My preview of today SCOTUS oral argument on the mandate.
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And Nancy was not any too mainstream (any more than Jane), what with her astrology. .
She is the wife of the conservative movements FDR and the idea of Hanoi Jane playing her in a movie will set their hair on fire. Parent
Like I said before love the art not the artist. If it's so offensive to you then use the power of the purse and rent a John Wayne movie. Parent
It's a marketing tactic, nothing more nothing less. Parent
Dancin' Queen! ;-) Parent
True.
But not everyone will have a need to enter the health insurance market. Thus the mandate DOES require entering a market. Entering the market is not automatic.
It is amazing to me that people don't get the very obvious difference between health insurance and health care. I guess it's a sign of the fact that most people don't pay for their own health insurance.
To those of us outside of that fortunate realm, buying health insurance PRECLUDES buying health care in a lot of cases. It definitely does for me. Making people enter that market if they can't afford it is going to be a disaster. Just watch and see.
Or - am I just a "whining" "professional leftist"?
His shills especially seem to think it is a positive for him to to be seen as weak and powerless in the face of republican monsters under the bed and in his closet, I can only assume that they expect it somehow generates sympathy votes, or something.
I do not think he caves. And I do not think he is weak, or powerless.
When someone continually and repeatedly goes along on everything with someone else whom they 'claim' to be opposing, it's not 'caving'.
It's the plan. The INTENTIONAL plan. Parent
Did you read or hear what Obama himself had to say about the futility of a "mandate" when he was running against H. Clinton for the nomination?
But the bottom line is, he didn't even try for it. Parent
It's quite true that the President can want something "well & mightily" etc. etc. But that has no bearing on the single payer issue. Because it was clear as glass to anyone who actually did care about SP that he did not want it "well and mightily". Parent
The closest we got, IMO, was the brief period that it looked like expanding-Medicare-for-all was on the table as a real possibility before it was knifed by the gentleman from the home state of the corporate healthcare system , Connecticut's Lieberman. Even today we still see national polling showing--over & over--a resistance to the government control of healthcare. Why? I suspect it has to do with the historical concept of "individualism" in the US. Remember the ill-fated reality of the Clintons' single payer plan.... Remember a lot of the past proposals... I'm sure that President Obama took the earlier rejections to heart--as well as the late Senator Kennedy's advocacy for healthcare compromise after learning the same bitter lesson.
It is important to remember most that the multiple levels of what was going on, what could be crafted to meet a timid Congress' wants, what would not frighten the American public as the dreaded "big government" (recall the silly, yet heartfelt, cry to "keep your government hands off my Medicare"...these levels do not all appear on the surface. The President is not, nor could any President be expected to be, a one man educator for society, because we are talking deep-seated fears by significant segments of Americans who can be conned to vote at odds with their own interests etc. etc. Not an excuse...just a reality that offers limited opportunities for threading the healthcare needle.
President Obama clearly did what he had to do in providing for passage of healthcare reform legislation ... A feat which so many others attempted & failed in the political maelstrom that such subject sets off.
I hope some of the ACA will survive the more & more demonstrably political Supremes. The human beings who have been helped by ObamaCare & now stand to lose that help are many. And, as I'll keep saying, the likelihood that anything else will or can be crafted to replace that is exceedingly small In our very polarized posture today. Without the art of compromise, we are left with little more than handwringing. But then, we'll see soon enough. Parent
The late emergence of the "public option" was, in my opinion, just another political ploy designed to quiet the rumbles from within the base. You know as well as I do that the behind-the-scenes message to insurance and Big Pharma was, "no worries, guys - I'm just throwing these whiners a bone for them to chew on for a while - and while they're busy with that, we can just get back to figuring out how to make your bottom line fatter than ever."
Yeah, I'm sure you know no such thing.
Which is why I probably won't be successful in asking you if you could please stop referring to this as "healthcare" reform? This was always and ever an insurance bill. Parent
Nothing.
It was all about insurance, christine. It mandated that everyone had to have insurance - well, everyone except those who were exempt, and that is, surprisingly enough, a lot of people; it kept in place what has always been a barrier to care: the insurance industry.
I truly do not know why someone who is clearly quite intelligent doesn't seem to be able to grasp that.
David Dayen and HuffPo:
But because of the way in which the US health care system works - and because Obamacare by and large did not mess with that system - the mandate will only come into play for 2-5% of the total population. Just 2 percent of the U.S. population would be subject to the aspect of health care reform at the center of a constitutional challenge before the Supreme Court this week -- the individual mandate, a study released Monday by the Urban Institute found. The analysis said 98 percent of Americans would either be exempt from the mandate -- because of employer coverage, public health insurance or low income -- or given subsidies to comply. Including those who are subject to the mandate, but would get subsidies, increases the total number of people affected to 5 percent of the population, according to the Urban Institute, a non-partisan policy research organization based in Washington, D.C. (Some of those subject to the mandate who get subsidies would still need to dig into their pocket to cover the difference.) Now, as the US system evolves, and more companies drop health insurance and pay the employer mandate penalty - which is oddly not part of this challenge - perhaps that 2-5% number expands. But that's all we're talking about here.
Just 2 percent of the U.S. population would be subject to the aspect of health care reform at the center of a constitutional challenge before the Supreme Court this week -- the individual mandate, a study released Monday by the Urban Institute found. The analysis said 98 percent of Americans would either be exempt from the mandate -- because of employer coverage, public health insurance or low income -- or given subsidies to comply. Including those who are subject to the mandate, but would get subsidies, increases the total number of people affected to 5 percent of the population, according to the Urban Institute, a non-partisan policy research organization based in Washington, D.C. (Some of those subject to the mandate who get subsidies would still need to dig into their pocket to cover the difference.)
Including those who are subject to the mandate, but would get subsidies, increases the total number of people affected to 5 percent of the population, according to the Urban Institute, a non-partisan policy research organization based in Washington, D.C. (Some of those subject to the mandate who get subsidies would still need to dig into their pocket to cover the difference.)
Now, as the US system evolves, and more companies drop health insurance and pay the employer mandate penalty - which is oddly not part of this challenge - perhaps that 2-5% number expands. But that's all we're talking about here.
Mandate or no mandate, there will still be millions without insurance, and most importantly, millions without access to affordable health care.
That doesn't sound like "reform" to me. Parent
Look, my preference would have been to expand Medicare for all (or some such similar approach.) After Lieberman effectively knifed that, my dream turned to what could be accomplished. It seemed that one of roughly three things could have resulted when the matter was first presented this time around: Total, universal coverage & care via a single provider (probably a Medicare-type model), the usual nothing as we have witnessed from generation to generation, or the mid-course that would incorporate the longtime American model of private industry providers with government-strengthened regulation. Obamacare is the mid-course.
It may be that where important differences between progressive individuals have resulted comes down to--in practice--the question about judgement-call. Given the jagged history of attempting any reform in the healthcare/health insurance arena for so many years and given the repeated examples of the public's oft-times negative emotional reactions about "big government" (irrational tho it may be) taking over and given the obvious brouhaha in Congress as the issue was being introduced, I accept the President's decision that this was the legislative choice that could be achieved. And, we both know the rest of the argument, Anne...the argument about whether the incremental gains methodically being put in place nationally now via ACA benefit enough people now (& later) so as to be worthwhile in the interim. I think that the insurance gains directly translate into very real healthcare gains for significant numbers of people even before the full development set for 2014...real, measured, systematic development.
Believe me when I say in sadness that the prospect of an extremely political 5-to-4 SCt decision (ala a replication of the Lochner Era) bringing us back to "square one" again in this healthcare fight leaves me somewhat drained this weekend. Drained, even as I wonder what the Republican House will or, more likely, NOT propose as an acceptable healthcare "replacement" for the country. I suspect that neither of us will hold our breath. Parent
my neck feels just fine.
Maybe they're even keeping your neck safe as you continue to conflate health insurance with health care. Parent
As for conflation: High-falutin word, say what! Lets just say that the good of Obamacare/ACA far outweighs what we have now...and offers lots more if left to develop. Thanks again. Parent
And conflation is "High-falutin?" I think more of us middle/working class types have familiarity with it than you think. Many of us certainly know it when we see it.
However, just in case you're right and someone is wondering.
In all seriousness, the truth is, I think words are important. And we should all strive to be as accurate and clear, or descriptive and poetic as we possibly can. We should do the absolute best we can do with the vocabulary we have. That doesn't always mean use the biggest word: one can obfuscate just as easily that way.
Sometimes I succeed. Sometimes I don't. But conflation is the logical fallacy that I typically spot the quickest. On issues of importance to me, that is. Parent
Actually, sj, I understand the importance of being attentive to word usage in terms of precision & definition. Apart from my Sunday indulgence in NYT crossword puzzles, I moan from time to time about careless modern language practices...e.g., casually transforming nouns to verbs resumbles the fingernail-on-blackboard image. So...I appreciate your remarks when my language usage suffers from imprecision & vagueness. Parent
An estimated 23 million people will remain uninsured when ACA is fully enacted. That is not universal coverage. And calling it such does not make it so. And as near as I can tell you are saying there will be universal coverage. Correct me if I misread you.
Show me universal access and I will jump for joy at health care reform. We are not there and don't expect to be there. Sometimes there really is a distinction without a difference. ACA and health care reform is not such a case.
Speaking of word usage, my teeth are set on edge when I hear someone casually say "same difference" when they have actually misspoken (not that you have ever said it, I'm just saying). Parent
But Obama repeated that he rejects an immediate shift to a single-payer system. "Why not single payer? People don't have time to wait," Obama said. "They need relief now. So my attitude is let's build up the system we got, let's make it more efficient, we may be over time--as we make the system more efficient and everybody's covered--decide that there are other ways for us to provide care more effectively."
"Why not single payer? People don't have time to wait," Obama said. "They need relief now. So my attitude is let's build up the system we got, let's make it more efficient, we may be over time--as we make the system more efficient and everybody's covered--decide that there are other ways for us to provide care more effectively."
"Why not single payer? People don't have time to wait," Obama said. "They need relief now.
Medicare was brought live in year. With old, outdated computer technology.
ACA doesn't go into full effect until 2014. That's more efficient, I guess. Parent
These days you can't get the House to pass a bill approving of puppies as proper pets for orphans if minorities or the poor happen to like puppies, and you can't get the Senate to vote on whether to vote on voting to vote on discussing whether to vote on their own version of the puppy approval bill.
Then when the compromise bill restricting the approval of puppies to those that meow and use the litter box passes via procedural overrides, SCOTUS will knock it down because the framers didn't mention puppies once, ever, so having them as pets isn't constitutional - unless the lobbying firm one of the justices' wives works for gets the puppy approval marketing contract, then all bets are off.
Yep, 1965. Good times. Parent
He asked tough questions but we'll see when the states take to the podium.
Toobin also says Solicitor General Verrilli was a disaster, seemed rattled, nervous, unprepared, didn't even have a good answer for the inevitable "broccoli" question. Parent
Citizens United was extremely broad in scope considering it all started with the showing of "Hillary". And, if determined to use tea leaves, it would not be unreasonable to (a) consider the possibility of grandstanding by the rightist Justices and (b) incorporate the notion that this is not just a legal case, but also, a political one (cf. Bush v Gore). Parent
... before they were against it. Parent
I'd love for someone to explain to me the difference between "do this or we will fine you" and "do this or we will raise your taxes" or "do this or we will take away your tax break". Whateva ya call it, at the end of the day Joe Blow is coughing up extra cash to Uncle Sam because he didn't get in bed with an insurance company, no?
And using that same logic, don't we already have a mortgage mandate? If you get in bed with BofA and get a mortgage, you get a tax break. Decide to rent or pay in full in cash for a crib? Taxman says that'll cost extra.
One thing I am confident the government has the constitutional right to do is raise taxes to pay for medical care for its citizens should they become ill and can't afford treatment...whats the reason we can't just do that again? Parent
But it's a tax increase, even if they don't want to say so because it's politically expedient not to say so. And the way to avoid it is to buy medical (not health) insurance. Just as people who can't afford to buy a house have to pay the mortgage tax, people who can't afford to buy insurance have to pay the insurance tax. It's discriminatory toward people who are sitting on the cusp of poverty without actually being there. And because of that, it's a travesty of epic magnitude. But I think it's going to hold, sad to say.
I agree with your last comment. If we couldn't have a full on public option, it would have been awesome to extend a program like medicare to people who have been denied insurance because of pre-existing conditions. Medicare is currently a mecca of people with pre-existing conditions. Adding a few more folks who are younger would likely have been less expensive than this...even with the new tax they're implementing!!! and it would have sacrificed the lives and livelihoods of far fewer people.
Of course, keep programs like insuring youngers until they're 26, etc. But throw the rest out. Parent
Instead, set it up like the mortgage deduction -- those who pay for health insurance get the break, those who don't pay for health insurance don't get the break and pay more in taxes. Parent
You have a choice to buy a car or take the bus.
You don't have a choice under this law of living in this country without insurance (unless you count suicide or moving to another country).
That for us on the libertarian side is the constitutional question. Can the government force you to buy something you could do without, not that it's a good idea to go without but you could.
This in our view is a huge expansion of the federal mandate. It is much more direct then favorable tax laws etc... in that you still have a choice, be it a good one or not.
You don't have to get married, you don't have to give to charity, you don't have to etc...
Under the mandate you don't have a choice. Die, move or pay the tax/penalty/fine.
That's the question that was hammered home by Kennedy. The liberal justices IMHO gave pretty pathetic passes. Why? Because as I said yesterday they believe in a living breathing constitution where it is perfectly acceptable to continually and gradually expand the role of the Federal government.
3 or 4 justices don't share that view and possibly 2 of them do with limits.
The constitutional question is does the mandate puss the expansion too far and too fast.
Sounds like 5 justices think it does. Parent
Here the government is saying the federal government has a duty to tell citizens it must act," Kennedy said. That changes the relationship between the government and the person "in a fundamental way.
While I can see your point it is really a question of does the end justify the means?
Why not just give a tax incentive to buy insurance? As Ezra points out in his blog this would have totally gotten around this issue.
For us on the libertarian side it is not that this particular mandate would be bad, I mean I have insurance after all, but that once this is approved by the court there is new and crystal clear precedent that the government (mainly congress) can compel you to buy something if it's in the common good.
There are other ways to the same place and for us on the small government side this was an unnecessary step that overstepped the powers of congress. Parent
And with the CBO predicting (worst case scenario) that up to 20 million more people could lose their employer-sponsored insurance, in addition to the 35+ million that already don't have insurance, you are talking about a lot of people. Parent
My only concern with that is it opens the door for more government intrusion into our lives for the sake of keeping the national medical bill down...a prohibition of cheeseburgers for the "common good", or some nonsense like that could come of it. Though I guess such intrusions are nothing new regardless. Parent
Prohibition of cheeseburgers isn't even in the same universe for comparison. Parent
Could we do away with some other expenses to pay for health care? Absolutely. The problem is, getting people to agree what we can do without. Parent
The problem is, getting people to agree what we can do without.
For example, my priorities would be to keep the SS and Medicare deductions. Put $$ currently spent on Health Insurance into national single payer system and divide my actual taxes into the following buckets.
In theory, some taxpayers would be devoted to things that I don't care about, and our national priorities would be met. Yes/no? Parent
But I think for most we could find some middle ground.
Problem is, states get money and jobs for those entrenched things like military bases and politicians keep getting elected for bringing home the bacon. Parent
We are all part of the Ponzi scheme to one degree or another. Parent
The financial system nearly collapses in 2008, indicating major systemic problems. What do we do? Double-down on that system....push the problem down the road.
The healthcare system has major systemic problems, what do we do? Double-down on that system...push the problem down the road.
I don't pretend to have any answers, maybe the hard truth is the best we can do is stall the day of real reckoning, I don't know...but I think we really lack more than anything, like Dadler always says, is imagination. We get married to a way of doing things regardless if it is the best way of doing things, unable to imagine a better way and give it a shot. Parent
So yes, NOT buying something affects us all.
The question is, does the government have the right to make us buy something "for the common good?" And if so, what is the common good and when will we have a definitive list?
Let me see..... But a new Volt or pay a $1000 fine.... Buy 2% milk or pay a $10 fine.... Parent
and if I do I'm probably gonna skip paying the freight for them
I share that libertarian concern my friend...I'm serious in my concern that it could set a precedent for a bank account mandate, or a 401k mandate. Parent
The cost to the government of paying your emergency room bills for the rest of your life is considerably greater. Parent
Here is a link, to a NY Times story, but in case it is behind a firewall, here is the quote:
Financing in Oregon comes from fees paid to register the deaths with the state. The state legislature in June voted to raise the filing fee for death certificates to $20 from $7, to help offset the increased costs of state cremations, which cost $450.
Your analogy of special ed education is a much better one than the one the justice put forward. I don't pretend to know the answer of what the price point should be. I just wish the justice had used a better analogy - one that it took less than 5 minutes of thought and research to answer. Parent
is OK for taxpayers without any children to pay the thousands of extra dollars a year to educate my kids?
If you don't buy a house, you are paying the mortgage tax. If you don't get married, you are paying a single tax. That's how it works. Parent
Act as the government would like you to act and get a handout. Don't and you don't get the break.
For some it doesn't make financial sense to buy a house or get married so it's not a hard choice at all.
That is a big difference between do want or we'll fine you.
I suppose the only other way to make the same point would be to make it illegal or against the law to not have insurance. Rather then have the government tax you.
And as president Obama said in 2008 many, many times the mandate is not really enforceable anyway so why bother? Parent
Call it a fine or a tax or whatever you want, it's the same money out of my pocket to the same people.
I get that you are trying to differentiate between the government giving you money to do something vs taking your money if you don't do something, but in reality there is no actual difference, since the amount they can take from you to begin with is arbitrary and can change whenever. Parent
There is a huge difference if it's not in your interest to do so. Parent
This whole debate has proven to me that the GOP really has no ideological compass and they are bankrupt and bereft of ideas. They are just a bunch of knee-jerkers who are against something because Obama is for it.
George W. Bush expanded Medicare and they said nothing about it. Parent
Of course, same said conservatives always seem to have the VA or some other government program that pays THEIR insurance.
Why would the VA provide conservatives THEIR insurance? Parent
I don't begrudge them the coverage but the hypocrisy stinks to high heaven.
Conservatives: It's okay for the tax payers to pay for MY insurance but I certainly don't want to pay for anybody else to have coverage like I do. Parent
Two of the biggest ones that I know that are yelling about this law got their healthcare from the VA one even getting a heart bypass totally gratis from the government.
You think these two guys did nothing to earn the healthcare they are receiving from the VA. The answer is for the taxpayers to get out of the VA business, I guess. Parent
So you now agree that we can't get rid of Social Security or Medicare because people have been paying for the contract with their salary deductions?
And again, it's the hypocrisy. Parent
Do you have a problem with Union (none / 0) (#103) by Wile ECoyote on Wed Mar 28, 2012 at 11:16:45 AM EST members getting their healthcare paid for as part of a contract?
members getting their healthcare paid for as part of a contract?
No, nope, nyet, nein. Speaking for myself only. Parent
Of course, they'd all lose their jobs for that. As they should. Parent
You have a choice to work or not. Parent
BTW - You don't pay FICA on SocSec payments...
You do pay FIT based on your income level Parent
Director Lee Daniels has chosen Jane Fonda to play Nancy Reagan.
I try to live by the model "love the art, not the artist" but needless to say many on the right will be upset to find out that Commie Jane is playing the most beloved first lady ever.
Let the fireworks begin. Parent
You need to get out more, my friend. Parent
See Reagan movie with BS husband, see Clinton movie blaming him for Bin Laden, etc...
No Card Carrying member of the Reagan Army is going to go see a movie where Jane Fonda plays his wife.
I will if the reviews are good because I'm so open minded. Some of my conservative brethren will not. Parent
And honestly, the Vietnam War ended 37 years ago this coming month. And speaking as someone who lost his father there, when it comes to Jane Fonda, I have no problem telling the wingers to either get over it, or take their whining someplace else.
Speaking of which, we're going to Vietnam in June. I can't wait. Parent
According to TMZ:
Sybrina Fulton is seeking trademarks for "I Am Trayvon" and "Justice for Trayvon" so that the phrases can be placed on digital products like CDs and DVDs.
Her lawyer said she is not doing this for profit.
One has to wonder if the administration also wants the mandate overturned. Judging by how things turned out today, you have to wonder.
But I haven't heard/read a lot of other opinions about what went down today, and I wouldn't want to rely solely on Toobin's interpretation. Parent