Even Some Republicans aren't as Reactionary as Lieberman

It's been a sad day for health care reform, what with Lieberman vowing to filibuster any Senate health care reform legislation that includes a public option...

Honorable Senator Lieberman: It is truly a sad day for CT and the United States overall to hear you pledge to defeat health care reform if it includes a public option. I can't fathom what misguided values are leading you to take such a counterproductive approach to dealing with one of the most important public policy issues of our generation. Without a public option, meaningful health care reform is impossible, because the RIGHT to have medical insurance means nothing if it isn't affordable. And given that the insurance industry either can't or won't make medical insurance affordable for millions of Americans means those without access to employer-provided insurance (like you, for one) need a guarantee that they'll be able to find affordable options. From what I have seen and learned, the only way to make that happen is through a public option. It's time for you to stand up and represent your constituents, not protect the insurance lobby. I will be watching your position closely.

Is This the Democratic Party I Belong To?

I was shocked to read about the last minute cave-in to the anti-choice lobby to secure passage in the House of health-care reform. Putting Stupack-Pitts together with the word "reform" has ushered in a new level of spinelessness for the Democratic leadership.

My quick note to Speaker Pelosi:

Dear Speaker Pelosi,

I am greatly disappointed with the health care reform bill you brought to the floor for passage, because of the complete sell-out of the abortion rights of lower income women. It is truly a sad day for the Democratic party—particularly when it enjoys a historically overwhelming legislative majority—that it to so cravenly gave in to the anti-choice lobby and tossed away years of hard-won victories to protect the health and privacy rights of American women.

I truly cannot understand why you allowed this last minute amendment to be offered without raising huge red flags. The efforts to play down the significance of the Stupak-Pitts amendment are disingenuous at best, offensive at worst. To suggest that women, especially those who can least afford it, should have to buy a rider to obtain medical insurance to cover their constitutionally protected right to reproductive freedom is nothing short of obscene.

I urge you to do everything in your power, and what you should have already done, to reverse this dangerous and ill-conceived precedent.

Sincerely,

JP

Are Republicans Opposed to Everything Positive?

It's hard to know where to begin when it comes to confronting Republican obstructionism to health care reform. Here's my attempt:

There can be little doubt that we are facing a severe health care crisis. And contrary to what some critics of health care reform would have us believe, the crisis is not just about the 45 million non-elderly who do not have health insurance (4 out of 5 of whom are in working households). The high costs and poor quality of health care affect all of us, and represent a very real threat to our health and economic security.

Employer-sponsored health insurance premiums have grown four times faster than wage increases over the past nine years. The availability of employer-based health insurance coverage is shrinking, down 8% since 2000. According to a study by The Commonwealth Fund, the quality of U.S. health care ranked next to last compared to the U.K., Germany, Australia, New Zealand and Canada—despite the fact that the U.S. spends nearly twice the amount of its economic output on health care as other developed nations. As many as 98,000 Americans die each year as a result of preventable medical errors, a per capita rate 40% worse than the U.K. and Canada, countries with government run health care systems. The situation is so bad that Medicare refuses to pay for procedures performed on the wrong patient or part of the body.

According to the Congressional Budget Office the “rising costs of health care and health insurance pose a serious threat to the future fiscal condition of the United States.” It goes on to say that without policy changes, “a substantial and growing number of nonelderly people…are likely to be without health insurance.”

The solutions to these problems will be difficult; a healthy debate about alternate approaches is warranted. However, Republican critics of health care reform aren’t showing any interest in having a substantive debate. Rather, just resorting to their usual tactics of spreading disinformation and instilling fear as they block Democratic attempts to help millions of ordinary Americans deal with the real and immediate health care problems they face. These problems are affecting millions of us. A Kaiser Family Foundation survey found that nearly one-quarter of respondents said they had experienced a serious problem covering health expenses.

Republicans are scaring Americans into believing that the proposed public insurance option is a wicked scheme intended to destroy America. As Karl Rove put it, “If Democrats enact a public-option health-insurance program, America is on the way to becoming a European-style welfare state.” Contrary to what Republicans would have us believe, the public option is not socialized medicine. Socialized medicine is where the government runs health care facilities and employs health care providers. But as the AARP confirms, the public option proposed by President Obama is a backstop “to give consumers the best value for their money and force greater competition among insurance plans for our business.” It “isn't about a government takeover.”

The facts haven’t stopped critics like the Conservatives for Patients’ Rights from spreading falsehoods about the public option, saying “this government-run plan could crush all your other choices…resulting in 119 million off their current insurance coverage.” In fact, the 119 million figure comes from the Lewin Group (affiliated with insurer United Healthcare) which concluded that, offered a Medicare-like public option, many people and businesses would voluntarily drop their private insurance in favor of the lower cost option. Choice, of course, is not something Republicans like to offer Americans.

The latest misinformation being spread—by Sarah Palin among others—is that proposed legislation would limit end-of-life care and encourage euthanasia, charges that the AARP labels “flat-out lies.” Once again, the truth is closer to the opposite. The provision provides Medicare coverage for optional consultations to receive advice on life-sustaining treatment and hospice care.

Since Republicans believe that the private insurance market is such a great solution for Americans’ health care needs, perhaps they can explain why it is that insurance premiums are growing so much faster than inflation and why the private market can’t make insurance accessible or affordable to 15% of Americans. Or why countries that have single payer, government sponsored programs, such as Canada and the U.K., have lower health care costs and better quality healthcare than the U.S. Or why the price of prescription drugs is substantially higher in the U.S than elsewhere.

Sadly, Republicans believe that it’s more to protect the private sector (which after all is doing such a bang up job) than ensuring the health and well-being of Americans.

GOP Hypocrisy on Student Loans

Isn't it interesting how all the Republican arguments about protecting the taxpayer fade away when it comes to delivering largess to corporations. It seems that giving subsidies is only irresponsible when it helps citizens. In this case the topic is student loans...

The hypocrisy of the Republican Party knows no bounds. Near daily, Republican leaders rail against a public option for health insurance, saying it represents an unfair intrusion into the private sector, and an unwise use of taxpayers' money.

Yet when it comes to eliminating corporate welfare paid for by taxpayers, they yell "foul." Subsidizing the private sector is acceptable, competing with it is not. Such is the case with the Student Aid and Fiscal Responsibility Act, which eliminates government payments to banks to encourage student loan lending. As it turns out, it would be a much smaller drain on the federal budget for the government to lend directly to students, rather than subsidizing banks to do the same lending. Less expensive to the tune of nearly $90 billion over the next 10 years, as forecast by the nonpartisan Congressional Budget Office.

But 17 of the 19 Republican members of the House Education and Labor Committee opposed the bill because it replaces private capital in the student lending market. Here is a clear-cut case where Congress can advance an important social goal -- encouraging higher education -- and save taxpayers billions of dollars. It's a win-win by any measure. This one, simple reform could pay for almost one-tenth of President Obama's proposed health care reform.

It's time to call the Republican leadership to account. If they are so opposed to government spending, why are they in favor of giving nearly $90 billion of taxpayer money to the private sector without getting anything in return?

AIG: It's all about greed

The news this week of AIG's bonus payments is a disgrace—so I, like many others, need to sound off.  But not by losing sight of what really needs to be done.  So it's time to start writing again...

AIG wants the country to believe that it had to go forward with bonuses to employees of its failing financial products group based on two arguments. First, it couldn’t risk abrogating the contracts it had with employees, and second, it can’t risk losing these very same employees whose reckless actions led to the largest corporate loss in U.S. history.

It stretches the bounds of credulity to hear AIG talk about managing risk. This is the company that sold one half-trillion dollars of credit insurance without any thought to managing the underlying risk by maintaining adequate capital reserves, leading to a $200 billion taxpayer-funded bailout.

AIG should let more experienced risk managers determine whether abrogating employee contracts in an effort to recoup $165 million of taxpayer money is a risk worth taking. What’s entirely clear is that the issue is not really about risk, it’s about greed. How else can one explain why a company would pay millions of dollars in “retention” bonuses to employees who weren’t even retained? Or how its concerns about meeting contractual obligations didn’t also extend to the customers of the insurance it sold.

For all those free market absolutists who rail against government regulation (because it stifles economic activity), how to explain that it was AIG’s heavily regulated traditional insurance business that generated the capital and profits that were then squandered by the unregulated financial products groups?

There is a proper role for government to regulate a market that is subject to abuse, and when the abuses have externalities. When Congress is finished using the tax code as a means of punishment (a dangerous precedent), hopefully they’ll put their attention to more constructive ways of protecting our economy and taxpayers from the greed of “Wall Street”. Which unfortunately may include the need for further support of the financial institutions responsible for the current catastrophe. But while finding legitimate ways to punish those responsible, Congress shouldn’t let its populist fervor get in the way of doing what needs to be done to get our economy back on track.