co ops

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Deleted scenes from Sicko (2007) showing the health care system in Norway.

Ever wonder why the single most sensible, economical and democratic way to provide health care to every person in the US was never really mentioned in the rhetoric whirlwind of public options, opt-outs, co-ops, triggers and free market embracing?

Part of the reason why is that the media refused to mention it:

The media analysis group Fairness and Accuracy in Reporting (FAIR) issued an action alert September 22 titled "NYT Slams Single-Payer" that described lopsided reporting in a New York Times article about "Medicare for all," a form of a single-payer health care system. FAIR noted that the article, titled "Medicare for All? ‘Crazy,’ ‘Socialized’ and Unlikely", laid out a list of arguments against single-payer while failing to include any balancing responses from the option's supporters.

Yeah, those nutty Norwegians, not to mention Canadians, Danes, French, Brits, Swedes, etc. etc. They're all just crazy for treating health as a human right, instead of a corporate profit opportunity. FAIR continues:

It's worth noting that thousands of doctors have voiced support for a single-payer system (see, for example, Physicians for a National Health Program's letter to Barack Obama), in part because they believe they spend too much on the administrative costs associated with private insurance companies. A survey of physicians published in the Annals of Internal Medicine (4/1/08) found that 59 percent supported government-sponsored national health insurance.

Seelye also wrote that Medicare for all "would almost certainly mean a big tax increase on the middle class," before noting in parentheses: "Supporters argue that a tax increase would be somewhat neutralized by the elimination of premiums that people pay now to insurance companies." Actually, single-payer advocates argue that a payroll tax on businesses (many of which currently pay for private insurance for their employees) and a small income tax increase that would likely amount to less than what most citizens currently pay out of pocket could fund a single-payer program. By calling a "big tax increase" a near-certainty and treating the savings on insurance premiums as a claim made by advocates, the Times told readers which side it was on.

Seelye cited Stuart Altman--identified as "a Brandeis economist who specializes in health care and who advised Barack Obama in his presidential campaign," but not as a director of a managed-care company that offers health insurance plans (WhoRunsGov.com)--to make a similar point about potential tax increases, and then went to "the other end of the political spectrum" to quote Robert Moffit of the conservative Heritage Foundation: "I don't see popular support for it beyond liberals.... It's a philosophical question: Do you want to give the government that kind of power?"

Of course, one might point out that public polling for years has demonstrated that support for single-payer is much broader than merely a liberal sliver of the population (FAIR Action Alert, 3/12/09); a July 2009 tracking poll from the Kaiser Family Foundation found 58 percent support for Medicare for all. But a piece detailing the deficiencies of a "crazy" single-payer system is an unlikely venue for that.

FAIR is asking that you contact NY Times Public Editor Clark Hoyt as to why they would run such an unbalanced and factually-challenged piece that hurts Americans by lying to them about their health care options.
CONTACT:
New York Times
Clark Hoyt, Public Editor
public@nytimes.com
Phone: 212-556-7652



Why The Baucus Bill Makes Insurance Companies So Happy

The writer of this Boston Globe op-ed, who works for a liberal think tank, pulls apart the Baucus bill and doesn't like what she finds. Hey, Kent Conrad likes it - that should have been her first clue:

It’s no surprise that his bill includes no public sector insurance plan. Instead, the only competition that giant insurers face will come from tiny co-operatives - and even then, to qualify for federal funding, they must be fledglings. Established co-ops will not qualify for help. Thus, private insurers can count on controlling the marketplace as millions of new customers who don’t have job-based coverage are required by law to come their way, tax subsidies in hand.

But what is shocking is that under the Baucus plan, a 50-year-old single parent could wind up paying far more for health insurance than a 28-year-old single adult who earns twice her salary. The Baucus bill won’t let insurers hike premiums because a customer suffers from a pre-existing condition. But it lets insurers charge older Americas five times as much as younger customers.

"Shocking"? Only if you haven't been paying attention.

In a July letter to House leaders, the trade group America’s Health Insurance Plans called for the 5 to 1 ratio, saying anything less than that would force many young people to pay more to “heavily subsidize the naturally higher health care costs of older individuals.’’ House Democrats refused. The House bill, like Massachusetts, says that insurers can charge older adults no more than twice what they bill younger ones.

If the point of insurance is to pool risk and reduce costs, having young people subsidize the higher costs of older people makes sense. But never let it be said that the insurance industry will pass up a chance to rationalize jacking up somebody's rates!

The Baucus legislation also imposes a penalty on single-parenthood. If you live alone with one child, you will be asked to shell out 80 percent more than a childless adult.

Of course it makes sense that coverage for a mother and child would cost more than the premium for a single person. But since children typically use much less health care than adults, 80 percent is a steep surcharge for single-parenthood - especially since a couple with children would pay only 50 percent more than a childless couple.

The Baucus bill also punishes smokers, adding 50 percent to their premiums. No doubt many would argue that this is only fair. But the vast majority of adults who smoke are poor. Many will qualify for full subsidies; others will be eligible for partial subsidies to help them pay for their premiums.

So who will pay 50 percent more for their health care? You, the taxpayer. If the smoker receives a subsidy, the 50 percent surcharge isn’t likely to induce him to stop. This rule seems designed primarily to funnel more taxpayer dollars to private sector insurers.

Single parents also tend to cling to the lower rungs of the income ladder. Many will qualify for at least a partial, if not a full subsidy. Who lays out the extra 80 percent? That’s right - you and I.

Finally, if under the Baucus bill, insurers can charge middle-income 50-somethings five times as much as even the most affluent 20-somethings, a great many of those older customers are going to need fat subsidies, sending more tax dollars to Aetna.

Do we see a pattern, class? Of course we do! The purpose of the Baucus bill is to make insurance companies happy. That's why it has to be fixed, and that's why you should be calling your congressperson this week.


Olympia Snowe admitted to Andrea Mitchell that the Senate Finance Committee is not even considering a public option in their bill and never had it on the table. She said that the skyrocketing costs of health care are paramount to their bill which is why they are ogling co opts.

Mitchell: So bottom lines, Nancy Pelosi says that they will not produce anything that does not include a public option. Do you see any way that the gang of six will come out of the Finance Committee with a public option?

Snowe: No, I don't. We have not had the public option on the table. It's been co ops and addressing affordability and availability and plans through the exchange and those are the challenges we're wrestling with to insure that there are basic plans to offer Americans.

You can count on the gang of six of working on problems that don't include real solutions. This is a reversal on what she said to Andrea back in June when she said co ops were worthless.

Snowe: ...states today can create co-ops as a matter of fact, but we want to make sure that not just incorporating the status quo. In other words, if these co-ops were to be formed, Americans still could not have access to affordable, quality plans then you really do have to have a contingency plan, with a fall back plan of some kind to make sure that you do have the conditions to ensure that Americans do have access to an affordable plan.

Today for example in the state of Maine, you don't have the purchasing power necessary to leverage competitive prices so it really has kept so many people and so many small businesses out of the market, we want to make sure that's not what we repeat as we try to reform and provide universal access and coverage to all Americans.

Why is she now on board with co ops when she knows they suck? Is Chuck " Killin' Grandma" Grassley her daddy?

Nancy Pelosi reiterated today that there is no way a health care bill passes the HOUSE without a public option.

Foreshadowing a House-Senate showdown, Speaker Nancy Pelosi said Thursday there is "no way" the House can pass a health care bill without a government-run insurance option.

Speaking at a news conference in San Francisco, Pelosi told reporters that a public option will "keep insurance companies honest."

“There’s no way I can pass a bill in the House of Representatives without a public option,” the California Democrat said, according to wire reports. "Unless someone comes up with a better idea, that's how we're going forth in the House."

Pelosi reportedly added: "If someone can come up with a better idea, let them put it on the table, we haven't heard that yet. ... So we're fighting very hard for the public option."


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TOPICS

Kent Conrad's co-op plan reminded me of the WaPo's failed "Mouthpiece Theater": It's about as insipid as humanly possible. The House of Lords really is more concerned with its members' campaign contributions than they are for the American people. Let's check to see how much jack Conrad has received from the insurance industry, shall we?

Conrad, Kent (D-ND) $828,787

Not a bad haul, eh?

If Conrad was trying to woo Republicans with his co-op plan that cannot work, guess again.

A key member of Republican leadership in the Senate declared on Tuesday that a cooperative approach to health insurance was merely a "Trojan horse" for a government-run system.

In a conference call with reporters, Senate Minority Whip Jon Kyl (R-Ariz.) said that while some progressives view the co-op proposal as an unacceptably watered-down alternative to a public insurance option, Republicans think it's still too similar. He indicated that both he and the party would oppose them.

"On the co-op... as Democrats have said, it doesn't matter what you call it, they want it to accomplish something that Republicans are opposed to," Kyl told reporters. "That is the step towards government-run health care in the country. The president himself said you can imagine a cooperative meeting that definition of a public option." Republicans see Trojans everywhere but they believe in abstinence only. Everyone knows a few of them are big teases but in the end they will just say no.

"It is [a public plan] by another name. It is a Trojan horse. And therefore no, I don't believe Republicans will be inclined to support a bill," he said.

Lions and Tigers and Bears, Oh My! What Jon Kyl is really saying is: Trojans and Horses and Socialists, Oh, My!

Hullabaloo:

Kent Conrad, the perpetual whiner who has been pushing this silly co-op nonsense for months now, set co-ops up from the get as a prophylactic for his fellow Democratic corporate lackeys. It has nothing to do with Republicans. Never did. It would be best if everyone just abstained from pretending that bipartisanship was ever on the table and faced the real problem: STDs (Supine Two-faced Democrats.)


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Sebelius: Public option not 'essential'

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Health and Human Services Secretary Kathleen Sebelius told CNN's John King that insurance co-ops could work in place of a government insurance option. Sebelius said that there should be "choice and competition" but a public option was not "essential."

"I think what's important is choice and competition and I'm convinced at the end of the day, the plan will have both of those. But [a public option] is not the essential element," said Sebelius.


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Every sane liberal and Democratic activist and analyst who has a brain knows that co-ops are a worthless concept only put out there so Max Baucus and his bi partisan jelly fish can help rip off the American people and pad the pockets of the health care industrial complex. Welcome to our liberal elite.

ALTER: Well, there has to be some kind of cooperative, maybe what they call a souped-up cooperative, one that can actually withstand pressure from insurance companies which in the past have taken something like BlueCross, which is originally nonprofit and turned it into just another insurance company. So, the problem with the co-op idea is that it-they have been putty in the hands of the insurance company. But there still is room for compromise there. They could design a new kind of co-op that could provide some real competition.

OLBERMANN: Yes.

ALTER: It could be essentially a public-private option that satisfies enough people to get something through. So, I don't think liberals should go, you know, public option or bust. There are other alternatives and you have to remember that there are many, many important things in this bill that have become almost non-controversial that two years ago, if you'd been told they're going to-they're going to end discrimination against people with pre-existing conditions, they're going to insure another 30 million Americans, we say, "Great, where do we sign up?" And now, some progressives are-maybe a little bit too wed to the public option. Even though, my favorite, too, but we shouldn't go down with the ship, with the public option.

Listen, Jonathan. There is no room for compromise with co-ops. Jay Rockefeller already disproved them in detail, if you were keeping track of these things. It's a con game cooked up to fool people like you into thinking Kent Conrad and Chuck Grassley would actually design a new kind of SUPER CO-OP that will save the day. Are you that daft or just sucking it up for the David Broder-bipartisan coalition?

We were promised real health-care reform, not some sad sack of a plan that includes ginned-up co-ops that have all been panned by the "serious people" who write about health care. As usual we're the dirty f*&king hippies who better live without our public option. Obama was only elected with a clear mandate to reform health care and we should be thankful for what we get.

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Bob Shrum jumped in with the same lame argument and he said on Hardball that if co ops are included that provide competition then the bill is just fine too.

SHRUM: I certainly think he should do that. reconciliation was...

MATTHEWS: No, he doesn't have to. SHRUM: ... used by Reagan. It was used by Bush.

MATTHEWS: No, but what's the-if he has to choose between a bill that comes out of that bipartisan panel in the Senate, Finance Committee, and going with a much more liberal bill, what would you do?

SHRUM: I would-I would look-I'd judge it by what's in that bill. If there's a co-op that effectively does provide competition with the insurance industry, then I think you can move forward. By the way, in other respects, that bill is not a vastly scaled-down bill. It's $100 billion less over 10 years out of a program that costs $1 trillion over 10 years.

What data does he have to suggest that co ops can bring that to the table? None.


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Hold back the jello. Jay Rockefeller was on this morning with Andrea Mitchell and complained about the Kent Conrad "co-op" plan which he said was basically unworkable. He then went on The Ed show and hit it even harder. Jay is a supporter of the public option and was pissed that the co-op proposal was inserted in the Baucus bill since it was never even talked about during the general election. Isn't it nice that Baucus has killed the public option just to work with Republicans? Conservatives don't even have to win elections to get what they want. That's some deal they have.

Ed: It's not going to work. There's really no successful model out there to support the basis of signing on to a co-op. Would you sign on to a co-op or is that unacceptable?

Rockefeller: That's unacceptable and I can almost prove it. We've been in touch with all the folks that oversee, represent all the co-ops in the country on all subjects and they point out that there are probably less than twenty health co-ops in the country. There are only two that really work that well. One in Puget Sound, one in Minnesota, except for those two, they are all unlicensed. All present health co-ops are all unlicensed, they're unregulated. Nobody knows anything about them, nobody has any control over them and nobody has ever said, which is stunning to me, no government organization or private organization has ever done a study to what effect they might have in terms of bringing down the insurance prices.

They are untested, they are unlicensed, they are unregulated, they are unstudied. Why would we even think about putting them in as a control on this massive insurance industry instead of the public option?

There aren't any co-ops throughout much of the country, but to appease the conservative Dems we're supposed to throw six billion dollars around and hope that the states will try to make them workable. Is this insane? Watch the whole clip, but you get the idea from this one statement. Kent Conrad's big proposal is a complete sham, but President Baucus is trying to cram that down the throats of the country, which will render all health-care reform useless. All hail bipartisanship!