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'Scuse Me: While We're All Bickering About Rick Warren, Daschle Is Drafting Health Care Legislation

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NashVegas Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 04:45 PM
Original message
'Scuse Me: While We're All Bickering About Rick Warren, Daschle Is Drafting Health Care Legislation
Throughout the nation during the next two weeks HHS Secretary-designate Tom Daschle is encouraging grassroots, community level discussions of health care reform. The purpose is to give the public a sense that they are actively involved in the reform process, avoiding a repetition of the Clinton political error of crafting reform behind closed doors.

If you look at both the moderator guide and the participant guide, it’s quite clear that this is not an effort to collect information to guide the policy makers in their decisions. The fundamental policy decisions have already been made, and they are listed above. This is strictly a process to build on the momentum for reform.

...

The scripted discussions for Sen. Daschle’s community meetings exclude any consideration of a single payer national health program. The closest they come is to discuss a “public plan like Medicare” that can be purchased as another option to a private plan through an insurance exchange. Yet a legislative staff member for a Democratic Senator recently stated that the “public option” proposal looked at present to be completely blocked by the Republicans - they will only discuss changes based upon the existing private insurance industry. One of the reform negotiators, Republican Senator Mike Enzi, last week wrote, “… we must focus on promoting new options and choices for patients. This means expanding competitive, free market plans – not moving toward a single payer health care system.”

Even though the process is a sham, that doesn’t mean that we shouldn’t speak up. We should do so, though in a civil but firm manner. The very first question asking what is the biggest problem in the health system can be answered by stating that our fragmented financing system based on private plans and public programs is wasting a huge amount of funds that should be used for health care for the uninsured and underinsured, and we can actually do that by replacing our dysfunctional financing system with a single payer national health program. We need to be certain that Sen. Daschle is shocked yet pleasantly surprised to see overwhelming support for single payer about which he has written is “brilliantly simple, ensures equity by providing all people with the same benefits, and saves billions of dollars by creating economies of scale and streamlining administration.”

Be sure to stay at the meetings long enough to be certain that the single payer message is included in the submission to the Transition Health Policy Team. We need to send that message. It remains to be seen whether or not the bureaucrats are going to try to bury it again. If they do, then maybe it’s time for a march on Washington.


http://www.pnhp.org/news/2008/december/speak_up_at_sen_das.php


http://change.gov/page/-/Health%20Care%20Community%20Discussion%20Participant%20Guide.pdf


If you're interested in hosting a health care community discussion in your home or neighborhood anytime from December 15th to the 31st, sign up


http://change.gov/newsroom/entry/daschle_asks_americans_to_help_reform_health_care/
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DesertFlower Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 04:48 PM
Response to Original message
1. now THIS is important.
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nichomachus Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:16 PM
Response to Reply #1
7. Yes -- and my civil rights AREN'T -- glad we straightened that out n/t
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roguevalley Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:36 PM
Response to Reply #7
15. one of these is not the same, one of these is not like the other...
:( I guess we can't talk about two things on the board anymore.
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DesertFlower Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:46 PM
Response to Reply #7
20. you're civil rights are important,
but the warren issue has been discussed ad nauseum.
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NashVegas Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:49 PM
Response to Reply #7
21. What Sweets Said
I'm sorry some people think the Warren business is a-okay - but I suspect they enjoy flamefests more than discussion of issues.
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uponit7771 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 04:50 PM
Response to Original message
2. Good
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valerief Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:10 PM
Response to Original message
3. Thanks. K&R!
:kick::kick::kick::kick::kick::kick::kick::kick::kick:
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avaistheone1 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:12 PM
Response to Original message
4. Thanks. I hope people will go viral with this.
I appreciate you posting this. I think this is an issue that has a great impact on most of us although many may not realize it.
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leftstreet Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:14 PM
Response to Original message
5. Obama will regret not going for Single Payer
It's dangerous to leave it to the Republicans.

Just sayin.
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avaistheone1 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:46 PM
Response to Reply #5
19. Not only that. Without universal health coverage we are making ourselves less competitive.
Detroit is struggling right now with the burden/heavy cost of employer paid health care plans.

Toyota recently decided to locate a plant in Canada rather than in the U.S. because Canada has univeral health coverage.

As more Americans lose their jobs they are forced to pay for unaffordable COBRA health plans.
I believe I also recently read that 25% of the working class who get a cancer diagnosis now do not seek treatment because they do not have any or adequate health care coverage.

Wake up America! We need single-payer universal health coverage now.
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redstate_democrat Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:15 PM
Response to Original message
6. This is what he is supposed to be doing.
:shrug:
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Clio the Leo Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:17 PM
Response to Original message
8. Thank you! NT
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cliffordu Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:18 PM
Response to Original message
9. Notice how THESE things that Obama's APPOINTEES are DOING don't get the airplay
that every small misstep get, right here at DU?

He has done nothing for Homeless Veterans. So I hate his fucking ass.



:sarcasm:

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genna Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:19 PM
Response to Original message
10. I'm uninformed on the forums being a rubber stamp.
I though Obama covered in the Democratic primary why he WOULD NOT initially be pushing for single payer.

What did you hear in the interim that makes you believe he has flipped from single payer?
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Sebastian Doyle Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:21 PM
Response to Original message
11. Hey Daschle, READ THIS. I'll keep it simple for you
Edited on Thu Dec-18-08 05:22 PM by Sebastian Doyle
Single payer health care. Pay for it with the money currently wasted on a ridiculous "defense" budget, and by closing tax loopholes for the rich.

Problem solved.

See how easy that is. :)
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SidneyCarton Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:23 PM
Response to Original message
12. Sorry Crisco, there's nothing to get pissed about here.
Afraid we'll have to move this post to the Lounge where the adults can discuss it.
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NashVegas Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:37 PM
Response to Reply #12
16. I Am Reminded
Of PSH's very wise line in "Charlie Wilson's War," that went along the lines of, "give the press a sex scandal in your left hand and you can park an aircraft carrier under your right and no one will say a word." Very similar to what I said about Lewinski: she wasn't the scandal, she was the distraction.

MSM will give us many distractions where Obama is concerned. As many little ones as they can come up with, while policy gets crafted with no one being the wiser.
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SidneyCarton Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:39 PM
Response to Reply #16
17. I vaguely remember that film, innaccurate but entertaining.
I particularly liked PSH's character, and the scene with the bugged bottle of booze. What a lovely distraction we have today eh?
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JimWis Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:31 PM
Response to Original message
13. Thanks for the post, information and links. Very interesting.
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kath Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:35 PM
Response to Original message
14. The insurance are getting what they paid for - buying off all the politicians works again!!
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rockymountaindem Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:44 PM
Response to Original message
18. I'm sure we're going to be presented with some half-assed plan
that may fix 25% of what's wrong with our current system. Better than nothing, but it looks like we're going to have to blunder along with what we've got for some more time before we finally wake up and switch to something that actually works.
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John Q. Citizen Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 05:58 PM
Response to Original message
22. I've been attending local meetings on the Baucus outline which is consistent with
the line being pushed from the change.gov site.

It is critical to get single payer fee for service into the record, and to also insist that when they toss single payer that they keep the community pool "public plan like Medicare' in the final bill.

Some good things included in the poorer overall concept is community rating. This is huge. It means everyone pays exactly the same amount for the same coverage regardless of any other factors like age, current heath status, geographic location. It will mean that private companies can't cherry pick.

Other good points are minimum uniform coverages mandated by the feds. This way everyone is covered for all the preventative stuff.


All in all there are some very good things in the outline if you are willing to overlook the far elevated costs that are inherent to a patchwork system of over-lapping coverage, under utilized facilities, multiple smaller risk pools and taxpayer subsidized private insurance company profits. I far prefer single payer, but if we must go broke instead of just do the right thing, lets make sure we go broke on a system that at least has some good points in it as well.

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wildflower Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:18 PM
Response to Original message
23. Is this a "check Health Care on your taxes and get it" kind of public option?
I'm referring to the "public option" proposal mentioned above.

I know Obama has said that we are at a stage where public health care can't just be dropped on the country, it has to be introduced gradually.

So, if there were an option on your tax form where you could check "Health Care" and pay for it, and then you'd have it, and millions of people signed up for this, I could see it working, because there would be a large enough pool. And eventually, more and more people would come over to it until the private insurance went away. Am I being too optimistic?
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John Q. Citizen Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:33 PM
Response to Reply #23
25. No, it a you can buy a private plan or you can buy the public plan kind of
a public option. Both are subsidized on a sliding scale all the way down to free.
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wildflower Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:40 PM
Response to Reply #25
26. Right, that's what I'm saying
In other words, I could choose to pay for private insurance, or choose to pay (via taxes) to join the public plan. If everyone who needed to could do that, could it work?

Some people who choose it wouldn't have to pay for it, because they don't make enough to owe taxes. They could file their tax forms and check the box.

Eventually, more and more people would join it as they see how it works, and abandon their private plans, and the private insurers would go away.

I know it's not really as simple as checking a box, but I'd like to believe we could have something soon for everyone to have health care (though I would of course prefer to simply have single payer and be done with it).
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John Q. Citizen Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:43 PM
Response to Reply #26
28. It's not via taxes as far as i know. I think it's via premiums. but many of the details haven't
been fleshed out yet.

http://finance.senate.gov/healthreform2009/finalwhitepaper.pdf

here's a link to the Baucus Harkin outline which is consistent in principle with the change.gov outline
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Sunnyshine Donating Member (698 posts) Send PM | Profile | Ignore Thu Dec-18-08 06:30 PM
Response to Original message
24. Daschle should support us and Sen. Ted Kennedy w/ drafted Healthcare legistlation: HR 676
http://www.healthcare-now.org/2008/11/ask-kennedy-to-make-it-single-payer/

The scripted discussions for Sen. Daschle’s community meetings exclude any consideration of a single payer national health program.


We adults need "scripted discussions" on this? Seriously? Translates to: Limited results and narrowing expectations.:eyes:
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John Q. Citizen Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:41 PM
Response to Reply #24
27. While we push for single payer we need to face the possibility that it won't be
what's passed.

Baucus has already taken the ideological route and declared single payer plan non-grata. we need to demand a fair and open hearing.

We could also use a far more complete single payer bill than 676. It would be good to have two or three competing single payer bills in the hopper to discuss, because single payer can be done a whole number of different ways as I'm sure you know.
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Sunnyshine Donating Member (698 posts) Send PM | Profile | Ignore Fri Dec-19-08 03:24 AM
Response to Reply #27
31. H.R. 676 is meant to gather support for forming new policies. I agree with you, it needs help.
Edited on Fri Dec-19-08 03:26 AM by OMomma
We are constantly conceding ground and giving up on urgently needed policies. We want to be able to make a difference across the board. Open hearings should begin happening immediately in 2009. We've always been told we have to accept that it won't pass. It is not formulated or functioning and they purposely leave it in that condition. They pay it no mind- as in they're ignoring it.

The gradual change method is not what we are looking for, as time is of the essence for those who live without health care due to cost alone. It makes for furthering the bad economics beneath it by keeping these re-reformed plans tied through Employers, via some other dude who hides behind the Executive curtain raking workers over the coals and bankrupting families left and right.

People and providers should have the right to participate in Universal Health Care. Those of us who want to participate, should have policies enacted by the soon to be non-capitulating congress to be able to do so. Health Insurance Plans passed-no problem.

Grease up those brains big fella's. Cut ties. Get to work and do something amazing for your citizens.
If Baucus is entitled to having access to Socialized Health Care, we should demand we have it too.

We want to be offered that option right away. Our Elected Officials get this treatment. Why can't we common people?
This is a crisis domestically. It requires aggressive measures to make it work. Congress is perpetually challenged by that oddly enough. Imagine that. They said the same exact things a decade ago.

kos:
1. Republicans ask for the absurd, threaten nuclear/economic armageddon if there's no action.

2. Democrats cower in fear.

3. We try to talk some sense into them.

4. We get scolded for being unserious, and wanting the terrorists to win/people to lose their jobs.

5. Democrats promise oversight!

6. We roll our eyes.

7. Democrats cave on every single point, but pretend to win anyway.

8. We wonder what we ever did to deserve this sorry bunch of representatives.

9. Republicans do whatever the hell they want.

10. Democrats pretend that no one could've ever predicted Republican outrages and express "outrage". Sometimes, they even write a sternly worded letter!

11. We make "no one could have foreseen" jokes and wonder what we ever did to deserve this sorry bunch of representatives.

12. Rinse, lather, repeat.

http://www.dailykos.com/story/2008/12/19/11149/810/426/674872

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John Q. Citizen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Dec-19-08 10:35 AM
Response to Reply #31
32. I agree with you too! And the OP is right. We need to show up and keep asking for a fleshed
out single payer bill

We also need to make absiolutely sure that:

Community Rating
a decent basic floor of benefits
and the Public Option

remains in the patchwork multi-payer bill that Baucus will introduce.


Now lets be honest. The Baucus bill (what ever it ends up being) is going to have all the big wigs lined up for it. It's also going to be horrendously expensive and do very little to make health care affordable for the country as a whole, since it will incorporate lots of redundancy, lots of over capacity, and as we saw with the Baucus backed Medicare drug benefit, every provider and every supplier will attempt to jack up prices since it's paid for by the treasury.

In fact, it could very well pass and then fail because it becomes quickly unaffordable. So they will cut benefits and the country will be left with shitty over-priced insurance that doesn't cover what people need.

And then the drum beat will start up that government sponsored health insurance doesn't work. It's so predictable.

So we need to predict it loud and long at these meetings, at hearings at every chance we get.

Some of the assumptions that Baucus uses are pretty flawed. For instance Baucus points to research data that claims Americans with private insurance like their private insurance. Of course the data doesn't include how many Americans even jknow what their insurance covers. My guess is not that many do know. Who sits down and reads that stuff? How many Americans with serious (and costly) illnesses or conditions still like their insurance after they have need to access it? Doesn't say. My guess is that number is way lower than the numbers Baucus is pointing to.

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bvar22 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:49 PM
Response to Reply #24
29. Reminds me of the "Public Hearings" the FCC held...
...on Media Consolidation.


"65 percent (of ALL Americans, Democrats AND Republicans) say the government should guarantee health insurance for everyone -- even if it means raising taxes."

http://alternet.org/story/29788/



"Pragmatic Centrism"!!!....because it's so EASY!
You don't have TO STAND for ANYTHING!
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firedupdem Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Dec-18-08 06:52 PM
Response to Original message
30. Good Information! Thanks! n/t
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