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	<title>Comments on: House Bill on Payment Reform</title>
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	<link>http://bluemassgroup.com/2012/05/house-bill-on-payment-reform/</link>
	<description>Reality-based commentary on politics and policy in Massachusetts and around the nation</description>
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		<title>By: advokait</title>
		<link>http://bluemassgroup.com/2012/05/house-bill-on-payment-reform/#comment-290758</link>
		<dc:creator>advokait</dc:creator>
		<pubDate>Tue, 08 May 2012 18:17:34 +0000</pubDate>
		<guid isPermaLink="false">http://bluemassgroup.com/?p=41461#comment-290758</guid>
		<description>This is why people think rhetoric means bullshit. Rather than a substantive, evidence-based persuasive argument, Pioneer has spun out a well-worded load of &lt;em&gt;misleading&lt;/em&gt; crap. 

&lt;blockquote&gt;The Division will be independent and “not subject to the supervision and control of any other” public entity.&lt;/blockquote&gt;
Notice that he cuts the quote short before finishing the sentence, which reads:
&lt;blockquote&gt;&quot;except as specifically provided in any general or special law.&quot; &lt;/blockquote&gt;
So what the quote &lt;strong&gt;&lt;em&gt;in context&lt;/em&gt;&lt;/strong&gt; is actually saying is that no public entity OTHER THAN that which is written into the law as having authority over the division, can arbitrarily control the operations of the division. It is &lt;em&gt;limiting&lt;/em&gt; the power of government, though Pioneer took it out of context to make it sound like the division&#039;s power is unlimited. Typical tea party sleaziness.

Not to mention, that language is nothing new or unprecedented. Plug that phrase into google and you&#039;ll find a list of laws that include the exact text... including Chapter 176Q for the establishment of the Commonwealth Health Insurance Connector. moving on...

&lt;blockquote&gt;The mandate approach results in 941 instances in which the House mandates action in the bill, by using the word “shall.”&lt;/blockquote&gt;

What is law other than language for government action? Laws determine all that the government &lt;strong&gt;&lt;em&gt;shall&lt;/em&gt;&lt;/strong&gt; provide, tax, prohibit, and protect. Pioneer is making the status quo sound radical.</description>
		<content:encoded><![CDATA[<p>This is why people think rhetoric means bullshit. Rather than a substantive, evidence-based persuasive argument, Pioneer has spun out a well-worded load of <em>misleading</em> crap. </p>
<blockquote><p>The Division will be independent and “not subject to the supervision and control of any other” public entity.</p></blockquote>
<p>Notice that he cuts the quote short before finishing the sentence, which reads:</p>
<blockquote><p>&#8220;except as specifically provided in any general or special law.&#8221; </p></blockquote>
<p>So what the quote <strong><em>in context</em></strong> is actually saying is that no public entity OTHER THAN that which is written into the law as having authority over the division, can arbitrarily control the operations of the division. It is <em>limiting</em> the power of government, though Pioneer took it out of context to make it sound like the division&#8217;s power is unlimited. Typical tea party sleaziness.</p>
<p>Not to mention, that language is nothing new or unprecedented. Plug that phrase into google and you&#8217;ll find a list of laws that include the exact text&#8230; including Chapter 176Q for the establishment of the Commonwealth Health Insurance Connector. moving on&#8230;</p>
<blockquote><p>The mandate approach results in 941 instances in which the House mandates action in the bill, by using the word “shall.”</p></blockquote>
<p>What is law other than language for government action? Laws determine all that the government <strong><em>shall</em></strong> provide, tax, prohibit, and protect. Pioneer is making the status quo sound radical.</p>
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		<title>By: Bob Neer</title>
		<link>http://bluemassgroup.com/2012/05/house-bill-on-payment-reform/#comment-290748</link>
		<dc:creator>Bob Neer</dc:creator>
		<pubDate>Tue, 08 May 2012 15:57:03 +0000</pubDate>
		<guid isPermaLink="false">http://bluemassgroup.com/?p=41461#comment-290748</guid>
		<description>This can be seen from their utter failure to grapple with the fundamental problem of the US health care system: it provides second-rate care that is more than twice as expensive as any other comparable country&#039;s, all of which are organized around a system of public control. By their logic, the biggest problem with this country is that we aren&#039;t more like Somalia, where there is no effective government. You&#039;re right, though: their posts show the emptiness of current GOP/libertarian ideology. They don&#039;t have any credible alternative to offer other than: we trust Pfizer et al to do what&#039;s best for the general public, even though they have no legal obligation to do so, and will not be rewarded for it.</description>
		<content:encoded><![CDATA[<p>This can be seen from their utter failure to grapple with the fundamental problem of the US health care system: it provides second-rate care that is more than twice as expensive as any other comparable country&#8217;s, all of which are organized around a system of public control. By their logic, the biggest problem with this country is that we aren&#8217;t more like Somalia, where there is no effective government. You&#8217;re right, though: their posts show the emptiness of current GOP/libertarian ideology. They don&#8217;t have any credible alternative to offer other than: we trust Pfizer et al to do what&#8217;s best for the general public, even though they have no legal obligation to do so, and will not be rewarded for it.</p>
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		<title>By: David</title>
		<link>http://bluemassgroup.com/2012/05/house-bill-on-payment-reform/#comment-290747</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 08 May 2012 15:42:46 +0000</pubDate>
		<guid isPermaLink="false">http://bluemassgroup.com/?p=41461#comment-290747</guid>
		<description>I love this bit, from the second paragraph:

&lt;blockquote&gt;The controversial federal Affordable Care Act drew negative attention for...&lt;/blockquote&gt;

&quot;Negative attention&quot; from whom?  For that matter, &quot;controversial&quot; according to whom?  The lunatic teabagger fringe that regrettably has taken over the national Republican party?  Or someone with something intelligent to say?

&lt;blockquote&gt;if you provide patients with cost data but their health plan is not set up to incentivize the use of  low-cost high-quality providers, you will have many seeking out the most expensive folks.&lt;/blockquote&gt;

Good Lord, do you have any basis for such an outlandish assertion?  I&#039;d sure like to see it.  It&#039;s fascinating to me that, on the one hand, Pioneer seems strenuously opposed to any sort of government regulation of anything, yet on the other, doesn&#039;t trust individuals to make intelligent decisions without being &quot;incentivized&quot; (there&#039;s a truly creepy word) to do what Pioneer thinks they should do.

This, of course, is Pioneer&#039;s bottom line:

&lt;blockquote&gt;We must ask if we are comfortable with bureaucrats holding the reins to 18% of our state’s economy, that may not have the expertise, resources, or shared values that we do to balance the trade offs associated with government centered cost controls. They decide where billions of dollars will be directed or granted from trust funds.  Do we trust their judgment and are we confident that industry influence will not sway these few government officials?&lt;/blockquote&gt;

Yeah, &#039;cause gosh, the &quot;free market&quot; has done such an awesome job so far in controlling health care costs.  Get the gubmint out - that&#039;ll solve all our problems.

This kind of petty, dog-whistle post that says nothing at all constructive is, frankly, disappointing from an institute that tries to present itself as a serious participant in important public policy discussions.

&lt;blockquote&gt;Much more to come.&lt;/blockquote&gt;

Oooh, I can&#039;t wait.</description>
		<content:encoded><![CDATA[<p>I love this bit, from the second paragraph:</p>
<blockquote><p>The controversial federal Affordable Care Act drew negative attention for&#8230;</p></blockquote>
<p>&#8220;Negative attention&#8221; from whom?  For that matter, &#8220;controversial&#8221; according to whom?  The lunatic teabagger fringe that regrettably has taken over the national Republican party?  Or someone with something intelligent to say?</p>
<blockquote><p>if you provide patients with cost data but their health plan is not set up to incentivize the use of  low-cost high-quality providers, you will have many seeking out the most expensive folks.</p></blockquote>
<p>Good Lord, do you have any basis for such an outlandish assertion?  I&#8217;d sure like to see it.  It&#8217;s fascinating to me that, on the one hand, Pioneer seems strenuously opposed to any sort of government regulation of anything, yet on the other, doesn&#8217;t trust individuals to make intelligent decisions without being &#8220;incentivized&#8221; (there&#8217;s a truly creepy word) to do what Pioneer thinks they should do.</p>
<p>This, of course, is Pioneer&#8217;s bottom line:</p>
<blockquote><p>We must ask if we are comfortable with bureaucrats holding the reins to 18% of our state’s economy, that may not have the expertise, resources, or shared values that we do to balance the trade offs associated with government centered cost controls. They decide where billions of dollars will be directed or granted from trust funds.  Do we trust their judgment and are we confident that industry influence will not sway these few government officials?</p></blockquote>
<p>Yeah, &#8217;cause gosh, the &#8220;free market&#8221; has done such an awesome job so far in controlling health care costs.  Get the gubmint out &#8211; that&#8217;ll solve all our problems.</p>
<p>This kind of petty, dog-whistle post that says nothing at all constructive is, frankly, disappointing from an institute that tries to present itself as a serious participant in important public policy discussions.</p>
<blockquote><p>Much more to come.</p></blockquote>
<p>Oooh, I can&#8217;t wait.</p>
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