Media Matters, in an item titled,
"Right-wing media falsely claim that health care reform will
increase premiums," charges that I was wrong yesterday when I
posted about the exchange between President Obama and Sen.
Lamar Alexander on the impact that the Senate health care bill
would have on premiums. Let me take a moment to respond.
To start with, the post misrepresents what I actually wrote. It
boldly proclaims: "Klein: CBO estimated that individual and group
plans would increase under Senate health care reform bill."
Actually, if you
read my post, you will see that at no point did I mention
anything about group health care plans. Not a word. So that's
just demonstrably false.
Next, I want to print what CBO wrote, and compare it to what I
wrote.
The average, unsubsidized premium per person covered (including
dependents) for new nongroup policies would be about 10 percent
to 13 percent higher in 2016 than the average premium for
nongroup coverage in that same year under current law.
And here was my take yesterday, right-wing propagandist that I
am:
Sen. Lamar Alexander has called out President Obama on claims
that health care legislation would reduce premiums, noting that
the Congressional Budget Office has estimated that premiums
would be 10 percent to 13 percent higher in the individual
market under the Senate bill than under current law.
Average premiums per policy in the nongroup market in 2016
would be roughly $5,800 for single policies and $15,200 for
family policies under the proposal, compared with roughly
$5,500 for single policies and $13,100 for family policies
under current law.
Prepare yourself for my outrageous distortion:
The CBO report,
which was released in November, found that in dollar terms, an
individual policy would cost $5,800 and a family policy would
cost $15,200 in 2016 if the Senate bill were enacted, compared
with $5,500 and $13,100 under the status quo.
The argument that Media Matters pushes is one that liberals have
been making since November when the analysis first came out and
stirred a debate in Washington. Since 57 percent of those in the
individual market would receive government subsidies, according
to the CBO, and thus pay less for insurance after the subsidies
were factored in, liberals argue that it's wrong to say that
premiums would increase.
Here's how I
responded to that argument at the time:
[S]ubsidies do not change the underlying cost of the policies
-- the only difference is that other taxpayers are picking up
the rest of the higher tab. And
14 million Americans who earn too much to qualify for
subsidies (the cutoff is $43,320 for individuals; $88,000 for a
family of four) would see their premiums go up. The point is
that when the health care push began, we were led to believe
that legislation would reduce the economic burden of health
care costs by lowering premiums and containing the growth of
health care spending. But the current legislation does not
accomplish that goal. If liberals still want to argue that
helping more Americans obtain coverage is worth the costs,
that's fine. But saying that government will subsidize the
higher premium costs created by health care legislation is a
far cry from boasting that reforming our health care system
will lower the actual price of insurance.
And I continue to stand by what I wrote. According to the CBO,
average policies in the individual market will be 10 to 13
percent higher than under the status quo in 2016. Somebody will
have to be paying those higher premiums, even if it isn't always
the actual policyholder who will be bearing the full cost.
Wear their false claim as a badge of honor, Mr. Klein.
It's hard, very hard, reading what they write, but, somebody has
to keep tabs on those kooks. How in the world did they come up
with that name, Media Matters?
ggoblue| 2.26.10 @ 9:12AM
pravda and tass were already taken.
Bob| 2.26.10 @ 9:56AM
Philip, since I worked in the industry, I can say you are
absolutely correct. However, to gain a perspective on this, most
people don't really know if they have a group or individual
policy -- they just have health insurance. Thus, the
qualifications we heard make both sides "technically" correct if
they use the proper verbage. But what is important is to realize
that over 80% of health insurance are group policies at group
rates. The reason group rates are lower is more than its just a
large group of people. Generally, people who are gainfully
employed by a large company are in better health than all other
individuals. In addition, the median age in group policies is
lower than that of individual policies thus lowering the cost.
On the other hand, the high risk pools talked about by
Republicans is a fantasy. High risk, even if subsidized, means
high rates -- anywhere from 3 to 5 TIMES higher than group
policies. That's one of the reasons we have Medicare as
individual policies for retired old people (like me) would be
unaffordable.
Neither side has clean hands in this, but certain Republicans,
like Ryan and Kyl tend to be technically more correct. There is
no question that it would be far cheaper for the country to have
Medicare for everyone. But then rationing becomes an issue and
that is something that does not seem quite "American". That's one
of the reasons I continually propose a hybrid system where basic
and emergency care is universal and everything else, including
doctors visits are done by private insurance. That way we can
lower costs and still have individual choice in policies.
By the way, the Republicans are wrong in talking about individual
portability of group plans -- there can be no such thing by the
simple definition of a "group". When a health insurance company
makes a group bid, they take a "census" of the group to determine
rates. A younger group gets lower rates than an older group. A
white collar company gets lower rates than a mostly blue collar
company. If you now add portability, you will no longer get low
group rates and everyone who has employer based plans will see
their rates grow by at least 30-50%. Is that really what most
people want?
L. Ross| 2.26.10 @ 10:50AM
Well put, Bob.
Ken (Old Texican)| 2.26.10 @ 11:48AM
Bob,
I must congratulate you.
I do not know if your numbers are correct or not, but your
thoughts are finally coherent.
Thank you.
Bob| 2.26.10 @ 1:32PM
Ken, whether you like it or not, you're stuck with me as a fiscal
conservative and a social libertarian. I don't want the
government in my pockets or pants and believe that we should let
individuals make their own moral decisions as much as possible --
and that includes abortion and gay marriage.
I also go where the numbers, facts, and data take me and don't
like this ideology game. Believe it or not, even though I don't
believe tax cuts are stimulative because the data doesn't support
that conclusion, I believe in strong conservatism in fiscal
matters. I'm a penny pincher and I want my government to do the
same.
On the health care bill, it is a piece of junk. While few
Republicans really have any ideas of merit, the Democrat ideas
will bankrupt us -- and with 7 grandchildren, that bothers me.
Since I am an atheist and don't believe in life after death, it
is what I leave my progeny that is important to me. I want them
to have a better life than me.
And yes, most of the time I think your thoughts are incoherent as
well.... (Smile.....)
SoCon| 2.26.10 @ 2:40PM
Wow! Old Tex got a 'smile' out of the old CURmudgeon.
How's that Obama vote of yours workin' out for you, Bob?
Bob| 2.26.10 @ 2:50PM
Better than your vote for the two dunces....
SoCon| 2.26.10 @ 3:34PM
Yes, your vote for Obonehead and Doofus Biden must make you so
proud. LOL.
Bob| 2.26.10 @ 6:24PM
Yes. Over dim-witted and clueless Sarah and blow a gasket and
don't think McCain... Besides, after Republicans, in control of
the White House and Congress gave tax cuts but did not cut
spending, I didn't think they deserved another term. They blew
the debt all to hell. If you don't punish wrongdoing, you are
complicit in their crime.
But then again, you don't value reason and good thinking, do you?
SoCon| 2.26.10 @ 7:54PM
You mean the reason and good thinking that led you, a 'RINO', to
vote for a socialist doofus?
No, I guess not--that distinction is all yours, Bob.
Ralph Novy| 2.26.10 @ 12:25PM
Yes, well put, Bob -- especially "There is no question that it
would be far cheaper for the country to have Medicare for
everyone. But then rationing becomes an issue and that is
something that does not seem quite 'American'."
From my point of view, unfair rationing of health care under a
"single payer" program WOULD be a legitimate concern/objection --
EXCEPT THAT we already have unfair rationing, at the hands of the
insurance companies. Now, I'm not fond of the idea of being
jacked around or out-and-out stomped on by either government OR
corporate bureaucrats, but it seems to me that adding a profit
motive to the mix is probably not a good idea if fairness is your
goal.
So, on grounds of BOTH fiscal efficiency AND fairness in
allocation, I would submit that "Medicare for all" is the way to
go.
And I see nothing "un-American" in that.
At any rate, thanks for your thoughtful, temperate contribution.
Bob| 2.26.10 @ 1:41PM
Ralph, in business I specialized in new business development in a
number of industries. We lead the world in innovation and that
comes from the freedom to pursue ideas on our own. Yes, the
profit motive in health insurance is a negative, but it certainly
is not a negative in auto insurance which is mandated by all
states. There is significant price competition in auto insurance
as you know. There is no reason the same can't be done in health
insurance. That said, because of adverse selection in insurance,
the companies will compete for the most profitable customers and
thus those with sustained medical problems will be prices out of
the market. That's why I would propose a hybrid solution where
those who are priced out could have a "public option" (i.e.,
Medicare). That would allow individual choice and also coverage
for all who needed it. If someone wanted to pay more for a
"Cadillac" plan, they could. If someone wanted to pay less, they
could go bankrupt. Yes, there would have to be minimum policy
standards as there is in auto insurance, but the free market
could work a lot better.
The "un-American" comment comes from the political reality that
people do want to make their own decisions and that Medicare is
not solvent right now and won't be anytime in the near future.
Ralph Novy| 2.27.10 @ 1:09PM
Bob:
Just a few points:
1. Your auto insurance example is a good one -- except that we
don't "need" autos in the same way we "need" good health.
2. I don't see how your "hybrid" solution fundamentally differs
from the "universal" health-care solutions of, say, Canada, UK,
France, Germany, etc. (See
http://en.wikipedia.org/wiki/U.....alth_care.) Perhaps
"single payer" is creating a bugaboo here?
3. I really don't see that providing "universal" health care
(using the alternate term) will undermine individual
decision-making.
4. The question of Medicare's "solvency" seems pretty thorny.
Some say it's insolvent NOW; some say it might not be insolvent
till 2030; etc. My thought is that if Medicare is currently
insolvent, so is the DOD, notably. Where are our priorities?
Cheers.
Ralph
RoseGrower| 2.26.10 @ 8:38PM
Ralph - you claim that we now have "unfair rationing (of health
care) by insurance companies." When has an insurance company
demanded that a patient forego having a pacemaker implanted and
take pain pills instead? This was the answer Pres. Obama gave to
the woman who asked if a government health care plan would have
covered a pacemaker for her 80 year old mother. Under our current
system, an insurance company can choose not to cover a procedure,
but that doesn't stop the individual from making other
arrangements with a physician in order to receive the procedure.
Under government controlled health care, it would be illegal to
go outside the system - the choice here is "do it our way or
die." Today, Medicare recipients often carry supplemental health
insurance to cover those procedures the government won't. With
your idea of "Medicare for all," what is the likelihood that
there will be any private sector insurance available to fill in
the gaps? And Ralph, if you have read Ezekiel Emmanuel's white
paper on how best to impose a single-payer system, you'll
understand that one of the goals of government-controlled health
care advocates is to eliminate those individuals who are the
greatest drains on resources.
Ralph Novy| 2.27.10 @ 1:28PM
RoseGrower:
1. Check out the more complete version of Obama's response to the
woman at the town hall: http://www.youtube.com/watch?v....._embedded#
The makes it clear he wasn't talking about her mother or people
in her situation/condition.
2. Where did you get the idea that obtaining "outside" or
"supplemental" health care/insurance would become ILLEGAL under a
single-payer (or "universal") system. I haven't heard ANYBODY
propose that (except maybe Quebec). See
http://en.wikipedia.org/wiki/Universal_health_care for a pretty
good analysis of how it's been successfully implemented.
3. It's VERY likely -- in fact, quite certain -- that insurers
will still be around to sell at least supplemental health-care
policies. Again, see the the article I just referenced.
4. If by "Emmanuel's white paper" you mean the "Complete Lives
System," THAT only dealt with scarce-source transplant
situations, NOT single-payer/universal health care generally. For
a LONG discussion of Emmanuel's actual views and how Betsy
McCaughey dishonestly distorted them in her much-circulated
"Doctor Death" article, see the entry in Wikipedia on Emmanuel.
(Sorry, but that would be my third link, and it's not
allowed....lol.)
Anyway.... have a look at the sources I've cited. There are some
interesting facts and insights in there. Might allay at least
some of your concerns.
Regards. Hope your roses do well.
Ralph
Steve the Soothsayer| 2.26.10 @ 12:35PM
I suspect that most people are aware of whether they have a group
policy or not. Portability is not only possible, but actually
occurs in today's environment under the COBRA program, wherein
former employees are permitted to retain the policies at group
rates for up to 36 months in some cases. The problem is that such
group rates are still not affordable to most workers after their
employer's subsidies are discontinued. There would, however, be
no problem in extending COBRA-type portability until or unless
the separated employee discontinues the plan voluntarily. Such
extension would be virtually transparent to the carriers and the
former employers if premiums could be paid directly to the
carriers.
Bob| 2.26.10 @ 1:48PM
Actually, Steve, after working in the business, most people don't
know the difference between group insurance and individual
insurance. If you've ever read the policies (I've written
hundreds of them), there is very little difference between them.
As for group rates, business used the enticement of health
insurance to keep salaries low. If we now move to individual
policies, most people's rates would rise dramatically and they
would probably not get a salary increase to cover that cost.
Have you ever had COBRA? You pay the total bill, not just the
employee portion. Thus, let's say you pay $800 per month as an
employee with a family. Your COBRA payment could be as high as
$2,000 per month. It sounds good in theory, but when you get down
to the individual, it will cause problems.
For individual policies and portability to work, salaries would
have to be raised significantly to be payment neutral -- and most
businesses would not do that.
DanMingo| 2.26.10 @ 8:26PM
The point at issue, which involved how much premiums might rise
for various classes of consumers under the Senate and House
bills, might sound somewhat technical. But Obama was right: the
CBO study indicated that premiums would go down as much as 20
percent for families receiving the same coverage they buy now --
and would go up for those who sought better coverage.
DanMingo| 2.26.10 @ 8:28PM
The above was a quote from a Joe Conason article, just so you
know there are other sides to the story and nobody lied.
Janice| 2.27.10 @ 1:01AM
I think the real issue is the data onwhich the CBO made his
decision was faulty. It was the data the repubs challenged.
Faulty data = faulty decision.
Prices NEVER GO DOWN when the government gets involved; ObamaCare
will be no different.
David Blake| 2.26.10 @ 10:19AM
Media Matters/David Brock are puppets of the George Soros
machine. What can you expect but distortions and lies.
"And here was my take yesterday, right-wing propagandist that I
am:"
Mr Klein aren't you a VAST right-wing propagandist.
Or are you on a diet?
MattZ| 2.26.10 @ 11:02AM
Hey,
Maybe the US should just move to single-payer like the rest of
the industrialized world and then nobody will have to worry about
stupid, specious arguments about premiums. Or is that too
socialist for you patriots who can abide millions of uninsured
but can't stand it when terrorists have their day in court?
MZ
Hey dimbulb Matt. You sound like a fully paid up member of the
lumpen Marxetariat.
Tell you what Matty, you can come to the UK anyday and get shite
healthcare. Take my place. Please.
Or is that too socialist for an ignorant prick who wants to
prosecute Bush attorneys but loves it when terrorists walk free.
Pete| 2.26.10 @ 11:20AM
I love the smell of Euro-stool in the morning.
Ellis Wyatt| 2.26.10 @ 11:36AM
Obama got caught with his pants down yesterday and was
embarrassed by the GOP and their "prop", aka the Obamacare bill.
You are spot on Mr. Klein and the fact that Media Matters is even
discussing it tells me that they know that the public knows Obama
looked like an idiot.
Aside from basing your statement on facts, we might suggest to
our 'progressive' friends that applying common sense can be very
useful.
In the 60s, Democrats said Medicare and Medicaid costs would not
be an issue. Yet removal of large sectors of the market increased
costs for those of us who receive no government subsidies. Both
bills, even if combined into a hybrid, will do the same.
I'd also note that expecting reasoned analysis from Media Matters
is a bit like expecting my fat hound dog to reject a treat
because he's worried about the calories.
best to all, KBD
Bob| 2.26.10 @ 1:55PM
Expecting reasoned analysis from Media Matters is actually more
probable than getting it from Fox News, Rush or Beck. But that
aside, the problem with your statement is that the reason
Medicare costs so much is that people are living longer and
health care costs are rising faster than expected. In addition,
we won't let people die with dignity in this country. Did you
know that almost half of Medicare expense comes in the last year
of life? Doctors are afraid to give people the death option and
of course, we have lawyers. We could cut the Medicare costs in
half by indexing the age to life expectancy and having tort
reform. The average life expectancy at the initiation of Medicare
was 65. Now, it is 73. That should be when Medicare starts.
SoCon| 2.26.10 @ 2:49PM
Care to add some proof with your liberal whine?
Media Matters is known as a Soros driven propagandistic tool of
the left. Brock is just a bitter ex-TAS writer who went over to
the dark side.
Red Eye's Greg Gutfeld regularly skewers the lying nitwit in his
'robots' features. Hilarious.
ME| 2.26.10 @ 3:21PM
"Die with dignity" is just a code word for "give up and get out
of the way." It's nonsense to say that someone's death is more
dignified because they wanted it or because a docotor didn't try
harder to keep them alive. Dignity is about as useful a term in
these regards as "person" is when pro-choicers refuse to apply it
to an unborn human being.
All Medical costs are up, which will naturally inflate Medicare
costs. Letting elderly people die (which will inevitably result
in the hastened deaths of some, including some who will be denied
treatment based on some bureaucrat or uninvolved doctor) is not a
solution to anyone's costs, it's just a way to set aside
responsibility for the people who will be disposed of.
Bob| 2.26.10 @ 6:20PM
So let me get this right. Let's put the old codger on a
respirator and a dialysis machine, put him in ICU, and pay 15
docs their salaries. Do I have this right?
Let's talk about the conservative logic here. Do you believe
health care is a privilege, not a right? I do. Do you believe in
contracts? I do. So if you have a policy with limited coverage,
you shouldn't get care should you?
The fact is our expensive technology and medications extend life
far more than in the past and this increases medicare
dramatically. If you believe we should spend any amount of money
on an individual to keep them alive, then you are not a fiscal
conservative, you are a liberal bleeding heart.
Personally, I don't want to live where my quality of life is
being attached to machines rather that being out seeing my
grandchildren and living an active life.
You are certainly NOT a conservative.
SoCon| 2.26.10 @ 7:56PM
Only a lying liberal bleeding heart would defend Soros' Media
Matters. Doesn't do much for your 'RINO' cred, Bob.
Bob| 2.26.10 @ 8:10PM
And only a knuckle dragger would support Palin. I don't support
either Media Matters or Fox News -- they both have so much bias
that then end result are lies. The same is true with MSNBC.
You're problem, SoCon, is that you drunk too much of the KoolAid
and it has lowered your brain activity.
Knuckle Dragger| 2.27.10 @ 12:12AM
Personally, I don't want to live where my quality of life is
dependent on some GS-5 apparatchik in some government call center
reading from a computer screen who's just decided that, according
to 'expert' cost-benefit analyses, I've just passed the point of
diminishing returns and it's time to pull the plug.
I'd like to have a little say in how and when I go...or at least
my family should.
Get government, the trial bar, and Democratic Socialists the hell
out of the way and let the private healthcare industry deal
directly with individuals nationwide and cater to each and every
policy need and income level.
All government ever does is screw up nearly everything it
touches.
SoCon| 2.27.10 @ 1:13AM
You're the man, Knuckle Dragger; Bob the 'RINO' who proudly voted
for Obonehead and Doofus Biden--not so much.
Bob the 'RINO', what does Palin have to do with Media Matters?
You're the one who compared MM favorably to Fox News; forgot so
soon?
"You're (?) problem, SoCon, is you drunk (??) too much of the
KoolAid..." I think it's obvious who's the 'drunk' one here, Bob
the 'RINO'.
Ralph Novy| 2.27.10 @ 1:52PM
Bob:
I guess you'll have to count me in as a "bleeding heart."
I hold that access to adequate health care should be considered a
right in our nation/culture/society, not a mere privilege. And I
would point out that contracts can be "oppressive" and
"unconscionable." "A deal's a deal" doesn't -- and shouldn't --
always govern.
That said, I too am a penny-pinching atheist -- and none too
sanguine about giving too much power to EITHER government OR big
companies.
Cheers.
Ralph
Bob| 2.27.10 @ 3:51PM
Here's the problem, Ralph... How much are you willing to spend to
give everything to everyone? Under all of the nationalized health
care plans in other countries, there is some level of rationing
more severe than in most of our health care programs. They have
decided that rationing is OK if they can extend their program to
everyone. But we have all of those uninsured and under-insured
citizens. Plus we have the unfunded mandate that doctors and
hospitals cannot turn away anyone. I would have no problem with a
program like the one in Taiwan, for example. But most people will
not give up what they have -- so how do you get there?
ZerObama| 2.28.10 @ 4:33AM
The healthy elderly in the Netherlands are afraid to go to the
hospital for tests; they are afraid their doctors will euthanize
them without their consent.
Nice future to envision, right? That's our future on socialized
medicine--excluding the wealthy and the damned politicians, of
course. No thank you.
Ralph Novy| 2.28.10 @ 10:29AM
Bob:
1. You say "Under all of the nationalized health care plans in
other countries, there is some level of rationing more severe
than in most of our health care programs. " I don't know that
that's true. Of course, it depends in part on how you define both
"rationing" and "severe," but an awful lot of the
rationing/waiting-times horror stories I've heard about the
British and Canadian systems have turned out to be either
exaggerated or unsubstantiated.
2. The "unfunded mandate" created by hospitals not turning away
patients (at least in emergency-room situations) seems to me a
BIG reason to bring those people into the paying pool. They'd be
paying SOMETHING and wouldn't have to resort to ultra-expensive
emergency-room care so much.
3. Find it VERY curious that you express admiration for the
Taiwan system (explicitly modeled on American Medicare). Checked
it out at Wikipedia and a couple of other sources (notably
http://www.globalpost.com/disp.....are-taiwan).
Sounds pretty good to ME (2% administrative overhead!). How,
exactly, do you see current proposals for an American
single-payer system (H.R. 676, for example) as differing? On the
details, I think there's plenty of room for discussion and even
compromise. BTW... took note of the fact that private health
insurance is not illegal in Taiwan -- it's just largely not
competitive because of its much higher administrative costs.
…hand," notes David Freddoso, "is completely wrong." Now before certain lefty watchdog wannabes get all wee weed up–as they have at some columnists who have simply noted the predicted rise in premiums under Obama’s plan–let me note that the premiums in question are those associated with the individual insurance market, not the group market. These were also the premiums to…
Big Elk| 2.26.10 @ 9:51PM
"media matters", is like "Dawn of the Dead", (apologies to
flesh-eating zombies), they are a soros supported anti-American
gaggle of whiners and liars. Therefore, they flat out lied, just
like their boss; the short and strange looking soros. But, not to
worry; soros will die of greed, old age, and inbreed evil soon
and then we can all sing the Hallelujah chorus.
Long Ben| 2.27.10 @ 2:57AM
Marriage is an ordinance of The Lord. Therefore
homosexuals should have nothing to do with it.
Bob| 2.27.10 @ 3:52PM
I'm an atheist -- I guess that means I should not be able to
marry as well. Right? If you don't believe in "The Lord", your
argument goes away.....
ZerObama
| 2.28.10 @ 4:34AM
No, it just means your wife was stupid to have made the choice to
marry you.
…hand," notes David Freddoso, "is completely wrong." Now before certain lefty watchdog wannabes get all wee weed up–as they have at some columnists who have simply noted the predicted rise in premiums under Obama’s plan–let me note that the premiums in question are those associated with the individual insurance market, not the group market. These were also the premiums to…
…Massachusetts Strengthens Rules For Small Claims Collection Lawsuits | emexe.com Can You File a Legal Claim For Getting Asbestos Mesothelioma? | Multi-Tricks The American Spectator : AmSpecBlog : Media Matters Falsely Claims I’m Wrong Reputable Car Accident Law Lawyers Regain Your PPI Payments With A PPI Claim | vpacms.org What the Credit CARD Act Means for You | The Best Article Every day Credit…
Trackback| 4.29.10 @ 2:05AM
car insurance quotes, on car insurance quotes, links to this page. Here’s an excerpt:
For instance, if you were involved in an accident and that accident
was your fault, the non- owners insurance you have would only cover
the property damage of the persons involved and would only cover
the injuries to the other persons involved that were a direct
result of that accident. Your non- owners insurance would not cover
your own injuries or the damage to the vehicle you were driving,
these expenses would be paid out of your own pocket.
S.L. Toddard| 2.26.10 @ 8:06AM
Oof - caught lying, straight up.
Troll Rehab| 2.26.10 @ 8:23AM
Oof. Careful, your slip is showing.
Albert A. Turner| 2.26.10 @ 8:54AM
Wear their false claim as a badge of honor, Mr. Klein.
It's hard, very hard, reading what they write, but, somebody has to keep tabs on those kooks. How in the world did they come up with that name, Media Matters?
ggoblue| 2.26.10 @ 9:12AM
pravda and tass were already taken.
Bob| 2.26.10 @ 9:56AM
Philip, since I worked in the industry, I can say you are absolutely correct. However, to gain a perspective on this, most people don't really know if they have a group or individual policy -- they just have health insurance. Thus, the qualifications we heard make both sides "technically" correct if they use the proper verbage. But what is important is to realize that over 80% of health insurance are group policies at group rates. The reason group rates are lower is more than its just a large group of people. Generally, people who are gainfully employed by a large company are in better health than all other individuals. In addition, the median age in group policies is lower than that of individual policies thus lowering the cost.
On the other hand, the high risk pools talked about by Republicans is a fantasy. High risk, even if subsidized, means high rates -- anywhere from 3 to 5 TIMES higher than group policies. That's one of the reasons we have Medicare as individual policies for retired old people (like me) would be unaffordable.
Neither side has clean hands in this, but certain Republicans, like Ryan and Kyl tend to be technically more correct. There is no question that it would be far cheaper for the country to have Medicare for everyone. But then rationing becomes an issue and that is something that does not seem quite "American". That's one of the reasons I continually propose a hybrid system where basic and emergency care is universal and everything else, including doctors visits are done by private insurance. That way we can lower costs and still have individual choice in policies.
By the way, the Republicans are wrong in talking about individual portability of group plans -- there can be no such thing by the simple definition of a "group". When a health insurance company makes a group bid, they take a "census" of the group to determine rates. A younger group gets lower rates than an older group. A white collar company gets lower rates than a mostly blue collar company. If you now add portability, you will no longer get low group rates and everyone who has employer based plans will see their rates grow by at least 30-50%. Is that really what most people want?
L. Ross| 2.26.10 @ 10:50AM
Well put, Bob.
Ken (Old Texican)| 2.26.10 @ 11:48AM
Bob,
I must congratulate you.
I do not know if your numbers are correct or not, but your thoughts are finally coherent.
Thank you.
Bob| 2.26.10 @ 1:32PM
Ken, whether you like it or not, you're stuck with me as a fiscal conservative and a social libertarian. I don't want the government in my pockets or pants and believe that we should let individuals make their own moral decisions as much as possible -- and that includes abortion and gay marriage.
I also go where the numbers, facts, and data take me and don't like this ideology game. Believe it or not, even though I don't believe tax cuts are stimulative because the data doesn't support that conclusion, I believe in strong conservatism in fiscal matters. I'm a penny pincher and I want my government to do the same.
On the health care bill, it is a piece of junk. While few Republicans really have any ideas of merit, the Democrat ideas will bankrupt us -- and with 7 grandchildren, that bothers me. Since I am an atheist and don't believe in life after death, it is what I leave my progeny that is important to me. I want them to have a better life than me.
And yes, most of the time I think your thoughts are incoherent as well.... (Smile.....)
SoCon| 2.26.10 @ 2:40PM
Wow! Old Tex got a 'smile' out of the old CURmudgeon.
How's that Obama vote of yours workin' out for you, Bob?
Bob| 2.26.10 @ 2:50PM
Better than your vote for the two dunces....
SoCon| 2.26.10 @ 3:34PM
Yes, your vote for Obonehead and Doofus Biden must make you so proud. LOL.
Bob| 2.26.10 @ 6:24PM
Yes. Over dim-witted and clueless Sarah and blow a gasket and don't think McCain... Besides, after Republicans, in control of the White House and Congress gave tax cuts but did not cut spending, I didn't think they deserved another term. They blew the debt all to hell. If you don't punish wrongdoing, you are complicit in their crime.
But then again, you don't value reason and good thinking, do you?
SoCon| 2.26.10 @ 7:54PM
You mean the reason and good thinking that led you, a 'RINO', to vote for a socialist doofus?
No, I guess not--that distinction is all yours, Bob.
Ralph Novy| 2.26.10 @ 12:25PM
Yes, well put, Bob -- especially "There is no question that it would be far cheaper for the country to have Medicare for everyone. But then rationing becomes an issue and that is something that does not seem quite 'American'."
From my point of view, unfair rationing of health care under a "single payer" program WOULD be a legitimate concern/objection -- EXCEPT THAT we already have unfair rationing, at the hands of the insurance companies. Now, I'm not fond of the idea of being jacked around or out-and-out stomped on by either government OR corporate bureaucrats, but it seems to me that adding a profit motive to the mix is probably not a good idea if fairness is your goal.
So, on grounds of BOTH fiscal efficiency AND fairness in allocation, I would submit that "Medicare for all" is the way to go.
And I see nothing "un-American" in that.
At any rate, thanks for your thoughtful, temperate contribution.
Bob| 2.26.10 @ 1:41PM
Ralph, in business I specialized in new business development in a number of industries. We lead the world in innovation and that comes from the freedom to pursue ideas on our own. Yes, the profit motive in health insurance is a negative, but it certainly is not a negative in auto insurance which is mandated by all states. There is significant price competition in auto insurance as you know. There is no reason the same can't be done in health insurance. That said, because of adverse selection in insurance, the companies will compete for the most profitable customers and thus those with sustained medical problems will be prices out of the market. That's why I would propose a hybrid solution where those who are priced out could have a "public option" (i.e., Medicare). That would allow individual choice and also coverage for all who needed it. If someone wanted to pay more for a "Cadillac" plan, they could. If someone wanted to pay less, they could go bankrupt. Yes, there would have to be minimum policy standards as there is in auto insurance, but the free market could work a lot better.
The "un-American" comment comes from the political reality that people do want to make their own decisions and that Medicare is not solvent right now and won't be anytime in the near future.
Ralph Novy| 2.27.10 @ 1:09PM
Bob:
Just a few points:
1. Your auto insurance example is a good one -- except that we don't "need" autos in the same way we "need" good health.
2. I don't see how your "hybrid" solution fundamentally differs from the "universal" health-care solutions of, say, Canada, UK, France, Germany, etc. (See http://en.wikipedia.org/wiki/U.....alth_care.) Perhaps "single payer" is creating a bugaboo here?
3. I really don't see that providing "universal" health care (using the alternate term) will undermine individual decision-making.
4. The question of Medicare's "solvency" seems pretty thorny. Some say it's insolvent NOW; some say it might not be insolvent till 2030; etc. My thought is that if Medicare is currently insolvent, so is the DOD, notably. Where are our priorities?
Cheers.
Ralph
RoseGrower| 2.26.10 @ 8:38PM
Ralph - you claim that we now have "unfair rationing (of health care) by insurance companies." When has an insurance company demanded that a patient forego having a pacemaker implanted and take pain pills instead? This was the answer Pres. Obama gave to the woman who asked if a government health care plan would have covered a pacemaker for her 80 year old mother. Under our current system, an insurance company can choose not to cover a procedure, but that doesn't stop the individual from making other arrangements with a physician in order to receive the procedure. Under government controlled health care, it would be illegal to go outside the system - the choice here is "do it our way or die." Today, Medicare recipients often carry supplemental health insurance to cover those procedures the government won't. With your idea of "Medicare for all," what is the likelihood that there will be any private sector insurance available to fill in the gaps? And Ralph, if you have read Ezekiel Emmanuel's white paper on how best to impose a single-payer system, you'll understand that one of the goals of government-controlled health care advocates is to eliminate those individuals who are the greatest drains on resources.
Ralph Novy| 2.27.10 @ 1:28PM
RoseGrower:
1. Check out the more complete version of Obama's response to the woman at the town hall:
http://www.youtube.com/watch?v....._embedded#
The makes it clear he wasn't talking about her mother or people in her situation/condition.
2. Where did you get the idea that obtaining "outside" or "supplemental" health care/insurance would become ILLEGAL under a single-payer (or "universal") system. I haven't heard ANYBODY propose that (except maybe Quebec). See http://en.wikipedia.org/wiki/Universal_health_care for a pretty good analysis of how it's been successfully implemented.
3. It's VERY likely -- in fact, quite certain -- that insurers will still be around to sell at least supplemental health-care policies. Again, see the the article I just referenced.
4. If by "Emmanuel's white paper" you mean the "Complete Lives System," THAT only dealt with scarce-source transplant situations, NOT single-payer/universal health care generally. For a LONG discussion of Emmanuel's actual views and how Betsy McCaughey dishonestly distorted them in her much-circulated "Doctor Death" article, see the entry in Wikipedia on Emmanuel. (Sorry, but that would be my third link, and it's not allowed....lol.)
Anyway.... have a look at the sources I've cited. There are some interesting facts and insights in there. Might allay at least some of your concerns.
Regards. Hope your roses do well.
Ralph
Steve the Soothsayer| 2.26.10 @ 12:35PM
I suspect that most people are aware of whether they have a group policy or not. Portability is not only possible, but actually occurs in today's environment under the COBRA program, wherein former employees are permitted to retain the policies at group rates for up to 36 months in some cases. The problem is that such group rates are still not affordable to most workers after their employer's subsidies are discontinued. There would, however, be no problem in extending COBRA-type portability until or unless the separated employee discontinues the plan voluntarily. Such extension would be virtually transparent to the carriers and the former employers if premiums could be paid directly to the carriers.
Bob| 2.26.10 @ 1:48PM
Actually, Steve, after working in the business, most people don't know the difference between group insurance and individual insurance. If you've ever read the policies (I've written hundreds of them), there is very little difference between them.
As for group rates, business used the enticement of health insurance to keep salaries low. If we now move to individual policies, most people's rates would rise dramatically and they would probably not get a salary increase to cover that cost.
Have you ever had COBRA? You pay the total bill, not just the employee portion. Thus, let's say you pay $800 per month as an employee with a family. Your COBRA payment could be as high as $2,000 per month. It sounds good in theory, but when you get down to the individual, it will cause problems.
For individual policies and portability to work, salaries would have to be raised significantly to be payment neutral -- and most businesses would not do that.
DanMingo| 2.26.10 @ 8:26PM
The point at issue, which involved how much premiums might rise for various classes of consumers under the Senate and House bills, might sound somewhat technical. But Obama was right: the CBO study indicated that premiums would go down as much as 20 percent for families receiving the same coverage they buy now -- and would go up for those who sought better coverage.
DanMingo| 2.26.10 @ 8:28PM
The above was a quote from a Joe Conason article, just so you know there are other sides to the story and nobody lied.
Janice| 2.27.10 @ 1:01AM
I think the real issue is the data onwhich the CBO made his decision was faulty. It was the data the repubs challenged.
Faulty data = faulty decision.
Prices NEVER GO DOWN when the government gets involved; ObamaCare will be no different.
David Blake| 2.26.10 @ 10:19AM
Media Matters/David Brock are puppets of the George Soros machine. What can you expect but distortions and lies.
David Jack Smith| 2.26.10 @ 10:27AM
"And here was my take yesterday, right-wing propagandist that I am:"
Mr Klein aren't you a VAST right-wing propagandist.
Or are you on a diet?
MattZ| 2.26.10 @ 11:02AM
Hey,
Maybe the US should just move to single-payer like the rest of the industrialized world and then nobody will have to worry about stupid, specious arguments about premiums. Or is that too socialist for you patriots who can abide millions of uninsured but can't stand it when terrorists have their day in court?
MZ
David Jack Smith| 2.26.10 @ 11:20AM
Hey dimbulb Matt. You sound like a fully paid up member of the lumpen Marxetariat.
Tell you what Matty, you can come to the UK anyday and get shite healthcare. Take my place. Please.
Or is that too socialist for an ignorant prick who wants to prosecute Bush attorneys but loves it when terrorists walk free.
Pete| 2.26.10 @ 11:20AM
I love the smell of Euro-stool in the morning.
Ellis Wyatt| 2.26.10 @ 11:36AM
Obama got caught with his pants down yesterday and was embarrassed by the GOP and their "prop", aka the Obamacare bill. You are spot on Mr. Klein and the fact that Media Matters is even discussing it tells me that they know that the public knows Obama looked like an idiot.
Kay B. Day| 2.26.10 @ 1:40PM
Aside from basing your statement on facts, we might suggest to our 'progressive' friends that applying common sense can be very useful.
In the 60s, Democrats said Medicare and Medicaid costs would not be an issue. Yet removal of large sectors of the market increased costs for those of us who receive no government subsidies. Both bills, even if combined into a hybrid, will do the same.
I'd also note that expecting reasoned analysis from Media Matters is a bit like expecting my fat hound dog to reject a treat because he's worried about the calories.
best to all, KBD
Bob| 2.26.10 @ 1:55PM
Expecting reasoned analysis from Media Matters is actually more probable than getting it from Fox News, Rush or Beck. But that aside, the problem with your statement is that the reason Medicare costs so much is that people are living longer and health care costs are rising faster than expected. In addition, we won't let people die with dignity in this country. Did you know that almost half of Medicare expense comes in the last year of life? Doctors are afraid to give people the death option and of course, we have lawyers. We could cut the Medicare costs in half by indexing the age to life expectancy and having tort reform. The average life expectancy at the initiation of Medicare was 65. Now, it is 73. That should be when Medicare starts.
SoCon| 2.26.10 @ 2:49PM
Care to add some proof with your liberal whine?
Media Matters is known as a Soros driven propagandistic tool of the left. Brock is just a bitter ex-TAS writer who went over to the dark side.
Red Eye's Greg Gutfeld regularly skewers the lying nitwit in his 'robots' features. Hilarious.
ME| 2.26.10 @ 3:21PM
"Die with dignity" is just a code word for "give up and get out of the way." It's nonsense to say that someone's death is more dignified because they wanted it or because a docotor didn't try harder to keep them alive. Dignity is about as useful a term in these regards as "person" is when pro-choicers refuse to apply it to an unborn human being.
All Medical costs are up, which will naturally inflate Medicare costs. Letting elderly people die (which will inevitably result in the hastened deaths of some, including some who will be denied treatment based on some bureaucrat or uninvolved doctor) is not a solution to anyone's costs, it's just a way to set aside responsibility for the people who will be disposed of.
Bob| 2.26.10 @ 6:20PM
So let me get this right. Let's put the old codger on a respirator and a dialysis machine, put him in ICU, and pay 15 docs their salaries. Do I have this right?
Let's talk about the conservative logic here. Do you believe health care is a privilege, not a right? I do. Do you believe in contracts? I do. So if you have a policy with limited coverage, you shouldn't get care should you?
The fact is our expensive technology and medications extend life far more than in the past and this increases medicare dramatically. If you believe we should spend any amount of money on an individual to keep them alive, then you are not a fiscal conservative, you are a liberal bleeding heart.
Personally, I don't want to live where my quality of life is being attached to machines rather that being out seeing my grandchildren and living an active life.
You are certainly NOT a conservative.
SoCon| 2.26.10 @ 7:56PM
Only a lying liberal bleeding heart would defend Soros' Media Matters. Doesn't do much for your 'RINO' cred, Bob.
Bob| 2.26.10 @ 8:10PM
And only a knuckle dragger would support Palin. I don't support either Media Matters or Fox News -- they both have so much bias that then end result are lies. The same is true with MSNBC. You're problem, SoCon, is that you drunk too much of the KoolAid and it has lowered your brain activity.
Knuckle Dragger| 2.27.10 @ 12:12AM
Personally, I don't want to live where my quality of life is dependent on some GS-5 apparatchik in some government call center reading from a computer screen who's just decided that, according to 'expert' cost-benefit analyses, I've just passed the point of diminishing returns and it's time to pull the plug.
I'd like to have a little say in how and when I go...or at least my family should.
Get government, the trial bar, and Democratic Socialists the hell out of the way and let the private healthcare industry deal directly with individuals nationwide and cater to each and every policy need and income level.
All government ever does is screw up nearly everything it touches.
SoCon| 2.27.10 @ 1:13AM
You're the man, Knuckle Dragger; Bob the 'RINO' who proudly voted for Obonehead and Doofus Biden--not so much.
Bob the 'RINO', what does Palin have to do with Media Matters? You're the one who compared MM favorably to Fox News; forgot so soon?
"You're (?) problem, SoCon, is you drunk (??) too much of the KoolAid..." I think it's obvious who's the 'drunk' one here, Bob the 'RINO'.
Ralph Novy| 2.27.10 @ 1:52PM
Bob:
I guess you'll have to count me in as a "bleeding heart."
I hold that access to adequate health care should be considered a right in our nation/culture/society, not a mere privilege. And I would point out that contracts can be "oppressive" and "unconscionable." "A deal's a deal" doesn't -- and shouldn't -- always govern.
That said, I too am a penny-pinching atheist -- and none too sanguine about giving too much power to EITHER government OR big companies.
Cheers.
Ralph
Bob| 2.27.10 @ 3:51PM
Here's the problem, Ralph... How much are you willing to spend to give everything to everyone? Under all of the nationalized health care plans in other countries, there is some level of rationing more severe than in most of our health care programs. They have decided that rationing is OK if they can extend their program to everyone. But we have all of those uninsured and under-insured citizens. Plus we have the unfunded mandate that doctors and hospitals cannot turn away anyone. I would have no problem with a program like the one in Taiwan, for example. But most people will not give up what they have -- so how do you get there?
ZerObama| 2.28.10 @ 4:33AM
The healthy elderly in the Netherlands are afraid to go to the hospital for tests; they are afraid their doctors will euthanize them without their consent.
Nice future to envision, right? That's our future on socialized medicine--excluding the wealthy and the damned politicians, of course. No thank you.
Ralph Novy| 2.28.10 @ 10:29AM
Bob:
1. You say "Under all of the nationalized health care plans in other countries, there is some level of rationing more severe than in most of our health care programs. " I don't know that that's true. Of course, it depends in part on how you define both "rationing" and "severe," but an awful lot of the rationing/waiting-times horror stories I've heard about the British and Canadian systems have turned out to be either exaggerated or unsubstantiated.
2. The "unfunded mandate" created by hospitals not turning away patients (at least in emergency-room situations) seems to me a BIG reason to bring those people into the paying pool. They'd be paying SOMETHING and wouldn't have to resort to ultra-expensive emergency-room care so much.
3. Find it VERY curious that you express admiration for the Taiwan system (explicitly modeled on American Medicare). Checked it out at Wikipedia and a couple of other sources (notably http://www.globalpost.com/disp.....are-taiwan). Sounds pretty good to ME (2% administrative overhead!). How, exactly, do you see current proposals for an American single-payer system (H.R. 676, for example) as differing? On the details, I think there's plenty of room for discussion and even compromise. BTW... took note of the fact that private health insurance is not illegal in Taiwan -- it's just largely not competitive because of its much higher administrative costs.
Fare thee well.
Ralph
Pingback| 2.26.10 @ 9:00PM
MSNBC’s Norah O’Donnell Bungles the Facts in ‘Truth-squadding’ Attempt | TheWorldPoli links to this page. Here’s an excerpt:
Big Elk| 2.26.10 @ 9:51PM
"media matters", is like "Dawn of the Dead", (apologies to flesh-eating zombies), they are a soros supported anti-American gaggle of whiners and liars. Therefore, they flat out lied, just like their boss; the short and strange looking soros. But, not to worry; soros will die of greed, old age, and inbreed evil soon and then we can all sing the Hallelujah chorus.
Long Ben| 2.27.10 @ 2:57AM
Marriage is an ordinance of The Lord. Therefore
homosexuals should have nothing to do with it.
Bob| 2.27.10 @ 3:52PM
I'm an atheist -- I guess that means I should not be able to marry as well. Right? If you don't believe in "The Lord", your argument goes away.....
ZerObama | 2.28.10 @ 4:34AM
No, it just means your wife was stupid to have made the choice to marry you.
Pingback| 2.27.10 @ 8:25AM
MSNBC’s Norah O’Donnell Bungles the Facts in ‘Truth-squadding’ Attempt :Natural Diab links to this page. Here’s an excerpt:
Pingback| 3.11.10 @ 3:42AM
Massachusetts Strengthens Rules For Small Claims Collection Lawsuits links to this page. Here’s an excerpt:
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car insurance quotes, on car insurance quotes, links to this page. Here’s an excerpt: