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Obama's Attempt at a Bipartisan Health-Care Summit

100211_091022-086-health-carePresident Obama has scheduled a bipartisan meeting on health-care reform that will be nationally televised live on Feb. 25. His plan is to provide an opportunity for Democrats and Republicans to sit together with a representative of the Congressional Budget Office and health-care economists and practitioners to put forward ideas about health-care reform. President Obama is walking the extra mile to garner Republican support for health-care reform legislation. Bipartisanship is what the American people want. "'Come now, and let us reason together' says the LORD." (Isaiah 1:18) At this point, it seems as if a bipartisan agreement will require divine intervention.

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I confess: President Obama has more hope, faith, and patience with the Republicans than I and many of those on his political left. The good news is that we are not president of the United States of America. President Obama is taking seriously his responsibility to be president of all the people. The question is this: Are Republicans taking their responsibility to the nation seriously?

Republicans complain they have been left out of the process. However, Republicans sit on every committee in the Congress that has considered this. Jeff Zeleny, writing in The New York Times, reports: "Republicans were involved in the health care discussions for months last year in the Senate Finance Committee, but differences with Democrats were never resolved." They complain that their ideas have not been included in the legislation. Rachel Maddow, on her program that aired on Tuesday, Feb. 9, 2010, pointed out the places in the Senate health-care bill that address at least four of the major Republican demands for health-care: ability to purchase insurance across state lines, ability of small businesses and individuals to pool their buying power, ability for state innovation to lower costs, and tort reform. Even though these Republican ideas are in the Senate bill, it still received not a single Republican vote.

In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good. They have intentionally stalled health-care reforms that will bring health care to millions of Americans who do not have it. Obstructionism on this issue is unconscionable. Hardworking citizens of the United States, the richest nation on earth, die daily because they cannot afford the health care they need.

Some of us who are working and praying for health-care reform legislation are deeply disappointed and frustrated with our elected representatives, both Democrat and Republican. And the president keeps trying for bipartisanship. The definition of insanity is to do the same things over and over again and think there will be a different result. To keep trying for bipartisanship seems insane. However, I know that President Obama is not an insane man. He is no fool. Perhaps he is acting on faith, and very often faith looks foolish.

I suspect that by having this meeting televised, President Obama is putting his faith in us, the American people. He trusts us to watch and asses the facts and the policy proposals according to what is good for the nation and not according to ideological idolatry. It is our responsibility to hold our elected representatives accountable. I plan to watch. I hope that my fellow citizens will as well.

Dr. Valerie Elverton Dixon is an independent scholar who publishes lectures and essays at JustPeaceTheory.com. She received her Ph.D. in religion and society from Temple University and taught Christian ethics at United Theological Seminary and Andover Newton Theological School.

Sojourners relies on the support of readers like you to sustain our message and ministry.

by: Guest

02-17-2010 @ 9:10pm

Look, universal healthcare is DOA. Medicare for everyone is a bad idea. It's middle class welfare and can't be sustained. It will create rationing/fee schedule system. The fed. gov't has done that already. It's called Tricare. Raise the eligibility age for Medicare. Reduce payouts for Social Security. Raise income eligibility for Medicaid. Get folks who are eligible for gov't aid to actually sign up for it.

by: nancyv

02-14-2010 @ 9:19pm

Tort Reform is loved by big business, big insurance and Republicans because it puts a cap on awards for malpractice. Does anyone think this is one more instance of protecting the "big boys" and taking away one more Constitutional protection to patients of malpractice? How can you put a cap on a mistake that destroys a persons well-being? The man who had the wrong leg amputated, what is fair compensation? The woman who died from a bungled surgery or the patient who was refused life-saving treatment because of insurance costs.... what cap is fair? We have juries to make these decisions in the American Justice system. Or do Republicans believe that American juries are not competant to make the decision. I am tired of this tort reform argument. Surely there are better ways to reform our health care system without taking away this fundamental right.

by: jesse3

02-11-2010 @ 3:48pm

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."
--This statement could only be made by someone who is completely blind to every criticism that has been made against this healthcare bill by both Republicans and Democrats. It could also only be made by someone who is blind to the many backroom deals and bribes (e.g., Cornhusker kickbacks and Louisiana purchase) that have occurred over the course of this debate. Are you listening or just paying attention to Rachel Maddow?

If Republicans are acting in bad faith, then sorry to say, Valerie, so are you.

by: Christopher Nelson

02-11-2010 @ 4:36pm

I agree with Valerie. I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform. Senate Democrats spent most of the summer attempting to bring Republicans on board. Nothing. Even Republican Senators like Snow who had initially been supportive were pressured to support the filibuster. Let me emphasize that. The Republicans have specifically declared that they will not permit a vote on health care reform in anyway.
The "backroom deals" are typical of many, many laws. The fact that they are repeated endlessly indicates that they can scarcely be called "backroom," which by definition is meant to be secret. Nelson and Landrieu merely cut deals for the benefit of their state, as is exceedingly common in legislation, not for their personal benefit (which would be a bribe). Research why the District of Columbia is located in where it is to see just how old this practice is.

by: weneedjohngalt

02-11-2010 @ 4:48pm

Obstructionist Republicans? Really Dr. Dixon?

I'm no PhD, but I can count and I was under the impression our beloved President didn't need the Republicans.

It would seem the Community Organizer ran into a community he could not organize, namely the Democratic party.

God bless Barrack. In his short term, he has done more to advance conservative values than Reagan and Thatcher combined.

I "hope" the "change" continues in November, a la NJ. Va. and Ma. (Sorry, couldn't resist.)

by: ford49

02-11-2010 @ 4:50pm

If you think that the Democrats are the only politicians in Congress that have cut backroom deals regarding healthcare you are either naive or you are toxic on Rovian Coolaid...Sen. Jim DeMint's (R) comment declaring the GOP's goal to make healthcare Obama's "Waterloo" is the operant goal for the party of NO; about that they have been transparent. The GOP has been AWOL in ideas and intent to serve the American people who want reform of healthcare. They are in lock step with the healthcare lobby and to deny that would be simply disengenuous.

And now they have a new found abhorance to deficits when during their last attempt at governing as Cheney so eloquently stated, "Deficits don't matter" , parroting Ronald Reagan. If the GOP wants to attain the high ground they have a lot of political sewage to shovel beforehand.

You don't like Maddow because she has been replaying the statements of policy support that the GOP is now against so as not to give Obama and the American people any political comfort.

by: Guest

02-17-2010 @ 7:10pm

Look, universal healthcare is DOA. Medicare for everyone is a bad idea. It's middle class welfare and can't be sustained. It will create rationing/fee schedule system. The fed. gov't has done that already. It's called Tricare. Raise the eligibility age for Medicare. Reduce payouts for Social Security. Raise income eligibility for Medicaid. Get folks who are eligible for gov't aid to actually sign up for it.

by: Patricia

02-11-2010 @ 4:51pm

The important thing is whether what Rachel Maddow is saying is TRUE or not.

Is it TRUE that the ability to purchase insurance across State lines is addressed in the current health care legislation?

Is it TRUE that the ability of small businesses and individuals to pool resources for better buying power is addressed in the current health care legislation?

Is it TRUE that the ability for State innovation to lower costs is included in the current health care legislation?

Is it TRUE that tort reform is addressed in the current health care legislation?

The "Death Panel" claim made by Republicans regarding the current health care legislation, proved to be FALSE.

The "Government Takeover" claim made by Republicans regarding the current health care legislation proved to be FALSE.

The "Socialized Medicine" claim made by Republicans regarding the current health care legislation proved to be FALSE.

Do those who insist that Republicans (or Democrats) are acting in good faith have any responsibility to find out whether the claims made by either party are TRUE or FALSE?

I have done my best to locate independent sources to determine the veracity of claims on both sides. Unfortunately, the overwhelming balance of spreading deliberate falseness seems to lie squarely at the feet of the Republican Party. This is not to say that Democrats have not stretched the truth - they have. But, as in so many other areas, the Republicans have been objectively demonstrated to be so shamelessly over the top that there's not really any comparison that can be made. Of course, those who rely solely on FOX and "conservative" sources for their information exist in an alternative reality.

by: SamHamilton

02-16-2010 @ 10:17pm

The silence from the group is deafening.

by: ford49

02-11-2010 @ 4:58pm

The John Galt's in this country and world have gotten us into this mess. We need John Galt like we need a poke in the eye with a sharp stick...sorry I coildn't resist (one ideological jab to another).

by: BlueDeacon

02-16-2010 @ 2:39pm

Except for their own congressman/woman.

by: ford49

02-11-2010 @ 4:59pm

You go girl!!

by: Patricia

02-15-2010 @ 5:06pm

Ah, lord voldemort, just as you not having read my previous posts does not equate with me not having posted, so too your warped interpretation of my primary motivation does not equate with my actual motivation.

In a medicare for everyone system, there WOULDN'T BE ANY UNINSURED, and HEALTH CARE WOULD BE AVAILABLE TO EVERYONE. I think by any objective measure, those facts are not irrelevant to my support for medicare for everyone, but are in truth the basis for it!

My primary motivation is HEALTH CARE FOR EVERYONE - how you twist that in your mind to fit your preconceived beliefs is quite irrelevant to me :).

by: Patricia

02-11-2010 @ 5:06pm

What about the Republican seats that have been lost to Democrats? Do THEY bear a message about change? How many of them are there, compared to the 3 Republican seats you have noted as a sea-change for Republicans? If you are going to do a valid comparison, wouldn't you need to count the number of seats REPUBLICANS have lost, and compare those to the 3 you are using to prove your point? Where's the other half of your equation?

by: Patricia

02-15-2010 @ 5:01pm

Well, isn't one obliged to find out the truth, for sure, BEFORE making their claims :)?

by: prk

02-11-2010 @ 5:09pm

"Hardworking citizens of the United States, the richest nation on earth, die daily because they cannot afford the health care they need."

How many American will die as a result of the passage of this bad legistaltion?

How many drugs will never be invented?
How many cancers will never be curred?
How many of our best and brights will not go into the field of medicine?

You see we can oppose this bill in the name of "social justice".

by: Lord_Voldemort

02-15-2010 @ 1:14pm

Okay, so what's your point? Government programs are struggling, but the answer has to be more government?

You note that church-run clinics are dwindling, but did it ever occur to you that they they might be crowded out by government programs?

Again, the mindset that only government counts, that only government can help, is a huge obstacle to creative problem-solving.

LV

by: prk

02-11-2010 @ 5:12pm

Remember according to the CBO 93% of the uninsured between 20-35 will pay the fine instead of buying insurance.

by: Lord_Voldemort

02-15-2010 @ 12:33pm

What do I mean by finally coming clean? I mean abandoning the claim that your primary motivation is improving access to health care for the uninsured. I mean your acknowledging that the actual facts of their situation are quite irrelevant to your push for a government-run health care system.

LV

by: Lord_Voldemort

02-11-2010 @ 5:13pm

"Republicans complain they have been left out of the process. However, Republicans sit on every committee in the Congress that has considered this."

And what pray tell does that mean? On this bill in particular the formal committe meetings have never been where the action was. The process that matters is the behind-the-scenes negotiations between the administration, the interest groups, and Congressional leadership. Republicans have been frozen out of those.

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."

Oh dear! There's politics going on in Washington! Next thing you know there'll be gambling at Rick's Cafe Americain. And of course, the Democrats are completely pure. The payoffs for Landrieu and Nelson? Didn't happen.

"They have put party and politics before policy and the common good. They have intentionally stalled health-care reforms that will bring health care to millions of Americans who do not have it."

No. This is about health care insurance. Health care itself is broadly available to all who need it.

"And the president keeps trying for bipartisanship."

No. This is the first time that Obama has seriously acknowledged the existence of a Republican health care agenda.

"To keep trying for bipartisanship seems insane. However, I know that President Obama is not an insane man. He is no fool. Perhaps he is acting on faith, and very often faith looks foolish."

Why do I get the feeling that Ms. Dixon is trying to talk herself into something here?

LV

by: Lord_Voldemort

02-15-2010 @ 12:29pm

The points of common ground are as follows:

1. Health care is good.

2. Health care costs more than it probably should

And that's about it. There is a wide divergence on why health care costs are high, which leads to widely divergent plans to address the problem. I'm afraid we're not going to have a consensus on health care reform, because we have two largely irreconcilable views on the subject.

LV

by: Patricia

02-11-2010 @ 5:14pm

My hope is that the televised event will better inform those FOX viewers who had their feed of the President's live address to the Republicans cut when he began to enumerate their specific falsehoods and distortions.

Their message is only effective because most fail to challenge them and demand they tell the truth.

I want to encourage all my FOX friends to find another channel this time should their live coverage suddenly come to a halt :).

by: NC77

02-15-2010 @ 11:58am

I think the current healthcare reform legislation being considered may do away with HSAs and FSAs. But I am not certain of that. Just something I heard from one of the talking heads.

by: SamHamilton

02-11-2010 @ 5:22pm

Once again, Yuval Levin makes some good points about the politics of health care reform that tie in to Valerie's thoughts on whether working together is possible.

Here's his point:
Both sides agree there are huge problems with the current system, and they even agree on what some of those problems are...Liberals argue that we should move in the direction of socializing insurance coverage...Conservatives argue that we should move toward a genuine individual market in insurance coverage...That means that, beginning from where we are now, liberals and conservatives want to move in roughly opposite directions. And they each tend to think that moving in the other's direction would be worse than just keeping what we have for now. That's why the offer of moving in the Left's direction but not quite as far or quite as fast as the Left would ideally like isn't really very attractive to conservatives. It's why the individual pieces of their bills that the Democrats try to point to as incorporating Republican ideas don't really win any Republicans - because the question is which direction are you moving the system in on the whole?

He goes on to say that, The larger public, I think, is not so tied to either direction, but is opposed to doing anything huge. That's a big part of what the Democrats have done wrong this year: They have proposed too much. Whichever side is smart enough to propose some modest and sensible incremental steps in its preferred direction will have far better luck with the public.

I think it's pretty fruitless, in the end, for Obama to try to win Republicans over. Not because I think the GOP is invested in being "the party of no" or because they don't have any ideas of their own. It's because finding a compromise that both sides think moves the ball in their direction is virtually impossible. This summit is no more than an opportunity for each side to try to get a good photo op.

Here's a link to his entire comment:
http://corner.nationalreview.com/post/?q=MDY3Zj...

by: NC77

02-15-2010 @ 11:53am

I can agree with you on this 100%. Not sure the exact number but there is an overwhelming number of Americans that want to hit the reset button and purge Congress.

by: Palamas

02-11-2010 @ 5:24pm

"I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform."

Then you, like Valerie, have not been watching. Republicans have offered a variety of ideas, from lifting the ban on tax-free HSAs to tax credits for insurance purchase to tort reform, that Democrats have not even deigned to respond to, much less formally reject. Sticking your fingers in your ears and crying "I CAN'T HEAR YOU!" doesn't mean the other side isn't speaking.

by: nancyv

02-14-2010 @ 9:47pm

Lord Voldemort: Where do you think the money comes from for Medicaid, hospital emergency services and the clinics? Mostly government. The federal and state governments budgets are in deficits. Isn't lowering the deficits paramont to Republicans? Ok, so without government assistance where will the money come from? Years ago many clinics were run by church organizations. But they are a shrinking number.
Without government assistance, you need privated funds. Where will that come from since big corporations want tax cuts or tax credits, and are not charitable organizations. If Health care costs keep escalating, only the privileged rich will be able to afford medical care. After all, doctors claim they will not continue to practice unless they are well compensated.

by: Patricia

02-11-2010 @ 5:36pm

Health care is NOT "broadly available" to all who need it. Please detail exactly everywhere the 40+ million Americans who need it but do not have health insurance can go to receive health care - as opposed to emergency treatment, as they are not the same thing. I have uninsured family in several states who would like to know where all this "broadly available" health care is.

by: nancyv

02-14-2010 @ 9:36pm

Lord Voldemort: You have got to be kidding! So now our healthcare comes to treating the uninsured in emergency rooms. I was with a friend seeking emergency treatment who was insured but had to wait for 2-1/2 hours for treatment because the hospital emergency room was so backed up with non-insured patients. This was in a prosperous suburb in Illinois. Emergency rooms should be limited to emergencies; not treating the unisured. In addition, those with insurance pay for those un-insured treatments with higher premiums.

by: Ngchen

02-11-2010 @ 5:39pm

Interesting. Now, suppose the proposal includes say tort reform and modifications to tax-free HSAs (I know I currently am allowed to contribute a maximum of my yearly deductible to my HSA tax-free) do you suppose we'd get a substantial number of Republicans to climb aboard?

by: Patricia

02-11-2010 @ 5:40pm

How many drugs are invented in nations with some type of government-administered health care?

How many cancers are cured in nations with some type of government-administered health care?

How many of the world's best and brightest in the field of medicine practice in nations with some type of government-administered health care?

People need to counter unanswerable, speculative, fear-mongering questions with realistic questions and answers of their own.

As you can see from my questions and previous statements, I do not support this bill, so I agree with the last statement.

Medicare for all :)!

by: BlueDeacon

02-11-2010 @ 5:40pm

Nonsense. Most drug companies spend their money on marketing, not R&D. As for our "best and brightest" not going into medicine, hospital administrators are making those decisions.

by: Ngchen

02-11-2010 @ 5:43pm

Question: based on what precisely are you suggesting that (1) lives will be lost, (2) drugs that otherwise would be invented won't, (3) cancers won't be cured, and (4) some number of the best and brightest won't go into medicine??

Without answers to such, I'm afraid it's an attempt to spread FUD (fear, uncertainty, and doubt).

by: Christopher Nelson

02-11-2010 @ 5:45pm

To answer your specific objections, tax-free HSAs exist and are not a substitute for insurance. They are only successful when there is a known medical expense that you can sock money away for. Insurance purchases are frequently tax deductible, so the purpose of tax credits is unclear.
The principal reasons people don't get health insurance are the insanely high cost for individual policies and denial due to pre-existing conditions. I fail to see how tax credits address either issue.
Finally tort reform. Democrats have attempted to address this, though it is interesting one of the major points of GOP reform is to reduce how much victims of medical malpractice can be compensated.
With the possible exception of the tort reform, none of the policies you suggest will deal with the second major issue, the continuing rising cost of health care. The cost of health care per capita (in real terms) has doubled since 1990 and is over 7 times what it was in 1970.

by: Christopher Nelson

02-11-2010 @ 5:54pm

Several major drug companies are based in France, Germany, the UK, and other countries with government health-care considerable more intrusive than the reforms in Congress. So let's not worry about this bill as stiffling creativity. I'd say more will die because this bill doesn't go far enough.
To answer the third question. How many cancers aren't cured (or even curred) now because the patient can't afford the existing drugs?
So back to the main question, how many will die because of our overly-expensive flaky system?
Here's a list from Fortune magazine:
http://en.wikipedia.org/wiki/List_of_pharmaceut...

by: Patricia

02-11-2010 @ 6:01pm

RE tort reform:

I think it's been proven that in States with tort "reform", health care costs are no lower than they are in States who have not enacted tort "reform."

And that, if enacted, tort reform would only change the cost of health care by 1-2 percent.

AND, that when Republicans advocated tort "reform" and Democrats actually took it up, not a single Republican - INCLUDING THE 7 WHO SPONSORED THE BILL - voted for it.

Good faith?

by: SamHamilton

02-11-2010 @ 6:01pm

Those are legitimate questions, not nonsense.

Most drug companies spend their money on marketing, not R&D.

That sentence doesn't make any sense. I assume you meant to say that some drug companies spend more money on marketing than they do on R&D. That may be true. But that doesn't address the question raised. prk seems to believe that there will be less of a profit motive for drug companies to invent new drugs if this bill passed. If that is true, it's a legitimate question.

As for "best and brightest" going into medicine. Every year fewer and fewer doctors choose to treat Medicare patients because the reimbursement levels are so low. Under the bill, reimbursement rates would be further cut. As the government takes on the responsibility of paying for more people's health care more doctors are going to feel the pinch of government set reimbursement levels. If current doctors and potential doctors don't feel like they can make a decent living and pay off their student loans, they're going to get out or choose a different career. This is not nonsense.

by: Palamas

02-11-2010 @ 6:54pm

If the Democrats dump the stuff that is either unconstitutional (the individual mandate) or would harm the economy, probably so.

by: Palamas

02-11-2010 @ 6:58pm

Thank you for making my point. You can argue about whether the Republicans' specific ideas are good and beneficial (there are a lot more than the ones I named), but your original point was that they hadn't made any. That's what I was objecting to--the constant refrain that the GOP has no ideas or has made no proposals of its own. Of course it has--they just haven't been accepted, and most of them not listened to, by the majority.

BTW, a couple of responses on substance: the GOP agrees that denial due to pre-existing conditions should be banned. On tax credits, it's simply a matter of making them large enough to cover the cost of a typical insurance plan.

by: Ngchen

02-11-2010 @ 7:10pm

The individual mandate is by no means clearly unconstitutional, in that it can be construed as a tax against who otherwise would be considered a free rider. On a practical note, it would be impossible to have a "shall issue" mandate without an individual mandate because people would then have every incentive to wait to get sick, and THEN get "insurance" for their condition. Sort of like being able to buy insurance for a car after it's already been wrecked.

Now, what proposals (Democratic or Republican) would specifically harm the economy?

by: BlueDeacon

02-11-2010 @ 7:13pm

prk seems to believe that there will be less of a profit motive for drug companies to invent new drugs if this bill passed. If that is true, it's a legitimate question.

That's quite irrelevant, because American business culture for the last 30 years or so has become bottom-line oriented and more interested in profits than services. Why in the world do you think that drug companies don't want the government involved? Why do they try to extend patents for simply reformulating the same drugs? And why do you think they blanched at people going to Canada for prescriptions?

If current doctors and potential doctors don't feel like they can make a decent living and pay off their student loans, they're going to get out or choose a different career. This is not nonsense.

Uh -- even as I write fewer and fewer doctors are going into primary care, and the problem there is not so much cost but paperwork. More are becoming specialists because that pays more.

by: ford49

02-11-2010 @ 7:23pm

The mandate is not unconstitutional. Most states already mandate auto insurance, mandate a drivers license, and taxes. The existing health care situation is harming the economy...but if you've got yours why should you care?

by: Palamas

02-11-2010 @ 7:33pm

You're right about the problems that ensue without the individual mandate--I think the scenario you describe would certainly happen. The problem is that I don't see how you can call something a "tax" if it never goes to the government. Mandating that private individuals must turn over a portion of their income to a private corporation is a situation that goes way beyond any government power envisioned in the Constitution.

As for what would harm the economy, just consider the effect of large tax increases in the middle of a recession. There are others, but that by itself would be bad enough.

by: Palamas

02-11-2010 @ 7:40pm

States have that authority. The federal government doesn't. In addition, at least two of your examples (driver's license and taxes) have nothing to do with the nature of the individual mandate, which has to do with requiring private individuals to make a purchase from a private company. As far as auto insurance is concerned, it is not required that one own a car, so step two is only necessary if you take step two--you are free to weigh the cost and benefit, and decide whether to buy. The individual mandate eliminates that freedom, meaning millions of people would be forced to buy a private product in order to subsidize the purchases of millions of others. I don't see how such ubiquitous interference in the economy on the part of the federal government can be justified under the Constitution.

by: Ngchen

02-11-2010 @ 7:49pm

The individual mandate that I've heard proposed basically would impose a $750 or so tax (or penalty) on people who do not purchase insurance each year. That money would go to the government - government is using the taxation power to discourage activity it finds distasteful, and to cover the societal costs generated by such people to some degree.

I agree that large tax increases in the midst of a recession are usually a bad thing. Considering the large debts that have been run up, as unpopular as it is, would a call of shared sacrifice to pay down the debt after the recession is over be something Republicans can support?

by: JacobS

02-11-2010 @ 8:13pm

The New York Times refers to the penalty as a fine; a punitive action against those who don't buy insurance.

by: ford49

02-11-2010 @ 8:39pm

The purchasing mandate would in fact be no different than what is happening
now. Those who have coverage are subsidizing or paying through taxes or
increased premiums due to cost shifting for uncompensated or
undercompensated care. There are not many people who can pay out of pocket
for catastrophic medical events.

I was against Bush's war policy but I had to pay taxes to fund his
adventure; what's the difference?

by: Palamas

02-11-2010 @ 8:44pm

You do understand that there's a difference between paying taxes and making a purchase from a private entity, right?

The individual mandate would REQUIRE that EVERYONE buy health insurance whether they want to or not. You can't really believe that that "is no different than what is happening now." Can you?

by: Patricia

02-11-2010 @ 9:18pm

Medicare for all, which would be collected as taxes, would make the problem moot. Everyone pays the tax, everyone is covered, everyone receives care.

In some cases, and I believe health care is one, tax-funding is the most efficient, most effective, way to go.

Medicare for all :)!

by: Patricia

02-11-2010 @ 9:25pm

I believe the point is, actually, that the issues you cited are already addressed, yet the Republicans keep on spreading falsehoods about these and other issues.

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by: jesse3

02-11-2010 @ 3:48pm

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."
--This statement could only be made by someone who is completely blind to every criticism that has been made against this healthcare bill by both Republicans and Democrats. It could also only be made by someone who is blind to the many backroom deals and bribes (e.g., Cornhusker kickbacks and Louisiana purchase) that have occurred over the course of this debate. Are you listening or just paying attention to Rachel Maddow?

If Republicans are acting in bad faith, then sorry to say, Valerie, so are you.

by: jesse3

02-11-2010 @ 3:48pm

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."
--This statement could only be made by someone who is completely blind to every criticism that has been made against this healthcare bill by both Republicans and Democrats. It could also only be made by someone who is blind to the many backroom deals and bribes (e.g., Cornhusker kickbacks and Louisiana purchase) that have occurred over the course of this debate. Are you listening or just paying attention to Rachel Maddow?

If Republicans are acting in bad faith, then sorry to say, Valerie, so are you.

by: Christopher Nelson

02-11-2010 @ 4:36pm

I agree with Valerie. I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform. Senate Democrats spent most of the summer attempting to bring Republicans on board. Nothing. Even Republican Senators like Snow who had initially been supportive were pressured to support the filibuster. Let me emphasize that. The Republicans have specifically declared that they will not permit a vote on health care reform in anyway.
The "backroom deals" are typical of many, many laws. The fact that they are repeated endlessly indicates that they can scarcely be called "backroom," which by definition is meant to be secret. Nelson and Landrieu merely cut deals for the benefit of their state, as is exceedingly common in legislation, not for their personal benefit (which would be a bribe). Research why the District of Columbia is located in where it is to see just how old this practice is.

by: Christopher Nelson

02-11-2010 @ 4:36pm

I agree with Valerie. I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform. Senate Democrats spent most of the summer attempting to bring Republicans on board. Nothing. Even Republican Senators like Snow who had initially been supportive were pressured to support the filibuster. Let me emphasize that. The Republicans have specifically declared that they will not permit a vote on health care reform in anyway.
The "backroom deals" are typical of many, many laws. The fact that they are repeated endlessly indicates that they can scarcely be called "backroom," which by definition is meant to be secret. Nelson and Landrieu merely cut deals for the benefit of their state, as is exceedingly common in legislation, not for their personal benefit (which would be a bribe). Research why the District of Columbia is located in where it is to see just how old this practice is.

by: weneedjohngalt

02-11-2010 @ 4:48pm

Obstructionist Republicans? Really Dr. Dixon?

I'm no PhD, but I can count and I was under the impression our beloved President didn't need the Republicans.

It would seem the Community Organizer ran into a community he could not organize, namely the Democratic party.

God bless Barrack. In his short term, he has done more to advance conservative values than Reagan and Thatcher combined.

I "hope" the "change" continues in November, a la NJ. Va. and Ma. (Sorry, couldn't resist.)

by: weneedjohngalt

02-11-2010 @ 4:48pm

Obstructionist Republicans? Really Dr. Dixon?

I'm no PhD, but I can count and I was under the impression our beloved President didn't need the Republicans.

It would seem the Community Organizer ran into a community he could not organize, namely the Democratic party.

God bless Barrack. In his short term, he has done more to advance conservative values than Reagan and Thatcher combined.

I "hope" the "change" continues in November, a la NJ. Va. and Ma. (Sorry, couldn't resist.)

by: ford49

02-11-2010 @ 4:50pm

If you think that the Democrats are the only politicians in Congress that have cut backroom deals regarding healthcare you are either naive or you are toxic on Rovian Coolaid...Sen. Jim DeMint's (R) comment declaring the GOP's goal to make healthcare Obama's "Waterloo" is the operant goal for the party of NO; about that they have been transparent. The GOP has been AWOL in ideas and intent to serve the American people who want reform of healthcare. They are in lock step with the healthcare lobby and to deny that would be simply disengenuous.

And now they have a new found abhorance to deficits when during their last attempt at governing as Cheney so eloquently stated, "Deficits don't matter" , parroting Ronald Reagan. If the GOP wants to attain the high ground they have a lot of political sewage to shovel beforehand.

You don't like Maddow because she has been replaying the statements of policy support that the GOP is now against so as not to give Obama and the American people any political comfort.

by: ford49

02-11-2010 @ 4:50pm

If you think that the Democrats are the only politicians in Congress that have cut backroom deals regarding healthcare you are either naive or you are toxic on Rovian Coolaid...Sen. Jim DeMint's (R) comment declaring the GOP's goal to make healthcare Obama's "Waterloo" is the operant goal for the party of NO; about that they have been transparent. The GOP has been AWOL in ideas and intent to serve the American people who want reform of healthcare. They are in lock step with the healthcare lobby and to deny that would be simply disengenuous.

And now they have a new found abhorance to deficits when during their last attempt at governing as Cheney so eloquently stated, "Deficits don't matter" , parroting Ronald Reagan. If the GOP wants to attain the high ground they have a lot of political sewage to shovel beforehand.

You don't like Maddow because she has been replaying the statements of policy support that the GOP is now against so as not to give Obama and the American people any political comfort.

by: Patricia

02-11-2010 @ 4:51pm

The important thing is whether what Rachel Maddow is saying is TRUE or not.

Is it TRUE that the ability to purchase insurance across State lines is addressed in the current health care legislation?

Is it TRUE that the ability of small businesses and individuals to pool resources for better buying power is addressed in the current health care legislation?

Is it TRUE that the ability for State innovation to lower costs is included in the current health care legislation?

Is it TRUE that tort reform is addressed in the current health care legislation?

The "Death Panel" claim made by Republicans regarding the current health care legislation, proved to be FALSE.

The "Government Takeover" claim made by Republicans regarding the current health care legislation proved to be FALSE.

The "Socialized Medicine" claim made by Republicans regarding the current health care legislation proved to be FALSE.

Do those who insist that Republicans (or Democrats) are acting in good faith have any responsibility to find out whether the claims made by either party are TRUE or FALSE?

I have done my best to locate independent sources to determine the veracity of claims on both sides. Unfortunately, the overwhelming balance of spreading deliberate falseness seems to lie squarely at the feet of the Republican Party. This is not to say that Democrats have not stretched the truth - they have. But, as in so many other areas, the Republicans have been objectively demonstrated to be so shamelessly over the top that there's not really any comparison that can be made. Of course, those who rely solely on FOX and "conservative" sources for their information exist in an alternative reality.

by: Patricia

02-11-2010 @ 4:51pm

The important thing is whether what Rachel Maddow is saying is TRUE or not.

Is it TRUE that the ability to purchase insurance across State lines is addressed in the current health care legislation?

Is it TRUE that the ability of small businesses and individuals to pool resources for better buying power is addressed in the current health care legislation?

Is it TRUE that the ability for State innovation to lower costs is included in the current health care legislation?

Is it TRUE that tort reform is addressed in the current health care legislation?

The "Death Panel" claim made by Republicans regarding the current health care legislation, proved to be FALSE.

The "Government Takeover" claim made by Republicans regarding the current health care legislation proved to be FALSE.

The "Socialized Medicine" claim made by Republicans regarding the current health care legislation proved to be FALSE.

Do those who insist that Republicans (or Democrats) are acting in good faith have any responsibility to find out whether the claims made by either party are TRUE or FALSE?

I have done my best to locate independent sources to determine the veracity of claims on both sides. Unfortunately, the overwhelming balance of spreading deliberate falseness seems to lie squarely at the feet of the Republican Party. This is not to say that Democrats have not stretched the truth - they have. But, as in so many other areas, the Republicans have been objectively demonstrated to be so shamelessly over the top that there's not really any comparison that can be made. Of course, those who rely solely on FOX and "conservative" sources for their information exist in an alternative reality.

by: ford49

02-11-2010 @ 4:58pm

The John Galt's in this country and world have gotten us into this mess. We need John Galt like we need a poke in the eye with a sharp stick...sorry I coildn't resist (one ideological jab to another).

by: ford49

02-11-2010 @ 4:58pm

The John Galt's in this country and world have gotten us into this mess. We need John Galt like we need a poke in the eye with a sharp stick...sorry I coildn't resist (one ideological jab to another).

by: ford49

02-11-2010 @ 4:59pm

You go girl!!

by: ford49

02-11-2010 @ 4:59pm

You go girl!!

by: Patricia

02-11-2010 @ 5:06pm

What about the Republican seats that have been lost to Democrats? Do THEY bear a message about change? How many of them are there, compared to the 3 Republican seats you have noted as a sea-change for Republicans? If you are going to do a valid comparison, wouldn't you need to count the number of seats REPUBLICANS have lost, and compare those to the 3 you are using to prove your point? Where's the other half of your equation?

by: Patricia

02-11-2010 @ 5:06pm

What about the Republican seats that have been lost to Democrats? Do THEY bear a message about change? How many of them are there, compared to the 3 Republican seats you have noted as a sea-change for Republicans? If you are going to do a valid comparison, wouldn't you need to count the number of seats REPUBLICANS have lost, and compare those to the 3 you are using to prove your point? Where's the other half of your equation?

by: prk

02-11-2010 @ 5:09pm

"Hardworking citizens of the United States, the richest nation on earth, die daily because they cannot afford the health care they need."

How many American will die as a result of the passage of this bad legistaltion?

How many drugs will never be invented?
How many cancers will never be curred?
How many of our best and brights will not go into the field of medicine?

You see we can oppose this bill in the name of "social justice".

by: prk

02-11-2010 @ 5:09pm

"Hardworking citizens of the United States, the richest nation on earth, die daily because they cannot afford the health care they need."

How many American will die as a result of the passage of this bad legistaltion?

How many drugs will never be invented?
How many cancers will never be curred?
How many of our best and brights will not go into the field of medicine?

You see we can oppose this bill in the name of "social justice".

by: prk

02-11-2010 @ 5:12pm

Remember according to the CBO 93% of the uninsured between 20-35 will pay the fine instead of buying insurance.

by: prk

02-11-2010 @ 5:12pm

Remember according to the CBO 93% of the uninsured between 20-35 will pay the fine instead of buying insurance.

by: Lord_Voldemort

02-11-2010 @ 5:13pm

"Republicans complain they have been left out of the process. However, Republicans sit on every committee in the Congress that has considered this."

And what pray tell does that mean? On this bill in particular the formal committe meetings have never been where the action was. The process that matters is the behind-the-scenes negotiations between the administration, the interest groups, and Congressional leadership. Republicans have been frozen out of those.

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."

Oh dear! There's politics going on in Washington! Next thing you know there'll be gambling at Rick's Cafe Americain. And of course, the Democrats are completely pure. The payoffs for Landrieu and Nelson? Didn't happen.

"They have put party and politics before policy and the common good. They have intentionally stalled health-care reforms that will bring health care to millions of Americans who do not have it."

No. This is about health care insurance. Health care itself is broadly available to all who need it.

"And the president keeps trying for bipartisanship."

No. This is the first time that Obama has seriously acknowledged the existence of a Republican health care agenda.

"To keep trying for bipartisanship seems insane. However, I know that President Obama is not an insane man. He is no fool. Perhaps he is acting on faith, and very often faith looks foolish."

Why do I get the feeling that Ms. Dixon is trying to talk herself into something here?

LV

by: Lord_Voldemort

02-11-2010 @ 5:13pm

"Republicans complain they have been left out of the process. However, Republicans sit on every committee in the Congress that has considered this."

And what pray tell does that mean? On this bill in particular the formal committe meetings have never been where the action was. The process that matters is the behind-the-scenes negotiations between the administration, the interest groups, and Congressional leadership. Republicans have been frozen out of those.

"In my personal opinion, Congressional Republicans have not acted in good faith. They have put party and politics before policy and the common good."

Oh dear! There's politics going on in Washington! Next thing you know there'll be gambling at Rick's Cafe Americain. And of course, the Democrats are completely pure. The payoffs for Landrieu and Nelson? Didn't happen.

"They have put party and politics before policy and the common good. They have intentionally stalled health-care reforms that will bring health care to millions of Americans who do not have it."

No. This is about health care insurance. Health care itself is broadly available to all who need it.

"And the president keeps trying for bipartisanship."

No. This is the first time that Obama has seriously acknowledged the existence of a Republican health care agenda.

"To keep trying for bipartisanship seems insane. However, I know that President Obama is not an insane man. He is no fool. Perhaps he is acting on faith, and very often faith looks foolish."

Why do I get the feeling that Ms. Dixon is trying to talk herself into something here?

LV

by: Patricia

02-11-2010 @ 5:14pm

My hope is that the televised event will better inform those FOX viewers who had their feed of the President's live address to the Republicans cut when he began to enumerate their specific falsehoods and distortions.

Their message is only effective because most fail to challenge them and demand they tell the truth.

I want to encourage all my FOX friends to find another channel this time should their live coverage suddenly come to a halt :).

by: Patricia

02-11-2010 @ 5:14pm

My hope is that the televised event will better inform those FOX viewers who had their feed of the President's live address to the Republicans cut when he began to enumerate their specific falsehoods and distortions.

Their message is only effective because most fail to challenge them and demand they tell the truth.

I want to encourage all my FOX friends to find another channel this time should their live coverage suddenly come to a halt :).

by: SamHamilton

02-11-2010 @ 5:22pm

Once again, Yuval Levin makes some good points about the politics of health care reform that tie in to Valerie's thoughts on whether working together is possible.

Here's his point:
Both sides agree there are huge problems with the current system, and they even agree on what some of those problems are...Liberals argue that we should move in the direction of socializing insurance coverage...Conservatives argue that we should move toward a genuine individual market in insurance coverage...That means that, beginning from where we are now, liberals and conservatives want to move in roughly opposite directions. And they each tend to think that moving in the other's direction would be worse than just keeping what we have for now. That's why the offer of moving in the Left's direction but not quite as far or quite as fast as the Left would ideally like isn't really very attractive to conservatives. It's why the individual pieces of their bills that the Democrats try to point to as incorporating Republican ideas don't really win any Republicans - because the question is which direction are you moving the system in on the whole?

He goes on to say that, The larger public, I think, is not so tied to either direction, but is opposed to doing anything huge. That's a big part of what the Democrats have done wrong this year: They have proposed too much. Whichever side is smart enough to propose some modest and sensible incremental steps in its preferred direction will have far better luck with the public.

I think it's pretty fruitless, in the end, for Obama to try to win Republicans over. Not because I think the GOP is invested in being "the party of no" or because they don't have any ideas of their own. It's because finding a compromise that both sides think moves the ball in their direction is virtually impossible. This summit is no more than an opportunity for each side to try to get a good photo op.

Here's a link to his entire comment:
http://corner.nationalreview.com/post/?q=MDY3Zj...

by: SamHamilton

02-11-2010 @ 5:22pm

Once again, Yuval Levin makes some good points about the politics of health care reform that tie in to Valerie's thoughts on whether working together is possible.

Here's his point:
Both sides agree there are huge problems with the current system, and they even agree on what some of those problems are...Liberals argue that we should move in the direction of socializing insurance coverage...Conservatives argue that we should move toward a genuine individual market in insurance coverage...That means that, beginning from where we are now, liberals and conservatives want to move in roughly opposite directions. And they each tend to think that moving in the other's direction would be worse than just keeping what we have for now. That's why the offer of moving in the Left's direction but not quite as far or quite as fast as the Left would ideally like isn't really very attractive to conservatives. It's why the individual pieces of their bills that the Democrats try to point to as incorporating Republican ideas don't really win any Republicans - because the question is which direction are you moving the system in on the whole?

He goes on to say that, The larger public, I think, is not so tied to either direction, but is opposed to doing anything huge. That's a big part of what the Democrats have done wrong this year: They have proposed too much. Whichever side is smart enough to propose some modest and sensible incremental steps in its preferred direction will have far better luck with the public.

I think it's pretty fruitless, in the end, for Obama to try to win Republicans over. Not because I think the GOP is invested in being "the party of no" or because they don't have any ideas of their own. It's because finding a compromise that both sides think moves the ball in their direction is virtually impossible. This summit is no more than an opportunity for each side to try to get a good photo op.

Here's a link to his entire comment:
http://corner.nationalreview.com/post/?q=MDY3Zj...

by: Palamas

02-11-2010 @ 5:24pm

"I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform."

Then you, like Valerie, have not been watching. Republicans have offered a variety of ideas, from lifting the ban on tax-free HSAs to tax credits for insurance purchase to tort reform, that Democrats have not even deigned to respond to, much less formally reject. Sticking your fingers in your ears and crying "I CAN'T HEAR YOU!" doesn't mean the other side isn't speaking.

by: Palamas

02-11-2010 @ 5:24pm

"I have seen no evidence that the Republicans are remotely prepared to offer any constructive advice on the any form of health care reform."

Then you, like Valerie, have not been watching. Republicans have offered a variety of ideas, from lifting the ban on tax-free HSAs to tax credits for insurance purchase to tort reform, that Democrats have not even deigned to respond to, much less formally reject. Sticking your fingers in your ears and crying "I CAN'T HEAR YOU!" doesn't mean the other side isn't speaking.

by: Patricia

02-11-2010 @ 5:36pm

Health care is NOT "broadly available" to all who need it. Please detail exactly everywhere the 40+ million Americans who need it but do not have health insurance can go to receive health care - as opposed to emergency treatment, as they are not the same thing. I have uninsured family in several states who would like to know where all this "broadly available" health care is.

by: Patricia

02-11-2010 @ 5:36pm

Health care is NOT "broadly available" to all who need it. Please detail exactly everywhere the 40+ million Americans who need it but do not have health insurance can go to receive health care - as opposed to emergency treatment, as they are not the same thing. I have uninsured family in several states who would like to know where all this "broadly available" health care is.

by: Ngchen

02-11-2010 @ 5:39pm

Interesting. Now, suppose the proposal includes say tort reform and modifications to tax-free HSAs (I know I currently am allowed to contribute a maximum of my yearly deductible to my HSA tax-free) do you suppose we'd get a substantial number of Republicans to climb aboard?

by: Ngchen

02-11-2010 @ 5:39pm

Interesting. Now, suppose the proposal includes say tort reform and modifications to tax-free HSAs (I know I currently am allowed to contribute a maximum of my yearly deductible to my HSA tax-free) do you suppose we'd get a substantial number of Republicans to climb aboard?

by: Patricia

02-11-2010 @ 5:40pm

How many drugs are invented in nations with some type of government-administered health care?

How many cancers are cured in nations with some type of government-administered health care?

How many of the world's best and brightest in the field of medicine practice in nations with some type of government-administered health care?

People need to counter unanswerable, speculative, fear-mongering questions with realistic questions and answers of their own.

As you can see from my questions and previous statements, I do not support this bill, so I agree with the last statement.

Medicare for all :)!

by: Patricia

02-11-2010 @ 5:40pm

How many drugs are invented in nations with some type of government-administered health care?

How many cancers are cured in nations with some type of government-administered health care?

How many of the world's best and brightest in the field of medicine practice in nations with some type of government-administered health care?

People need to counter unanswerable, speculative, fear-mongering questions with realistic questions and answers of their own.

As you can see from my questions and previous statements, I do not support this bill, so I agree with the last statement.

Medicare for all :)!

by: BlueDeacon

02-11-2010 @ 5:40pm

Nonsense. Most drug companies spend their money on marketing, not R&D. As for our "best and brightest" not going into medicine, hospital administrators are making those decisions.

by: BlueDeacon

02-11-2010 @ 5:40pm

Nonsense. Most drug companies spend their money on marketing, not R&D. As for our "best and brightest" not going into medicine, hospital administrators are making those decisions.

by: Ngchen

02-11-2010 @ 5:43pm

Question: based on what precisely are you suggesting that (1) lives will be lost, (2) drugs that otherwise would be invented won't, (3) cancers won't be cured, and (4) some number of the best and brightest won't go into medicine??

Without answers to such, I'm afraid it's an attempt to spread FUD (fear, uncertainty, and doubt).

by: Ngchen

02-11-2010 @ 5:43pm

Question: based on what precisely are you suggesting that (1) lives will be lost, (2) drugs that otherwise would be invented won't, (3) cancers won't be cured, and (4) some number of the best and brightest won't go into medicine??

Without answers to such, I'm afraid it's an attempt to spread FUD (fear, uncertainty, and doubt).

by: Christopher Nelson

02-11-2010 @ 5:45pm

To answer your specific objections, tax-free HSAs exist and are not a substitute for insurance. They are only successful when there is a known medical expense that you can sock money away for. Insurance purchases are frequently tax deductible, so the purpose of tax credits is unclear.
The principal reasons people don't get health insurance are the insanely high cost for individual policies and denial due to pre-existing conditions. I fail to see how tax credits address either issue.
Finally tort reform. Democrats have attempted to address this, though it is interesting one of the major points of GOP reform is to reduce how much victims of medical malpractice can be compensated.
With the possible exception of the tort reform, none of the policies you suggest will deal with the second major issue, the continuing rising cost of health care. The cost of health care per capita (in real terms) has doubled since 1990 and is over 7 times what it was in 1970.

by: Christopher Nelson

02-11-2010 @ 5:45pm

To answer your specific objections, tax-free HSAs exist and are not a substitute for insurance. They are only successful when there is a known medical expense that you can sock money away for. Insurance purchases are frequently tax deductible, so the purpose of tax credits is unclear.
The principal reasons people don't get health insurance are the insanely high cost for individual policies and denial due to pre-existing conditions. I fail to see how tax credits address either issue.
Finally tort reform. Democrats have attempted to address this, though it is interesting one of the major points of GOP reform is to reduce how much victims of medical malpractice can be compensated.
With the possible exception of the tort reform, none of the policies you suggest will deal with the second major issue, the continuing rising cost of health care. The cost of health care per capita (in real terms) has doubled since 1990 and is over 7 times what it was in 1970.

by: Christopher Nelson

02-11-2010 @ 5:54pm

Several major drug companies are based in France, Germany, the UK, and other countries with government health-care considerable more intrusive than the reforms in Congress. So let's not worry about this bill as stiffling creativity. I'd say more will die because this bill doesn't go far enough.
To answer the third question. How many cancers aren't cured (or even curred) now because the patient can't afford the existing drugs?
So back to the main question, how many will die because of our overly-expensive flaky system?
Here's a list from Fortune magazine:
http://en.wikipedia.org/wiki/List_of_pharmaceut...

by: Christopher Nelson

02-11-2010 @ 5:54pm

Several major drug companies are based in France, Germany, the UK, and other countries with government health-care considerable more intrusive than the reforms in Congress. So let's not worry about this bill as stiffling creativity. I'd say more will die because this bill doesn't go far enough.
To answer the third question. How many cancers aren't cured (or even curred) now because the patient can't afford the existing drugs?
So back to the main question, how many will die because of our overly-expensive flaky system?
Here's a list from Fortune magazine:
http://en.wikipedia.org/wiki/List_of_pharmaceut...

by: Patricia

02-11-2010 @ 6:01pm

RE tort reform:

I think it's been proven that in States with tort "reform", health care costs are no lower than they are in States who have not enacted tort "reform."

And that, if enacted, tort reform would only change the cost of health care by 1-2 percent.

AND, that when Republicans advocated tort "reform" and Democrats actually took it up, not a single Republican - INCLUDING THE 7 WHO SPONSORED THE BILL - voted for it.

Good faith?

by: Patricia

02-11-2010 @ 6:01pm

RE tort reform:

I think it's been proven that in States with tort "reform", health care costs are no lower than they are in States who have not enacted tort "reform."

And that, if enacted, tort reform would only change the cost of health care by 1-2 percent.

AND, that when Republicans advocated tort "reform" and Democrats actually took it up, not a single Republican - INCLUDING THE 7 WHO SPONSORED THE BILL - voted for it.

Good faith?

by: SamHamilton

02-11-2010 @ 6:01pm

Those are legitimate questions, not nonsense.

Most drug companies spend their money on marketing, not R&D.

That sentence doesn't make any sense. I assume you meant to say that some drug companies spend more money on marketing than they do on R&D. That may be true. But that doesn't address the question raised. prk seems to believe that there will be less of a profit motive for drug companies to invent new drugs if this bill passed. If that is true, it's a legitimate question.

As for "best and brightest" going into medicine. Every year fewer and fewer doctors choose to treat Medicare patients because the reimbursement levels are so low. Under the bill, reimbursement rates would be further cut. As the government takes on the responsibility of paying for more people's health care more doctors are going to feel the pinch of government set reimbursement levels. If current doctors and potential doctors don't feel like they can make a decent living and pay off their student loans, they're going to get out or choose a different career. This is not nonsense.

by: SamHamilton

02-11-2010 @ 6:01pm

Those are legitimate questions, not nonsense.

Most drug companies spend their money on marketing, not R&D.

That sentence doesn't make any sense. I assume you meant to say that some drug companies spend more money on marketing than they do on R&D. That may be true. But that doesn't address the question raised. prk seems to believe that there will be less of a profit motive for drug companies to invent new drugs if this bill passed. If that is true, it's a legitimate question.

As for "best and brightest" going into medicine. Every year fewer and fewer doctors choose to treat Medicare patients because the reimbursement levels are so low. Under the bill, reimbursement rates would be further cut. As the government takes on the responsibility of paying for more people's health care more doctors are going to feel the pinch of government set reimbursement levels. If current doctors and potential doctors don't feel like they can make a decent living and pay off their student loans, they're going to get out or choose a different career. This is not nonsense.

by: Palamas

02-11-2010 @ 6:54pm

If the Democrats dump the stuff that is either unconstitutional (the individual mandate) or would harm the economy, probably so.

by: Palamas

02-11-2010 @ 6:54pm

If the Democrats dump the stuff that is either unconstitutional (the individual mandate) or would harm the economy, probably so.

by: Palamas

02-11-2010 @ 6:58pm

Thank you for making my point. You can argue about whether the Republicans' specific ideas are good and beneficial (there are a lot more than the ones I named), but your original point was that they hadn't made any. That's what I was objecting to--the constant refrain that the GOP has no ideas or has made no proposals of its own. Of course it has--they just haven't been accepted, and most of them not listened to, by the majority.

BTW, a couple of responses on substance: the GOP agrees that denial due to pre-existing conditions should be banned. On tax credits, it's simply a matter of making them large enough to cover the cost of a typical insurance plan.

by: Palamas

02-11-2010 @ 6:58pm

Thank you for making my point. You can argue about whether the Republicans' specific ideas are good and beneficial (there are a lot more than the ones I named), but your original point was that they hadn't made any. That's what I was objecting to--the constant refrain that the GOP has no ideas or has made no proposals of its own. Of course it has--they just haven't been accepted, and most of them not listened to, by the majority.

BTW, a couple of responses on substance: the GOP agrees that denial due to pre-existing conditions should be banned. On tax credits, it's simply a matter of making them large enough to cover the cost of a typical insurance plan.