan that's Liberal Light, I disagree strenuously. We don't need Republicans to sell us halfway down the river and claim they did a great thing.
If Rove means having a plan that guts government interference in healthcare and insurance (someone's mentioned tort reform, which is a great start that will not happen while the majority of legislators are lawyers), then that could be a great thing.

Posted by: Cautiously Pessimistic at June 19, 2009 03:30 PM (ltwze)

46 Dumbass in Chief has never met an entitlement he didn't like. He will continue to rape the taxpayers anyway possible. Keep up the good fight, 2012 can't get here soon enough.

Posted by: Sparky at June 19, 2009 03:32 PM (J1f2W)

47 Exactly. Half-way up Shit Creek with a paddle isn't too much better than all the way up without one.


Posted by: sifty at June 19, 2009 03:32 PM (SMDcj)

48
Karl Rove thinks Obama's plan can be beaten, but only, he says, if Republicans have some kind of alternative to point to.

I think this is a dangerous way for pols to think, particularly if they want to pretend to be conservative pols.

That's why I say tort reform. It's simple, popular and it turns the tables on the Democrats.

Posted by: AmishDude at June 19, 2009 03:35 PM (FWbHu)

49 [W]e are explicitly told not to work with Republicans.
...
Itís progressive, itís bipartisan and itís deficit-neutral

Posted by: AndrewsDad at June 19, 2009 03:35 PM (MsyOh)

50 All we need is a federal law allowing people to buy any policy they want without the ridiculous state mandates for shit like acupuncture and addiction therapy. The mandates are what drives the cost of a policy through the roof. Let people buy a bare-bones policy with a big co-pay or deductible that only covers emergency care and chronic illness.
Add in the following:
1. Due to interstate commerce, all medical lawsuits must go through the federal system.
2. Tort reform in the federal court system: limited damages and loser pays. (This would benefit more than just the medical industry).
3. Expand the health savings account system to provide tax benefits to the worker. Instead of the employer purchasing health insurance for the worker, the employer pays into the worker's tax-free health savings account and the worker selects his own insurance. The worker can also defer some amount of his salary into the account to reduce his tax burden. The employer saves money by not having to deal with insurance companies and lessening his HR burden, the worker saves money by selecting his own insurer and plan based on what he needs and what he wants to pay.
4. Eliminate Medicare/Medicaid direct payments and instead give that money to the current recipients in a voucher style program. The recipient gets a check that he can use to purchase his own insurance and allow him to pocket any of the savings. In other words, if you get a voucher for $300 a month and you only use $250 for insurance, you get to keep the other 50 bucks and use it for whatever you want. This would bring down costs across the board because of (a) the large number of people getting into the private system that are encouraged to save money and (b) the feds are no longer shortchanging providers so that the burden isn't spread to those with private insurance (as is the case now).

Posted by: Ghost of Lee Atwater at June 19, 2009 03:35 PM (sXLx/)

51 "[W]e are explicitly told not to work with Republicans"


Imagine if it were 2001 and this happened. The screeching from the leftists would have been loud, constant, and without end.


Posted by: Blacque Jacques Shellacque at June 19, 2009 03:37 PM (iC0KP)

52 The solution is, as always, obvious.
Every healthy person needs to eat one sick person.
Problem solved.
*brushes hands*

Posted by: jaleach at June 19, 2009 03:39 PM (gHrZU)

53 Posted by: jaleach at June 19, 2009 03:39 PM (gHrZU)


hilarious, would read again

Posted by: Dang Straights at June 19, 2009 03:40 PM (Haq+B)

54 It is so written that, even if obamacare passes, thirty years from now
the nightly news organizations will be running competing puff pieces on
how a small minority of whiners and irresponsible people are having to
pay to much for medical treatments and/or not getting all the treatments that journalists think they should. And, as the plight of these people
means today, Republicans are bad and Democrats are good.

Posted by: robtron at June 19, 2009 03:41 PM (gue+Q)

55 #54, that will be the majority, and it will be the truth. See Britain/Canada.

Posted by: nickless at June 19, 2009 03:45 PM (MMC8r)

56 Posted by: sifty at June 19, 2009 03:32 PM (SMDcj)

ODB's useless thought of the day: How would one get UP shit creek without a paddle? If you had no means of propulsion, you'd be at the mercy of the current, which would take you DOWN the creek, not UP it.



Governor Sarah Palin needs your help!
Take part in the web-a-thon to retire Governor Palin's legal debt incurred by frivolous, politically motivated ethics complaints filed against her. Go to conservatives4palin.com to find out more.

Posted by: ol_dirty_/b/tard at June 19, 2009 03:47 PM (dYG7I)

57 Some illegal alien or 3rd generation welfare recipient on a life-long diet of McDonald's and butter will always be bitching that I don't provide enough free shit.

The whining and mewling has long since become white noise in my head.

There is not enough of the Taxpayers' money to go around for everyone.
The takers have just about sucked the tits off of Lady Liberty and she needs some time to get better before the next buffet line starts.

Posted by: sifty at June 19, 2009 03:48 PM (SMDcj)

58 If this mammoth disaster isn't going to pass the way Obama wants, they will try another way to get it piece by piece if needed. This, in NO WAY, will stop them. These kinds of people won't stop until they get their way. Obama is going to do his best to schmooze Americans with his ABC infomercial. We must not let up. This is critical.

I'm all for some form of reform. Tort. My ob/gyn once told me she pays well over $100 grand a year in malpractice insurance, albiet she is in a highly litigated specialty. Also, I am totally for individuals buying ala carte policies to suit their needs, paid for by individuals with tax deferred dollars.

Posted by: Twinks at June 19, 2009 03:49 PM (V+x9W)

59 But I do sure like me some Bic Mac's and butter. I just expect to pay for my own bypasses and seat donut.

Posted by: sifty at June 19, 2009 03:49 PM (SMDcj)

60 57
Some illegal alien or 3rd generation welfare recipient on a life-long diet of McDonald's and butter

And bacon. Don't forget the bacon.

Posted by: chemjeff at June 19, 2009 03:56 PM (wy+AE)

61 Yes...But public opinion will be swayed whenTeh One doeshis ABC infomerical. Anchors for the evening will be Billy Mayes and the Sham Wow guy will co anchor.

Posted by: Flyguy03 at June 19, 2009 03:57 PM (LIzjN)

62 Iam feeling more hopeful about this than I was a few weeks ago. We need to continue to hold our elected officials' collective feet to the fire, especially the "blue dog doo Democrats". Republicans need to articulate a plan that isdistinctly different than the Democrats which includes meaningful tort reform as one of its planks. The other thing Republicans need to do is educate the public on what nationalized medicine looks like and how it will be an utterdisaster for even the most basic care. A great example of this is a story that was in the 6/16/09 WSJ by Amy Merricktitled "Medicare Rule on Paying for Oxygen Vexes Patients". Here is the link: http://tiny.cc/HCaoT .Everyone needs to know about this debacle that is a consequence of gubamint run health care. And yeah, breathing is about as basic of a health need as you can get--we aren't talking about high end expensive end of life care or cancer treatments.

Posted by: runningrn at June 19, 2009 03:58 PM (p9lFf)

63 As a taxpayer for one of my 58 years, I expect, nay demand, the healthcare Obama promised and I deserve.

Posted by: Sharon Jasper, victim at June 19, 2009 03:59 PM (XvkQc)

64
> 57 Some illegal alien or 3rd generation welfare recipient on a life-long diet of McDonald's and butter ...
Posted by: sifty

Mmmmmm, Mcdonalds and butter....

Posted by: Comrade Homer Simpson at June 19, 2009 04:04 PM (KAQja)

65 Bacon? Who said bacon?

Posted by: wHodat at June 19, 2009 04:06 PM (+sBB4)

66 While valuable to have an alternative out there, one key to fighting the Obamacrats plan is to properly label it as a

Mandated
Employer
Subsidized
Socialism,

Or MESS.

Who wants the government to make a MESS of their health care!

The key is to kill Obamacare in the Senate -- don't let ANYTHING to pass the Senate! Not even health care for the fly Obama swatted.

If the Senate passes something on health care, it go to House/Senate conference. In Conference, the Obamacrats will shovel the House version with all it's socialist BS on top of the Senates plan and it only needs a majority to pass both houses.

Posted by: drfredc at June 19, 2009 04:06 PM (ljMiA)

67 it's a trick, don't fall for it.
supposedly there are "moderate" Republicians in discussion with the Dems on some minor face-saving changes that they will then sign on in the best reaching across the isle way.
the Dems probably already knew they have more than enough Republician cover to pass this "bi-partisan" bill, they just want the rest of us to go back to sleep.

Posted by: canuk at June 19, 2009 04:07 PM (flu/p)

68 "My ob/gyn once told me she pays well over $100 grand a year in malpractice insurance, albiet she is in a highly litigated specialty." Yeah, Twinks, anesthesiologists, neurosurgeons and Obstetricians pay the highest premiums. "Babies" can sue til they are 18 for issues due to "birth trauma". Malpractice premiums are based on the area of the country one worksand the risk of the specialty one practices. Those physicians who pay the highest premiums are also the ones who pay the most to go to school and defer getting paid during that time (residents and fellows make diddly squat). Nationalized health care is going to drastically reduce the number of people who are willing to continue on with specialty training as well as work in those high risk fields as they will be compensated the same as general practictitioners (that whole "fairness" thing that Democrats are obsessed with). Currently, the U.S. has the best health care in the world. That will drastically change once Obama Care comes to fruition. This is such an important issue that we must all fight against!

Posted by: runningrn at June 19, 2009 04:08 PM (p9lFf)

69 The reason health care costs so much is because of insurance. If nobody had it, doctors would have to look you in the eye and say "I'll fix your spandicated pordiferus, but it will cost you $3700."

You'd see A) a remarkable increase in the rate of self-despandicating pordiferuses and B) an equally marked decrease in the cost of having your pordiferus done by the doc.

Posted by: Loren Heal at June 19, 2009 04:09 PM (1/FwS)

70 If nobody had it, doctors would have to look you in the eye and say
"I'll fix your spandicated pordiferus, but it will cost you $3700."

I really hope nobody ever tells me that they have to fix my spandicated pordiferus, whether they're looking me in the eye or not. That just sounds painful.

Posted by: chemjeff at June 19, 2009 04:40 PM (wy+AE)

71 Loren Heal: "The reason health care costs so much is because of insurance."

In many ways, so true. Many consumers (and their caretakers too, I guess) inevitably look at treatment not necessarily as the most cost-effective but, alternately, the most comprehensive regardless of need. The decision tree means that consumers think to themselves, "Well, my insurance covers everything beyond $X dollars (aka applicable applicable), so what the hell, let's do it all. So, Doc, do you think your staff can file the right paperwork and code with the government or my insurer to get the subsidy you need to do this stuff? It won't be coming out of my pocket anymore, so I don't really care what you charge for the procedure. Let's just make sure we can do this all legal-like."

Or, people look at their plan and realize, "Well, I don't really need this procedure done, but I'd kind of like to. Since I've paid for my insurance and I still have a balance left to be spent for this fiscal cycle, I might as well go ahead. After all, use it or lose it." Naturally, this results in procedures that may or may not really be needed. It's a mis-allocation of limited resources.

No question we are approaching health care "reform" from the wrong angles much of the time.

Posted by: AnonymousDrivel at June 19, 2009 04:42 PM (XvkQc)

72 Oops. "aka applicable deductible."

Naturally, I blame Bush.

Posted by: AnonymousDrivel at June 19, 2009 04:44 PM (XvkQc)

73 Friday Glenn Beck Show, called hussein a LIAR..it was so sweet.

He was on fire today...Walpin, Health Care,
Acorn, 134 billion dollar of bonds.


Posted by: free at June 19, 2009 05:12 PM (cFwGO)

74 ODB's useless thought of the day: How would one get UP shit creek without a paddle? If you had no means of propulsion, you'd be at the mercy of the current, which would take you DOWN the creek, not UP it.
Dammit, ODB! Now I've got that to be pedantic about, too. And why the hell would she sell seashells down by the sea shore? Shouldn't she sell them further away where people can't just pick one up off the shoreline for themselves?

Posted by: Cautiously Pessimistic at June 19, 2009 05:18 PM (ltwze)

75 I don't think the health care thing will pass. They might get some small piece of it passed like electronic linking of medical records or some such, but the big bill? Not gonna happen.

Posted by: Christopher Taylor at June 19, 2009 05:28 PM (PQY7w)

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Posted by: robber at June 20, 2009 07:08 AM (SipYN)

79
Ah yes, turning our healthcare system into the DMV. Take a number and wait. The doctor of your choice? Surely you jest! We (the government) will tell you which doctor you will be treated by and if the costs are too high, well, then you are just going to have to do the patriotic thing an die!

If you think healthcare is expensive now, just wait until it is free.

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