Health care: Affordability regs are out

Comments

1. annem says

   April 12, 2007 at 2:22 pm

   but I’m not wading into the quicksand of this new law’s details.  To be honest, it has actually sickened me these past many months trying to keep up with the law’s lousy changing details and participate in a critical and constructive public dialogue about it.  Important questions are routinely ignored over on the new NPR “CommonHealth” blog and other “blogs” choose to censure comments that don’t adhere to the mainstream advocacy party line.

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   So for my comment I’ll share a refreshing, bold and much needed (for me at least) big-picture perspective from my friend Roger Hickey at CAF on the exciting work that’s underway to create a winning movement for fundamental health system reform.  It’s a  perspective that I agree with whole-heartedly.  Wow. It feels great to say that.

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   Enough Tinkering

   The following post is a part of this week’s TPMCafe Book Club group discussion of the new book “Sick: The Untold Story of America’s Health Care Crisis — and the People Who Pay the Price” by Jonathan Cohn.

   Kudos to Jonathan Cohn for his important new book. One of the reasons we are talking about what’s the right approach — or the most politically feasible approach — to insuring all Americans is that millions of Americans are telling pollsters and politicians that the health care system is in crisis. The public has put this issue on the table for the political system — not the policy wonks.

   ndividuals, like those profiled in “Sick,” experience the health care crisis in many ways. But is there a explanatory diagnosis for why the health care system is not serving them?

   Perhaps some people think the problem is not enough careful tinkering with the system we have. But increasingly, the diagnosis that makes the most sense will focus on the structural failures of the private health insurance industry.

   If insurance companies make their profits by denying care, refusing to cover people who are expensive, spending more money on advertising than they do on wellness, and just passing along increased health costs, then the public may decide that tinkering with the private health insurance system (and subsidizing and regulating them to do what their business plan doesn’t allow them to do) is not the way to go.

   So I’m betting that the public, making the diagnosis that the private insurance industry is a key part of the problem, is unlikely to be impressed by tinkering.

   And many experts and commentators (who do think in their heart of hearts that single payer is the way to go) may be surprised that the public won’t see “regional buying pools” and individual mandates as giving them the kinds of guaranteed coverage the system doesn’t currently offer.

   This promises to be an exciting discussion. Many of us who think single-payer is the right direction have thought long and hard about step-by-step ways to get there.

   Jacob Hacker’s plan, recently published by EPI, is structured to allow lots of choice — including ways to let Harry and Louise keep the private health plans they now have if they like them.

   But the big question is the one Jonathan asks here: will tinkering, even at an ambitious scale, get us a health care system that covers everyone, affordably, and with the kinds of structural arrangements that can begin the reorganization of the health care system to control the spiraling health care costs our economy is now facing?

   –Roger Hickey | Tuesday, April 10, 2007 2:32 PM

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   P.S. thanks, Charley, for sharing hc info, esp. your prior heads-up about this book “Sick” being discussed on TPM.  I hope folks have noticed the BMG Events item I put up a couple weeks ago about this book’s author coming to a MassInc public forum–register before it fills up if you’re interested.

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   P.P.S. Reminder that tonite is another event that’s listed on BMG’s Events sidebar, the expert panel discussion on Univ. HC 6pm at Simmons College Library, 300 The Fenway–it’s sure to be great.  Free of charge, public welcome.

   • empowerment says

     April 12, 2007 at 4:49 pm

     it’s revealed the day before the vote (all 145 pages!).

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     Throw in the fact that the day AFTER the vote, SoS Galvin revealed in the Boston Globe that the healthcare industry spent $7.5 million in state lobbying in 2005 in the run-up to this bill.

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     If you go to http://opensecrets.o…
     you can see that the health industry spent $338 million nationally on lobbying alone.