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Reasonable Debate

As regular readers know, I never have had a strong opinion on health care reform. I think it sounds like a good idea but I can't pretend to have studied the issue in detail. But, I have reacted to the Tea Party "arguments," such as they are, against health care reform, and they make me want to be on the other side of the issue from them. Again, from the NYTimes report on the Arlen Specter town hall:

“This is about the dismantling of this country,” Katy Abram, 35, shouted at Mr. Specter, drawing one of the most prolonged rounds of applause. “We don’t want this country to turn into Russia.”

(Emphasis supplied.) What does this mean? Health care reform would "dismantle the country?" Like Medicare did? Or Social Security? It sounds like a time warp hit these folks and sent them back to fight against the New Deal. Which leads me to my next question - what is this supposed to mean? "Standing two feet from the senator, Craig Anthony Miller, 59, shouted, “You are trampling on our Constitution!” (Emphasis supplied.) How would health care reform "trample on our Constitution?" This must have some connection to the Constitution In Exile people, who want to roll back the New Deal (except for their Medicare of course.) More. . .

Of course these folks are not un-American. Being stupid and ignorant is as American as apple pie. But it hardly makes for a persuasive argument against health care reform.

The problem is where is the persuasive argument for health care reform? Is the Obama Administration making it?

Speaking for me only

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    CNN this morning (5.00 / 2) (#1)
    by andgarden on Wed Aug 12, 2009 at 09:15:56 AM EST
    had ads targeted against Seniors. The threat is that Medicare is going to be cut. The speech yesterday was not very helpful in that regard.

    Will the Administration take my "lockbox" suggestion now?

    The "lockbox" idea is a good one, (5.00 / 4) (#3)
    by KeysDan on Wed Aug 12, 2009 at 09:29:42 AM EST
    but I would prefer a decoupling of Medicare's needed adjustments from the prime and instant need of extending and reforming health care/insurance for those under the age 65. While Medicare needs attention, the needed changes can be dealt with over time, many of which can be effected through regulations.  I know that much of the financing of the new legislation is dependent on the "savings" anticipated from the Medicare "reform", but this only adds to the political complexities and takes the eye of the big ball.

    Parent
    Agreed (5.00 / 4) (#7)
    by Coral on Wed Aug 12, 2009 at 09:39:36 AM EST
    tying these two issues together (reforming Medicare and extending insurance to everyone) looks to be a major tactical mistake.

    Parent
    But the problem is (5.00 / 6) (#8)
    by dk on Wed Aug 12, 2009 at 09:43:03 AM EST
    they couldn't do one without the other, because under their plans, finding the money to extend insurance can only come by reforming medicare.  The reason for this is becuase their plans insist on propping up for-profit insurance.

    Now, if the plan was simply to expand medicare, you wouldn't really have the problem.  People approve of medicare, and they approve of extending insurance.  So, extend insurance through expanding medicare.  That is the reasonable argument.

    Parent

    True, the money for the needed extension (none / 0) (#21)
    by KeysDan on Wed Aug 12, 2009 at 09:59:24 AM EST
    is to come from Medicare and new taxes, almost in equal parts. The Medicare "savings" is ill-explained and the new taxes, are a bit of a moving target, but it seems that the $500,000 to $1million per year is most talked about (actually, Jon Steward had a skit last night on this very point, with an interview with Mrs. Pelsoi).

    Parent
    But calling it "savings" is more ... (none / 0) (#39)
    by Robot Porter on Wed Aug 12, 2009 at 10:40:42 AM EST
    apt than "cuts".  Because that's what we're really talking about projected savings not cuts.

    Parent
    Savings (none / 0) (#47)
    by Natal on Wed Aug 12, 2009 at 10:59:08 AM EST
    is the key.  The money is in the system somewhere. I recent visit to a GP in Iowa for a prescription cost me $87.  When I apply for reimbursement in Canada they only pay $35 Can because that's what they pay doctors for such a visit. Why the big difference? Some sort of cost/benefit analysis needs to be done in the Health care reform to see exactly where the costs are and how they can be modified.

    Parent
    What do these people want (5.00 / 3) (#4)
    by lilburro on Wed Aug 12, 2009 at 09:30:30 AM EST
    Congress bent over backwards to make this healthcare reform "pay for itself" and the conversation for months was how this isn't going to cost an excessive amount of money.  Now people are furious that Congress/Obama are looking for savings.  Why not spend the money to set up healthcare right?

    I think the problem Obama is in right now is that he has made no particular promise to the American people regarding a healthcare bill - he is speaking both to the American people and Congress regarding the public option when he does events.  It'd be easier to lay out a convincing argument to the American people if he said he would veto any bill without a public option.  

    Parent

    I can promise you (5.00 / 10) (#5)
    by andgarden on Wed Aug 12, 2009 at 09:35:12 AM EST
    that cutting Medicare is more politically dangerous that running a slightly larger deficit. They should never have promised to make this reform pay for itself. I don't care if it does, and neither will most of the people it helps.

    Parent
    Well put (5.00 / 4) (#14)
    by Cream City on Wed Aug 12, 2009 at 09:53:25 AM EST
    and why not just explain better, as FDR and Dewson did in the New Deal, that care of the elderly will cost us one way or t'other, so why not do it in a way that will do better at getting care to all?

    Parent
    I would hardly be surprised (5.00 / 1) (#15)
    by Steve M on Wed Aug 12, 2009 at 09:54:05 AM EST
    if the Medicare cuts were eliminated from the final bill, not that I blame people for worrying.

    This is sort of the way the media forces the game to be played.  If the legislation isn't designed to pay for itself, it's fiscally irresponsible.  But if you pretend like it's going to pay for itself right up until the end, you get to be a hero by eliminating the cuts.  It's stupid.

    Parent

    Yes, Americans are big babies (5.00 / 2) (#28)
    by andgarden on Wed Aug 12, 2009 at 10:10:43 AM EST
    " Pave my roads! Support our troops! Give me healthcare!" But Also, "Cut my taxes! Lower the deficit!"

    Parent
    But not quite as big (none / 0) (#43)
    by hookfan on Wed Aug 12, 2009 at 10:52:32 AM EST
    babies as insurance industries, and financial industries. . .
       Maybe the common folks are tired of the con continually pulled at their expense in service to big money. Maybe they tire of their taxes supporting  debts that big corporations garner through irresponsible gambling. Maybe they want real healthcare provision like medicare, but not the health insurance con the dimwit Dems are trying to foist on them. Maybe they are fed up with the America they know being used as a playground for the  irresponsible pleasure of the rich corporations and resent being used as potential wage slaves for the insurance corporations against their will.
       Sure, they have the wrong framework in understanding this, but the dimwit Dems have done nothing to supply a helping frame that doesn't sound like a very expensive con. Sure, the people are confused. but they smell a con. When they're confused, and smell a con, painfully at their expense, they get scared, and suspicious, and very angry.

    Parent
    And often (5.00 / 0) (#56)
    by Spamlet on Wed Aug 12, 2009 at 11:20:27 AM EST
    very stoopid.

    Sure, they have the wrong framework in understanding this, but the dimwit Dems have done nothing to supply a helping frame that doesn't sound like a very expensive con. Sure, the people are confused. but they smell a con. When they're confused, and smell a con, painfully at their expense, they get scared, and suspicious, and very angry.


    Parent
    Seems to me the Dems are (none / 0) (#72)
    by hookfan on Wed Aug 12, 2009 at 11:41:21 AM EST
    being stoopid. Having so much confusion in so many bills with so many differences, coupled with the high brow sneering at those who disagree, while they can't explain what they are supporting, or why it is  reasonable to support whatever mishmash they propose, would lead any rational person to be suspicious of a con. Especially so in a major recession when taxpayers are strapped. Gods, who's insane here? And who is being stoopid?
       Sure, the people are sounding crazy with wild accusations. But I really can't blame them. Crazy is a result of confusion and fear. The dimwit Dems are guilty of producing fertile ground for both, and now want to blame the victims of their incompetent approach.

    Parent
    I say "stoopid" (none / 0) (#86)
    by Spamlet on Wed Aug 12, 2009 at 12:01:36 PM EST
    more in sorrow than in anger.

    The writer Bobbie Louise Hawkins nailed it some 20 years ago, when life was arguably simpler than it is now. Even then, she said in an interview, life was becoming more and more difficult for people who had no talent for thinking things through, and who had no real desire to think things through, because they were continually challenged to do just that.

    Stoopid often is as stoopid does. Too bad the schools seem to have given up on the teaching of critical thinking. Education is too often just stoopid in a can, through no personal fault of students or teachers.

    And I agree that the Dems appear to be acting in a stoopid fashion, but I don't think it is really all that stoopid. It is somewhat disorganized, but otherwise it's calculated to put one over on the great masses of the stoopid.

    Parent

    Well there's ignorant and then (5.00 / 2) (#93)
    by hookfan on Wed Aug 12, 2009 at 12:23:10 PM EST
    there is stoopid (self defeating). The Dems in congress and the whitehouse are not ignorant. But they are certainly bringing the stoopid.
       The common people are woefully ignorant. But the Dems seem focused on propagandizing, not really educating, and I believe the people know it. So we're getting no rational debate. So now the highbrow Dems are turning to name calling and ridicule. That seems to produce only more suspicion on the part of those so ridiculed and anger. Nothing like fanning the flames to help guarantee nothing will get done. So, who is being stoopid? The people who are angry and shutting down the propaganda or the sneering Dems who are helping to defeat what they say they want?

    Parent
    No argument from me (5.00 / 1) (#100)
    by Spamlet on Wed Aug 12, 2009 at 12:32:07 PM EST
    on any of the points you make.

    Parent
    Nicely put (none / 0) (#57)
    by jimakaPPJ on Wed Aug 12, 2009 at 11:22:01 AM EST
    In reply to Andgarden (5.00 / 1) (#154)
    by christinep on Wed Aug 12, 2009 at 03:24:10 PM EST
    I very much agree with your sentiment about the political consequences of "cutting Medicare." Whether those threats are real or perceived, to date, seems only to have led to the "death panels" allegations and the like.  We need to be more clear about ANY effects on Medicare--to forget the importance of the combined third-rail of Social Security & Medicare is to court failure, in my view.  Yes, yes, we all know the strange contortions of Republicans and assorted righties being moved to spout about death panels. Yet, if we only mention vagaries about "cutting" medical tests that are not necessary and "cutting" related-Medicare-administrative costs--and, at the same time, Republicans & other media conflict types are fanning the flames of conflict--we cannot be surprised that some may be genuinely fearful about losing what they have, about losing control over what little they have left (enter Sarah Palin to exaggerate, of course.) When the flag of fear is raised in this area, the response will be from the gut.  In this regard, President Obama's direct discussion yesterday in New Hampshire--factually, methodically--should help dispel some of the misplaced fear. I also hope that he will add a direct & passionate statement about his commitment to Medicare to bolster the factual rebuttal. And, finally, we may want to think about the perceived negative message to older or disabled individuals when we talk very generally about "too many tests" "costly end-of-life," etc. The unintended consequences of such ruminations are powerful indeed. (Side note: After 30 years, my husband & I are still angered about a very intended, pseudo-intellectual statement made by our then Governor Dick Lamm who opined about the duty of certain older and/or infirm individuals to die. The idiot Lamm, thankfully, left our Democratic Party. Its just a reminder that emotions run strong and long where health care is concerned. Even caring individuals have to tread a thin line, have to beware that their cost concerns could be considered cold and automoton-like.)

    Parent
    Have you considred (none / 0) (#16)
    by Samuel on Wed Aug 12, 2009 at 09:55:27 AM EST
    the strain on the US Treasury market and what reducing projected liabilities by 41 Trillion would do to alleviate this problem?  

    I agree, this reform won't pay for itself.  When you say "I don't care...", do you have any reasoning in place that expanding future liabilities so dramatically won't have a violent effect on the bond market, therefore reducing the ability of this country to import food with it's dollars?  

    It seems there's a lot we can do to deregulate the insurance industry in favor of the consumer before sacrificing the dollar and risking the lives of many more people.  I don't understand this "nothing to lose" attitude when clearly there is a lot to be lost in increasing the deficit.

    Parent

    If it has to be paid for (5.00 / 6) (#27)
    by andgarden on Wed Aug 12, 2009 at 10:09:19 AM EST
    we can cut the defense budget or raise taxes. Either way, healthcare coverage for everyone is, in my opinion, a moral imperative.

    Parent
    Of course (none / 0) (#32)
    by jbindc on Wed Aug 12, 2009 at 10:20:11 AM EST
    Cutting the defense budget isn't going to happen.  And Obama has to try and stick to his promise of "no taxes for those making under $250,000" or "tax cuts for 95% of Americans" - it will be like pulling teeth to enact a tax hike, unless he decides he wants to be another Jimmy Carter, only worse.

    Parent
    So then it will raise the deficit (5.00 / 4) (#33)
    by andgarden on Wed Aug 12, 2009 at 10:21:26 AM EST
    Like I said, I really don't care. We'll fix it in the long term; first get everyone covered.

    Parent
    Cut Defense Spending (none / 0) (#41)
    by Samuel on Wed Aug 12, 2009 at 10:42:00 AM EST
    There IS common ground for us afterall.  

    I don't understand how we can fix a bond market collapse in the longterm when the metric we're using is the well-being of people now.  There's a very strong argument suggesting that increasing the deficit and letting the bond market crash would end up killing way more people.  Obviously the dollar is over-valued and it will have to crash, when it does the US government won't be covering anyone.  

    Now deep down I do agree with you.  Crashing the US bond market (which we can accelerate through gov health insurance) will stop the war machine and save lives outside of this country.  Stopping aggressive military actions can actually be considered a moral imperative.  

    I know this article is from the WSJ, but considering the deficit isn't there a part of you that thinks this may be a better means of "reform"?  http://online.wsj.com/article/SB10001424052970204251404574342170072865070.html

    Parent

    We're nowhere near (5.00 / 1) (#46)
    by gyrfalcon on Wed Aug 12, 2009 at 10:58:31 AM EST
    a bond market collapse.  That's WSJ fear-mongering.

    And btw, learn how to use the embedded link function in the comment box.

    Parent

    Will learn howto. (none / 0) (#54)
    by Samuel on Wed Aug 12, 2009 at 11:15:46 AM EST
    You're kidding about bonds right?  I mean, I can't predict the future, but we have a record amount coming up on auction to cover money that was already spent.  If our biggest debt holder just doubled their gold reserves, what makes you think they're eager to bid up US Treasuries a month later?  

    Tim Geithner was literally laughed at by a crowd of Chinese business students for saying "your assets are safe in US dollars" just a couple of months ago.  

    What is the source of your confidence in the bond market as supply is about to shatter record highs and demands has been at an all time low (quantitative easing?????? come on.).  

    Supply and Demand, seriously.  Record high supply coming up is a fact due to our budget, the level of demand will not match let alone exceed anything in the past.  When these two things occur at once, what happens to price?  


    Parent

    Treading water (5.00 / 1) (#97)
    by NYShooter on Wed Aug 12, 2009 at 12:26:00 PM EST
    The markets, stocks, bonds, currencies, are being manipulated by Treasury & the Fed until Obama's health program is settled.......one way or the other.
    The action in the Markets for the last couple of months is as disconnected from the fundamentals, and reality, as anything I've seen in over 40 years of participation.

    The parabolic rise in world-wide markets (Hong Kong 100% this year so far) can only happen because the Fed opened the liquidity floodgates. With unemployment still increasing, and consumption still dormant, the stock market is the only place to park money.

    If the market were to drop precipitously now, you can put a fork into the Obama Health initiative.

    My guess: once the health plan (any plan) is passed, look out below; the markets will drop so far, and so fast, all you'll see is a puff of smoke at the bottom of a bottomless canyon.

    As the commercial said: "You can't fool Mother Nature,"........not forever, anyway.


    Parent

    WTF? (5.00 / 1) (#45)
    by gyrfalcon on Wed Aug 12, 2009 at 10:56:56 AM EST
    "reducing the ability of this country to import food"?  What on earth are you talking about?  We're a food exporting nation, not a food importing one.  We lose nothing of value if wintertime grapes from Chile become more expensive.

    Parent
    Aggregate Numbers don't tell stories. (none / 0) (#49)
    by Samuel on Wed Aug 12, 2009 at 11:04:23 AM EST
    They sell stories!  Zing.

    A bond market collapse to reality will result in food shortages for a period of time and price fluctuations would go beyond wintertime grapes from Chile.  We won't be able to afford the gas that moves the food around the country if the bond market collapses.  

    Think.  Think about what you're trying to do to me.  

    Parent

    This is very very unlikely (5.00 / 1) (#101)
    by cenobite on Wed Aug 12, 2009 at 12:33:16 PM EST
    If all of a sudden we found we could no longer import crude oil from the rest of the world (this is extremely unlikely regardless of whether or not us treasury bonds are selling well), you would almost certainly still see food being transported.

    We're not in the same position that Cuba was -- we would still have our own oil production (which runs 40-50% of what we use IIRC), and price increases would cause marginal production to come on line, improving that a little.

    Transporting (and growing) food is a critical function of the transportation system and there's a lot of discretionary use of transport fuel in the US. You would see WWII-style fuel rationing for starters -- I guarantee you personal autos will be pretty low on the priority list.

    People would be very unhappy but food shortages are unlikely. In the longer term you would see synfuel plants faster than you can say "Fischer-Tropsch" -- US coal reserves are vast.


    Parent

    Ever hear of eating local? (none / 0) (#61)
    by nycstray on Wed Aug 12, 2009 at 11:28:35 AM EST
    Putting food by for the winter? Are you really worried about missing out on the chicken from China?

    Parent
    Yep. (none / 0) (#79)
    by Samuel on Wed Aug 12, 2009 at 11:48:18 AM EST
    I'm prepared for a bond market crash.  Are you?  

    Parent
    Always. (none / 0) (#89)
    by nycstray on Wed Aug 12, 2009 at 12:20:56 PM EST
    Nice. (none / 0) (#94)
    by Samuel on Wed Aug 12, 2009 at 12:23:26 PM EST
    Bond Market Crash = Hyperinflation = Historical Precedents where Food Stores would have been Advisable

    Parent
    Well (5.00 / 4) (#26)
    by ColumbiaDuck on Wed Aug 12, 2009 at 10:05:46 AM EST
    There are substantial savings we can get from Medicare but ones of the biggest areas of savings is pretty much off limits.

    Part D.

    We give away billions to drug companies because government can't negotiate prices and we can't reimport drugs to Canada.  We currently spend substantially more for drugs via Medicare than we do via the VA or even Medicaid.  

    (Fun fact:  low income seniors used to get drugs through Medicaid as it offered this service while Medicare did not.  Medicaid gets rebates for the drugs it purchases.  Once these folks got shifted into Medicare, we lost those rebates.  If we just got that back for low-income folks, we'd save $65 billion over ten years.)

    Unfortunately, the Obama Administration has largely taken this off the table.  They cut a deal with Pharma for $80 billion in savings and have pretty much promised no more.  If the drug companies will voluntarily give up $80 billion, then they probably could get much more out of Part D without harming services to seniors.  But we most likely won't go there.

    Parent

    True, Part D offers (5.00 / 1) (#38)
    by KeysDan on Wed Aug 12, 2009 at 10:34:49 AM EST
    fertile ground for economies especially removal of the non-negotiating provision for drugs. This, as you note, is likely to be limited considering Tauzin's braggadocio--confirmed and then denied by the WH.   But, at least a modicum of gain for patients  could be achieved by the proposed partial off-sets for those in the donut-hole.   However, the real money to "save" is in Parts A and B--reimbursements to providers for so-called efficiencies, and therein lies the rub for these patients.

    Parent
    Well, wouldn't the most (5.00 / 4) (#2)
    by dk on Wed Aug 12, 2009 at 09:26:24 AM EST
    persuasive argument be the one for Medicare-for-all?  After all, it's persuasive in the sense that 72% of Americans support it, and every country that has tried it or something akin to it has had success with it.

    Fortunately, the House will get a chance to vote for it, in the form of HR676.

    How's THIS for persuasive? (5.00 / 5) (#155)
    by RonK Seattle on Wed Aug 12, 2009 at 03:37:25 PM EST
    {At Portsmouth, Obama] defended the proposed public option for health care insurance against criticism that it would put private industry out of business -- using a postal analogy: "If you think about it, UPS and FedEx are doing just fine. It's the Post Office that's always having problems." [Politico]

    Oh, wait ... maybe not.

    Parent

    Foot in mouth--oy (n/t) (5.00 / 2) (#156)
    by Spamlet on Wed Aug 12, 2009 at 03:39:19 PM EST
    Yeah (5.00 / 2) (#157)
    by jbindc on Wed Aug 12, 2009 at 03:39:54 PM EST
    Not the greatest comparison....

    Parent
    Especially when the USPS (5.00 / 1) (#158)
    by Spamlet on Wed Aug 12, 2009 at 03:45:46 PM EST
    actually does a great job overall of getting things where they need to go, and at a not unreasonable price, imo.

    Costs continue to rise, true, but I'm still amazed that I can stick a 44-cent stamp on a letter in California on a Wednesday morning and have my letter get to New York the following Friday afternoon or Saturday, and all without my having to do more than drop it in the mailbox outside my front door.

    Parent

    We had a severe (none / 0) (#180)
    by TeresaInSnow2 on Wed Aug 12, 2009 at 07:00:28 PM EST
    snow storm last year in the Seattle area.  The only org that actually delivered all week week during that storm was....

    ...wait for it....

    the POST OFFICE.

    It is the more reliable of the 3 orgs.  

    Obama has an active imagination to say the least.

    Parent

    During the NH Town Hall meeting, (none / 0) (#12)
    by KeysDan on Wed Aug 12, 2009 at 09:50:08 AM EST
    a questioner, by the name of Ben Hershenson who claimed to be a Republican, asked the president about his previous position when US senator and  even before, that a single payer program was  best.  President Obama answered that he never supported such an approach because a transition of such nature would be, essentially, too disruptive.

    Parent
    Given the disruption (5.00 / 2) (#17)
    by dk on Wed Aug 12, 2009 at 09:57:43 AM EST
    we are seeing now even in connection with what Oabma and the Congressional Democratic leadership are promoting, that hardly seems like a very reasonable excuse not to push for reasonable health care reform.

    Parent
    It's also a completely false statement (5.00 / 1) (#22)
    by jbindc on Wed Aug 12, 2009 at 09:59:45 AM EST
    Apparently, Obama doesn't realize that YouTube can be used against him as well.

    Parent
    Well sure, but (5.00 / 3) (#25)
    by dk on Wed Aug 12, 2009 at 10:05:03 AM EST
    I think it's perhaps even more important to point out that Obama's excuse for not promoting medicare-for-all is not just disingenuous, but also unreasonable.  

    Parent
    So he (5.00 / 7) (#19)
    by Ga6thDem on Wed Aug 12, 2009 at 09:58:29 AM EST
    lied then? There's a tape of him saying that he supported single payer and it sounds like he just stepped in it.

    Parent
    I wondered about that, at first, as well. (5.00 / 1) (#29)
    by KeysDan on Wed Aug 12, 2009 at 10:12:24 AM EST
    But the difference the president seems to be making is the difference  between believing single payer is the best and the complications and complexities of supporting legislation, at this point, to achieve that goal.  Maybe, the idea of the perfect being the enemy of the good.  I would not mind so much if we could get, at least, the good.

    Parent
    Sure, but this (5.00 / 3) (#31)
    by dk on Wed Aug 12, 2009 at 10:18:08 AM EST
    gets into the mind-reading exercise (was he really a single payer advocate then, is he still one, has he "evolved" over time, etc.) that is, IMO, unproductive.

    My issue with his response is that, to me, it doesn't make sense on the merits.  Or, in other words, my follow up question would be to ask him to offer specifics on how he thinks the introduction of medicare-for-all would be "disruptive" and to explain how it would be any more "disruptive" than the plans he is coming up with.  

    Parent

    The NH Townhall had more than one plant (5.00 / 2) (#74)
    by Inspector Gadget on Wed Aug 12, 2009 at 11:44:03 AM EST
    in the audience. Little Julia Hall is from Malden, Massachusetts (says so when she introduces herself), and her mother, Kathleen Hall, was an Obama-for-president campaign coordinator of Massachusetts Women for Obama during the election.

    Watch how non-random the calling on her was.

    I recoil and go deaf when the outrageous claims of how bad this will be for the country are made, but I also find myself wanting to scream when I see the other side planting the comforting words in staged performances. Those Town Halls are beginning to look more like Tent Revival meetings.

    I'm also concerned when a group like AARP has to correct statements made by the President.

    Why is it so difficult for our government to just tell us straight up what the truth is? This should be an effort to make healthcare available and affordable for all and not R v. D in the political ring. Maybe it's because we aren't demanding better from them.

    Parent

    Logic and reason (5.00 / 3) (#6)
    by Coral on Wed Aug 12, 2009 at 09:38:25 AM EST
    will not win this "debate". I hope the Obama administration is beginning to understand that and beginning to formulate a marketing campaign that takes this into account.

    We really need this reform - especially ending recission, denial for pre-existing conditions, and access for everyone that is affordable.

    The MA plan has many defects. However, it does make insurance and care accessible to most people. My daughter will lose our employer coverage because she graduated college this year. If she lived in MA, under current options & her income (about 20,000 per year), she would be eligible for subsidized coverage for about $50 per month. Unfortunately she lives in NY state, and there is no simple exchange where she can buy coverage. We are frantically attempting to find her an option. Freelancers Union offers group insurance, but the costs even for minimal plan are much higher.

    I am FURIOUS that the GOP is fighting the plan with outrageous lies like "death panels" and so forth.

    I am also feeling rather upset with the Obama forces, who simply seem to be caught by surprise by the virulent, and highly well-funded and well-organized forces that are trying to block it by any means possible.

    I hope so, too (5.00 / 2) (#13)
    by Cream City on Wed Aug 12, 2009 at 09:51:24 AM EST
    but seeing -- on CNN yesterday, as I recall; did anyone else see it? -- that as much as $100,000 in federal funds went to some unions to add to the chaos of the town halls does not suggest to me that the White House is "marketing" this well.  Where are the brilliant masterminds of the campaign?  (Or is this actually an extension of the caucus tactics?)

    I stayed away from my district's town hall yesterday, and watching and reading the reports, I'm glad that I did.  There were cops out in force, there were privately hired security guys, huge guys.  There was no violence, but there was a lot of shouting and little information, it seems.  (I did like my Congresswoman's rather funny tactic of having the first hour of the meeting handed over to a professor who lectured on the health insurance bills now before Congress; that must have put a lot of people to sleep . . . but they awoke for the second hour.)

    Parent

    Even the Republicans (5.00 / 2) (#50)
    by gyrfalcon on Wed Aug 12, 2009 at 11:04:29 AM EST
    in Congress are explicitly supporting requiring insurance companies to end denial for preexisting coverage, requiring portability and having a national market, not these state-by-state near-monopolies.

    That much seems pretty certain to get done.  It's far, far from the total revamp we need, but it will fix some of the worst abuses of the health insurance situation.

    Parent

    ya know (5.00 / 6) (#84)
    by hookfan on Wed Aug 12, 2009 at 11:59:36 AM EST
    if congress would stick to two simple things it would be a lot clearer and easier sell-- either a simple bill to begin incremental expansion toward providing voluntary medicare for all, or severe regulation of the insurance industry abuses. Dancing Hades! I'd settle easily for one or the other or both versus the mishmash confused, ill defined craptacular stew that's being brewed.

    Parent
    You're too reasonable , hookfan (5.00 / 1) (#91)
    by shoephone on Wed Aug 12, 2009 at 12:22:23 PM EST
    You'd never make it in politics.
    ;-)

    Parent
    It is a reality that proposed (5.00 / 7) (#9)
    by MO Blue on Wed Aug 12, 2009 at 09:44:15 AM EST
    legislation for the health insurance package has substantial ($300 - 500 billion) cuts to the Medicare budget. I don't think most seniors believe that there is that much fat in the system. I know I don't. Where exactly is this money coming from?

    From what I read, members of Congress have reached agreement on how this would be done. Maybe, they need to share this information with the rest of the population. Not in 30 second sound bites like "Cut waste and fraud" but in real detailed understandable information.

    One of the cuts that was discussed here on TL was that they would reduce compensation to medical providers to promote efficiencies. If that is the case, I do not support this because I do not believe that it will not impact care.

    Also, let's talk about "Jaw Dropping Stupid."

    At the town hall in Portsmouth, N.H., Obama said, "We have the AARP onboard because they know this is a good deal for our seniors." He added, "AARP would not be endorsing a bill if it was undermining Medicare."

    But Tom Nelson, AARP's chief operating officer, said, "Indications that we have endorsed any of the major health care reform bills currently under consideration in Congress are inaccurate."

    Like Obama, AARP wants action this year to cover the uninsured and restrain health care costs, but the organization has refrained from endorsing legislation. Nelson said AARP would not endorse a bill that reduces Medicare benefits. Link-h/t jbindc

    You do not gain seniors' trust by distorting the facts on an AARP endorsement.

    This is not responsive to my post (none / 0) (#10)
    by Big Tent Democrat on Wed Aug 12, 2009 at 09:46:57 AM EST
    Confused? (5.00 / 3) (#18)
    by MO Blue on Wed Aug 12, 2009 at 09:58:02 AM EST
    The title of your post is reasonable debate. My comment is in response to andgarden's post:

    CNN this morning had ads targeted against Seniors. The threat is that Medicare is going to be cut. The speech yesterday was not very helpful in that regard.

    Numerous others also responded to that comment. I would think a reasonable debate would included why seniors might be concerned with the proposed cuts and how some comments by the president are not helpful in promoting trust.


    Parent

    Ah (5.00 / 1) (#23)
    by Big Tent Democrat on Wed Aug 12, 2009 at 10:02:51 AM EST
    It was a reply to andgarden.

    It did not show up that way,

    Parent

    Since AARP is a huge insurance company (none / 0) (#135)
    by MyLeftMind on Wed Aug 12, 2009 at 02:08:06 PM EST
    that says it has seniors interests at heart, and since the insurance companies will still profit enormously with this so-called "reform," I can see why they would support this version of the bill.

    Cut them out, or reduce Medicaid or Medicare payments, and they'll be fighting tooth and nail.

    I think we can surmise that whatever they support will benefit them, regardless of what it does to the rest of us.

    Parent

    You need to put some facts behind your (5.00 / 0) (#149)
    by Inspector Gadget on Wed Aug 12, 2009 at 02:51:41 PM EST
    statement.

    AARP is hardly an insurance company. They are a lobbying association. Just about every industry or "special interest" group has one. Associations often create a means for individuals and small groups within their industry/interest to connect themselves together in an effort to collectively qualify for large group rates.

    Prove what you say. In my area, if you are a senior citizen, member of the AARP, and want to try for lower insurance rates on your auto or home, you get your insurance underwritten by a large private insurance company. I know which company it is here, but I don't know that it's the same company other states or areas would get their AARP connected policies through. It sure isn't the AARP Insurance Company, though.

    Parent

    Actually (none / 0) (#153)
    by jbindc on Wed Aug 12, 2009 at 02:58:17 PM EST
    Anybody can become a member of AARP.  They sent me membership info on how to join just in time for my 38th birthday.  I was not amused, but when I called them to tell them I was not "eligible", they told me everyone is eligible - you just can't get the discounts until you turn 50.

    Parent
    :) I think that's a minor point (5.00 / 2) (#162)
    by Inspector Gadget on Wed Aug 12, 2009 at 04:20:48 PM EST
    considering my effort was to get MyLeftMind to prove the AARP is an Insurance Company.

    The AARP always sent invitations to join beginning at age 50, but I don't doubt for one minute that they have opened the opportunity to pay membership dues to anyone willing to do so.

    That doesn't change the fact it's a lobbying association for Retired Persons/Seniors.


    Parent

    When you say this: (5.00 / 4) (#11)
    by Ga6thDem on Wed Aug 12, 2009 at 09:50:01 AM EST
    The problem is where is the persuasive argument for health care reform? Is the Obama Administration making it?

    YOu are getting to the crux of the problem. There's been no leadership on this issue so it left a vacuum to be filled by the crazies. Since there never was a plan put forth only broad outlines it has allowed conservative crazies to fill in the blanks with whatever they want.

    When I used to watch the talking heads (5.00 / 4) (#34)
    by ruffian on Wed Aug 12, 2009 at 10:25:45 AM EST
    they always said that the first rule in a campaign is to define yourself and not let the other side define you first. Seems to me the Obama folks really ignored that rule, or thought it only applied to elections and not policy campaigns.


    Parent
    Well (5.00 / 4) (#36)
    by Ga6thDem on Wed Aug 12, 2009 at 10:28:27 AM EST
    IMO he never defined himself during the campaign either but that didnt seem to hurt when ti came to voting but is now coming back to haunt him when the real legislative sausage making is coming into play.

    Parent
    Here are the rules: (5.00 / 5) (#44)
    by andgarden on Wed Aug 12, 2009 at 10:55:53 AM EST
    1. Define Yourself

    2. Define your Opponents

    3. Define the Issues.


    Parent
    You can blame the right wing (5.00 / 0) (#20)
    by Saul on Wed Aug 12, 2009 at 09:58:59 AM EST
    For that type of thinking.  People who hate the democrats or Obama just need the slightest excuse to go overboard on their conspiracy theories.  

    This type of thinking and  scare tactic is increasing the number of organized militias throughout the US.
    Very scary thing.  

    Anybody see the guy that was carrying an exposed handgun on his leg in NH during Obama's visit yesterday?  Listen to the tweety interview with this guy.  They remind me of a wild western posse that just needs to lynch someone today or they will have a bad day.
    That is some crazy law in NH.  

    nail meet hammer (5.00 / 1) (#24)
    by Jlvngstn on Wed Aug 12, 2009 at 10:03:25 AM EST
    Nicely said BTD. I would add that messaging looks considerably weaker than in the campaign.  

    Campaigning meets governing (5.00 / 5) (#37)
    by Cream City on Wed Aug 12, 2009 at 10:30:37 AM EST
    and it looks like another case of the planning priority being on getting to the election, of focusing on the opposition then -- primarily in his own party -- at the cost of anticipating the opposition now.

    Parent
    exactly. (5.00 / 4) (#30)
    by cpinva on Wed Aug 12, 2009 at 10:12:29 AM EST
    Since there never was a plan put forth....

    it's difficult to explain, let alone defend, a bill not yet in existence.

    it would seem the supposedly media savvy obama people have totally dropped the ball on this, as though they expected the limbaughs, hannitys and o'reillys to go into a state of stasis after the election.

    i can think of two places, right off the top of my head, to get an extra 200-300 billion a year: afghanistan and iraq. add up the direct costs of deployment and replacement costs, and there's your extra medicare funds.

    the "lockbox" analogy was dumb when gore first brought it up, he's clearly no financial wiz; what are you going to do, put it in a cash box in the closet? how about we just stick with the actual budget allocations instead?

    it's pretty obvious most of the protesters haven't the slightest clue what they're talking about. when pressed, they tend (like sara palin) to reflect the average american's almost zen-like ignorance of both the legislative process and the constitution. again, not having an actual tangible bill to show them doesn't help matters.

    That's exactly what they thought (5.00 / 8) (#35)
    by ruffian on Wed Aug 12, 2009 at 10:28:08 AM EST
    it would seem the supposedly media savvy obama people have totally dropped the ball on this, as though they expected the limbaughs, hannitys and o'reillys to go into a state of stasis after the election.

    They thought it was something peculiar to the Clintons and Gore that brought out the crazies. So polarizing! The obama people and whatever left media exists were not prepared for the same treatment.

    Parent

    I think the Obama administration, (5.00 / 8) (#40)
    by Anne on Wed Aug 12, 2009 at 10:41:53 AM EST
    and Democrats in general, have been terrible at both making and controlling the argument, but the bigger problem is that they have no consensus on reform.  Single-payer, absolutely no single payer, an undefined public option, no public option, co-ops, exchanges, can opt-in, can't opt in, employer-based, portable, mandates, no mandates, waivers - I mean it's a complete and utter mess that started out as a discussion about health CARE reform, and now it is being described as health INSURANCE reform.  Obama has even said  - in what must be in the top-ten of tone-deaf things to say on this issue - that Americans will have control over their insurance, rather than saying they will have control over their care.

    There is a persuasive argument to be made for reform, and even if you do not support a single-payer plan, the information to be found at pnhp.org is extremely helpful in understanding the elements of reform, the comparative benefits of different proposals, the economics of reform, how the current "plan" will or won't address costs and care, etc.  

    The problem is that there has been a significant lack of leadership on the shape, scope and size of the Democrats' version of reform.  Even if Obama wanted to avoid the mistakes the Clintons made with the reform effort, he still needed to lead on it, still needed to have a plan.  He never had a plan - he had ideas, talking points, applause lines - but he never had a plan.  He did, however, have lots of time for industry executives, time to make closed-door deals with PhRMA.  The transparency he promised? - Never happened.  He had no time for single-payer advocates, no time to consider expansion of Medicare - a single-payer plan that works.  No, he went to the people responsible for high premiums, low coverage, rescissions and exclusions, red tape, mind-boggling forms, layer upon layer of bureaucracy, who opposed the bargaining power of large risk pools, and asked their advice about how to solve the crisis in health care.  

    I will pause for a moment while you consider that.

    How reform tramples on the Constitution, or dismantles the country, I couldn't tell you.  Are the people saying this fearful of being required to have insurance coverage?  Do they not want the government to impose insurance on them?  Is this like seat belts, motorcycle helmets and guns, where people don't want their freedom to be killed or severely injured to be restricted?  Perhaps this is about "government bureaucrats" making decisions about health care.  Maybe they believe that the government is busy requisitioning ice floes for all.  In some ways, as stupid as that sounds, I almost cannot blame people for not understanding what, exactly, the plan is when almost no one involved in it can explain it, either.  Sure, some of these people are operating from pure partisanship, but there are a lot of people not showing up at townhalls who have no idea what's going on, or that the implementation of any reform that is passed is being deliberately delayed past the 2012 presidential election.

    I'm not sure the most vocal and visible of the people who say these things can really articulate the logic of what they're saying, but it doesn't matter, because they will just keep yelling them into the yawning chasm that exists where leadership was supposed to be.  


    IMO Obama did not avoid one of the (5.00 / 4) (#63)
    by MO Blue on Wed Aug 12, 2009 at 11:34:07 AM EST
    major mistakes the Clintons made with the reform effort. The Clinton reform effort was too long and too complex for the average citizen to digest. 1,000 plus page bills on health care frighten the heck out of people. Health care is important to them and they do not want to accept something that they don't fully understand. This current health insurance package has the same major flaw as the Clinton plan X 5 (# of bills being considered).

    It would have been so much simpler to take something that already exists and people understand and expand it.

    Parent

    Don't blame Dems for GOP fools (none / 0) (#52)
    by Rashomon66 on Wed Aug 12, 2009 at 11:08:04 AM EST
    The White House and the Democrats have done pretty well with explaining the Health Care proposals. I mean, I've paid attention and I get it. But Republicans / Libertarians do not [and will not] listen and do not like the proposals based on the fact that:
    1. Democrats are proposing them.
    2. They don't like any kind of government intervention that they perceive takes more taxes.
    3. Talk radio and blogs and FOX News make the proposals out to be Socialism.

    They last point is key. There is a knee jerk reaction against Democratic plans that always slides down to the nonsensical socialism / communism hole. And, of course, that is considered antithetical to The Constitution, Liberty and Capitalism etc. In short, the word 'socialism' causes a pavlovian response with these people.

    At one point yesterday in a Town Hall meeting Senator McCaskill was flatly told by many in the hall that she was lying about the proposals. She was dumbstruck and clearly annoyed. When they think every word the Democrats say is a lie then it gets difficult to win their trust.

    Parent

    It was, and is, the job of (5.00 / 6) (#60)
    by Anne on Wed Aug 12, 2009 at 11:28:32 AM EST
    Democrats to overcome the fools - that's what leadership is - and they have not done that.

    I agree with you that there is a knee-jerk response from conservatives that anything Democrats want to do to help people will move us one step closer to socialism and raise our taxes, but when you consider that some 72% of people say they want some form of universal, single-payer system, there are Republicans in that number.

    With those kinds of numbers, a Democrat in the WH, and majorities in both houses of Congress, there simply is no excuse for not being able to come up with the best plan possible.  Nancy Pelosi agrees that single-payer is best, but then offers what she calls the "next best thing," which, as near as I can tell, isn't.  Why settle for something less when we could have something more?

    If you and I can figure out what shape the opposition is going to take, shouldn't we expect Democrats to not just be prepared for it, but have a consistent and focused message to counter it?  Every day, it seems, we hear contradictory messaging on reform; one day we're going to have "some kind" of public option, and the next day, Obama says he could forego it if co-ops or exchanges would be just as good.  That's not leadership - it's indecision.  And if the appearance is that he can't decide, how confident are the rest of us supposed to be that the end result of this clusterf**k will be a plan, a system that actually improves access to and delivery of care to those who need it?

    And when are these courageous Democrats going to tell the American people that we have to do this NOW NOW NOW so that they can wait until 2013 for "the plan" to be implemented?  That's like living in New York, calling for an ambulance and not being told that it's coming from California and won't arrive until next week.

    I'm sorry, but it's the Dems' job to overcome the objections, and right now, they are being led around by the nose on this, and it shows.

    Parent

    Why? (none / 0) (#104)
    by hookfan on Wed Aug 12, 2009 at 12:40:45 PM EST
    There's no money in the best plan. well, best for whom needs to be asked. Best for pols coffers? Naw. best for insurance industry? Naw. Then why not confuse it, since the people (most of us anyway) are not a priority it appears. . .

    Parent
    There are clearly (5.00 / 6) (#65)
    by TeresaInSnow2 on Wed Aug 12, 2009 at 11:36:35 AM EST
    numerous proposals, some in agreement, some conflicting, but the problem is that there is no clear-cut PLAN.  We've replaced PLAN with yet another Obama-ink blot that can be interpreted in many ways, positive and negative.  Suprise!  The Republicans interpreted the ink blot negatively.

    Obama won an election with ink blots, but ink blots don't work when you truly have to govern.

    When you're talking about people's LIVES they don't want numerous "proposals," they want specifics.

    Parent

    Persuasive argument for healthcare fails (5.00 / 2) (#42)
    by vicndabx on Wed Aug 12, 2009 at 10:47:06 AM EST
    because the administration is not making a persuasive argument that we must take care of ALL our neighbors, rich, poor, Medicare recipient, non-Medicare recipient, those with insurance and those without.  Instead, all arguments are couched in the "Us vs. Them" language.  Reasonable debate should be premised on the idea that both sides can learn something so we all can make informed decisions.  Reasonable debate should start with keeping an open mind.  Instead, all we hear is "your idea sucks, mine is better" coupled w/the regurgitation of each side's same old tired talking points.  Our side, supposedly more enlightened, is just as guilty of keeping its head in the sand.  

    Lastly, I would imagine, some, see attacks on industry as an attack on our "chosen" way of life - capitalism.  From that follows what I would further imagine, is the thought, "what or who's next?" In other words, if they can go after these guys, can they go after me?  Financial industry vilified & jobs lost.  Auto-industry vilified and jobs lost.  Health care & Insurance industries vilified.....not entirely unreasonable to see these folks perspective.  That's not to say that some of that villification and those job losses weren't needed and/or inevitable.  However, if we are to persuade people, instead of laughing this stuff of as right wing craziness, the administration should be talking about the proposed reforms in a manner that takes this stuff into account.  Personally, I don't hear them doing that.  We are, as BTD points out, a selfish lot.  

    Well, selfish is a given...and even if (5.00 / 7) (#48)
    by oldpro on Wed Aug 12, 2009 at 11:01:55 AM EST
    it weren't, self-interest is a good thing.

    More importantly, BTD points out that ignorance and stupidity are the problem and you can't solve that with a campaign to educate people about...what?

    To get reform you have to sell it.  Axelrod knows this.  But what's the product?  It's hard to sell the wrapping paper alone and without a few ribbons and tissue paper, it's not going to be attractive.

    What's in the damn box?  Nobody knows.  Including Obama...and it's his box.  No wonder he can't sell it the same way he sold himself.

    Parent

    Well (none / 0) (#53)
    by squeaky on Wed Aug 12, 2009 at 11:10:59 AM EST
    jbindc posted an article suggesting that the reason Obama is not leading is because his mulitiude of ex Clinton Administration advisors who worked on ClintonCare are telling him lay back and to let congress come up with a plan first and then come back to fight and tweak it later.

    The calculated deference to Congress on policy matters is no accident. Obama's West Wing is stocked with Clinton administration veterans who remain haunted by the failed attempts to overhaul the health system in 1993 and 1994

    [snip]

    Such figures come to the debate with a clear cautionary message, observers say: The president should stay on the sidelines and keep Congress invested in an outcome until the time for serious horse-trading arrives. At that point, Obama will probably have to mollify centrists concerned about the cost of a plan, while preventing liberal Democrats from peeling off from what they view as a watered-down compromise.



    Parent
    Heh (5.00 / 3) (#58)
    by Spamlet on Wed Aug 12, 2009 at 11:24:48 AM EST
    New tactic (5.00 / 2) (#59)
    by jbindc on Wed Aug 12, 2009 at 11:27:16 AM EST
    Not so new, and getting tired (5.00 / 3) (#62)
    by Spamlet on Wed Aug 12, 2009 at 11:30:00 AM EST
    Regard.

    Last word is one thing. Ventriloquism is another.

    Parent

    lol (none / 0) (#67)
    by squeaky on Wed Aug 12, 2009 at 11:37:24 AM EST
    Yeah, when it comes to Reasonable Debate, you throw in the towel.

    Parent
    Tactic? (none / 0) (#64)
    by squeaky on Wed Aug 12, 2009 at 11:36:03 AM EST
    Please note take note for future reference, this is how to cite an article without distorting the main point.

    Parent
    LOL (5.00 / 2) (#68)
    by Spamlet on Wed Aug 12, 2009 at 11:37:45 AM EST
    Amazing (5.00 / 0) (#98)
    by squeaky on Wed Aug 12, 2009 at 12:28:36 PM EST
    It is amazing the lengths some commenters will go to avoid reasonable debate. The term Cream City coined, Blogclogging seems quite apt here.

    Parent
    Do You Think My Quote (none / 0) (#69)
    by squeaky on Wed Aug 12, 2009 at 11:39:08 AM EST
    Distorts the main point of the article, or are you just being a troll here?

    Parent
    ROTFLMAO (5.00 / 2) (#70)
    by Spamlet on Wed Aug 12, 2009 at 11:40:00 AM EST
    Yes (none / 0) (#71)
    by squeaky on Wed Aug 12, 2009 at 11:40:56 AM EST
    Clearly being a troll, thanks for the confirmation.

    Parent
    Thank you for playing (5.00 / 6) (#75)
    by Spamlet on Wed Aug 12, 2009 at 11:45:19 AM EST
    I must go now and chop wood for the winter.

    Parent
    Playing? (5.00 / 0) (#80)
    by squeaky on Wed Aug 12, 2009 at 11:48:49 AM EST
    Obviously trolling is a game for you. What a waste of bandwith.

    Parent
    Using the same argument, Nixon not (5.00 / 3) (#73)
    by MO Blue on Wed Aug 12, 2009 at 11:43:02 AM EST
    Bush II is responsible for the invasion of Iraq, torture, breaking the FISA law etc. Most of the major people advising Bush II were originally part of the Nixon administration so therefore Bush has no responsibility for choosing to take their advise. It is all Nixon's fault.

    Parent
    Hope you saw (5.00 / 3) (#78)
    by jbindc on Wed Aug 12, 2009 at 11:48:00 AM EST
    the original thread on this.  As usual, squeaks has it wrong.

    Parent
    Original thread was cleansed (5.00 / 4) (#82)
    by Spamlet on Wed Aug 12, 2009 at 11:50:38 AM EST
    after a certain commenter called you a liar.

    Parent
    Now That Is A Lie (none / 0) (#87)
    by squeaky on Wed Aug 12, 2009 at 12:10:08 PM EST
    I never called jbindc a liar, what I did say was that s/he was being dishonest by misrepresenting the main point of this particular article.

    And it is also incorrect to assert that the thread was cleansed because I pointed out that jbindc was being dishonest. Evidentially, according to TL, there was name calling by more than one commenter.

    Parent

    The hills are alive (5.00 / 3) (#95)
    by Spamlet on Wed Aug 12, 2009 at 12:23:36 PM EST
    For the love of God, there are (5.00 / 13) (#106)
    by Anne on Wed Aug 12, 2009 at 12:47:11 PM EST
    eighteen comments that are the equivalent of "Did not!"  "Did, too!" and aside from it being annoying as all get out to have to keep scrolling past this puerile button-pushing, it takes up space in a thread where people are otherwise engaging in - reasonable debate.

    Just stop it, would you?  You put that "well, yesterday, jbindc posted an article that said..." comment not to engage in reasonable debate, but to see if you could get something started.  Well, way to go!  You did what you set out to do.

    Have you had enough yet?  Because I think I can say with some degree of certainty that the rest of us have had more than enough.

    Just quit it.

    Parent

    AMEN!!! (5.00 / 5) (#136)
    by gyrfalcon on Wed Aug 12, 2009 at 02:17:01 PM EST
    Start Your Own Blog Then (5.00 / 0) (#163)
    by squeaky on Wed Aug 12, 2009 at 04:31:55 PM EST
    If you think that you represent TL well you are wrong. It is really interesting that many of those who were Hillary supporters who also said that they would never vote for Obama refuse to discus this particular article in any reasonable way.

    I guess that to even entertain the idea that Bettelheim could be correct in his analysis would suggest that Hillary would be having the same problems Obama is having regarding Health Care reform.

    One thing for sure Anne, is that you have not engaged in any reasonable debate, but make absurd claims of being exhausted, calling to god, but only want to sweep this article under the rug.

    Parent

    I may be alone in this, squeaky, but (5.00 / 2) (#165)
    by Inspector Gadget on Wed Aug 12, 2009 at 04:58:09 PM EST
    I'm having a hard time figuring out what it is about that article you want to debate. You credit jbindc for posting it (or a very similar article), but I can't tell if you agree or disagree with her.

    Are you simply trying to get former Hillary supporters to say that somehow Obama's choice to bring a bunch of Bill's administration advisors back into service is a failed Clinton policy now? It's Obama's administration. I wouldn't have brought back all those folks, myself, because I think fresh, new people can also be really intelligent and capable of making good policy. The Clinton years ended in 2000.

    I don't want to return to the 90's...do you?

    his analysis would suggest that Hillary would be having the same problems Obama is having regarding Health Care reform

    Why are you constantly trying to compare reality with a hypothetical? I think any POTUS would/will have a terrible time getting health care reform. You have to admit that you are terribly obsessed over WWHAD.


    Parent

    It is An Interesting Piece (5.00 / 0) (#167)
    by squeaky on Wed Aug 12, 2009 at 05:21:14 PM EST
    It is the same article that jbindc posted. Betthelhiem posits that lessons learned from the 90's, so that you and the rest of us do not have to return, are the very reason why Obama is handing health care reform to congress.

    It is a strategy, that many here, including BTD, have been arguing against, which is part of why I thought it would be interesting to debate.

    Bellelheim opines answer to the question as to why:

    Still, for all the rhetorical morale-boosting, some lawmakers are growing restive over the question of just what sort of big-picture health plan they're fighting for.

    [snip]

    That's frustrated some rank-and-file Democrats in the House and Senate, who expected Obama to take a more hands-on role in getting deals made -- or at least to offer explicit guidance when factions within the party bickered over how to cover the $1 trillion or more cost of an overhaul.

    Instead, Obama's posture has put the onus on the Democratic-led Congress to deliver a coherent message

    And his because is Obama et al think that it is the winning strategy, one that will avoid the pitfalls of the attempt of the 90's:

    Such figures [Clinton admin veterans] come to the debate with a clear cautionary message, observers say: The president should stay on the sidelines and keep Congress invested in an outcome until the time for serious horse-trading arrives. At that point, Obama will probably have to mollify centrists concerned about the cost of a plan, while preventing liberal Democrats from peeling off from what they view as a watered-down compromise.

    It seems to me Bellelheim has made an accurate assessment. What will come of it I do not know. And yes, I would have loved Obama to stick with the tough guy act that he showed in the beginning, threatening to veto any legislation that does not include a public option, but at the very least this an approach that we have not seen the end of yet.

    Perhaps all those advisors have gotten it right. I certainly hope so and we will soon see. At the very least I think that analysis this explains quite a bit, and is worthy of discussion at very least because no one has really talked about what was learned from the 90's. And no one has talked about the fact that this administration is, at least by head counts, a continuation of President Clinton's policies, aka mainstream Democratic policy.

    Parent

    Coming clearer :) (none / 0) (#170)
    by Inspector Gadget on Wed Aug 12, 2009 at 05:38:51 PM EST
    If Belle... is correct, and this works to not just bring us a solid healthcare insurance policy, but to get the democratic majority back to behaving like they know what the party agenda really is, that would be great.

    It's pretty difficult to debate when Obama keeps putting plants at his town hall meetings, and claiming he has the support of the AARP when he doesn't, though. Do you think that's part of the strategy?

    Parent

    What I Have Read About AARP (none / 0) (#172)
    by squeaky on Wed Aug 12, 2009 at 05:47:09 PM EST
    Is that they too are a political org in a way. They evidentially supported Obama's plan or parts of it, but then walked it back because they were getting hammered by terrified members.

    Parent
    AARP is a lobbying association for (5.00 / 0) (#174)
    by Inspector Gadget on Wed Aug 12, 2009 at 05:52:16 PM EST
    Retired People. So, yes, they certainly are political of sorts.

    Apparently, they do not publicly support anything until their Board of Directors (which is by-partisan) agrees. This article is as good as any other I've seen saying they are not yet in support.


    Parent

    Yes I Have Read That (none / 0) (#175)
    by squeaky on Wed Aug 12, 2009 at 05:55:26 PM EST
    But I also have read that before the crazies started in AARP was supportive of Obama's reform.

    Obama said that AARP was on board. AARP said that they have not endorsed any plan.

    Read between the lines and the answer will be clear.

    Parent

    Actually, I think reading between the lines (5.00 / 1) (#177)
    by Inspector Gadget on Wed Aug 12, 2009 at 06:12:34 PM EST
    is where the crazies do their reading.

    If the AARP truly supports something, that will come out in time. Thing is, there is nothing to support at the moment. Everything is very much in draft stage and not ready for congress to vote, so it is fair to assume no one can officially come out in support.

    Read the draft. It's only 1000 pages, but large type, at least double spaced and big margins, so probably less than 100 words per page.


    Parent

    Obama claimed that AARP endorsed (5.00 / 1) (#178)
    by MO Blue on Wed Aug 12, 2009 at 06:31:58 PM EST
    the bill.

    At the town hall in Portsmouth, N.H., Obama said, "We have the AARP onboard because they know this is a good deal for our seniors." He added, "AARP would not be endorsing a bill if it was undermining Medicare."

    The answer is crystal clear. Obama made a claim that was not true.

    Parent

    Oh Well (5.00 / 0) (#186)
    by squeaky on Thu Aug 13, 2009 at 01:34:51 AM EST
    Guess he was lying. Sneaky, bet he thought AARP would never have noticed, seeing that they have so few members.

    Parent
    A politician lie? (5.00 / 1) (#190)
    by MO Blue on Thu Aug 13, 2009 at 08:01:25 AM EST
    Never, never happens. Right?

    Parent
    Although AARP attempts to enroll (none / 0) (#187)
    by oculus on Thu Aug 13, 2009 at 01:35:31 AM EST
    members starting at age 50.  How many people are retired at that age?

    Parent
    Good Point! (none / 0) (#188)
    by squeaky on Thu Aug 13, 2009 at 01:42:18 AM EST
    They are lying too.

    Parent
    Agreed (none / 0) (#189)
    by Jeralyn on Thu Aug 13, 2009 at 01:52:55 AM EST
    How about we use a comment title like we do for spammers ("site violator") only we call it "Get a Room, Guys" so I can spot these inter-personal spats and delete them?

    Parent
    Wrong? (none / 0) (#81)
    by squeaky on Wed Aug 12, 2009 at 11:49:37 AM EST
    Well the title of this thread is reasonable debate, please do tell, what do I have wrong?

    Parent
    Really? (none / 0) (#77)
    by squeaky on Wed Aug 12, 2009 at 11:47:27 AM EST
    Do you have a cite for that?

    This author has several ex Clinton admin current Obama advisors as saying that they want to run the health care debate differently from the last time. I think it is an interesting approach, lessons learned and all.

    Not many here, or elsewhere are talking about why the last Health care reform attempt failed and what lessons learned from that time apply to this attempt.

    Parent

    A cite? (5.00 / 4) (#103)
    by MO Blue on Wed Aug 12, 2009 at 12:39:25 PM EST
    What original arguments are not allowed here at TL?

    Obama is, last I heard, POTUS. He chose his advisors and he has the ability and IMO the responsibility to decide what is and is not good advise. Either he is responsible for his decisions or his advisors are. If the blame resides in his advisors, then by the same token Bush II was not responsible for any of the actions taken during his administration.

    From the way things are progressing this time around, it appears that the wrong lessons have been taken from the last attempt.

    Parent

    Blame? (none / 0) (#105)
    by squeaky on Wed Aug 12, 2009 at 12:44:53 PM EST
    This is not about blame, this is about a strategy question. The argument is that many who went through this battle before '93-'94, believe the way to win now is for Obama to let congress do the heavy lifting, and then come in later when the bills are worked out to lead.

    Whether or not you agree with the approach that Obama appears to be taking on the advice of health care reform veterans, it does appear that Bettelheim has identified the issue correctly, imo.

    Parent

    well, (5.00 / 2) (#51)
    by bocajeff on Wed Aug 12, 2009 at 11:06:32 AM EST
    I think one of the biggest reforms is decoupling health insurance from employment. A lot of stress is caused when people change jobs either through choice or being fired or laid off. Also, it would reduce the administrative costs of the companies so they can use those funds in a different manner.

    Secondly, we have to be truthful about who doesn't have health insurance. The 47 million figure is thrown around but without any context. This includes undocumented residents, people who make a decent living but choose not to buy, young people who don't understand why they should have insurance. And then there are those who should be covered by Medicaid as well as some state programs.

    Great point. (5.00 / 1) (#76)
    by Samuel on Wed Aug 12, 2009 at 11:46:52 AM EST
    Pairing insurance and employment has all but eliminated consumer choice.  

    Parent
    That protester (5.00 / 2) (#55)
    by gyrfalcon on Wed Aug 12, 2009 at 11:16:20 AM EST
    and many others, got "sound-bited" most places.

    The single sentence of course makes no sense by itself, but I've unfortunately had to listen closely to any number of these town-hall events, and it's very clear when you hear the whole rant that this woman, and most of the others who get a chance to talk at any length, aren't reacting only to health care issues but a whole long raft of things, from taxes to bail-outs to "taking over" General Motors, gigantic deficits, rushing complex bills through Congress that nobody's actually read, etc.

    It's the standard extreme right-wing litany, and the health care town halls are just giving them the opportunity to rant about all these things, using health care as a jumping off point and a way to rally the confused and frightened to their side.

    Standard extreme right-wing litany? (none / 0) (#111)
    by MyLeftMind on Wed Aug 12, 2009 at 01:09:08 PM EST
    1. taxes - middle class taxes will go up when healthcare is given free to everyone who can't (or chooses not) to pay
    2. bail-outs - CitiCorp got $45 Billion and turned around and used it to hurt homeowners, refusing to negotiate better terms as soon as they had our tax money to prop them up.
    3. "taking over" General Motors - I would have preferred to see employee ownership so the siphoning off of profits wouldn't occur
    4. gigantic deficits - They're definitely right on this one. The deficit is going to kill any potential recovery.
    5. rushing complex bills through Congress that nobody's actually read - Exactly! Shouldn't healthcare reform be worked on and planned and debated for more than just a couple months?  My god, we're going to be paying for this for the rest of our lives. Wouldn't it be better if the left wing did a thorough analysis instead of criticizing the right wing Americans who are resisting it?


    Parent
    Can you point to where the (5.00 / 3) (#121)
    by Anne on Wed Aug 12, 2009 at 01:31:03 PM EST
    "free" health care is in "the plan?"  Are you referring to subsidies?  Because all I have seen/heard are subsidies for those making 300-400% of FPL for a family of four, and hardship waivers which I believe would not make health care free, but would exempt people from the requirement to be insured if they cannot afford the plans available to them even with the subsidies.

    Can I conclude that you do not believe people have a right to health care, but instead are only entitled to it if they can pay for it?  The goverment is already heavily subsidizing the cost of health care by kicking back money to the insurance and drug companies, so the chances are that even not-poor people like you and me are paying less than we otherwise would without the current subsidies.

    I just have to say that your constant harping on all this free health care being handed out to those you can't quite hide your contempt for is fairly unsettling.

    Parent

    Whether healthcare is a right or not (5.00 / 2) (#142)
    by hookfan on Wed Aug 12, 2009 at 02:31:17 PM EST
    I guarantee health insurance costs will escalate if there is no limits placed on premium inflation. If we eliminate the insurance industries methods of reducing their exposure to risk by demanding coverage for all and eliminating pre-existing condition controls, then to be profitable they will raise premiums. Probably on the elderly (at least those over 50). What is the current asking price from the insurance companies-- iirc up to 8 times the regular premium for this age group. Sorry, I have other things to afford-- like the rising cost of actual healthcare, and oh yeah, food.

    Parent
    It doesn't have to be a question of whether (5.00 / 1) (#144)
    by MyLeftMind on Wed Aug 12, 2009 at 02:36:13 PM EST
    people have the right to health care or not. The question I'm asking is does this make all of our lives better, or is it just another in a series of wealth distribution shoved down our throats by a government being led around by the superrich. What good is the right to health care if our economy collapses?

    We've already learned that the problem with welfare-based social programs is 1) They encourage continued dependence, even intergenerational dependence; 2) They drain from the working and middle classes to pay for both the rich and the poor (and for the deliberately or deceitfully poor); and 3) The right wing backlash against easily abused welfare-based social programs is HUGE. That's exactly what gave us Nixon and Reagan, with huge swings of moderates voting for Republicans.

    The economy is failing, and this will drag it down further. What I disagree with is the liberal focus on the "silly/ignorant/gun-tottin'/selfish wingers" instead of the potential harm to the working and middle class.

    If we simply want to "help the poor and disadvantaged," we could do so by increasing funding for Medicaid. The state rolls for that federal money have skyrocketed, which is why there are now so many people not covered.

    So why isn't Congress simply expanding Medicaid to cover more (or all) people? Because our Democrats don't want to admit that this very complicated "reform" will still keep the insurance companies swilling their huge profits, will eventually be paid for by the middle/working class, not the top earners as Obama claims, and the lines of responsibility won't be as clear as if they just expanded Medicaid. More importantly, backing out of this so-called reform isn't anywhere near as easy is de-funding a Medicaid expansion if it turns out to be more expensive than the estimated (and promised).

    That's why so many people don't want a huge new program that gets rushed in with just a few months debate in Congress. Especially on the heels of the bank bailouts and stimulus that worked oh so well for us little guys.

    Parent

    This is very much about health care (5.00 / 4) (#159)
    by Anne on Wed Aug 12, 2009 at 04:03:46 PM EST
    as a right, as much as you don't want it to be.

    And where do you get the idea that this plan, or a Medicare-for-all plan, is a welfare-based social program?

    This isn't about simply helping the poor and disadvantaged, so I would suggest you educate yourself on the provisions of the current plan, as well as the economic benefits of single-payer/Medicare-for-All, if you want to stop sounding like you wandered into a discussion on a completely different topic.

    Parent

    Yeah (5.00 / 1) (#166)
    by hookfan on Wed Aug 12, 2009 at 05:17:40 PM EST
    and, the current plan(s) being promoted (rather than the one ignored, i.e., medicare for all) seem more like a plan to privatize the profits for the insurance industry, while socializing the cost to the rest of us whether through taxes or out of control premium costs nicely mandated by the government.

    Parent
    No kidding. (5.00 / 3) (#173)
    by Anne on Wed Aug 12, 2009 at 05:48:02 PM EST
    This is an industry that has always had the ability to voluntarily lower premiums, stop rescissions, lower drug costs, so I have no confidence that there is going to be any change that accrues to our benefit.

    The backroom deals don't help with that, either.

    And because no one is mentioning the elephant in the room - the delay of implementation until 2013 - no one wants to address what the insurance companies will be doing between now and then.

    To me, it looks less like a bailout for the industry and more like pure bonanza.  If people were angry when oil company profits soared into the stratosphere, I can only imagine how they will react when the insurance and pharmaceutical industries experience the same thing.

    Parent

    I watched Blitzer for a bit last night (5.00 / 4) (#83)
    by Militarytracy on Wed Aug 12, 2009 at 11:51:45 AM EST
    His discussion panel was Ben Stein (who seemed to have been chastened by someone for acting like such an idiot the past few days), Penn Jillette (who claims to be a Libertarian but lost all credibility with me when he acted like a peeved Hillary is a very frightening thing that scares him to death and the man is over six feet tall and his inside voice is the bark of a harbor seal), and Carville.  I don't know what three dudes who will probably never have to worry about health care coverage in their lifetimes knows about what the rest of us are going through right now.  Ben Stein couldn't quit talking about how John Hughes could afford any sort of health care he wanted and that still didn't save his life.......ummmmm duh, we will all die but I'd like a chance at quality of life Ben!  Please stop acting like you are five years old.  Penn misogynist Jillette kept yammering about big government bad, big government bad.  Carville sadly whined that this must be done now.  The only person bringing up that every industrialized country on the planet is ahead of us when it comes to providing health care was Blitzer.  What an effing joke!!!!

    Sounds like a typically (5.00 / 0) (#113)
    by brodie on Wed Aug 12, 2009 at 01:10:42 PM EST
    skewed-to-the-right CNN panel of experts.  With one mod-lib there for balance and the host tossing out one liberal issue in order to go on the record as having covered the liberals' concerns.

    Msnbc is only marginally better on some of their shows.  But kudos to Rachel Maddow for exposing the organized, well-funded nature of the town hall crazies and also to KO for talking sense about these dangerous nutjob screamers.

    Lib Dems and like minded lefties should have been getting organized around single-payer no later than the 06 midterms, and they were largely a small voice during the long 08 campaign when with more effort they could possibly have compelled one of the 3 major candidates into taking a Medicare for All approach.  

    I think Dennis Kucinich was for single payer, but I'll admit I didn't pay much attention to him (except when he appeared with his wife), and because I didn't see him as a viable candidate, his position on just about anything (except perhaps ufo's) really didn't resonate with me.

    Too bad we don't have a major media outlet on the teevee like the Thugs do.  Bob Parry has been clamoring for libs to wake up and get one started for years, but our clueless side seems to only fork over money to fund the occasional ad campaign or candidate.

    Parent

    Kucinish is still (5.00 / 4) (#139)
    by gyrfalcon on Wed Aug 12, 2009 at 02:24:19 PM EST
    pushing for single-payer.  He is invited on Fox Business Network regularly to talk about it.  Which shows you how seriously he's taken. (ie, not)

    Obama's former personal physician, OTOH, is making the best, most emphatic case I've heard from anyone for single-payer, and he's been interviewed all over the place by journos hoping to get him to say something mean about Obama, which he of course declines to do.

    Don't know why he waited until now to come forward, though, since it's long past the time that making the case forcefully would have made any difference.

    Parent

    Obama's doc made some very good points (5.00 / 6) (#143)
    by MKS on Wed Aug 12, 2009 at 02:35:18 PM EST
    about single payer.  It is like Medicare for everyone--but would not be as expensive because Medicare takes care of the older population who have more medical needs and costs.  Younger people would cost less.

    Parent
    With all the confusion (5.00 / 2) (#147)
    by hookfan on Wed Aug 12, 2009 at 02:42:58 PM EST
    over the current fiasco, I'm not convinced about the demise of single payer, aka "medicare for all". There has been no fair hearing of its benefits, only an irrational refusal to debate its merits. Same as happened in the nineties. . . surprise not.
      What is certain is if progressives continue to refuse to really fight for what they say they want, they won't get it. Defeatism won't win anything. And if progressives would organize and push for what was campaigned on, they'd know what they were selling, rather than the confused crap they promote now. Nothing like clarity of message, on a good package, that really would help a majority of people. Oops! Can't have that. It might cost insurance Ceo's million dollar plus increases in their over inflated salaries. . .

    Parent
    Agree about Obama's (5.00 / 0) (#148)
    by brodie on Wed Aug 12, 2009 at 02:45:10 PM EST
    doctor.  Too little far too late.

    And while he's well-intended and reflects my position, his words don't do much but dampen enthusiasm among the reformers for the Obama plan, at a time when Obama needs to be bringing in the troops and rallying the masses to his side.  

    No wonder he's getting a few guest slots with some in the MSM ...

    Parent

    Well, (2.00 / 1) (#90)
    by bocajeff on Wed Aug 12, 2009 at 12:21:31 PM EST
    The fact that every country on earth is doing something doesn't, in and by iteself, make it right. If all your friends jumped off a cliff would you?

    I think  there is a better solution that what we currently have and what other countries have, but no one wants to listen to me...

    Parent

    Well, (5.00 / 4) (#102)
    by MKS on Wed Aug 12, 2009 at 12:34:30 PM EST
    What many people in France most like about their country is its health care....France is apparently known for having good, easily accesible, and state-of-the art health care.  Many American ex-pats there remark on that.

    Shouting "socialism" at the top of one's lungs does nothing to inform.  If anything, the more I hear about "socialized medicine" in Europe and in Canada, the less threatening and more attractive it seems.

    I am ignorant on health care like BTD, but the more I hear about single payer, the better it sounds....

    Parent

    The best solution (5.00 / 3) (#107)
    by Fabian on Wed Aug 12, 2009 at 12:47:28 PM EST
    would be Public Health based.

    In other words, it would be based on the assumption that society is best served by having the healthiest population possible.  This means the primary focus would be on real preventative care.  We are all going to die of something, eventually.  Our main goal should be as healthy and able as possible until that time.

    There's a strange meme out there that the main purpose of medical care is to keep you from dying.  So if you aren't actually dying, then you don't need medical care?  It's almost an extension of "Just go to emergency room!".  Wait until you are really sick, then get medical attention?  If you ask a GP they'll probably groan.  There's no better way to increase cost of care than to wait for a modest and treatable problem to a balloon into an expensive major medical crisis.  

    Parent

    Excellent point (5.00 / 4) (#108)
    by Spamlet on Wed Aug 12, 2009 at 12:53:47 PM EST
    There's a strange meme out there that the main purpose of medical care is to keep you from dying. . . . It's almost an extension of "Just go to emergency room!" . . . There's no better way to increase cost of care than to wait for a modest and treatable problem to a balloon into an expensive major medical crisis.

    And there's no better way to let treatable problems escalate than to make sound health care a privilege available mostly to the employed and the affluent.

    Parent

    One reason there is no clarity on the need (5.00 / 3) (#85)
    by esmense on Wed Aug 12, 2009 at 12:00:49 PM EST
    for health care reform is this -- we can't talk honestly about our dire economic circumstances. Stagnating job creation, dwindling opportunity and high levels of unemployment and under-employment among the young, the long decline in production now being followed by shrinking distribution (every one of those retail closures at the local mail represents not just a loss of retail jobs, but also a loss of distribution for many other companies and further job losses and decline), etc., etc.

    Many of those who oppose health care reform are shouting resentfully that it will force them to help provide care for "the poor," "freeloaders," the "unproductive," etc. But health care reform isn't going to create a new entitlement for "the poor." The poor already have "government" health care -- Medicaid. Falling tax revenues are making it increasingly difficult for the poor to access these benefits, but that doesn't change the fact that, in theory at least, such benefits already exist.

    The real imperative for reform isn't to create a new entitlement for the nation's poor and dependent, but rather to address the crisis in coverage for small businesses (100 employees or less -- businesses that contribute 45% of our GNP and still provide a majority of the jobs available in a stagnant economy that hasn't seen an increased in the number of jobs since 2000), their employees and the self-employed -- people who are being priced entirely out of the insurance market or forced into ever less adequate coverage. There is a moral imperative for doing so -- but, perhaps even more important at this juncture, there also is an important economic one. In an economy struggling to provide adequate employment for its citizens our current health care system is a drag on employment,a drag on business creation, and a drag on global competitiveness.

    Reforming our health care system of course is only one tiny part of what needs to be done to get us back on track in terms of creating an economy that can provide a decent livelihood and opportunities for advancement for its citizens. But you can't talk sensibly about reform without seeing it in that larger economic context. A larger context that, frankly, too many wish to avert their eyes from.

    It's easier to yell about, and not as disturbing to think that, "the poor" or "immigrants" or whatever as the cause of economic and health care problems and that the problem can be solved just by limiting any benefit applicable to them. Much easier than admitting you live in a failing economic system that, unless the policies you have been supporting are changed, and action taken, is inevitably leading to a loss of more and more benefit to you.

    If the real imperative of the current bill (5.00 / 2) (#92)
    by MyLeftMind on Wed Aug 12, 2009 at 12:22:37 PM EST
    is to address the crisis in coverage for small businesses, then why not simply create a nationwide insurance coverage that those business can access more cheaply than what the ripoff insurance companies currently offer?

    Instead, this plan will provide free healthcare to millions who cannot currently access Medicaid.

    While the left wing is b!tching about those crazy, selfish, ignorant right wingers, we're getting setup by Obama and Congress to carry the costs of a welfare healthcare program. It's another redistribution of wealth from the middle class to the poor and the upper class.

    How about we stop complaining about the opponents of health care reform and do some serious analysis of this bill. When Obama says our costs will go down and we won't pay higher taxes, he's either lying or ignorant. On the heels of his wall street bailout, we're supposed to just trust Congress to do what's right by us? Even when it's clear that big pharma and the insurance industries have bought out both the Democrats and the Republicans?

    This big media frenzy on the fight between right wingers and liberals is a big old distraction that keeps us from taking a good look at the specifics and the real world ramifications of this so-called reform. Liberals think they're nuts for resisting this? They think you're gullible for trusting the same people who just propped up the banks with billions of tax dollars so they could turn around and screw homeowners even more than they had in the past.


    Parent

    First of all, the "millions who cannot (5.00 / 3) (#112)
    by esmense on Wed Aug 12, 2009 at 01:10:27 PM EST
    currently access Medicaid." ARE those employees, business owners and the self-employed who can neither "access Medicaid" (because they are not poor) nor, increasingly, purchase health coverage at affordable rates. If you are currently among the 1/3rd of Americans receiving tax supported medical coverage (Medicare, VA, benefits as a state or federal employee or retiree) these people are paying taxes that are helping to provide guaranteed benefits for you -- without having any options that genuinely guarantee coverage will be available for them when they most need it.

    Furthermore, the what is being proposed for these many under-insured and uninsured Americans isn't "free care." It is, at best, simply more easily affordable, and more secure health coverage options.


    Parent

    Those millions include people who are NOT (5.00 / 1) (#119)
    by MyLeftMind on Wed Aug 12, 2009 at 01:29:02 PM EST
    eligible for Medicaid and Medicare. Many are illegal aliens who have not and will not be paying into the system. Others will be the millions of Americans who now work under the table to compete with the cheap labor, especially in the construction, maintenance and ag industries, and who also don't pay taxes.

    For those self employed Americans whose health coverage has increased, why exactly do you believe that this plan will provide their old affordable rates again? Big pharma and the insurance industries are still controlling our government, and any plan that allows them to continue to drain our life blood will cost us more in the end, even if the costs are through taxes instead of premiums.

    And for those who are relying on "what is being proposed," by Obama and the Dem Congress, let's review what Democrats have done to Social Security, especially their promise to never, ever use SS funds for anything except SS payments...

    Parent

    You really, really (5.00 / 2) (#141)
    by gyrfalcon on Wed Aug 12, 2009 at 02:26:18 PM EST
    have to stop listening to Rush Limbaugh and Sarah Palin.  You're seriously embarrassing yourself.

    Parent
    I don't listen to Rush or Palin (5.00 / 1) (#152)
    by MyLeftMind on Wed Aug 12, 2009 at 02:56:18 PM EST
    Try addressing my comments specifically instead of using juvenile insults.


    Parent
    Your comments are (none / 0) (#192)
    by gyrfalcon on Thu Aug 13, 2009 at 04:32:46 PM EST
    juvenile, uninformed, and reek of Limbaugh-ism.  Not worth anybody's time setting you straight on reality.

    Parent
    People who can't qualify for Medicaid and (none / 0) (#140)
    by esmense on Wed Aug 12, 2009 at 02:25:03 PM EST
    Medicare now because they do not have legal status or employment will continue to face the same barriers to coverage, reform or not.

    What makes you think it could be otherwise? Besides fear and an unwillingness to look squarely at the real problems?

    Parent

    You have to scream (5.00 / 1) (#88)
    by The Last Whimzy on Wed Aug 12, 2009 at 12:15:42 PM EST
    in order to be heard.

    My wife wanted to watch a gardening show and I wanted to watch a baseball game, so I told her she was trampling on the constitution.

    Reasonable debate, indeed.


    It's code for religious conservatives (5.00 / 5) (#96)
    by MKS on Wed Aug 12, 2009 at 12:25:10 PM EST
    The health care debate is not about health care.  I think understanding that is the key.

    Many of the protestors at Claire McCaskill's townhall asked questions about abortion and global warming (they are deniers.)  What we are seeing is the religious conservatives feeling threatened because they are out of power.  That the government no longer sides with them and no longer openly validates their conservative religious beliefs is an existential threat to them.    They have no effective voice in Congress (good thing, that) and so they are making their last stand.

    Hence, the man at Specter's townhall telling Specter that he would stand before God in the last day, etc.--and everyone cheering.

    I can't count the number of times I have heard in various places a religious right winger say that  we "should just get back to the constitution."  Almost word for word.  That is the verbatim code of religious wingnuts.  It means prayer in school.  Creationism.  Outlawing abortion.  No gay rights. No federal government ensuring equality.  And on and on.

    What we are hearing is the existential death cry of religious nuts.  It happened somewhat under Clinton with the militia movement.  Some segment of conservatives will never accept a democratic result that pushes them out of power.  Bush Jr.  was the ultimate Evangelical dream come true.  They have lost that.

    Because religious conservatives fear change and are authoritarians at heart, a change in the government so that they no longer control it is a very frightening thing for them.  To not have the government validate them makes them afraid.  

    They are a minority. And, because they are authoritarian, they will ultimately change so that they can find acceptance from what they deem is the prevailing authority.  Progressives just have to calmly keep a steady course, reassuring the public that they world is not coming to an end--just changing for the better.    

    also (5.00 / 2) (#99)
    by Capt Howdy on Wed Aug 12, 2009 at 12:29:00 PM EST
    Rove and others were telling them for the last eight years about the "permanent conservative majority.

    the whole thousand year reich thing didnt work out so well.

    Parent

    Excelent (5.00 / 1) (#109)
    by Ga6thDem on Wed Aug 12, 2009 at 12:58:13 PM EST
    post and it's why I have been saying for years that you cannot coddle these people. You cannot hold hands with them. They have to be so resoundingly defeated that they drop out of politics to the tune of doing little more than voting.

    Parent
    More misdirection (5.00 / 3) (#110)
    by hookfan on Wed Aug 12, 2009 at 01:03:20 PM EST
    When I consider where my money, required to be given by law to the government, is going, has gone, or potentially will go I'm afraid of this administration also. Redflag waving about the religious right distracts from the fact that the Obama administration is no friend to the working and lower middle class. Hades! My 401k has been eliminated, my insurance at work has been dumbed down to more expense but less coverage, my wages have cut 10% before taxes, my hours have been lessened per week. Their is rumblings that managment wants to layoff long time workers and replace them with part time so as not to pay benefits. And now Obama and the Dems want to pass laws requiring me to put up money to the benefit of an insurance industry that hasn't contained costs? With no limits on premiums? I dont think so. . .

    Parent
    Yeah, isn't that interesting (5.00 / 2) (#116)
    by MyLeftMind on Wed Aug 12, 2009 at 01:18:19 PM EST
    The insurance companies that buy off Congress and stand to benefit hugely when this bill is passed have instigated another right wingers to create a huge media distraction. How convenient that our elected Democrats can now focus on the detractors instead of the actual failings of their plan.

    We need to ignore the yelling protestors because they are not relevant to what we're about to be handed by a government that now has a track record of helping the rich at the expense of the middle class.

    Parent

    Your problem is that you are (none / 0) (#114)
    by MKS on Wed Aug 12, 2009 at 01:12:46 PM EST
    addressing the issues.  

    No apparent agenda of opposing abortion rights,  denying global warming, etc.  If one wants to raise the issues you do-- without following the written script that was issued a few weeks ago that directed protestors to rattle members of Congress at town halls by yelling out at random, jumping up and then sitting down like popinjays, trying to shut the discussion down, all of which tactics these authoritarians followers adhere to to a "t" or the nth degree--then that would be productive...  

    But, to address your points, I think the economy is turning around.  Let's see where we are in 6 months.

    The fuel that drives most of the protestors at the town halls is a religious one....That is why so many of them steer the conversation to such broad topics as vague notions of losing our constitution and such specific ones as abortion and global warming....with direct references to God sprinkled in along the way....

    Parent

    Meanwhile back in the peanut gallery (5.00 / 2) (#115)
    by MyLeftMind on Wed Aug 12, 2009 at 01:13:35 PM EST
    our side is busy calling them ignorant and selfish and unformed instead what this so-called reform will do to our economy and our taxes.

    The people with valid criticisms aren't being heard because the media and blogs would rather focus on how bad the other side is.

    Parent

    I think you have it backwards (5.00 / 1) (#118)
    by MKS on Wed Aug 12, 2009 at 01:28:12 PM EST
    Cynical people of power and money are deliberately stoking the ignorant rage and fear (no doubt genuinely felt) of the religious extremists in order to halt health reform.

    Those who come up with the idea of "death panels," and other similar canards, are very bright people who know what they are doing....They are betting the sheer passion of the ignorant right wingers will be enough to derail health care reform--because they apparently feel they cannot win on the merits.  That is, at least for me, what these tactics mean.

    The risk for the monied Machiavellian manipulators is that the sheer lunacy unleashed will backfire....but they must feel it is worth the risk.  

    Parent

    not many people are calling them out for that (5.00 / 0) (#123)
    by Capt Howdy on Wed Aug 12, 2009 at 01:35:48 PM EST
    but someone sent me this this morning.
    its Maddow.  and say what you want about MSNBC, this is good.

    Parent
    Yup--exactly right (5.00 / 0) (#125)
    by MKS on Wed Aug 12, 2009 at 01:40:45 PM EST
    Maddow is putting the evidence together....

    Not like she is a Rhodes Scholar with the equivalent of a Ph.D from Oxford or anything.

    Parent

    I think they're stoking the fires (5.00 / 2) (#146)
    by MyLeftMind on Wed Aug 12, 2009 at 02:42:28 PM EST
    to prevent good health care reform, which most assuredly would limit their obscene profits.

    As long as this plays out in the media as a left vs. right culture war, and as long as we're busy calling each other idiots, we're not focusing on the actual bill they're going to pass.


    Parent

    Maybe so (5.00 / 1) (#150)
    by MKS on Wed Aug 12, 2009 at 02:54:51 PM EST
    But the winger religious nuts have the megaphone right now and are shutting down the debate in person, or creating such a circus across the board nationally that nothing constructive can get done.

    I think a critical debunking of the religious crazies is a necessary first step towards more real discussion--or discussion of the real provisions of real bills actually under consideration....

    I for one would like to hear more about "socialized medicine" in Canada and Europe.  Since a single payer takeover is the threatened risk of a public option, I would like to see a good airing of what health care is like in democracies that conservatives hate.  

    This is a complicated area where more education is needed.

    So, yes, the crazies have hijacked the debate.  And, I can see the telltale signs--from many cubits away--that it is the religious crazies at work--that subject I know.  Health care--need more info.

    Parent

    What he was suggesting (none / 0) (#126)
    by Samuel on Wed Aug 12, 2009 at 01:41:02 PM EST
    is that the "Machiavellian" leaders are playing the right off of the left to do what both sides have been doing for a generation now - grow the federal government.  

    There's been nothing to suggest in recent history that the Democrats have anything but the interests of the wealthiest in mind.

    Cause George Bush and Barack Obama arrrghhhhh! hate eachother!  And Sarah Palin is on tv to do anything but piss you off enough to forget common sense, right.  I mean, if we really lived in a Right/Left world with both sides battling - they wouldn't have friggin let Rudy Guiliani open his mouth in the primaries, let alone this Palin stuff.

    Gettin played fools.

    Parent

    I am not that cynical (5.00 / 2) (#128)
    by MKS on Wed Aug 12, 2009 at 01:53:14 PM EST
    I think the left and democrats are trying to reform health care.  Some of them may be a little too craven, too self interested to really take all the risks that they should, and too foucsed on big money interests.

    But I don't think the left and the right are politically the same.  

    And, I frankly recall the old populist refrain that "there's not a dime's worth of difference" between Republicans and Democrats.  Remember who first said it?  Ron Paul?  Nope, but, yes, of that ilk.  Ross Perot?  Nope.  George Wallace....

    So, this assertion of no difference between Republicans and Democrats left a bad taste in my mouth long ago.

    Parent

    Right... (none / 0) (#133)
    by Samuel on Wed Aug 12, 2009 at 02:01:59 PM EST
    Can you name a big difference that isn't a total joke then?

    Parent
    Perhaps another way of putting (5.00 / 2) (#130)
    by MKS on Wed Aug 12, 2009 at 01:57:23 PM EST
    it is that the Democrats are centrist-mushes, the Republicans are insane, and there is no genuine left.    But that still means the Democrats are to the left of the Republicans...

    Parent
    What risk? (none / 0) (#129)
    by hookfan on Wed Aug 12, 2009 at 01:56:37 PM EST
    As far as I can tell, the insurance industry wins big time whether this pretense of "reform" passes or not. I think the working and middle class are being set up to be screwed either way. What the Dems don't want is a clear look at how the current proposals don't provide what they have previously campaigned on (and by the way, brought them into power over), and how it does provide for insurance industry security at our expense. I think the right wing knows it doesn't matter much what they (the ignorati) say, rational or not, because the fix with the insurance and pharmaceutical industry is in. the ignorati smell the fix but are misdirected on what it is about, and both parties and insurance industry are in on it.

    Parent
    Well, I think Clinton kinda (5.00 / 1) (#117)
    by brodie on Wed Aug 12, 2009 at 01:21:10 PM EST
    narrowly escaped -- both from literal violent assault from the Armed Right and from being driven from office by never-ceasing political attacks from the Goopers and their many MSM friends.  And I'm still somewhat surprised he was able to hang on -- barely -- while avoiding that first outcome mentioned above.

    As for the nature of the town hall fascists, I think it's a combination of far-right forces -- religious, gun nutz, racists, financially-interested corporatists, and hardline amoral libertarians.

    Not a small group combined, though still a minority.  And they do have influence with about 45% of Congress as well as the corp media which, judging by the oddly slanted and dishonest coverage of the town hall madness so far, is probably not a negative factor to be lightly dismissed.

    Parent

    No, never, lightly dismissed (5.00 / 1) (#124)
    by MKS on Wed Aug 12, 2009 at 01:37:13 PM EST
    They must be responded to.  But how?

    The most effective thing I have seen deflate the religious wingers is The Da Vinci Code.  No kidding.  I had an e-mail correspondence going with a pastor to wingers and he told me that that novel created such havoc.

    And, Dawkins's in-your-face atheism apparently startles as well.  Not my view, but insistence and passion often tend to outweigh bland reason....

    And, gun nuts and the rest of your litany are often part of the same thing....The political beliefs of religious conservatives don't have all that much to do with religion imho, but more with a tribal and cultural self-validation--but that is a much longer discussion.

    Parent

    Well, our side including (5.00 / 3) (#134)
    by brodie on Wed Aug 12, 2009 at 02:03:11 PM EST
    the Obama admin should have been better organized and have done some smarter strategerizing at the outset, though it's still not to late to quickly get a better program together and quietly go about lining up more people and groups to help with the p.r. campaign.

    I suspect, for instance, that had Dems and the Clinton admin been sharper about anticipating the nature and degree of the oppo in 93-4, and gone about lining up support with the well-endowed groups and money people, Bill and Hill would have at least come a lot closer to success.  Instead, they got creamed.  

    But I don't think the lesson there was so much how the process unfolded ("Hillarycare", 1000 pg bill, etc etc) as how much our side underappreciated the ferocity of the opposition.

    The 2008 Dem campaign showed that with some careful planning and smart strategy that is more proactive than reactive,  and with the right product to sell, we can position ourselves to achieve victory.

    Parent

    Just like high brow Dems (none / 0) (#131)
    by hookfan on Wed Aug 12, 2009 at 02:01:07 PM EST
    Who woulda thought. . .

    Parent
    From what I hear a lot of highbrow Professors (5.00 / 2) (#137)
    by MKS on Wed Aug 12, 2009 at 02:21:07 PM EST
    are broke--not high income folks....

    Parent
    Tribalism was my point (none / 0) (#164)
    by hookfan on Wed Aug 12, 2009 at 04:44:19 PM EST
    Interesting. . . does the hyper-educated impoverished support the clap trap the Dems are proposing or are they free to be more honest in support something that really helps themselves? If they support the current clap trap, I have serious questions about Ivory Tower blindness. . .Or perhaps , membership in the tribe is more important to them than their own economic interests. Perhaps "educated stoopid" is a title they can own? ha!

    Parent
    And, I note how Da Vinci Code (5.00 / 1) (#138)
    by MKS on Wed Aug 12, 2009 at 02:23:12 PM EST
    and Dawkins affect wingers.....I don't agree with going that route....

    Parent
    insanity (5.00 / 0) (#122)
    by jailcat on Wed Aug 12, 2009 at 01:33:58 PM EST
    These meetings are crazy.  It is a bit of a stretch to link the Constitution and the ideals of our founding fathers to healthcare but the Republicans have managed to do it.  

    How about restoring our 4th Amendment rights.  How many of these screaming idiots voted for Bush twice?  Calls to make America what it was are so ironic.  These people got us into the mess we're in now: 2 wars, torture, the ire of most of the world.

    Last I checked. (5.00 / 1) (#127)
    by Samuel on Wed Aug 12, 2009 at 01:44:29 PM EST
    The Dems are in two wars and just doubled the deficit and could have chosen to withdraw from all three messes.  

    Maybe it's the people vs the government and this right/left stuff is a total distraction.

    Also - I'm not fan of the constitution - but I'm pretty sure it's clear about limited government.  Hell, the funding for it is going to come from an unconstitutional banking entity.

    Parent

    And you would (5.00 / 1) (#171)
    by jondee on Wed Aug 12, 2009 at 05:39:47 PM EST
    consider corporations and indivuals who have had a
    longstanding symbiotic relationship with govt as "the people"?

    Do clarify who and what you mean by "the people".

    You're sounding a little like some of those Cato Institute types scored alot of runs with govt assistance and now want to call the game.

    Parent

    There are actually three sides (5.00 / 3) (#160)
    by lambert on Wed Aug 12, 2009 at 04:18:44 PM EST
    1. The Republicans

    2. The "public option" advocates

    and

    3. the single payer advocates

    Since single payer advocates are the only side with a plan that can be shown to save both money and lives, the other two sides -- bless their hearts -- are quite naturally trying suppress them and reinforce each other.

    "Trampling the Constitution" (5.00 / 1) (#161)
    by Spamlet on Wed Aug 12, 2009 at 04:19:19 PM EST
    A surprising number of citizens believe that the U.S. Constitution ordains a single and particular economic system--namely, the so-called capitalism practiced by big business and its lobbyists in league with what passes for government by the people.

    But the Constitution actually says nothing at all about any economic system. It simply lays out life, liberty, and the pursuit of happiness as the goals, presumably to be realized under any of a number of economic systems that will be determined by a free people.

    As if.

    Um, that is the Declaration of (5.00 / 1) (#169)
    by Wile ECoyote on Wed Aug 12, 2009 at 05:27:31 PM EST
    Independence.  LOL.  I was getting ready to ask you about the tenth amendment and then I realized you were referring to a letter to King George.  nuff said.

    Parent
    You are right (none / 0) (#176)
    by The Addams Family on Wed Aug 12, 2009 at 05:58:25 PM EST
    and I goofed. But doesn't the point still stand?

    Parent
    You have two (none / 0) (#181)
    by Wile ECoyote on Wed Aug 12, 2009 at 07:18:09 PM EST
    user names?  Or more?  Easy way to find someone to agree with.  What are your other names?

    Parent
    no--sorry (none / 0) (#182)
    by The Addams Family on Wed Aug 12, 2009 at 07:20:55 PM EST
    Make that 2 goofs for me.

    Should have said in first comment that I goofed too--made same mistake as original commenter.

    Google before typing, I guess.

    Parent

    Yikes (none / 0) (#183)
    by Spamlet on Wed Aug 12, 2009 at 07:47:43 PM EST
    Maybe a surprising number of citizens also confuse the Declaration of Independence with the U.S. Constitution. Anyway I did this time. My bad.

    Parent
    When Bush trampled on (5.00 / 3) (#168)
    by Cream City on Wed Aug 12, 2009 at 05:26:54 PM EST
    not just the Constitution but the Magna Carta, where were they?  Yes, the noisiest seem to be the same folks who just do love authoritarianism at the same time that they claim they want limited govt.

    But that's the noisy ones.  Many are just scared because, as others have pointed out here, they are not getting good answers from Congresspersons.

    Mine took a good tack yesterday at her town hall.  The first hour was a health care expert (yes, a professor, for those who critique the Ivory Tower just because it's so easy to do) explaining the various bills.  Giving the answers, lots of them, before the Congressperson took questions for the second hour.

    Yes, there also were cops and private security and volunteers walking around with "Listen or Leave" signs, and there were tensions -- but mainly outside, so it seems to have worked.  The Congressperson was going to take only pre-submitted questions, but it went well enough that questions from the audience were answered -- by her and by the guy from the Ivory Tower, too.

    And among the 1000 estimated in attendance, many interviewed afterward said they had a better understanding of the bills now and appreciated it.

    Straight forward the plan for Universal Health (none / 0) (#66)
    by joze46 on Wed Aug 12, 2009 at 11:37:18 AM EST
    The Health Care plan is simple

    Straight forward the plan for Universal Health Care is the same as the plan offered to our Congress and Senate.  It has been said over and over but seems to get lost in the discussion. Ready made no need to fabricate something, but riles the right wing nuts and others.  

    Many people just do want to accept a change, especially when it was not the GOP idea. Just this past hour CNN is talking about money lost in waste and corruption with medical stuff tallies to amounts that are close to a half trillion annually. O.k. project that out and think a huge huge savings will be introduced with a competitive plan like this. That will help pay for it self.

    Stopping the war in Iraq and Afghanistan is in progress. That's money that can be used.  If we had an honest and intelligent president in 2000 America would have realized, as Bush does now know how so wrong he was. We need a good healthy Health Care system that will compliment our economy. Bush was oh so wrong when he said we have a resilient economy.  Ladies and gentlemen of America we need a good healthy cultural population, state of the art leadership with government. If America wants to spread freedom we need to address our failed system of health care.  Please people "We the people are the government" if Government is bad it is we the people who are at fault.    


    Stop the war(s) (5.00 / 1) (#120)
    by MyLeftMind on Wed Aug 12, 2009 at 01:30:52 PM EST
    Yeah, I remember that Obama promise.

    Ain't gonna happen. War profiteers now buy off the Democrats instead of just the Republicans.

    Parent

    Late to the party here and haven't read through (none / 0) (#145)
    by Angel on Wed Aug 12, 2009 at 02:38:11 PM EST
    the posts, but let me say that this is the kind of stupid you just can't fix.  Seriously, we're going to turn into Russia if we have health care reform?  We're trampling the Constitution because of health care reform?  We're on the verge of dismantling our country because of health care reform?  Who are these idiots?  These same people are saying that the plan includes an assisted suicide provision.  These people are stupid and crazy.  I say ignore them.

    John Dingell (none / 0) (#151)
    by jbindc on Wed Aug 12, 2009 at 02:56:07 PM EST
    Responded to a protestor from a townhall held last week with a long, thoughtful letter, where he reassured Mike Sola that pending health care legislation would guarantee care for Sola's son, Scott, who suffers from cerebral palsy.

    Now teabaggers are claiming that (none / 0) (#179)
    by Militarytracy on Wed Aug 12, 2009 at 06:49:47 PM EST
    networks are asking for events that have lots of energy per TPM.

    I gave this a lot of thought last night. (none / 0) (#191)
    by Chuck0 on Thu Aug 13, 2009 at 12:17:00 PM EST
    Here's my question to those at these town halls and tea bag rallies, etc.:

    What exactly do you want back? What has so dramatically changed in this country, or more specifically, your life, to foment this anger and reasoning (or non-reasoning)?

    Since the inauguration of Barack Obama,

    1. Started a new job (in defense, no less).

    2. Have all the guns I had when the year started.

    3. The church on the corner still has services on Sunday morning. I know because I hear their church bell ringing while I'm watching George Stephanopoulas.

    4. The federal income tax deducted from my check is down.

    5. My school tax is up.

    6. I still can only go the doctor's the insurance company says I can go to.

    7. I pay less for gasoline this summer than last.

    8. I still have to deal the TSA dopes when I fly.

    9. I still have to worry about imprisonment when I take a toke at night before bed.

    10. The sun still shines and it rains sometimes.

    Bottom line, what are these people so upset about? For the most part, I sincerely believe most of them do not know. They have no idea what socialism is, or national socialism or fascism, or the differences between them. I'll even bet most of them don't even know the contents of the Constitution that they claim is being "trampled on."

    They listen the likes of Rush Limbaugh, Sean Hannity, Glenn Beck, Michael Savage, Michele Malkin, Ann Coulter, et al. These people put out blatant lies and misinformation. They get people worked up over their opinion of what will happen. Nothing is based on reality or fact.

    I'm a big proponent of free speech, however, what's been happening of late now is the equivalent of shouting fire in a crowded theater. These guys are bomb throwers. That's not a tenet of free speech. It's getting ugly and I really do believe it will get worse. There's another Tim McViegh or most likely, many Tim McViegh's out there and sooner or later they will act. I hope I'm wrong, but I really kind of doubt it.