Tonight is 'the night that all Americans became one'

The New York Times has an
article
today about the incredible sense of joy felt by Americans of African descent over the nomination of Barack Obama.

Clearly, regardless of whatever happens in November, his nomination alone is helping heal the wound of racism, and that, in and of itself is a beautiful and important thing, although I don't think that many people have considered some of the other implications of his candidacy - healthcare implications - and their affordibility. (The news coverage on Obama's healthcare plan has been terrible, giving people the implication that Obama's 'plan' is similar to Hillary's. It isn't, it could end up costing the sickest one fith of Americans many, many, many times more per year. No limit to how much more.)

The article goes on to query a large number of African Americans from around the country and the consensus is that the nomination of Obama represents a watershed of sorts for black people, meaning that they can no longer say that they are excluded from the mainstream of life. Hopes are that there will be a change in attitude among both white and black people about the future.

Its worth reading.

Many Blacks Find Joy in Unexpected Breakthrough
http://www.nytimes.com/2008/06/05/us/pol itics/05race.html

As many know I have supported Senator Clinton in her bid towards the Presidency. I have been doing this because I saw a willingness to help the poor in her policies that I didn't see in Senator Obama's.

I sincerely hope that Senator Obama will change his positions so that his campaign resembles more closely in reality the image that people have of him.

In particular I would like to see Senator Obama adopt a progressive, WORKABLE position on healthcare. Senator Obama's current plan has HUGE problems that will become obvious if it is ever attempted.

(It probably won't even get that far - :( because now that Senator Obama has locked himself into this position, experts will throw up their hands and say 'it can't work so how could we try it'?)

Google
"adverse selection" AND Obama

Lets PRAY that that wasn't his intent all along!



Display:


Re: Tonight is 'the night that all Americans becam (2.00 / 1)

I supported him for two reasons.  One, he didn't support the war.  Two, I thought his health care plan WAS workable, instead of rehash of a failed 93 attempt.


Tony Romo for Secretary of Awesome
by kasjogren on Thu Jun 05, 2008 at 09:29:05 AM EST

Re: Tonight is 'the night that all Americans becam (2.00 / 1)

I agree with you on Hillary's plan. I never liked the theory of mandates. Forcing people into health care doesn't sit well with the part of me that doesn't trust the government to make my decisions for me.

Let's look at the counter example. The government forces you to get car insurance. But that insurance isn't to protect you, it's to protect everyone else from you. If you cause an accident, the person you hit won't be financially destroyed.

Most mandates are like that: the government forces you to act so that your actions cannot harm others. A health care mandate doesn't work fit on those grounds. It's not even the government  forcing you to  not act against your own interests, it's the government forcing you to act in your own interest.

I want everyone to have health insurance. I want the cost to come down so that the cost/benefit analysis works in everyone's favor. But I want people to have real health care, not some mandated minimal coverage. I don't want 1-800-SAFE-BODY ("We keep you living for less!") to be the answer to the health care problems of America.


by TCQuad on Thu Jun 05, 2008 at 09:56:40 AM EST
[ Parent ]

I don't understand how you can both oppose (2.00 / 1)

mandates and want the healthcare to be affordable. The two are mutually exclusive. (google 'adverse selection' or read the URLS below)

http://www.factcheck.org/obamas_creative _clippings.html

" Obama's ad touting his health care plan quotes phrases from newspaper articles and an editorial, but makes them sound more laudatory and authoritative than they actually are.

   * It attributes to The Washington Post a line saying Obama's plan would save families about $2,500. But the Post was citing the estimate of the Obama campaign and didn't analyze the purported savings independently.

   * It claims that "experts" say Obama's plan is "the best." "Experts" turn out to be editorial writers at the Iowa City Press-Citizen - who, for all their talents, aren't actual experts in the field.

   * It quotes yet another newspaper saying Obama's plan "guarantees coverage for all Americans," neglecting to mention that, as the article makes clear, it's only Clinton's and Edwards' plans that would require coverage for everyone, while Obama's would allow individuals to buy in if they wanted to."

So, I don't see how you could legally force companies to lose money. Are you expecting the government to make up the difference out of, say, the defense budget?

Also see

Obama's health plan

Managed Care Matters:

http://www.joepaduda.com/archives/001096 .html

"

Sen. Barack Obama has been taking hits for his 'non-universal' coverage approach to health care reform. His
latest ads
may indicate he is moving in the direction of 'more' universal coverage.

Policy geeks will recall the contretemps among the Democratic candidates over the universal coverage mandate. Obama doesn't want to 'force' people to get insurance, while Clinton/Edwards believe a mandate is essential.

Obama's point has been to focus on 'cost' first to reduce premiums, thereby making health insurance more affordable. In reality all three plans have essentially identical approaches to cost control - while Obama claimed his focus was different, the truth is the only meaningful difference was Obama's plan did not require universal coverage while Clinton/Edwards' did.

Given Obama's big win in Iowa, it is clear that the difference did not hurt the Senator.

Or it could be Obama's last minute TV ads (focused on his health care initiative) convinced caucus-goers that his plan really is universal. Because that is certainly the impression the ads gave.

It isn't. Most analyses of the Obama plan indicate about 15 million will remain uninsured; while the Edwards/Clinton plans will theoretically cover everyone. (I know, it is highly likely some portion of the populace will always be without coverage - undocumented workers, folks changing plans, recent job or marital changes, and those on the fringes of society. But there will be a lot more covered by the Edwards/Clinton plan than by Obama's.)

But that's not the impression
Obama's ads
gave.

The ad

-- says Obama's plan guarantees coverage for all Americans - but leaves out the part about not requiring coverage.

-- claims it is the best, leaving viewers with the impression that the comparison is to his competitors, when the quote compared Obama's plan to a single-payer system

-- attempts to bolster the cost-cutting position by claiming the plan will save the average family (in other words, families in which no members are sick) $2500 - a figure calculated by his own advisers, based on a series of assumptions that are awfully similar to those made by Clinton and Edwards.

Unlike Clinton and Edwards, Obama appears to be less comfortable with governmental mandates and requirements. He'd rather encourage people to do the right thing than require them to.

That's nice, and noble and all, but unrealistic. People don't buy insurance unless they absolutely have to, and will do almost anything to avoid plunking down their cash (I'm speaking as one who sold insurance for years). Until the poop hits the fan, and then it is the most important thing in the world. And that's where Obama's plan breaks down. If everyone doesn't participate, then payers will get hammered by adverse selection.

From here, Obama's ads seem to indicate he is starting to recognize that inherent problem."


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
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by architek on Thu Jun 05, 2008 at 10:11:43 AM EST
[ Parent ]

I don't want Health Care Insurance... (2.00 / 1)

I want Health Care.  I have Health Care Insurance and they refuse to pay for things my Doctor orders, or the Doctor's orders get delayed.  Other countries have nationalized Health Care they pay considerably less than the US not just the individuals they actually pay less of a percentage of their Gross Domestic Income and have better infant mortality rates(just for one measure).  
Neither candidate has a plan that is going to much change the way things go for us in Health Care.  Not to mention Sen. Clinton tried to get the same thing going in the 1990s and failed, because it was a bad idea then and it's a bad idea now.
by tonedevil on Thu Jun 05, 2008 at 10:22:43 AM EST
[ Parent ]

You are right. I have a friend who studies insuran (none / 0)

I have a friend who studies insurance, and she said that the reason we have insurance is mostly so that people will spend money that they know they shouldn't, and so they will work for less. In 1934, people were in the middle of the Depression, people were literally starving to death, this country had just defeated a fascist coup attempt, and we were also in serius danger of a revolution. Then FDR proposed his new DEAL, to prevent revolution and get people to feel secure enough so they would BUY again.

Then, after the war, they wanted people to buy enough so that they would drive the economy so they tore up the mass transit so everyone would have to buy cars.. they made living in the dirty, ugly cities (which was affordable because they could take a bus or trolley around) unfashionable. people moved out to the suburbs, and bought cars on easy credit. Everything was on easy credit.

See how it all began..

Now they want to break the deal. They have been working on obscuring the history for years.

Nobody remembers it.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
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by architek on Thu Jun 05, 2008 at 12:53:47 PM EST
[ Parent ]

you have your head stuck in the sand... (2.00 / 2)

what's worse, is you've chosen to keep it there.

you're continued preference for a plan that was never going to pass -- indeed, hillary wasn't even going to bring it up until her 7th year (as a lame duck), which signaled to anyone paying attention what she thought her chances of passing it were -- while continuing to swiftboat barack and the democratic party has no place here.

i'm sure that one of the republican blogs would love to hear from you how mccain's health care plans are far superior than barack's.  that is the proper place for your continued swiftboat attacks on our nominee...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 10:34:47 AM EST
[ Parent ]

I'm sorry.. You are the one with your head stuck (none / 0)

in the sand, at least on this issue.

Look, I am not denying that healthcare costs will stabilize or (much less likely) go down under Obama. Unless he forced insurance companies to insure people who have issues. If he does that, then insurance premiums will rise across the board. But it may be the only way to do it without a mandate. personally, I would not mind paying $1500 a month for DECENT healthcare, if it included complete pharmacy coverage (its less than my arguably marginal care total costs now)

But I doubt if everyone else in my age bracket would like to see their costs that high. But that is what would happen.

LOOK, OBAMA CAN'T DO ANYTHING WITHOUT A MANDATE. ITS SIMPLE MATH.

ADMIT IT OR LOSE ALL YOUR CREDIBILITY.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
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by architek on Thu Jun 05, 2008 at 12:59:49 PM EST
[ Parent ]

IMPORTANT.. (none / 0)

I should have qualified the above statement with what Austan Goolsbee (Obama's economic advisor) stated..

THAT OBAMA LEAVES OUT THE SICKEST ONE FIFTH OF AMERICANS... That he will, as far as I can see, not help them at all. In fact, by focusing his efforts on the healthy and employed, he will probably end up driving costs for those who really need it up, barring a sudden adoption of a mandate.

A mandate is the only way to spread the risk around, dont you see.

In my case, it is particularly evil because I am sick as a result of somebody else's actions. I was made sick by an environmental crime. One that is exempted by law from being prosecuted, at least in my state. Explicitly.

I am guessing that 20% of the sick people in this country are sick because of the same issues I have.

And its TOTALLY BEING SWEPT UNDER THE RUG.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 01:04:56 PM EST
[ Parent ]

i missed that -- got a link? (none / 0)

even if what you say is true, i would be foolish to think that austan goolsbee will be writing president obama's health care proposal.  it's completely unclear why you assume he would.

i don't accept your assumption that a mandate is the only way to spread the risk because the history of insurance demonstrates that risk can be reasonably spread in many ways.  regardless, barack's proposal is so much better than mccain's (from my pov; obviously, you don't share that pov), that is hardly matters.

i didn't know that you were sick, and you didn't identify what you think the 20% have.  regardless, this is not being swept under the rug at all.  as voters, we have a choice between two candidates and two different health care plans.  most of us here prefer barack's plan over mccain's.  it is unclear why you support john mccain's health care ideas...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:54:06 PM EST
[ Parent ]

you are not only naive, you are trapped by your... (none / 0)

own assumptions.  of course barack can do something without a mandate.  only an idiot would think otherwise.

you should learn some math or logic.  your problem is that your premises are flawed.  and you make a lot of assumptions that have to be untangled before anyone can have a decent conversation with you.

i didn't tangle too much with you until it was clear barack was going to win.  but now you are off the reservation.  if health care reform is important to you (and that's not at all clear), then you need to start to explain why you prefer mccain's health care plans over barack's.  your attacks on barack tells us that you support mccain's health care plans.  but we don't know why.  all we know is that you trumpet something that even hillary didn't take as seriously as you.  she had no intention of sending up her health care plan until her 7th (lame duck) year.  which tells us how seriously she stood behind her plan.

so why do you prefer mccain's plan over barack's?  why aren't you being honest with us about that?


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:49:47 PM EST
[ Parent ]

Re: I don't understand how you can both oppose (2.00 / 1)

You really have very little understanding of insurance or free markets or what adverse selection is or when and why it occurs, and you should really refrain from further comment on these topics at the risk of appearing even more foolish.


NJ Hussein Independent
by NJIndependent on Thu Jun 05, 2008 at 10:55:42 AM EST
[ Parent ]

it's all about swiftboating barack for architek... (none / 0)

and it always has been.  you can't get an intelligent response because the purpose is not to discuss this rationally.  the purpose is to attack barack.  period.

architek crossed the foolish threshold a long time ago...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 12:11:24 PM EST
[ Parent ]

Bored now is an appropriate moniker (none / 0)

for someone who is too bored and selfish and ludicrously self-important to listen to any viewpoints other than his own, or to even attempt to understand why and how his favored candidate performed a service to the greedy in destroying the hopes of millions of Americans to see a end to their
being drained financially
until they have nothing, then
thrown out in the street to die
.
http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 01:10:25 PM EST
[ Parent ]

stop being stupid... (none / 0)

seriously.  are you really that dumb?

why do you support john mccain's health care plan?  i'm ready to listen...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:55:23 PM EST
[ Parent ]

Re: I don't understand how you can both oppose (none / 0)

The first URL seems to attack Obama's ad, which is accurate, except not really germane. My argument was that I didn't care for Clinton's mandates, not that I thought Obama's ads were perfect. As to your point:

So, I don't see how you could legally force companies to lose money. Are you expecting the government to make up the difference out of, say, the defense budget?

Both plans contain clauses that could be read as you stated. From Hillary:

Insurance companies won't be able to deny you coverage or drop you because their computer model says you're not worth it. They will have to offer and renew coverage to anyone who applies and pays their premium.

From Obama:

Insurers would have to issue every applicant a policy, and charge fair and stable premiums that will not depend upon health status.

Both policies result in people who would not be insured before due to high cost being insured now. That's legally forcing an insurance company to lose money.

But now onto the more salient point: adverse selection. The advised Google led me to the wiki, which states in the insurance section that "Whether examples of this sort apply in reality is an open question". Of course, wiki is about as reputable as scribbling on a bathroom wall. So let's look at what happens when mandates pass.

-All of those who would have gone without health insurance get insurance from some cut-throat "we'll give you a sticker that says your covered" company. The 1-800-SAFE-AUTO of the insurance agency (I'll call them 1-800-SAFE-BODY).
-At some point, the 1-800-SAFE-BODY clients get sick. Their health insurance is bare-bones minimal that doesn't cover the full cost of the expenses or puts prohibitive restrictions on it (only covered for the hospital on the other side of the state, for instance, which is an actual problem I have with my current student health insurance when I leave campus.)
-They switch into big insurance, let's say Blue Cross Blue Shield, paying a higher rate but getting coverage.
-They get better.
-They switch back to 1-800-SAFE-BODY.

It's still adverse selection. The only difference is that your bottom rung is slightly higher and you've propped up the lowest tier of insurance.

There are bits and pieces from both plans that I like (repealing the tax cuts to cap premiums from Hillary's plan, for instance). But, like I said, punishing people for not having health insurance is something that makes me instinctively recoil. If you want everyone, everywhere to have health insurance, you need to scrap the current system and go single-payer. Otherwise, all these half-measures attempting to prop up and mold our current system will always have fundamental flaws that leave people out.


by TCQuad on Thu Jun 05, 2008 at 11:19:17 AM EST
[ Parent ]

You are spreading DISINFORMATION... sorry.. (none / 0)

>Both plans contain clauses that could be read as you stated. From Hillary:

   Insurance companies won't be able to deny you coverage or drop you because their computer model says you're not worth it. They will have to offer and renew coverage to anyone who applies and pays their premium.

From Obama:

   Insurers would have to issue every applicant a policy, and charge fair and stable premiums that will not depend upon health status.

Both policies result in people who would not be insured before due to high cost being insured now. That's legally forcing an insurance company to lose money.

Both Edwards and Hillary's plan made up for the fact that given a choice, only sick people and rich people buy insurance by having a mandate in which everybody buys insurance at a lower cost. Hillary would have an automatic subsidy kick in so people would not have to pay a higher percentage of their income than is normal, globally. RIGHT NOW WE ARE PAYING TWICE THAT.

Why are you trying so hard to deceive people? This is the WORST area where the Obama campaign has consistantly LIED, over and over again.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
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by architek on Thu Jun 05, 2008 at 11:56:59 AM EST
[ Parent ]

you have no idea what you are talking about... (none / 0)

your assumption that people don't understand risks and thus "only sick people and rich people buy insurance" is not only flawed, it's profoundly flawed.  while young people are less likely to buy health insurance on their own, it is well known that affordability is the greatest impediment to purchasing health care insurance.

not that you are the least bit interested in facts.  but i can only assume that you are lying flat out when you say things like that.  you've been corrected on this, and yet you continue to lie about the reasons people don't have coverage.  you are the one trying to deceive people.

we all understand your preference for the mccain plan, which has been obvious from the beginning.  which begs the question: why are you still here?  we serve democrats here.  your false analyses of democratic proposals only serves one cause -- republicans.  isn't there a conservative blog that is better suited towards your swiftboat attacks of our nominee?


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 12:17:11 PM EST
[ Parent ]

Re: You are spreading DISINFORMATION... sorry.. (none / 0)

Why are you trying so hard to deceive people? This is the WORST area where the Obama campaign has consistantly LIED, over and over again.

It's not lying, it's a policy difference.  I believe that unless you go single payer you cannot have universal health care in this country and force people that don't WANT to, to buy insurance.  It will NEVER pass.  Now mandating children is different and subsisdizing insurance for those that WANT it but can't afford it I can get behind.

I personally would rather have single payer but niether candidate offered that.  One offered a plan I think has a chance and one didn't, that is all it is.  It isn't an attack on you or your candidate to have a difference of opinion on a policy issue.

Oh and buy the way, I am niether rich nor sick and I CHOOSE to buy insurance.  In fact the only time in my life I didn't is when I couldn't afford it because of the first Bush recession so I don't buy into that arguement personally.


Tony Romo for Secretary of Awesome
by kasjogren on Thu Jun 05, 2008 at 03:05:04 PM EST
[ Parent ]

Re: Tonight is 'the night that all Americans becam (2.00 / 1)

As many have pointed out to you for months now, there is no consensus over whose health plan is superior.  There are experts on both sides of this debate.  Robert Reich is one of the foremost supporters of Obama's plan, arguing it does the most to lower costs and will cover more people than a mandated plan without clear mechanisms for enforcement.  Paul Starr has argued that Obama's plan represents the likely outer limit of what is currently possible from a legislative standpoint, but that an Obama presidency and his proposed reforms have the potential to lay important groundwork for the creation of a larger consensus on health care reform and other issues.  

You have clearly mastered one side of the health care debate.  I would like to suggest that the time has arrived to give the counter arguments a fair hearing and to consider the political context that delineates the short term and long term possibilities for this crucial initiative.


The future is unwritten
by Strummerson on Thu Jun 05, 2008 at 09:29:22 AM EST

are you really that divorced from real politics? (2.00 / 1)

i always figured that you were just pushing your candidate's position.  i had no idea you were that profoundly naive.

you clearly have no idea about what kind of health care reform that barack will propose, let alone sign into law.  i can only assume that your are willfully ignorant on that.

please stop swiftboating the democratic nominee.  serious request...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 09:34:42 AM EST

As I've said before... (2.00 / 4)

Hillary Clinton will be on the Senate committee that works on implementing health care.  The final results will have her signature on them.

You don't have anything to worry about.  Hillary Clinton has your back.


In this avalanche, the pebbles get to vote.

That One/Another Fella '08

by Dracomicron on Thu Jun 05, 2008 at 09:43:16 AM EST

As one who (2.00 / 2)

has been highly critical of you and your comments, I'll weigh in with a civil comment to a civil diary.

I'm not a big fan of either candidate's health care plan as they stand.  I do believe, however, that both Clinton's and Obama's plans are merely starting points in the debates to come.  The final version will be, I expect, a lot closer to Clinton's, and Obama directly stated that Hillary would play a big part in development of the final policy.  I think that's a good thing.


Nos causidicus Obama , ergo nos non suadeo
by rb608 on Thu Jun 05, 2008 at 09:44:12 AM EST

Millions of people hope you are right. (none / 0)

Otherwise we will be eating out of garbage cans and cursing you under our breaths in three or four years.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 10:14:11 AM EST
[ Parent ]

Re: Millions of people hope you are right. (none / 0)

It's either everyone in gold houses or eating out of garbage cans?


Tony Romo for Secretary of Awesome
by kasjogren on Thu Jun 05, 2008 at 03:06:54 PM EST
[ Parent ]

i believe (none / 0)

that he will definitely crib clinton's health care plan.  he has to.  it's the right thing to do.


Visit us at TexasKAOS, where we're taking Texas back!
by annatopia on Thu Jun 05, 2008 at 09:45:29 AM EST

On healthcare (2.00 / 1)

We need universial health care. We need it yesterday.  Due to the speed of politics, I think we won't get it any faster than 4 years from now.  If we and out Democratic elected officials eff this up, it could be decades.  I don't think that anyone on this website would argue that the stakes are high on this issue.

The only reason I preferred Obama's plan to Clinton's is that Clinton  said something in a debate about enforcing the mandate by garnishing wages (I don't have the exact quote).  She made me literally sick to my stomach as she said that because I started imagining the Republicans hammering us with that line during the GE.

I'm gonna work my butt off to get out nominee elected.  I'm gonna work my butt off to get my local Dems re-elected, and I'm gonna contribute what I can for Congressional seats that we might be able to flip from red to blue.

And in January, I'm gonna start working my butt off to convince our Democratic president and Congress to do the right thing and get us universal health care.


by GreenHills on Thu Jun 05, 2008 at 09:49:58 AM EST

Re: On healthcare (2.00 / 1)

I think we won't get it any faster than 4 years from now.  

I think you vastly overestimate the speed of politics.


by TCQuad on Thu Jun 05, 2008 at 09:58:11 AM EST
[ Parent ]

Re: On healthcare (2.00 / 1)

Yeah, probably.  Maybe we could at least have it signed into law and in progress in 4 years?


by GreenHills on Thu Jun 05, 2008 at 10:01:16 AM EST
[ Parent ]

Both candidates promised recently that they would (none / 0)

start IMMEDIATELY to try to get a healthcare plan passed. Many people are just hanging on, even a year or two is too long. I fully expect demonstrations to begin within a few months if we dont see ACTION, nomatter if a Democrat or Republican gets into office in November. Empty promises wont do it.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 10:16:19 AM EST
[ Parent ]

Re: Both candidates promised recently that they wo (none / 0)

I think that with a Democratic president, the process will  start immediately.  However, this will take a long time to get anything passed.  Anything that is a real step forward will probably get some type of court challenge.  I'm all for demonstrations on this issue, I just hope they are directed at our opponents instead of allies.


by GreenHills on Thu Jun 05, 2008 at 10:30:08 AM EST
[ Parent ]

the diarist knows that this is not true... (none / 0)

hillary wasn't even going to send her health care proposal to the hill until her 7th year in office.  you know, after republicans won more and more seats in congress (just like bill).  hillary understood that she had no hope for passing her health care ideas into law.  obviously, some of her supporters are a lot more naive than she was...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 10:39:06 AM EST
[ Parent ]

Re: Tonight is 'the night that all Americans.. (2.00 / 1)

I think there's plenty of room for reasonable people to disagree on the merits of the two proposed plans.  

For a lot of Clinton supporters, who see Obama's plan as sorely inadequate, I would ask you all to take the long view.  If you're unhappy with his plan as it is, realize that this is only a first step on a longer journey of reform.  

His plan doesn't go far enough in my opinion either, but any plan has to make it through a congress still filled with a lot of Republicans and Blue Dogs who are going to fight healthcare reform tooth and nail.  (I'd personally love to have a fighter like Hillary spearheading the effort, either as a Senator or Sec. of HHS.)  


by cato on Thu Jun 05, 2008 at 09:52:34 AM EST

"Let them eat cake" (none / 0)

Thanks.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 10:16:58 AM EST
[ Parent ]

link for that quote, please... (none / 0)

given your adversion to documenting your claims, i'm sure this one will fall on deaf ears, as well.  but we all know you just made it up.  like virtually all your idiotic attacks on the democratic nominee.

feel free to make your views known at the nearest republican blog of your preference...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 10:36:33 AM EST
[ Parent ]

Re: link for that quote, please... (none / 0)

what quote????


by jentwisl on Thu Jun 05, 2008 at 01:29:59 PM EST
[ Parent ]

Re: link for that quote, please... (none / 0)

"Let them eat cake"


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:55:31 PM EST
[ Parent ]

Re: link for that quote, please... (none / 0)

you've got to be kidding????
ok. maybe you really haven't learned this.  so...

it's widely attributed (but sometimes disputed) to Marie-Antoinette who was said to say this after being told that the peasants had no bread to eat. (others think it was another french princess...in reply to a similar statement)


by jentwisl on Thu Jun 05, 2008 at 02:09:57 PM EST
[ Parent ]

Re: link for that quote, please... (none / 0)

"i love it when they run."

our friendly diarist here was insinuating that the commenter (and probably barack) shared that approach.  but in a sense, i was "kidding."  i suppose.  just trying to keep it honest...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 02:35:05 PM EST
[ Parent ]

I think both candidates plans sucked ass... (2.00 / 0)

I've always been a supporter of single-payer health insurance.  The primary problem in the U.S. is not that people are uninsured, it's that our health care is twice as expensive as other industrialized countries.  So many people not having insurance is merely an affect of the high price.  Much better to simply pay for everyone from a payroll tax on employers, and have no individual fees other than maybe some copays.  

The two plans are virtually identical, minus the mandates.  They both could, however, lead to single-payer eventually.  Provided the new government plan is cheaper (it should be, considering Medicare is), more and more employers will dump their existing coverage and begin paying the payroll tax to be in the national plan instead.  If private insurance can't find a way to compete on cost, then it will go extinct.

On the subject of mandates, I just don't think they're needed.  For one thing, the uninsured using emergency care is a relatively small part of cost escalation currently.  Secondly, as a male just exiting my 20's, despite what some people might think, few young people I've known, if they were offered health insurance through their job, would turn it down.  The real issue are the poor who currently make too much for Medicaid.  I have no idea how much of the health insurance burden they'd pay - would it be $50 per month or $200?  Regardless, not including a mandate means that we can go back and tinker with subsidizing lower-income people more until we reach the right balance.  

Ultimately, the only mandate I'm fine with is a mandated payroll tax on employers though.  


by telephasic on Thu Jun 05, 2008 at 11:06:12 AM EST

medicaid doesn't cover most poor people.. (none / 0)

I am VERY surprised that you do not know that. It hasn't in a very long time. You must be confusing it with Medicare which is for old people.

I really dont understand why OBAMA's DEMOCRATS cant be HONEST on healthcare issues.

We CANNOT STOOP TO THE SAME LEVEL THAT THE REPUBLICANS PRACTICE.

THAT WILL LOSE THE ELECTION IN NOVEMBER.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 12:18:36 PM EST
[ Parent ]

Re: medicaid doesn't cover most poor people.. (none / 0)

As I said "the real issue are the poor who make too much for Medicaid."  Most uninsured are found in this hole, making too much for it, but in jobs which either don't offer health insurance, or offer insurance so expensive they cannot afford to take it.  

I fail to see how having a mandate for these people will help.  If they cannot afford insurance, they need subsidies, not a mandate.  The only people mandates would work for are young, mainly male, and stupid - those who think they can get by without insurance until they get older.  Ultimately, this group is small, and the effect they have on other's health care costs is minor.  If they want to be dumb and not take insurance, that's their choice.  


by telephasic on Thu Jun 05, 2008 at 01:49:58 PM EST
[ Parent ]

so sayeth the republican supporter... (none / 0)

so is this comment supposed to be ironic, or is it just hypocritical?


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:57:40 PM EST
[ Parent ]

Re: medicaid doesn't cover most poor people.. (none / 0)

Architek:
You are a one-issue voter.  I hope that works for you.  This country is too fucked up for many of us to worry about one issue.

Most here have looked at the issue realistically and objectively to see what could be done.  You can't accept that, it's your prerogative.


I'm riding the Low Road Express. Join me at www.lowroadexpress.com
by LtWorf on Thu Jun 05, 2008 at 03:10:49 PM EST
[ Parent ]

Re: Tonight is 'the night that all Americans becam (none / 0)

Serious question:

If health care is in any way important to you, why would it take more than .0000007 milliseconds for you to back Obama's over McCain's?

I mean, do you even know McCain's "plan"?


by Reeves on Thu Jun 05, 2008 at 11:07:22 AM EST

Re: Tonight is 'the night that all Americans becam (none / 0)

Does McCain even know McCain's plan?


by TCQuad on Thu Jun 05, 2008 at 11:20:51 AM EST
[ Parent ]

neither of them give a rats as about US (1.00 / 1)

They are rich people who care about the rich.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 12:19:26 PM EST
[ Parent ]

Re: Tonight is 'the night that all Americans becam (none / 0)

This debate seems reminiscent of the debate over the failed health care plan in Clinton's first term.  

Just because a candidate supports Plan X does not mean that Plan X will be enacted without any changes and become law under the candidate's administration.

If  Hillary is going to be in charge of sheparding Obama's health care plan in the senate, let's just hope she and her supporters remember the mistakes from her first attempt and be open to the fact that not all democrats will agree 100% with the plan, and that's okay and they are not the enemy if they have some differing views.  


by ProfessorReo on Thu Jun 05, 2008 at 11:08:16 AM EST

Didn't Obama's Jim Cooper 'kill' Clinton's UHC? (none / 0)

Clinton lite: why would big business, in rejecting the Clinton health-care plan, go for one with many of the same features? - Bill Clinton's managed care reforms

http://findarticles.com/p/articles/mi_m1 282/is_n4_v46/ai_14885300

The Selling of "Clinton Lite"
http://backissues.cjrarchives.org/year/9 4/2/clinton.asp

http://en.wikipedia.org/wiki/Adverse_sel ection


Adverse Selection
by Seth J. Chandler, (mathematical simulation!)

The Wolfram (Mathematica) Demonstrations Project.

http://www.economist.com/research/Econom ics/alphabetic.cfm?LETTER=A


Adverse Selection

"When you do business with people you would be better off avoiding". This is one of two main sorts of market failure often associated with insurance. The other is moral hazard. Adverse selection can be a problem when there is asymmetric information between the seller of insurance and the buyer; in particular, insurance will often not be profitable when buyers have better information about their risk of claiming than does the seller. (whether they are sick or not, the sick people will buy, the well people will not) Ideally, insurance premiums should be set according to the risk of a randomly selected person in the insured slice of the population (55-year-old male smokers, say). In practice, this means the average risk of that group. When there is adverse selection, people who know they have a higher risk of claiming than the average of the group will buy the insurance, whereas those who have a below-average risk may decide it is too expensive to be worth buying. In this case, premiums set according to the average risk will not be sufficient to cover the claims that eventually arise, because among the people who have bought the policy more will have above-average risk than below-average risk. Putting up the premium will not solve this problem, for as the premium rises the insurance policy will become unattractive to more of the people who know they have a lower risk of claiming. One way to reduce adverse selection is to make the purchase of insurance compulsory, so that those for whom insurance priced for average risk is unattractive are not able to opt out.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 12:31:02 PM EST
[ Parent ]

can we talk about hillary's racist supporters now? (none / 0)

i mean, if you assume that jim cooper belongs to barack, then it must be true that hillary was responsible for all the racists who supported her.

so why did hillary accept the support of racists?  what the hell was wrong with her?


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 01:59:25 PM EST
[ Parent ]

Re: Didn't Obama's Jim Cooper 'kill' Clinton's UHC (none / 0)

I'm not sure what your links prove other than that the Clintons got politically outflanked on their signature reform.  You can't say such things like, if Cooper didn't kill the Clintoncare, we'd have universal health care right now.  

Because getting bills passed is not about making logical policy arguments to legislators, but also about having a good grasp of the politics of the situation navigate through and get the important players all on board, players who will all have their own reasons for supporting or not supporting a bill.  

As skilled as the Clintons are when they are campaigning, the Clintons have an uneven track record when it comes to governing.  Campaigning and governing are two very different skill sets.  Sound bites and spin don't work when you're trying to get Congresspersons to back your plan.

And, I'd contend that, based on how we've seen Hillary "negotiate" during this campaign, it doesn't seem like she and Bill have fully learned their lessons from the health care failure.  For example, it seemed like Hillary failed to realize that her soundbite friendly spin about popular vote may have worked with voters and the media, but the superdelegates weren't buying it, and if they were going to support her, they had to be convinced in different ways.  

So, you can "blame" who you want for the defeat of Clintoncare.  The reality was, they had tremendous momentum and energy on their main campaign issue, and for whatever reasons, they weren't able to get it done.  


by ProfessorReo on Thu Jun 05, 2008 at 03:14:01 PM EST
[ Parent ]

Evolution (none / 0)

Architek:
Can you find away to write a "unity" diary without being divisive?  I think not.

I got news for you, and I read your diary about your health issuse, but it's not going to change over night.  THAT. IS. REALITY.

Healthcare reform in America, provided we can maintain leadership committed to it, isn't a matter of just who is in office.  Telephasic is right, until employers climb aboard, it's not really going to happen the way you want.


I'm riding the Low Road Express. Join me at www.lowroadexpress.com
by LtWorf on Thu Jun 05, 2008 at 11:10:47 AM EST

Re: Evolution (none / 0)

yes it will not change over night.
yes, that. is. reality.
many said the same thing to the Abolitionists or the Suffragists.
doesn't mean it's not good to have some very strong and very insistent voices fighting the good fight.
by jentwisl on Thu Jun 05, 2008 at 01:34:59 PM EST
[ Parent ]

Re: Evolution (none / 0)

There's nothing wrong with it at all.

The Abolitionist Movement began in 1820, however, slavery wasn't abolished until after a Civil War began.

The Suffragette Movement's origins are traced back to the 1820s as well, but many historians put it at 1848 with the Seneca Falls Convention.  The 19th amendment wasn't ratified until 1920.

My point is that it takes time.  Hopefully it won't take 44 or 72 years, but demanding single payer for everyone overnight is unrealistic.


I'm riding the Low Road Express. Join me at www.lowroadexpress.com
by LtWorf on Thu Jun 05, 2008 at 03:07:11 PM EST
[ Parent ]

Insurance mandates (none / 0)

Former Clinton supporters need not worry about the lack of mandates in Obama's plan.  While his plan is popular among consumers (voters), it will not fly with the insurance companies.  If forced to insure sick people and people who have a history of illnesses/ailments, they will want to spread the risk as thin as possible by taking no chances that any healthy people don't buy insurance.


That One is the Right One for 2008.
by GFORD on Thu Jun 05, 2008 at 11:11:09 AM EST

Thats true. So the failure of Obama's plan will be (none / 0)

blamed on THEM, not on Obama OR the healthcare lobby!

BRILLIANT!!!

You really make me 'proud' to be a Democrat.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 12:33:13 PM EST
[ Parent ]

What in the world are you talking about? (none / 0)

Nobody is foolish enough to think the final health insurance plan would be exactly like either of our candidates envisioned it.  The congress will form a committee, the healthcare providers, consumer groups and insurance companies will have input.  The entire thing will be broadcast on C-Span so we can watch the process.  There will be give and take and it's my opinion that mandates will be the concession made to the insurance companies.

Eesh!  You are either a Democrat and proud of it or not.  Nothing to do with me.


That One is the Right One for 2008.
by GFORD on Thu Jun 05, 2008 at 01:39:16 PM EST
[ Parent ]

i don't think architek is a democrat... (2.00 / 1)

i certainly wouldn't assume that.  too much evidence to the contrary...


"This is the time for resolve and steady leadership" -- Barack Obama
by bored now on Thu Jun 05, 2008 at 02:00:18 PM EST
[ Parent ]

Re: Tonight is 'the night that all Americans becam (none / 0)

In the first 2 years a health care plan will be passed and signed. It will be the first step.
In Obama's second term universal care will be establish bring us up to most every other industrialized nation.
"harlequin speech of suicide, demanding instantaneous lobotomy"
by nogo postal on Thu Jun 05, 2008 at 11:34:35 AM EST

Of course. And Obama will 'cover' the healthy (none / 0)

and those with corporate jobs. The people who matter.

They will 'choose' the cheaper catastrophic plans, of course, the choice is theirs. And of course, those plans will only cover some things, not the others. And those who are uninsurable, will be quoted a 'fair price' for insurance which, considering that the risk represented by them is 100% it will be a LOT of money.. Enough to make it worth the insurance company's happy about it, right?

Nothing like fairness! Hail Obama!


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 12:36:24 PM EST
[ Parent ]

Look at the HUGE differences between European (none / 0)

healthcare and American.

There are huge, important areas where American doctors are literally FORCED TO LIE by their powerful medical associations and the insurance companies.

AND THEY KNOW IT.

Why?

BECAUSE OUR ALL POWERFUL INDUSTRY AND GOVERNMENT DON'T WANT TO ADDRESS THE ROOT CAUSES OF ILLNESSES OR TAKE RESPONSIBILITY FOR THINGS THEY OBVIOUSLY HELPED CAUSE.


http://www.thisamericanlife.org/Radio_Ep isode.aspx?sched=1242
Confused by the 'Bailout' Lies?
Listen to NPR's The Giant Pool of Money
by architek on Thu Jun 05, 2008 at 01:15:47 PM EST
[ Parent ]

Re: Tonight is 'the night that all Americans becam (2.00 / 1)

recommended this diary.

having read the comments so far, arch, i think that the fundamental difference on health care between you & the various others is that you don't trust obama & the rest (including myself) do.

i think that the end goal here for most people, including one barack obama, is single payer health care.  i think that this is an opening move on obama's part & that he won't be satisfied until we have a single payer system that provides healthcare to all americans.  

if you look at the strategy that howard dean followed in the nineties in vermont, i think you'll have a better idea of what i think obama's strategy will be:  step by step, one thing at a time, but with a definite endgoal:  100% health care coverage for all americans & more than likely at a fraction of the current costs.

two things to support this & you can research the rest as you get time.  first, obama as a community organizer in his youth has seen first hand how poverty & lack of health care can destroy lives.  second, the step by step approach is one that he's favored as a legislator in the illinois senate.

i know that's going to sound like a lot of hot air to you.  i know that you want something concrete right now.  i know that you don't have the trust in obama that i & a lot of others do.  that's fine.  all i'm asking is that you give him a chance.

& just so you know, if he doesn't do this, if he's content to get his health care plan passed & then rests, i & a lot of other obama supporters are more than willing to hold his feet to the fire until he does.
s.


by synth on Thu Jun 05, 2008 at 01:43:23 PM EST

Re: Tonight is 'the night that all Americans becam (none / 0)

It's a great day not only for African Americans, but ALL Americans. We should all feel proud.


"No matter what happens, I will work for the nominee of the Democratic Party because we must win in November." -Hillary Clinton
by fugazi on Thu Jun 05, 2008 at 03:49:17 PM EST


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