Category Archives: health care

Insurance Industry’s Pre-Emptive Strike on Health Care “Reform”

22 Wednesday Sep 2010

Posted by in health care, Obama administration, Politics

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Sure is a good thing we avoided the public option “government takeover” of the health care system and mandated coverage by private companies. Nobody could have ever seen this coming:

“Some of the country’s most prominent health insurance companies have decided to stop offering new child-only plans, rather than comply with rules in the new health-care law that will require such plans to start accepting children with preexisting medical conditions after Sept. 23.

The companies will continue to cover children who already have child-only policies. They will also accept children with preexisting conditions in new family policies.

Nonetheless, supporters of the new health-care law complain that the change amounts to an end run around one of the most prized consumer protections.

“We’re just days away from a new era when insurance companies must stop denying coverage to kids just because they are sick, and now some of the biggest changed their minds,” Ethan Rome, executive director of Health Care for America Now, an advocacy group, said in a statement. “[It] is immoral, and to blame their appalling behavior on the new law is patently dishonest.”

[…]

But officials of the Obama administration said the move contradicted a letter from the leader of one of the insurance industry’s most important trade groups after the law’s adoption in March. Karen Ignagni, president of America’s Health Insurance Plans, expressed support for the law’s provisions concerning children with preexisting conditions and promised to “fully comply” with them.

“We expect [insurance companies] to honor that commitment. Insurers shouldn’t break their promise and turn their backs on some of our most vulnerable Americans,” said Jessica Santillo, a spokeswoman for the Department of Health and Human Services.

Naive much?

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“Audacity” is the New “Uppity”

26 Wednesday May 2010

Posted by in Congress, financial reform, health care, Obama, Politics, Republicans

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President Obama held a meeting with Senate Republicans yesterday–no cameras present. I would assume GOP senators learned a lesson from the dressing-down their House counterparts took in January with cameras rolling and insisted on that. Afterward, Bob Corker of Tennessee and Pat Roberts of Kansas gave their versions of what transpired, and what they allegedly said to the president.

Corker spoke with Greg Sargent of The Plum Line:

“He got all uppity I felt like there was a degree of audacity in him being there today, after passing his third large partisan bill,” Corker told me, insisting Republicans had been stiff-armed by the White House on financial reform, health care, and the stimulus.

“I told him I felt like a prop afer the actions they had taken regarding bipartisanship,” Corker said. “It hit a nerve.” Corker added that Obama came back at him with “quite a lengthy response,” but he declined to share what, precisely, the president said.”

(Memo to President Obama: Limit your responses to Republican questions to short catchy phrases and words of no more than 2 syllables, they’re used to listening to Palin and get easily confused).

Hit a nerve, Bob? I can’t imagine why. Probably because you and your colleagues in the Senate have been nothing but road blocks to everything since day one of President Obama’s administration. (Latest case in point, Sen. Inhofe blocking the lifting of the liability cap on BP.) The president has taken a lot heat from his base for going too far in accommodating Republicans who in spite of those consolations have, with few exceptions, voted against everything. Yeah, I guess that statement might have “hit a nerve.”

Here’s what hits the GOP’s nerve. Their plan from Inauguration Day in January of 2009 was to block any and all legislation. In spite of their obstructionism, two major pieces  of the president’s agenda have been passed (the stimulus package and health care reform) and another (financial reform) is in conference committee.

What Sen. Roberts had to say is so ridiculous it’s barely worth a mention, but it’s a good example of the pervasive Republican attitude toward the president.

“He needs to take a Valium before he comes in and talks to Republicans,” Sen. Pat Roberts (Kan.) told reporters. “He’s pretty thin-skinned.”

Sen. Roberts, have a little respect please. At least try and fake it when you’re speaking to the national media and not at a Tea Party whinefest rally.

Pre-Existing Condition Loophole?

26 Friday Mar 2010

Posted by in Congress, health care, lobbyists, Politics

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When Speaker Pelosi said of health care reform legislation on March 9 that “we have to pass the bill so that you can find out what is in it, away from the fog of the controversy,” I would guess she was referring to all the positive elements of the bill which would come to light after all the sturm und drang of the debate had passed. However, there appears to be some controversy only 2 days after the bill’s passage over the ban on denying coverage based on pre-existing conditions. From AP via Firedoglake:

“President Barack Obama’s new health care law has a gap when it comes to one of its much-touted immediate benefits, improved coverage for children in poor health, congressional officials confirmed Tuesday.

Under the new law, insurance companies still would be able to refuse new coverage to children because of a pre-existing medical problem, said Karen Lightfoot, spokeswoman for the House Energy and Commerce Committee, one of the main congressional panels that wrote the bill that Obama signed into law Tuesday.”

According to Kaiser, the language in the legislation is a bit murky (intentionally perhaps?) :

“…health advocates and some insurers say the law does not clearly state that such protection starts this year. If it doesn’t, uninsured children with pre-existing conditions might not get help until 2014, when the law requires  insurers to issue policies for all applicants regardless of health condition.

…One thing is clear: The law does nothing to stop insurers from charging higher rates for children with pre-existing illnesses until 2014 when insurers can no longer use health status in setting premiums.”

Of course the insurance companies and their lobbyists jumped all over this possible loophole:

“Randy Kammer, a vice president for Blue Cross and Blue Shield of Florida, the largest health insurer in that state, said she interprets the law as allowing insurers to reject coverage for children in some cases until 2014.

America’s Health Insurance Plans, the main insurance lobbying group, says through a spokesman that it interprets the new law as not requiring insurers to cover all child applicants this year.”

It’s almost as if the insurance companies knew the loophole was there. Couldn’t have anything to do with Liz Fowler, a former VP of WellPoint, being a senior aide to Sen. Baucus and director of the Senate Finance Committee health care staff, could it?

The response from the administration is that “clarifying regulations” will be forthcoming from the Department of Health and Human Services. “Clarifying regulations” for 2-day old legislation? The old carpenter’s adage about ‘measure twice, cut once’ comes to mind.

Let’s Move On From Health Care. Please.

24 Wednesday Mar 2010

Posted by in bailout, Congress, Financial Crisis, financial reform, financial regulation, health care, Obama, Politics, Wall Street

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Now that health care reform, such as it is, has been signed, sealed, and set to be delivered in varying stages between now and 2014, can we please move on to other things. Believe it or not there are some significant storm clouds on the horizon which have the potential to come on shore sooner than 4 years from now, and which might merit some attention from policymakers in Washington, D.C. Such as:

The next wave of the housing crisis:

“This month, the Fed confirmed that it will no longer make open market purchases of mortgage backed securities after March 31st…As the Fed begins to unwind its historic intervention, it faces a second wave of toxic mortgage maturities that could be even more damaging than the last wave of subprime mortgages. These are the 3 and 5 year Option ARM mortgages, and they were the credit bubble’s absolute creme de la creme…these loans will reset at rates that are far higher than the initial “teaser” rate. Sadly, this may spell doom for borrowers who used these loans to fund overpriced home purchases in 2006-2007, especially in high-priced markets along the coasts.”

Add to that the lack of success of the foreclosure prevention program which has fallen far short of its original goals of helping 4 million homeowners. The number so far is less than 170,000.

“The program risks helping few, and for the rest, merely spreading out the foreclosure crisis over the course of several years” at significant expense for taxpayers and borrowers, the inspector general’s office wrote. If too many participants re- default, the modification plan “will have done little to achieve the goal of assisting homeowners who would still find themselves losing their homes.”

Then there’s the commercial real estate “ticking time bomb”:

“Estimates published last November by the Urban Land Institute and PricewaterhouseCoopers suggest that commercial real estate vacancies will continue to increase in 2010, while prices could tumble further during the year. Prices could fall as low as half their peak levels from 2007.

If that happens, that would only darken borrowers’ hopes that banks will refinance their outstanding loans. And some $1.4 trillion is commercial real estate debt is expected to come due over the next three years.”

Existing home sales have fallen for the third straight month, to their lowest level since last July:

“Resales of U.S. homes and condominiums fell 0.6% in February to a seasonally adjusted annual rate of 5.02 million, the lowest level in eight months, raising doubts about the durability of the housing recovery, the National Association of Realtors reported Tuesday.

…”We need to have a second surge,” said Lawrence Yun, chief economist for the real estate lobbying group. However, the jury’s still out, he said…A double-dip recession is a “possibility” if a second surge of buying doesn’t occur, he said.”

And last but not least, the economic “recovery” which is being felt in few places outside of big business and Wall Street:

“The earnings of companies in the Standard & Poor’s 500 stock index tripled in the fourth quarter, but this does not mean the rest of the US economy is doing well. Much of their sales were into fast-growing markets in places like India, China and Brazil. Meanwhile, they continued to slash jobs and cut costs at home.”

Large corporations are flush with cash, but:

“…Much is being used to buy other companies, which usually leads to more job losses. Much of the rest is being used to buy back their own stock in order to boost their share prices…The major beneficiaries are shareholders, including top executives, whose pay is linked to share prices. But the buy-backs do nothing for most Americans.

…The economy shows signs of improvement largely because the government is spending huge sums and the Fed is essentially printing even more money. But where will demand come from when the stimulus is over and the Fed tightens? That question hangs over the economy like a dense cloud. Until there is an answer, a sustainable recovery for any other than America’s largest corporations, Wall Street and the wealthy is a mirage.”

Just a few things for our elected representatives to consider. You’ve done your touchdown dance, now it’s time to get ready for the kickoff—the game is far from over.

As The Health Care Reform Turns

18 Thursday Mar 2010

Posted by in Congress, Democrats, health care, Politics, Uncategorized

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In today’s episode of  “As The Health Care Reform Turns”:

“House Democrats are inching toward the majority they need to pass health care legislation, giving them added confidence as they work out the last details of the bill and gird for a showdown as soon as this weekend.”

“Details” like what’s in the bill and how much it costs:

“House Democratic leaders on Wednesday night said the long-awaited Congressional Budget Office score of the reconciliation bill will not come out until Thursday, forcing an acknowledgment that a Saturday healthcare vote is likely off the table…But leaders are still hoping for a score on Thursday, and are still preparing for a possible vote before the end of the weekend.

…Rep. Robert Andrews (D-N.J.)…said that the delay is the result of numerous technical issues involved, and stressed that, despite any rumors to the contrary, the delays are not the result of policy problems.”

Translation: The delays are the result of policy problems. Just a hunch—Pelosi has seen the CBO numbers and they ain’t good. Hence the need to raise the tax on benefits:

“AFL-CIO President Richard Trumka is headed into a meeting with President Obama this afternoon after the White House and Congressional leaders have begun to discuss a higher-than-expected excise tax on some health care plans, in order to maintain their claim that health care legislation will reduce the deficit, a source involved in health care talks said.”

Policy problems like President Obama’s support for the so-called “Louisiana Purchase”:

“That provision, which I think should remain in, said that if a state has been affected by a natural catastrophe, that has created a special health care emergency in that state, they should get help,” Obama told Fox News’s Bret Baier…”

And since PhRMA has agreed to spend $6 million on pro-reform advertising, it’s safe to assume that the not-so-secret deal between the White House and the drug industry will be in the elusive bill as well.

So, where does HCR stand today? Pretty much in the same place its been:

“Democratic leaders say they have not nailed down the 216 votes they need for passage, but they are pressing ahead in the belief that they can get them.”

Health Care “Sleight of Hand”

16 Tuesday Mar 2010

Posted by in Congress, financial reform, health care, Politics, Uncategorized

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If members of Congress have any question as to why they rank somewhere below used car salesmen on the trustworthy scale, there are 2 shining examples relating to 2 pieces of proposed legislation in today’s news—one on health care reform and one on financial reform—which should make it crystal clear. First there’s this from the Washington Post:

“After laying the groundwork for a decisive vote this week on the Senate’s health-care bill, House Speaker Nancy Pelosi suggested Monday that she might attempt to pass the measure without having members vote on it.”

Wait a minute, I thought President Obama said it was time for an up or down vote on health care reform? Que pasa? I guess that only applies when the votes are there. Failing that, the need for an alternative procedure arises. Such as:

“Instead, Pelosi (D-Calif.) would rely on a procedural sleight of hand: The House would vote on a more popular package of fixes to the Senate bill; under the House rule for that vote, passage would signify that lawmakers “deem” the health-care bill to be passed.”

Note to Speaker Pelosi: For future reference, any time the words “sleight of hand” are used in relation to an action by Congress, it doesn’t exactly inspire confidence that what you’re trying to do is on the up and up.

“The tactic — known as a “self-executing rule” or a “deem and pass” — has been commonly used, although never to pass legislation as momentous as the $875 billion health-care bill. It is one of three options that Pelosi said she is considering for a late-week House vote, but she added that she prefers it because it would politically protect lawmakers who are reluctant to publicly support the measure.”

Wait another minute. Haven’t the Speaker and the Democratic leadership been extolling the virtues of this “reform” and how good it will be for us ( just trust them)?  Then why the need for “political protection?” I’m confused.

The other bit of news is Sen. Chris Dodd’s release of his so-called “sweeping financial regulatory reform” bill. This quote from Dodd at the end of a Huffington Post article says it all:

“Interestingly, Dodd seemed to want to minimize expectations for the proposed legislation’s impact by saying several times that it is not enough to prevent another crisis: “This legislation will not stop the next crisis from coming. No legislation can…”

Yes it can, Sen. Dodd. If you want it to. Ay, there’s the rub.

Washington Still Fiddling

09 Tuesday Mar 2010

Posted by in Congress, economy, health care, Obama, Politics

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Bob Herbert’s op-ed in yesterday’s New York Times echos what I’ve been thinking lately—it’s time for Congress and President Obama to get past health care reform and move on to jobs. Please.

“The Obama administration and Democrats in general are in trouble because they are not urgently and effectively addressing the issue that most Americans want them to: the frightening economic insecurity that has put a chokehold on millions of American families.

The economy shed 36,000 jobs last month, and that was trumpeted in the press as good news. Well, after your house has burned down I suppose it’s good news that the flames may finally be flickering out. But once you realize that it will take 11 million or more new jobs to get us back to where we were when the recession began, you begin to understand that we’re not really making any headway at all.

…Instead of focusing with unwavering intensity on this increasingly tragic situation, making it their top domestic priority, President Obama and the Democrats on Capitol Hill have spent astonishing amounts of time and energy, and most of their political capital, on an obsessive quest to pass a health care bill.”

“Obsessive quest” is right. But sadly I don’t see it ending any time soon. Now the talk is to have health care done by Easter. Anybody who believes that believes in the Easter bunny. But never mind, Congress. Take your time. The good economic news is that another million people stopped looking for work last month and no longer count in the unemployment statistics. Hooray.

By the way, what happened to “jobs must be our number one focus in 2010″ from the State of the Union speech in January? Just curious.

Rahm Goes to the Capitol to Get Pelosi’s Mind Right

27 Saturday Feb 2010

Posted by in Congress, Democrats, health care, Obama, Politics, Progressives

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Don’t do it, Nancy. Don’t do it:

“Rahm Emanuel ventured to the Capitol Friday evening to hash out health care strategy with House Speaker Nancy Pelosi (D-Calif.), a White House aide confirmed.

Senior Hill aides speculated to HuffPost that Emanuel, the White House chief of staff, would bring the message that the House must move first, with a pledge from Senate Democrats that they would follow.”

The meeting comes as Democrats are searching for a way to get to the health care finish line, though neither chamber wants to move first. Senate leaders want the House to pass the Senate bill first, after which the Senate would use reconciliation to fix the legislation to the liking of the Senate. House leaders contend that the votes aren’t there for the Senate bill if the upper chamber doesn’t move. The House, after two centuries of watching the Senate lag behind, doesn’t trust that it’ll act.

Dear Speaker Pelosi,

You’re being conned. The Senate wants the Senate bill without the modifications. President Obama wants the Senate bill without the modifications. He only proposed them as bait, next come the switch. And trust me, President Obama is the master of the bait and switch. Just ask those who voted for him in November of ‘08. Ask me, I fell for it. If you go first and pass the Senate bill the promised reconciliation fixes will NEVER happen. Don’t say you weren’t warned.

Sincerely,
A victim of OBSS (Obama Bait and Switch Syndrome)

“Villain Rotation” in the Senate

24 Wednesday Feb 2010

Posted by in Congress, Democrats, health care, Obama, Politics, special interests

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I hesitate to even comment on the health care reform charade any more because that’s exactly what it is and has been from the get-go, a charade. But Glenn Greenwald had a piece in Salon yesterday which nailed the situation perfectly. The bottom line is this–there will be no real reform for one reason–those in power don’t want it. Sure they, meaning the president and Democrats in the Senate, want to give the appearance of being for substantial reform, but the fact is they all benefit too much from the status quo. They aren’t about to kill the corporate goose that lays the golden campaign contribution eggs, and especially now that the Supreme Court has allowed corporations, like the insurance industry, to spend unlimited amounts on advertising for and against candidates.

Greenwald cites Sen. Jay Rockefeller as the latest example of what he calls “Villain Rotation.”

“They always have a handful of Democratic Senators announce that they will be the ones to deviate this time from the ostensible party position and impede success, but the designated Villain constantly shifts, so the Party itself can claim it supports these measures while an always-changing handful of their members invariably prevent it.”

From Politics Daily on October 4, 2009:

“Jay Rockefeller has waited a long time for this moment. . . . He’s a longtime advocate of health care for children and the poor — and, as Congress moves toward its moment of truth on health care, perhaps the most earnest, dogged Senate champion of a nationwide public health insurance plan to compete with private insurance companies.

“I will not relent on that. That’s the only way to go,” Rockefeller told me in an interview. “There’s got to be a safe harbor.”

Jay Rockefeller Monday:

“Sen. Jay Rockefeller (D-W.V.) threw a wrench into Democratic efforts to get a public option passed through reconciliation, saying that he thought the maneuver was overly partisan and that he was inclined to oppose it. . .

“I don’t think the timing of it is very good,” the West Virginia Democrat said on Monday. “I’m probably not going to vote for that.”

Greenwald:

“In other words, Rockefeller was willing to be a righteous champion for the public option as long as it had no chance of passing (sadly, we just can’t do it, because although it has 50 votes in favor it doesn’t have 60) But now that Democrats are strongly considering the reconciliation process — which will allow passage with only 50 rather than 60 votes and thus enable them to enact a public option — Rockefeller is suddenly “inclined to oppose it” because he doesn’t “think the timing of it is very good” and it’s “too partisan.”  What strange excuses for someone to make with regard to a provision that he claimed, a mere five months ago (when he knew it couldn’t pass), was such a moral and policy imperative that he “would not relent” in ensuring its enactment.

The Obama White House did the same thing…[B]ack in August the evidence was clear that while the President was publicly claiming that he supported the public option, the White House, in private, was doing everything possible to ensure its exclusion from the final bill (in order not to alienate the health insurance industry by providing competition for it).  Yesterday, Obama — while having his aides signal that they would use reconciliation if necessary–finally unveiled his first-ever health care plan as President, and guess what it did not include?  The public option, which he spent all year insisting that he favored oh-so-much but sadly could not get enacted:  Gosh, I really want the public option, but we just don’t have 60 votes for it; what can I do?.”

The problem was, and is, that the president and the Democrats in Congress are getting exactly what they wanted to start with. The backroom deal with PhRMA is intact. The individual mandate remains, forcing people to buy from private insurance companies. The president’s plan also raises the subsidies, which shovels taxpayers dollars to the same private companies, which in turn keeps the corporate contributions flowing and away from the Republicans.

If this plan passes, I would suggest buying stock in Aetna, WellPoint, United Health Care, et al. Maybe the dividends will help cover the cost of the premiums.