Democratic Primaries
Related: About this forumBERNIE SANDERS CALLS OUT ANTI-MEDICARE FOR ALL 'FRONT GROUP'
(snip)
But Sanders cautions that, even with Medicare for Alls overwhelming public support, a backlash from powerful special interests that continue to reap hundreds of billions of dollars from the status quo will make passage of universal, single-payer healthcare a difficult fight. Sanders specifically calls out the Partnership for Americas Health Care Future (PAHCF), an alliance of private interestsincluding lobbyists from the health insurance, private hospital and pharmaceutical industryformed in the summer of 2018.
(snip)
Members of the partnership spent a combined $143 million in 2018, including $23 million in lobbying money from insurance giant Blue Cross Blue Shield and nearly $28 million from pharmaceutical industry trade group Pharmaceutical Research and Manufacturers of America, according to data from the Center for Responsive Politics.
Big pharma, health insurers and for-profit hospitals are now using our health care premiums to publicly attack legislators who defend our right to health care, Benjamin Day, director of the pro-single-payer organization Healthcare-NOW!, told Truthout in an article cited by Sanders.
(snip)
As for higher taxes, economist Matt Bruenig argues in the New York Times that, even with the additional tax burden, most income groups will pay less from their wages than they currently do in private insurance premiums. A RAND study on single-payer legislation under consideration in New York state found that health care costs would be dramatically lower for low and middle income people, with only individuals earning above $134,000 (or $276,000 for a family of four) paying more than they do now.
https://www.newsweek.com/bernie-sanders-2020-medicare-all-bill-plan-proposal-cost-1413310
primary today, I would vote for: Undecided
Response to Uncle Joe (Original post)
Post removed
George II
(67,782 posts)primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)Hillary and Ted Kennedy got CHIP implemented, and Obama and Pelosi got the ACA implemented.
Elizabeth Warren got the Consumer Protection Bureau in place.
I think you may have a different definition for ACTION than many others do, as well as "noise."
primary today, I would vote for: Joe Biden
msongs
(67,413 posts)primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
bahrbearian
(13,466 posts)it would be better if you never posted anything positive about Bernie's campaign. Us Dems are working on incremental changes and any bold ideas only confuse the voters.
primary today, I would vote for: Undecided
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
ehrnst
(32,640 posts)Bold accomplishments like CHIP, the ACA, the Consumer Protection Bureau... just pale in comparison to promises, promises of waving a wand and poof! there it is!
Even after decades of promises...
primary today, I would vote for: Joe Biden
InAbLuEsTaTe
(24,122 posts)Bernie & Elizabeth 2020!!!
Welcome to the revolution!!!
primary today, I would vote for: Undecided
primary today, I would vote for: Joe Biden
Response to George II (Reply #8)
Post removed
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)Decades.
primary today, I would vote for: Joe Biden
Hortensis
(58,785 posts)to the more powerful group for its own sake -- even when it sabotages chances for healthcare reform -- can be admired, even slightly? I just don't understand.
InA, for me his quarter century of fighting his colleagues in congress instead of working with them is exactly what's wrong with him. In a nutshell. That's why when healthcare reform happened, it was because others made it happen.
If Sanders walked up and punched someone in the nose, and then drove that person to the ER, he'd have achieved more for healthcare than he did in a quarter century fighting pointlessly in congress.
primary today, I would vote for: Joe Biden
Hortensis
(58,785 posts)it's right to call them out.
But InA, did you ever wonder if it was the fight that was most important to him, not winning? That maybe he chooses his issues in order to fight? His history since arriving in congress has no significant wins, only "fights," usually merely verbal irritations his colleagues blow off.
We will advance healthcare because there's great public demand, and it may or may not have the MfA label, but there are already several versions with that label and similar out there, and my prediction is that the final version won't be his but another less extreme. I'm seriously wondering if he's arranged it to be that way, to sabotage himself to lose to the evil corrupt Democrats and capitalists as usual, rather than support something less than he wanted.
After all, his plan would work with tweaking but in making employer-offered insurance flat illegal is extreme. You don't mind your right to have alternative insurance available taken away, your freedom to choose, but many others will object big time. His to plan to strip everyone unnecessarily of that right, instead of just offering something better that over time by far most will choose of their own free will, is very likely to lose him whatever chance he has for the nomination.
Again, he had to know this.
Btw, looking to the future of a totalitarian, one-choice government-controlled system, has it occurred to you that, if private insurance offered by employers is illegal as Sanders intends, we'll have no competition and no other insurance to compare the government benefits to?
Every 2 and 4 years, the legislators who hold the pocketbook change. There will be many times under Republican dominance when government programs will be deliberately starved for funds, and this may go on for years until people wise up and threaten to take their trouble to the polls. Wouldn't it help if people started comparing notes very early?
Wait for the debates, though, and the polls and see how this plays out.
primary today, I would vote for: Joe Biden
InAbLuEsTaTe
(24,122 posts)we need to unite behind the ultimate winner.
Bernie & Elizabeth 2020!!!
Welcome to the revolution!!!
primary today, I would vote for: Undecided
Hortensis
(58,785 posts)and get on with the job of kicking the kleptocracy and fascism servers out of office.
primary today, I would vote for: Joe Biden
guillaumeb
(42,641 posts)The health care industry is terrified of single payer, and with reason.
Single payer would break the stranglehold that these monied interests have on the current US system.
primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)work place insurance where the employer subsidizes it...why would I want to pay more taxes, higher premiums for Medicare for all? Only 17% of folks support Medicare for all when told they lose work place insurance. So it is not popular...and I am sick of it. We will lose if we run on this. Thankfully, Biden has a better hybrid plan which keeps the benefits of Medicare for all... for those who want it...but gives people a choice.
primary today, I would vote for: Joe Biden
leftofcool
(19,460 posts)Now, multiply that for a family of 5 and the more you make the more it costs you per month. Does not cover vision, dental, hearing aids, and some blood tests and no drugs
primary today, I would vote for: Undecided
Demsrule86
(68,582 posts)we don't use unless one of us has surgery or hospitalization...The job gives us $2000 on a medical card towards out of pocket. And our premiums are reduced if we have well checkup which is free. I know my sis in law has a deductibles too on Medicare and pays over $200.00 a month. She has a good wrap because she lives with us (disabled) and pays no living expenses
primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
George II
(67,782 posts)....administered. They think most of it's administration is done by the Federal government, but that's not true. They collect the money but they have very little to do with it after that. PRIVATE insurance companies (the ones that everyone is clamoring to do away with) are sub-contracted to handle much of the day to day paperwork.
Another fallacy is the private insurance companies reaping in billions in profits. That is far from the truth.
Medicare For All will wind up costing MUCH more than it's proponents say, which is why there are little or no details on how to actually fund it.
The problem with all of this is that too many people listen to what others say without digging into the details for themselves.
primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)we will be tossed out of office. The way I heard it folks wait their turn so you pay taxes even before you get it and you pay your normal premiums...yeah that will go over well.
primary today, I would vote for: Joe Biden
TheFarseer
(9,323 posts)We didnt make much money as a company. We had to bid on contracts and the competition was fierce. We had to get super efficient. They kept riding us harder and harder til I said F this and quit after 10 years.
primary today, I would vote for: Undecided
mcar
(42,334 posts)for her Medicare and supplemental. She had Part D, the Rx thing too but it didn't cover most of her meds, so she had to get them from Canada for another $100+/month.
She died in 2015. I used to help her figure it all out - another huge problem since it's very complicated. Don't know what it's like now.
primary today, I would vote for: Joe Biden
PatrickforO
(14,576 posts)primary today, I would vote for: Joe Biden
appalachiablue
(41,140 posts)CANADA, First Universal Medicare: Medicare was born in Saskatchewan on July 1, 1962. It would be the first government-controlled, universal, comprehensive single-payer medical insurance plan in North America. It was a difficult birth.
>The North American medical establishment and the entire insurance industry were determined to stop Medicare in its tracks. They feared it would become popular and spread, and they were right. Within 10 years all of Canada was covered by a medical insurance system based on the Saskatchewan plan, and no serious politician would openly oppose it.
The same interests that tried to prevent Medicare and are continually trying to destroy it in Canada have mostly succeeded in stopping similar progress in the United States. After more than half a century of struggle, the American Medical Association (AMA) and the private insurance industry still control the US medical system despite minor steps forward like Medicaid for the very poor and Medicare for the elderly. The latest plan passed by Congress and endorsed by the private insurance industry amounts to public subsidies for the insurance industry.
Commentators have often wondered why the campaign for state medicine succeeded in Canada and failed in the United States. The battle for Medicare occurred in the 1960s when our political culture was moving to the left...
https://canadiandimension.com/articles/view/the-birth-of-medicare
primary today, I would vote for: Undecided
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
appalachiablue
(41,140 posts)primary today, I would vote for: Undecided
SidDithers
(44,228 posts)22 years after Tommy Douglas introduced universal care in Saskatchewan.
Canadian medicare wasn't rolled out nationwide. It began in a single province, and took more than two decades to be formalized into a national program.
Which state is going to step up to be the first to implement single-payer, universal care for its citizens? When one state does so, the dominoes may begin to fall.
Sid
primary today, I would vote for: Undecided
JI7
(89,250 posts)Sanders didn't do anything to support him.
primary today, I would vote for: Undecided
comradebillyboy
(10,151 posts)primary today, I would vote for: Joe Biden
George II
(67,782 posts)primary today, I would vote for: Joe Biden
sheshe2
(83,785 posts)It failed.
primary today, I would vote for: Joe Biden
NYMinute
(3,256 posts)This is hilarious ... trying to get in the news cycle with wild proclamations while someone is being ignored and neglected.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)Would you like a doughnut to sooth your feelings of neglect?
primary today, I would vote for: Undecided
NYMinute
(3,256 posts)The attention sought by this wild accusation is by Bernie.
primary today, I would vote for: Joe Biden
Response to NYMinute (Reply #24)
Post removed
ehrnst
(32,640 posts)primary today, I would vote for: Joe Biden
Duppers
(28,125 posts)Here: argue with OPEN SECRETS' "wild accusations"!
https://www.opensecrets.org/news/2019/03/big-pharma-insurers-hospitals-team-up-to-kill-medicare-for-all/
primary today, I would vote for: Joe Biden
NYMinute
(3,256 posts)That is how democracy works. Stakeholders oppose legislation all the time. Environmentalists oppose offshore drilling and logging. Unions oppose right to work legislation.
It is a legitimate process and it usually results in a consensus that is palatable to all parties.
Hypothetically, if there was legislation to ban hot dogs, hot dog stand owners, Oscar Meyer and people who love hots dogs will all get together to oppose it. There is nothing sinister about it.
This is exactly why MFA is a reckless proposition. "Medicare for America" or "Medicare for those who want it" or "Obamacare with public option" are sensible policies that will achieve a consensus and will actually pass.
However, if one's agenda is to destroy the current health care system then MFA is a good outlet for anger.
primary today, I would vote for: Joe Biden
Response to NYMinute (Reply #74)
Post removed
Uncle Joe
(58,364 posts)Can you name any redeeming qualities or contributions that industry makes to actual health care?
How many people could be covered with the premium money profits they use to lobby against health care?
Just for the record my questions are a request not a demand.
primary today, I would vote for: Undecided
NYMinute
(3,256 posts)That is why drug companies race to develop new drugs. That is why hospitals try to get the latest equipment like PET scanners or f-MRI scanners. That is why your doctor will come and see you in the hospital at 1 AM and stay with you in the ICU until next morning.
Profit motive has created innovative supply chains of physicians and physician groups and management of various conditions adhering to quality of care standards.
Profit motive is what (slightly) improved the postal service - they got newer equipment and got into courier services. Remember how the postal service was before the scanners and auto-sorters and how long it took to get packages from one end of the country to another? What used to take a week now takes only 2-3 days.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)profit motive is so great in driving innovation, supply chains and management of various conditions then why are U.S. heath outcomes ranked so poor compared to the other advanced nations of the world despite our nation spending twice per capita what other nations are spending?
We don't even make the top 25
https://ceoworld.biz/2018/02/14/the-top-25-countries-with-the-best-healthcare-systems-the-world-in-2017/
http://thepatientfactor.com/canadian-health-care-information/world-health-organizations-ranking-of-the-worlds-health-systems/
https://www.who.int/healthinfo/paper30.pdf
primary today, I would vote for: Undecided
NYMinute
(3,256 posts)with unhealthy lifestyles. Obesity rates are extremely high and fast food consumption is astronomical.
If you want to rail against something, rail against the for-profit fast food industry supersizing everyone.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)ethnically/culturally diverse nations in the world are in Africa.
Is America the most multicultural/ethnically diverse country in the world?
Absolutely not .
Even though today America has a large immigrant population and many many different cultures and ethnic groups on it's own soil, today it isn't nearly as ethnically or culturally diverse as many countries today.
https://www.quora.com/Is-America-the-most-multicultural-ethnically-diverse-country-in-the-world
Having said that regardless of diversity everyone is human.
MacDonalds is present in 119 nations, I ate at the one in Hong Kong.
Japan has the second highest number of MacDonalds to the U.S. and yet their health care ranking is at #10 while the U.S. was ranked at 37.
primary today, I would vote for: Undecided
sheshe2
(83,785 posts)primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
NYMinute
(3,256 posts)primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)primary today, I would vote for: Joe Biden
Honeycombe8
(37,648 posts)You can take that to the bank.
primary today, I would vote for: Undecided
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)he said it so it must be right.I loved Obama but I never agreed with his trade policies. I just don't get it.
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)If one points out alternatives to single payer, one is 'bashing Bernie,' and that means one hates universal health care and progress itself, and are a shill for big pharma and big insurance.
Easier than learning about the topic, anyway.
primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)primary today, I would vote for: Joe Biden
Honeycombe8
(37,648 posts)The majority. Some also allow that people can still buy private ins. on their own, if they want and can afford it. But they can't opt out of the national. It's supplemental to the govt healthcare.
That's my understanding.
primary today, I would vote for: Undecided
Demsrule86
(68,582 posts)I can't think of anyone else.
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)You may be confusing Universal Health Care with Single Payer.
Single payer is to Universal Health Care as poodle is to canine.
For instance - German Universal Health Care is a hybrid:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633404/
primary today, I would vote for: Joe Biden
Honeycombe8
(37,648 posts)Universal care provides some sort of care for everyone. This was one of Obama's stated goals while campaigning. Some were upset to realize after election that he did not mean single payer, but he had never said that. He said "universal." Single-payer is a type of universal care. There is also a two-tier system. There is also a mandate system (Germany). The U S has a private system, but also includes single payer for segments of the population (a sort of hybrid system, although that is not a "type" of insurance system; it's a description).
Types of Plans
In most countries, the government pays for health care provided by private companies. These include the systems in Australia, Canada, France, Germany, Singapore, and Switzerland. U.S. examples are Medicare, Medicaid, and TRICARE. The United States also provides subsidies to health insurance companies through Obamacare.
When the government both pays for and provides the services, that is socialized medicine. The United Kingdom has this. The United States has it with the Department of Veterans Affairs and the armed forces. (emphasis added: SINGLE PAYER)
Countries often combine universal health coverage with other systems to introduce competition. These include pay as you go, prepay, and private insurance models. These options can lower costs, expand choice, or improve care. (UNIVERSAL HC includes any system that provides widespread hc or coverage.)
(SNIP)
Developed Countries With Universal Health Care
Out of the 33 developed countries, 32 have universal health care. They adopt one of the following three models.
In a single-payer system, the government taxes its citizens to pay for health care. Twelve of the 32 countries have this system. United Kingdom)
Six countries enforce an insurance mandate. (Germany)
The nine remaining countries use a two-tier approach. The government taxes its citizens to pay for basic government health services. Citizens can also opt for better services with supplemental private insurance. (France)
https://www.thebalance.com/universal-health-care-4156211
Australia: two-tier system (like the U S Medicare system)
Canada: Single-payer system. (the govt provides free care to everyone, regardless of ability to pay). Does not incl. vision, dental, drugs, which residents need to buy thru ins.
France: Two-tier system. Covers 75% of its care. Mandatory health ins. system for med. care, drugs. The govt also pays for homeopathy, house care, child care.
Germany: A mandate system. Mandatory health insurance sold by 130 private nonprofits. There is additional mandatory long-term care insurance. Funding comes from payroll taxes. The government pays for most of the health care. It limits the amount of the payments and the number of people each doctor can treat. People can buy more coverage.
Singapore: Singapore's two-tier system is one of the best in the world. Two-thirds is private and one-third public spending. It provides five classes of hospital care. The government manages hospitals that provide low-cost or free care. It sets regulations that control the cost of the entire health care system. People can buy higher levels of deluxe care for a fee. Workers pay 20 percent of their salary to three mandated savings accounts. The employer pays another 16 percent into the account. One account is for housing, insurance, or education investment.
The second account is for retirement savings. The third is for health care.
Switzerland: Mandatory health insurance that covers all residents. Quality of care is one of the best in the world. Coverage is provided by competing private insurance companies. People CAN buy voluntary insurance to access better hospitals, doctors, and amenities. (no dental or vision for adults) The government subsidizes premiums for low-income families. Like Obamacare.
United Kingdom: Single-payer system. All residents receive free care. Private insurance for elective medical procedures is available.
United States: Private system. But it's a mixture of government-run and private insurance. The government pays most of the cost, but also subsidizes private health insurance through Obamacare. One-third of the costs is for administration, not patient care. Sixty percent of citizens get private insurance from their employers. Fifteen percent receive Medicare for those 65 and older. The federal government also funds Medicaid for low-income families and the Children's Health Insurance Program for children. It pays for veterans, Congress, and federal employees. Despite all these, there are 28 million Americans who have no coverage. (a HYBRID type of system, although there is no category of systems called "hybrid"
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)You said 'single payer.' I was correcting you on what that term means, and that most countries do not use it to acheive universal health coverage.
Is that clearer?
Also, Medicare For All, as Senator Sanders proposes is a bit different than actual single payer.
But its important to understand that Medicare for All is not a particularly accurate description of most single-payer proposals, notably that being promoted in the Senate by Bernie Sanders and by his supporters around the country. Medicare deploys both premiums and co-pays; one of the big selling points of single-payer is that it gets rid of both of those cost-sharing features. Medicare, like its first cousin, Social Security, depends heavily on lifetime contributions into a fund that pays for a sizable portion of benefits. By definition, single-payer is available to everyone, including people who havent paid a dime into the system. Medicare covers mostly acute care. Single-payer covers pretty much every medical service. And most of all, Medicare has a robust private-insurance component: about a third of the Medicare population gets its coverage through private Medicare Advantage plans. Single-payer proposals by and large abolish private health insurance: thus the name single payer.
http://nymag.com/intelligencer/2018/05/voters-who-like-medicare-for-all-may-not-like-single-payer.html
primary today, I would vote for: Joe Biden
Honeycombe8
(37,648 posts)Capiche?
Single payer is a type of universal care/coverage.
You just want to argue. But the facts are the facts. I refuse to go down the rabbit hole with you. Go ahead and continue to argue with everyone. But arguing against hard facts is difficult. Truth and facts are what matter.
There is no such system as a hybrid system. There is, as my first response told you, a two tier system. But the one the majority of the 33 developed countries use is the single payer system. There are some that are a mandate system, like Germany, as well.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)Correct.
Incorrect. There are far fewer countries that use single payer (abolishing other plans -hence the name 'single payer') than use multiple payer systems to acheive universal health care.
Fewer than many people think. Most European countries either never had or no longer have single-payer systems. Most are basically what we call social insurance systems, said Gerard Anderson, a professor at Johns Hopkins Bloomberg School of Public Health, who has studied international health systems. Social insurance programs ensure that almost everyone is covered. They are taxpayer-funded but are not necessarily run by the government.
Germany, for example, has 135 sickness funds, which are essentially private, nonprofit insurance plans that negotiate prices with health care providers. So you have 135 funds to choose from, Anderson said.
Nearby, Switzerland and the Netherlands require their residents to have private insurance (just like the Affordable Care Act does), with subsidies to help those who cannot otherwise afford coverage.
And while conservatives in the United States often use Great Britains National Health Service as the poster child for a socialized system, there are many private insurance options available to residents there, too.
Among the countries that have true single-payer systems, Anderson lists only two Canada and Taiwan.
https://khn.org/news/democratic-candidates-debate-single-payer-but-what-does-that-mean/
Someone correcting you on the facts and not backing down when you double down and go on the defensive isn't a "rabbit hole" except for the person who is on the defensive for being corrected. That defensive posture is what could more accurately be described as 'just wanting to argue."
primary today, I would vote for: Joe Biden
YOHABLO
(7,358 posts)primary today, I would vote for: Undecided
George II
(67,782 posts)...."have it", even though none of those countries actually DO have it.
primary today, I would vote for: Joe Biden
sheshe2
(83,785 posts)Please tell me what an ins. cos. is.
Thanks.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
sheshe2
(83,785 posts)primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)early and not because of insurance. The hospital didn't put in his scripts for pain in the folder...he was delayed an hour while I drove back and forth...this was Easter weekend. He went into a full body spasm. The resident covering the surgeon was no help...see how you are in the morning...the man was screaming in pain. I called the nurses hot line my insurance offers...they called an ambulance to take him back to the hospital where he had surgery. The locals didn't go to that hospital. My insurance company has been great. I can only imagine what Medicare for all would be with a Trumpian president...horrible.
primary today, I would vote for: Joe Biden
ucrdem
(15,512 posts)hope he's feeling better soon.
primary today, I would vote for: Joe Biden
Demsrule86
(68,582 posts)It was horrible. It took hour for the pain to recede. The good news is he will recover. He had therapy yesterday and it went well.
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)primary today, I would vote for: Joe Biden
I thought I was confused. Thanks for asking the question about the ins. cos.
primary today, I would vote for: Joe Biden
George II
(67,782 posts)You won't have enough left to take to the bank.
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)Or like in most other countries, where they use a hybrid of payers and private plans?
https://www.commonwealthfund.org/blog/2019/universal-health-coverage-eight-countries
Do they also not have their people's interest at heart?
primary today, I would vote for: Joe Biden
ehrnst
(32,640 posts)But that's the pitfall when one makes 'perfect' the enemy of getting anything acomplished.
A dragon to slay, decade after decade.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)Can you name any redeeming qualities or contributions that industry makes to actual health care?
How many people could be covered with the premium money profits they use to lobby against health care?
Members of the partnership spent a combined $143 million in 2018, including $23 million in lobbying money from insurance giant Blue Cross Blue Shield and nearly $28 million from pharmaceutical industry trade group Pharmaceutical Research and Manufacturers of America, according to data from the Center for Responsive Politics.
It's not a question of the "perfect being the enemy of the good" it's an issue of the good being the enemy of the bad, the efficient being the solution against the inefficient and the greater good being the prime directive over every person for them self.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)Senator Sanders' long-promised simple solution from actually becoming reality.
The point being, if this is so powerful an obstacle, then it's not a simple solution.
Yes, I think that Senator Sanders' "my way or the highway" approach sacrifices more doable, immediate solutions to get more people affordable health care, and that is what "making the perfect (MFA or bust) the enemy of the good (that which will get more health care to more people sooner)" is referring to.
Is that clearer?
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)You equate private for profit "health" insurance as being "good" by your own aphorism.
The for profit "health" insurance industry is a cancer on actual health care and the primary opponent to Medicare for All and always has been, this is nothing new.
If progressive policies should be adopted only if they weren't opposed by powerful forces, what would our nation look like today?
Is that clearer?
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)espcially when they are an attempt to derail and go down another rabbit hole.... usually when I've made a point that's uncomfortable.
Again... I don't derail or distract from the discussion at hand easily, and that's frustrating for you, clearly.
Attacking strawmen in an effort to get me on the defensive about something I never said or inferred doesn't work either, but you don't seem to have learned that after many failures on multiple threads. Maybe bullying works on others. Me, not so much. Sorry.
The fish aren't biting. But until the next attempt...
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)is most certainly a major part of the equation.
The "perfect is the enemy of the good" (your aphorism) the for profit industry "health" industry; is the primary opponent of Medicare for All and they are good only insofar as cancer is good.
That is the discussion and the main point of the OP.
The fish are dying in toxic waters.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)Your continued attempts to bait me by misrepresenting my statements just keep failing. You just keep doing the same thing over and over, and are getting more and more frustrated.
Did you find a sale on strawmen?
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)you speak of strawmen, it would be funny if it wasn't so sad.
Peace to you.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)Well, you know.
Peace to you. And your collection of strawmen.
Speaking of fish:
Ignoratio elenchi
(also known as: beside the point, misdirection [form of], changing the subject, false emphasis, the Chewbacca defense, irrelevant conclusion, irrelevant thesis, clouding the issue, ignorance of refutation)
Description: Attempting to redirect the argument to another issue to which the person doing the redirecting can better respond. While it is similar to the avoiding the issue fallacy, the red herring is a deliberate diversion of attention with the intention of trying to abandon the original argument.
https://www.logicallyfallacious.com/tools/lp/Bo/LogicalFallacies/150/Red-Herring
I found a name for this particular subcategory of the Attacking a Strawman fallacy:
"If you don't give me an answer, that means you admit to everything I have accused you of, no takebacks!"
argumentum e silentio
Description: Drawing a conclusion based on the silence of the opponent, when the opponent is refusing to give evidence for any reason.
Logical Form:
Person 1 claims X is true, then remains silent.
Person 2 then concludes that X must be true.
Example #1:
Jay: Dude, where are my car keys?
Bob: (says nothing)
Jay: I KNEW you took them!
Explanation: Refusal to share evidence is not necessarily evidence for or against the argument. Bobs silence does not mean he took the keys. Perhaps he did, or perhaps he knows who did, or perhaps he saw a Tyrannosaurus eat them, or perhaps he just felt like not answering.
https://www.logicallyfallacious.com/tools/lp/Bo/LogicalFallacies/57/Argument-from-Silence
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)and that you are un-wiling or have no answers to, why is that?
It was just a request.
The OP is crystal clear as to who the preeminent opponents to Medicare for All are and how they're funding their attacks, you don't address that except posing an aphorism about the "perfect."
Any student of history would know that arguments against slavery were for decades before the Civil War posed along the same veins of compromise with the "nefarious."
Always something nefarious blocking the perfect solution, isn't there?
But that's the pitfall when one makes 'perfect' the enemy of getting anything acomplished.
A dragon to slay, decade after decade.
Tell the abolitionists about "dragons to slay."
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)A threefer!
Also, continuing to "request" something that someone has declined to give you puts the request into "demand" territory, especially when ALL CAPS are deployed. See "argument from silence" in my previous post that you may or may not have read.
And now you're grasping at slavery to use as a red herring? Seriously?
Willfully ignoring this post, I see...
Is that clearer?
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)to the contrary and attempts to divert the conversation.
The fight for abolition was against powerful forces opposed to them and your argument is essentially the same as the great compromisers in regards to the for profit "health" insurance industry.
It wasn't a "simple solution" in those days either because "powerful forces were arrayed against them" but that didn't stop the abolitionists.
I was pointing out that there always seems to be a dragon to slay that prevents
Senator Sanders' long-promised simple solution from actually becoming reality.
The point being, if this is so powerful an obstacle, then it's not a simple solution.
Yes, I think that Senator Sanders' "my way or the highway" approach sacrifices more doable, immediate solutions to get more people affordable health care, and that is what "making the perfect (MFA or bust) the enemy of the good (that which will get more health care to more people sooner)" is referring to.
Is that clearer?
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)You moved into "demand" territory several posts back, like you usually do when someone -at least when it's me - posits a difficult observation or question.
But, I will admit that I was wrong when I said - "You actually reached for slavery as an attempt at a red herring?"
You were grasping for a "false equivalence" just as much - in trying to characterize your spectacular mischaracterization (strawman) of my actual statements as somehow being the equivalent supporting the morality of slavery...
Logical Form:
Thing 1 and thing 2 both share characteristic A.
Therefore, things 1 and 2 are equal.
https://www.logicallyfallacious.com/tools/lp/Bo/LogicalFallacies/245/False-Equivalence
Is Godwin's Law going to make an appearance as well?
Do go on.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)no doubt they caused some discomfort but they were only a request as my posts made perfectly clear.
For that matter my questions weren't just aimed at you but anyone else here that can answer them.
I wasn't equating slavery to the for profit "health" insurance industry.
I was rebutting your facile attempt to state that "powerful opposing forces means that the solution is not simple" and thus compromise should be the order of the day.
I was pointing out that there always seems to be a dragon to slay that prevents
Senator Sanders' long-promised simple solution from actually becoming reality.
The point being, if this is so powerful an obstacle, then it's not a simple solution.
Yes, I think that Senator Sanders' "my way or the highway" approach sacrifices more doable, immediate solutions to get more people affordable health care, and that is what "making the perfect (MFA or bust) the enemy of the good (that which will get more health care to more people sooner)" is referring to.
Is that clearer?
From your final sentence, I suspect you have a misunderstanding of "Godwin's Law" as well but do carry on.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)hoping for a different outcome.
I think those are the attempts that could be described as "facile," and display 'cognitive dissonance."
Final sentence - you mean:
Do go on. "Trouble deaf heaven with your bootless cries," as it were, that I answer your questions, or be considered by you to be confirming all the misrepresentations of my statements in those 'facile" bootless cries.
That's Shakespeare, BTW. William Shakespeare - Sonnet 29.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)Peace to you ehrnst.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)primary today, I would vote for: Joe Biden
George II
(67,782 posts)Do you know the magnitude of their "profit"? you might be surprised.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)Blue Cross Blue Shield per the OP
Members of the partnership spent a combined $143 million in 2018, including $23 million in lobbying money from insurance giant Blue Cross Blue Shield and nearly $28 million from pharmaceutical industry trade group Pharmaceutical Research and Manufacturers of America, according to data from the Center for Responsive Politics.
They also made enough in profits to just pay their CEOs alone in salary and compensation packages of 342.6 million dollars in 2017
Nearly every health insurance CEO got a pay raise in 2017in most cases, bringing home more than 300 times the amount their average employee earned.
All together, CEOs at the nations largest insurance companies earned $342.6 million in 2017, with the highest-paid executive bringing home $83.2 million, more than 1,400 times what the average employee brought home.
The top eight insurance companies paid out twice as much money to their top executives as they did the previous year thanks to notable churn in C-suites across the industry, according to an analysis of SEC filings by FierceHealthcare. The review included Aetna, Cigna, Molina, WellCare, Centene, UnitedHealth Group, Humana and Anthem.
(snip)
Molina shelled out $34.7 million to two different executives. Most of that went to former CEO J. Mario Molina, M.D., who was fired by the board of directors in May of last year. Molina took home $30.5 million, which included nearly $25 million in vested stock and a $5 million severance payment.
(snip)
https://www.fiercehealthcare.com/payer/ceo-pay-2017-342-million-unitedhealth-molina-cigna-aetna
How much health care would those sums of money alone cover?
And of course that's not even the entire picture of their profits, just a sampling.
In comparison the President of the entire nation
Like the typical American, the president of the United States is on salary. Unlike the typical American worker, who brings in about $44,564 a year, the president is paid $400,000 a year, plus an extra expense allowance of $50,000 a year, a $100,000 non-taxable travel account and $19,000 for entertainment.Feb 19, 2018
How much the president on the United States gets paid - CNBC.com
https://www.cnbc.com/.../how-much-the-president-on-the-united-states-gets-paid.html
primary today, I would vote for: Undecided
George II
(67,782 posts)Lower than the corner grocery store, lower than restaurants, lower than any retail or manufacturing business.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)that not only has nothing to do with health care but actually takes away from it.
primary today, I would vote for: Undecided
ehrnst
(32,640 posts)The response of someone who doesn't have the facts to debate the topic as is.
Red Herring - a favorite, isn't it? Up there with "argument from silence."
You're welcome for the kick......
primary today, I would vote for: Joe Biden
George II
(67,782 posts)....if they weren't in business patients would have to foot the entire bill instead of a small portion in many cases.
We should all try to understand the basis of insurance rates, actuary charts, statistics, etc. The insurance industry would not seem like such a big, bad, horrible ogre in the world.
primary today, I would vote for: Joe Biden
DBoon
(22,366 posts)in single payer, our premiums won't be used for political lobbying against the interests of patients and premium payers.
A substantial chunk of my paycheck goes to health coverage. It infuriates me that even one cent of that money goes to a lobbying organization like this
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)primary today, I would vote for: Undecided
Politicub
(12,165 posts)Health insurers and the Pharma industry represent some of the most destructive elements in our society.
primary today, I would vote for: Joe Biden
ucrdem
(15,512 posts)primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)companies and they in turn are owned by a for profit "health" insurance company.
A nonprofit mutual company that owns for-profit subsidiaries, Blue Cross Blue Shield reported growth in the small business health insurance market of 22,171 enrollees to a little more than 342,338 people at the end of 2018, an increase of nearly 7 percent from 12 months earlier.Mar 1, 2019
Blue Cross Blue Shield reports higher revenues - MiBiz
https://mibiz.com/sections/health-care/blue-cross-blue-shield-reports-higher-revenues
The parent company of Illinois largest health insurer, Blue Cross and Blue Shield of Illinois, made a profit of $4.1 billion last year more than three times as much as it did the year before, according to recent financial statements.
Much of that increase was driven by $1.7 billion the company got back from the federal government last year because of changes made under the new tax law. Blue Cross parent company, Health Care Service Corp., operates health insurance plans in five states, including Illinois, and is based in Chicago.
(snip)
The Tax Cuts and Jobs Act of 2017 also meant major changes to the companys tax bill last year. While Health Care Service Corp. got $1.7 billion back from the federal government last year, the year before, it paid about $467 million in federal taxes.
(snip)
Blue Cross and Blue Shield of Illinois is, by far, the dominant insurer in the state. It had about 64 percent market share as of the end of 2017, according to Mark Farrah Associates. The next largest insurer in the state, UnitedHealth Group, had about 9 percent market share.
https://www.chicagotribune.com/business/ct-biz-blue-cross-triples-profit-20190312-story.html
You can put lipstick on a pig but it's still a pig.
primary today, I would vote for: Undecided
ucrdem
(15,512 posts)But go ahead and believe everything you read on the internet
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)and ask me not to believe everything I read on the Internet.
Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance organizations and companies, providing health insurance in the United States to more than 106 million people.[2] Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948. The two organizations merged in 1982.
(snip)
Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. However, the Tax Reform Act of 1986 revoked the exemption, because the plans sold commercial-type insurance. They became 501(m) organizations, subject to federal taxation, but entitled to "special tax benefits"[8] under IRC 833.[9]
In 1994, BCBS changed to allow its licensees to be for-profit corporations.[3] During 2010, Health Care Service Corporation, the parent company of BCBS in Texas, Oklahoma, New Mexico, Montana and Illinois, nearly doubled its income to $1.09 billion in 2010, and began four years of billion-dollar profits.[10] In the final spending bill for FY 2015 after much lobbying since 2010, nonprofit Blue Cross and Blue Shield plans continue to have special tax breaks that were understood to be threatened by the Affordable Care Act of 2010.[11]
Blue Cross and Blue Shield insurance companies are licensees, independent of the association and traditionally of each other, offering insurance plans within defined regions under one or both of the association's brands. Blue Cross Blue Shield insurers offer some form of health insurance coverage in every U.S. state. They also act as administrators of Medicare in many states or regions of the U.S.[12] and provide coverage to state government employees as well as to the federal government employees under a nationwide option of the Federal Employees Health Benefits Program.[13]
(snip)
https://en.wikipedia.org/wiki/Blue_Cross_Blue_Shield_Association
Anthem, Inc. is an American health insurance company founded in the 1940s, prior to 2014 known as WellPoint, Inc. It is the largest for-profit managed health care company in the Blue Cross and Blue Shield Association. It was formed when Anthem Insurance Company acquired WellPoint Health Networks, Inc., with the combined company adopting the name WellPoint, Inc.; trading on the NYSE for the combined company began under the WLP symbol on December 1, 2004. On December 3, 2014, WellPoint changed its corporate name to Anthem Inc., and its NYSE ticker changed from WLP to ANTM.[2][3]
(snip)
https://en.m.wikipedia.org/wiki/Anthem_(company)
primary today, I would vote for: Undecided
ucrdem
(15,512 posts)HCSC is member owned, and Anthem is a strange hybrid. No, I don't think BCBS systems should be privatized in any way, and I would strongly support legislation de-privatizing them, but the fact is that most of them remain the non-profit health plan providers they began as. Abolishing the entire system and replacing it with non-existent vaporware is a plan only the GOP would welcome as their replacement would be the full-monty for-profit insurance Sanders is supposedly so averse to. The long and short is that he's peddling myths. That's putting it politely, I hope.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)about the people anyway?
The NRA is non-profit do you believe they have the welfare of the American people as their first consideration?
The National Rifle Association of America (NRA) is a U.S. nonprofit organization that advocates for gun rights. ... The NRA Institute for Legislative Action (NRA-ILA) is its lobbying arm, which manages its political action committee (PAC), the Political Victory Fund (PVF).
Subsidiaries: NRA Civil Rights Defense Fund; ...
Focus: Gun politics; Gun rights
Key people: Oliver North (president); Wayne L...
Services: Membership organization; Magazine ...
National Rifle Association - Wikipedia
https://en.wikipedia.org/wiki/National_Rifle_Association
The same holds true for the Blue Cross Blue Shield consortium, their prime concern is to look out first and foremost for their members; that being for profit "health" insurance corporations.
It makes no difference who owns HCSC, they're profit driven.
primary today, I would vote for: Undecided
ucrdem
(15,512 posts)But it has nothing to do with this discussion.
primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)will of an organization.
Blue Cross Blue Shield; is a non-profit consortium of for profit "health" insurance corporations, they're looking out for them first.
It's just an umbrella for the for profit industry.
primary today, I would vote for: Undecided
ucrdem
(15,512 posts)primary today, I would vote for: Joe Biden
Uncle Joe
(58,364 posts)"insurance giant Blue Cross Blue Shield" is a consortium of local non-profit associations
https://www.bcbs.com/about-us/the-blue-cross-blue-shield-system
Now you know!
and then I replied with this
A nonprofit mutual company that owns for-profit subsidiaries, Blue Cross Blue Shield reported growth in the small business health insurance market of 22,171 enrollees to a little more than 342,338 people at the end of 2018, an increase of nearly 7 percent from 12 months earlier.Mar 1, 2019
Blue Cross Blue Shield reports higher revenues - MiBiz
https://mibiz.com/sections/health-care/blue-cross-blue-shield-reports-higher-revenues
and this
The parent company of Illinois largest health insurer, Blue Cross and Blue Shield of Illinois, made a profit of $4.1 billion last year more than three times as much as it did the year before, according to recent financial statements.
Much of that increase was driven by $1.7 billion the company got back from the federal government last year because of changes made under the new tax law. Blue Cross parent company, Health Care Service Corp., operates health insurance plans in five states, including Illinois, and is based in Chicago.
(snip)
The Tax Cuts and Jobs Act of 2017 also meant major changes to the companys tax bill last year. While Health Care Service Corp. got $1.7 billion back from the federal government last year, the year before, it paid about $467 million in federal taxes.
(snip)
Blue Cross and Blue Shield of Illinois is, by far, the dominant insurer in the state. It had about 64 percent market share as of the end of 2017, according to Mark Farrah Associates. The next largest insurer in the state, UnitedHealth Group, had about 9 percent market share.
https://www.chicagotribune.com/business/ct-biz-blue-cross-triples-profit-20190312-story.html
You believe Blue Cross Blue Shield doesn't take the considerations of their parent company into account along with their for profit "health" insurance corporations!?
primary today, I would vote for: Undecided
ucrdem
(15,512 posts)primary today, I would vote for: Joe Biden
ucrdem
(15,512 posts)Here's a list:
1 - There's the national consortium of BCBS associations, which is non-profit;
2 - There are the various state BCBS associations, which are mostly non-profit, and usually referred to as BCBS, not by their state names;
3 - There's HCSC, a merger of several state BCBS associations, including Illinois and Texas, which is member owned;
4 - And there's Anthem, which started as a merger of two Indiana mutual insurance companies, then became a BCBS, then started buying private insurance companies and expanding, and became a for-profit insurance co.
Your first excerpt refers to BCBS of Michigan; your second refers to HCSC, which includes several BCBS associations.
primary today, I would vote for: Joe Biden
appalachiablue
(41,140 posts)I bet there would be opposition, just saying. It seems that way lol./S.
primary today, I would vote for: Undecided
LongtimeAZDem
(4,494 posts)primary today, I would vote for: Joe Biden
Politicub
(12,165 posts)Reason being, it is a system that is wholly different from Medicare. It just keeps the name, but changes the law completely.
Not that there's anything wrong with that. Sanders' plan is ambitious and broad in its scope: It is a wholesale reordering of the health sector of the economy.
But, he shouldn't call it Medicare. He should call it something -- a Medicare replacement? -- other than co-opting the word Medicare.
Besides, as described, it is superior to Medicare; Medicare comes with a lot of expenses for things that Sanders' plan would cover at zero cost.
primary today, I would vote for: Joe Biden