I listened to Shields and Brooks discuss this on the Newshour tonight. I thought David Brooks got right to the heart of the problem.
My fundamental problem is that it is a slow, gradual building on the current system. But the current system is so fundamentally messed up. The incentive structure is such that providers are penalized for being efficient. Everybody's got an incentive to get more and more care. We're all separated from the consequences of our choices, and that you can't build reforms on top of what is really a rotten set of incentives.So, what are out Senators doing?
And so, at the end of the day, the question is, can you pass this and get toward real reform down the road? And I fundamentally don't think so. One of the Medicare actuaries reported I think last week or within two weeks that health care spending is just shooting upwards. Was 15 percent of the GDP. Now I think it's 17.7 percent of GDP. It will be up to 22, 24.
This bill will make it increase slightly faster, not slower. And if you care about things like preschool education, state spending on any other projects, that's all going to be swallowed up by health care. And if we don't address that problem, we have missed the central problem.
Boxer's web site provides a long list of prescriptions, all of which she tells us will not cost us anything. Or if it does, we can deduct it from out taxes... assuming we make enough to be paying taxes.
As for Feinstein, she gives us a list of priorities, but Health Care is not one of them.
Californians, this has been the major topic of discussion for most of the year. The Senate appears now to be operating under the rule of filibuster, where every bill needs to have a 60 votes rather than a simple majority. Neither of our Senators is really engaged in the process of making fundamental reform work. And all of the quasi progressive reformists tell us that they have to pass a bad bill because not passing it would be embarrassing.
I've had my differences with Dr. Henry Duke at times, but I think he has his sights in the right place on this one.
Corporate funded Democrats like Obama, Baucus, Clinton, Kennedy, Pelosi, are playing games with you and Obama/Baucus clearly decided in January that for health care reform everything would be on the table -- except single payer or the medicare-for-all real reform supported by a majority of Americans and American Nurses and Doctors. The people behind this "urgent" blame onto Lieberman and the Republicans are these very same insurance company puppets and shock-troops.I don't think either of our Senators can give us an answer without checking with their donor list.
HCAN or Healthcare for America Now is not for single payer, and you can bet they receive lots of Big Pharmacy, Insurance, and Hospital industry money laundered through non-profit 501c3 entities like the United Healthcare Foundation, California Wellness foundation, etc.
Good people but bad politics.
Lets break the co-dependency / addiction circle: ObamaCare, the Pelosi, Baucus, and Reid bill are all not reform, they're more bailout for big insurance finance requiring taxes and mandates for workers and consumers.