Health wealth and...and...I forget what the other one is...

Welcome to a very special health care edition of ME's Political Rant.

So, this is how I know that it's time for a political rant -- when I'm standing in front of the TV SCREAMING at CNN and the monologue goes something like this, "What the $^&*!!^% are you talking about, you &*$$*%! ?/&*!%^!&*!! Why don't you ask that ??%!@&^&%@ #$ &*&^ %^$! what he'd do if his OWN !?#$%&# daughter were #&*^!#%^*$ sick and he didn't have his &^%?!$% precious Congressional health care ???? Are you a MORON????"

Now, far be it from me to take a reductionist view of a complex and byzantine issue, but can I just point out that nobody is getting ANYwhere right now? The truth is that I've had a hankering to put out a rant for a while, but now my blood pressure is up, my throat is sore from yelling at FOX news idiocy and yesterday I almost put my middle finger through the TV screen. Clearly, the time has come.

There's a lot to cover here, but I'm gonna put this right at the top. You wanna know what's in H.R. 3200, America’s Affordable Health Choices Act of 2009, or the Health Care Reform bill? Here it is, in its 1018-page glory. Yes, that sounds like a lot, but consider that it's 80 pages shorter than Ayn Rand's Atlas Shrugged (paperback edition) and it's double-spaced and in a larger font.

So the beauty of the Internet is that you can find anything you want if you just look long enough. As this bill wends its way through committees it obviously gets revised, and you can track the changes on Govtrack.org.

A Little Bird Told Me....

I think there should be a new rule: you may not be on TV, you may not be quoted, you do not get to talk about health care, if you are going to use the phrase "I've heard that..." as in "I've heard that grandma will be called up in front of death panels under this health plan....I've heard that kids under the age of 21 with bad acne and frizzy hair will be sterilized under this health plan...I've heard that Barack Obama wants to recycle old people into Soylent Wafers under this health plan."

The "I've heard that" impulse-- which I readily admit is hard to fight-- accounts for so much of the hysteria out there, like this frustrating email that you may have seen around the net:

On Page 425 of Obama's health care bill, the Federal Government will require EVERYONE who is on Social Security to undergo a counseling session every 5 years with the objective being that they will explain to them just how to end their own life earlier. Yes... They are going to push SUICIDE to cut Medicare spending!!! And no, I am NOT KIDDING YOU! So those of you who voted for Obama have now put yourself and your own parents in dire straights... Congratulations!

If you check on the famous page 425, you can read for yourself what it says about Medicare paying for-- not forcing people to talk about -- a consultation about end of life care with a doctor. Anyone can read it for themselves.

If you're like me (or like Jon Stewart) you howled when there appeared to be hedging on the idea of a public option ( a government -run insurance plan similar to Medicare). I think it was all a ploy to get the rest of us SOOO riled up at the prospect of the public option being taken off the table that we'd get on the horn, and so here I am, on the horn to you, my friends. (Jeez, I sound like John McCain.) I'm sending out this rant with some special resources on who and how to contact in Congress, so please feel free to pass it on through the same channels we used last year at this very time...

Should there be health care for crazy people?

Wow, I guess in principle I'm for mental health coverage in this reform bill, but there are obviously a lot of Crazy People (Sarah Palin) out there barking at the wind (Sarah Palin). People (Sarah Palin) who really need to schedule those 20 visits with a mental health professional.

Yes, I'm talking about Sarah Palin's Death Panel fiesta. By the way, in case you missed it, it was conservative Senator Johnny Isakson (R-Georgia) who put the so called "death panel" clause into the health care lottery. His comment on Palin's Death Panel crack? "How someone could take an end of life directive or a living will as that is nuts. You’re putting the authority in the individual rather than the government. I don’t know how that got so mixed up."

Not content with dissing that bastion of socialism, Canada, the misinformation storm has now swept up Britain too. To the point that they're finally hitting back, after watching their NHS system pilloried in the news, e.g. "Oh God, Americans would NEVER want SOCIALIZED medicine disaster like that SOCIALIST REGIME in BRITAIN forces on its people. They would have KILLED someone like Stephen Hawking under a system like the British." Except that Stephen Hawking LIVES in BRITAIN -- and he's not dead. Yeah. Um... yeah. Says Hawking to The Guardian newspaper: "I wouldn't be here today if it were not for the NHS." Moving on.

(All figures are for 2007 except for Japan, which is for 2006)

The White House has a website rebutting some of the claims that drive me insane (How many times do you think Obama is going to have to say, "You will be able to keep your own health insurance if you like it"?) But you can also read the excellent Consumer Reports Health Reform blog for up to date and well-researched information -- one of the better reads out there. It's part of their larger website covering Health Care reform, which has other good resources on it.

Consumers Union health policy analyst, Steven Findlay also had an editorial in USA Today back in June that laid out the basics with an historical persepctive pretty clearly. "Socialized medicine. Government-run health care. Rationing. Bureaucrats in charge. "Cookbook" medicine. Waiting lines. It'll break the bank. Welcome to the health care debate 2009. Sound familiar? These notions aim to instill fear. And once again, they bear no more relation to the reality of what is being debated in Washington than was the case when the Clintons had a go at health reform in the 1990s. Don't be misled this time. In fact, far more bipartisan agreement exists on many core elements of reform than you might think... What would be new is that people who don't have access to such coverage (and some who do) would be able to get coverage through insurance "exchanges." They'd be able to choose from a batch of private plans and policies that would have to accept all comers, offer comprehensive coverage, and be barred from "cherry-picking" only healthy people."

Has anyone else noticed that in fact, under he current system, someone-else-who-is-not-you is already making the decisions for us? When your employer gives you a "choice" of either a low-budget, it-would-be-great-if-you-never-get-sick coverage from Kaiser, or pay-through-the-nose-$800-a-month-Blue-Shield-PPO plan, you think you have choice? When insurance companies decide that they don't want to cover someone with a pre-exist, that they don't cover mental-health care, that they don't cover chiropractic, you think you have the power to make choices?

As Consumer Reports observes in their August 2009 issue,

Private health insurance already comes between you and your doctor. And because each company sets its own rules, it’s hard to imagine a more bureaucratic system. Some insurers decide which doctors you can see, which hospitals you can visit, and what drugs you can take and still be covered. And they may require copious paperwork before approving a treatment you and your doctor want. Health-care reform would standardize claim procedures to cut down on all of that. And it would protect you from other abuses, like being rejected for coverage or paying exorbitant premiums if you get sick.

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The LA Times' Noam Levey had a good summary of where everything got left as Congress went on break.

Where does the healthcare overhaul legislation stand?August 2, 2009

Reporting from Washington -- Amid a flurry of activity on healthcare legislation, the House left Friday for its monthlong summer recess. The Senate will take off at the end of this week. The break comes as Democratic leaders are working to cobble together complex healthcare bills to bring to the floors of each chamber for votes this fall.

Here is an update on where the debate stands in Washington:

Has Congress agreed on how to ensure that all Americans will be able get health insurance?
The two major bills that have cleared committees in the House and Senate would establish insurance marketplaces, or exchanges, through which individuals and small businesses could compare a variety of plans that meet basic standards to be established by the federal government. The exchanges would include private plans as well as a government insurance program, which advocates say would pressure commercial insurers to lower costs and improve quality. The government would provide subsidies to help low- and moderate-income people afford the insurance.

Does that mean there will be a government plan?
Not necessarily. The government plan faces opposition from some who fear it could ultimately drive private insurers out of business. The nonpartisan Congressional Budget Office, or CBO, which is charged with evaluating the effects of legislation, has projected that would not happen. But because Republicans and some centrist Democrats object to a government plan, a bipartisan group of lawmakers in the Senate Finance Committee is trying to develop an alternative. That might be a system of health insurance cooperatives owned by consumers.

Will these exchanges really control the cost of healthcare?
Not by themselves. The two major bills include other provisions designed to encourage Americans to be healthier, such as eliminating co-payments for some checkups and other preventive care. Many believe that will ultimately save money. The House bill also contains several pilot programs in Medicare to encourage hospitals and doctors to deliver care more efficiently. For example, one committee inserted a provision to reward programs that provide care to chronically ill senior citizens in their homes to prevent costly hospitalizations.

Will that be enough?
Many business groups, labor unions and others believe the legislation must put even stricter limits on Medicare spending to curb unnecessary and inefficient care. The head of the CBO also has testified that the bills do not do enough to slow the growth of healthcare spending. Senior Democrats have pledged to adjust the legislation to do that over the August break.

Would that mean that Congress won't raise taxes to pay for this healthcare overhaul?
That's still not clear. The House bill would assess a new surtax on individuals who make more than $280,000 and couples who make $350,000 a year to raise $544 billion to help offset the cost. House Speaker Nancy Pelosi (D-San Francisco) has indicated that she might move to raise those cutoffs to $500,000 and $1 million. In the Senate, where there is little support for a new income tax, lawmakers are talking about other proposals, including taxing some health benefits or assessing fees on insurance companies. Senior Democrats plan to work on those details over the summer.

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Now, who do we need to call...

So here we are again -- are you up late at night scanning CNN and HuffPo? Are you railing at your TV? Are you seething with undirected rage? Here's my thought -- make up a little form letter that encapsulates how you feel and send it to members of Congress. Send a supportive email to the ones whose views you back, send an irate one to the members whose views make you mad. I don't care which is which, but get in there. Attached is a handy list (in Excel Format) with names, phone and fax numbers and email links -- feel free to use it liberally... Thanks to the visi.com site which keeps this sort of thing updated regularly.

The Roll Call of Shame (please feel free to call, fax or email your rants to these guys, click on his or her name to go to a link to email them directly.)

• Sen. Jim DeMint (R-SC): “If we’re able to stop Obama on this it will be his Waterloo. It will break him.” "We're about where Germany was before World War II where they became a social democracy."
• Sen. Chuck Grassley (R-Iowa): "I don't know for sure, but I've heard several senators say that Ted Kennedy with a brain tumour, being 77 years old as opposed to being 37 years old, if he were in England, would not be treated for his disease, because end of life – when you get to be 77, your life is considered less valuable under those systems." Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
  
• Senate Minority Whip Jon Kyl (R-AZ): Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.” "The Arizona senator rejected the suggestion that Republicans were to blame for any "scare campaigns" designed to derail healthcare, stating that the party instead is simply reflecting public sentiment."
• House Minority Whip Eric Cantor (R-VA): “If it is just another name for government takeover of our health care, I’m not going to be for that,” said on CBS’s “The Early Show.”
  
• Rep. Tom Price (R-GA), chair of the conservative House Republican Study Committee, “Patients should be wary of a wolf in sheep’s clothing.”
• Sen. Orrin Hatch (R-Utah), one of seven senators involved in Finance Committee negotiations, left the bipartisan talks. Hatch informed Chairman Max Baucus (D-Mont.) Wednesday afternoon that he couldn't continue to particpate because there were too many aspects of the bill that he could not back, including the employer mandate, individual mandate, Medicaid expansion and tax increase...Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. Lindsey Graham (R-SC): George Stephanapolous reports, "Graham told me that the U.S. Senate will not "go down the government-run health care road" despite a new poll showing 72 percent of Americans want a government role in health care -- and are willing to pay higher taxes for it. "The reason you're not going to have a government run health care pass the Senate is because it would be devastating for this country," Graham told me Sunday in an exclusive "This Week" interview.
• Sen. Jim Bunning (R-Ky.): Former big league pitcher Jim Bunning says he won't run for a third term as U.S. Senator from Kentucky. Bunning says his Republican colleagues have been doing "everything in their power" to dry up his fundraising. Bunning, who is 77, had a narrow win in 2004 and has been clashing with GOP leadership...Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. Mike Crapo (R-Idaho): Crapo sits on the Senate Finance Committee, whose members are instrumental in writing what is expected to be the dominant Senate version of the health care bill. Earlier this month, Crapo signed an op-ed in the Washington Post with 12 other senators calling for bipartisan solutions to the nation's health care crisis. He has expressed dissatisfaction with one of the current Senate bills, saying that it fails to provide affordable coverage for people who don't have it without affecting those who are happy with their existing coverage. Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. Pat Roberts (R-Kan.): opposes "rationed Health Care"...Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. John Ensign(R-Nev.): Republican Sen. John Ensign of Nevada, a leading conservative mentioned as a potential presidential candidate, admitted Tuesday he had an extramarital affair with a woman who was a member of his campaign staff....Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. Mike Enzi (R-Wyo.): Congress should approach health care reform in steps, instead of trying to put together a comprehensive package...Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”
• Sen. John Cornyn (R-Texas): Nine Republican senators are urging President Barack Obama to facilitate more inclusive reform of America’s health care system and say the creation of a public insurance option would “inevitably doom true competition.”

And now, Arf Arf: The so-called Blue Dogs (Contact these guys, they need to know how we all really feel!)


Who are these people and why are they doing this anyway? "So far this year, the Blue Dog Political Action Committee is on track to shatter all its fundraising records; in fact, the total for the first six months of 2009 — more than $1.1 million — is greater than what was raised in the entire 2003-04 fundraising cycle. Furthermore, according to analysis by the Center for Public Integrity of CQ MoneyLine data, the energy, financial services, and health care industries have accounted for nearly 54 percent of the Blue Dog PAC’s 2009 receipts (up from 45 percent in 2004). These contributions poured in as President Obama and the Democratic Congress have been making a major push to reform health care, develop a new energy policy, and restructure oversight of the banking sector. Clearly, these Dogs are having their day."

Any other questions on why the Blue Dogs are stalling health care reform?

Updates on what they were up to this week from the RollCall.com site. Are you represented by a Blue Dog? CALL him or her!!!

• Jason Altmire (PA-4)
• Mike Arcuri (NY-24)
• Joe Baca (CA-43)
• John Barrow (GA-12) voted against the health care reform bill last week in the Energy and Commerce Committee.
• Melissa Bean (IL-8)
• Marion Berry (AR-1)
• Sanford Bishop (GA-2)
• Dan Boren (OK-2) Rep. Dan Boren (Okla.) didn’t plan to hold town halls following a Congressional delegation trip, according to the Oklahoman, but he has now scheduled three meetings for Tuesday.
• Leonard Boswell (IA-3)
• Allen Boyd (FL-2) "I cannot support this bill in the version it is in now," he said. "We can do better. We can make it better."
• Bobby Bright (AL-2)
• Dennis Cardoza (CA-18) In California, almost 200 supporters and opponents of health care reform gathered outside the Modesto office of Rep. Dennis Cardoza (D) to demand a meeting with the lawmaker, the Modesto Bee reported.
• Christopher Carney (PA-10)
• Ben Chandler (KY-6) In Kentucky, some of Rep. Ben Chandler’s (D) constituents brought their complaints to a dummy likeness of the Congressman at a town hall in Lexington, according to the Lexington Herald-Leader.
• Travis Childers (MS-1)
• Jim Cooper (TN-5)
• Jim Costa (CA-20)
• Henry Cuellar (TX-28)
• Kathy Dahlkemper (PA-3) one of the few Blue Dogs to meet publicly with her constituents this weekend. On Saturday, she tried to “to separate fact from fiction” in Sharon, Pa., according to the Herald in Mercer County. “I’ve read the bill and it does not in any way promote euthanasia,” she told them. “It gives you the ability to sit down with your doctor and talk about end-of-life issues such as will-writing and hospice care, and the doctor will be reimbursed. Before, they weren’t reimbursed for that.”
• Lincoln Davis (TN-4)
• Joe Donnelly (IN-2)
• Brad Ellsworth (IN-8)
• Gabrielle Giffords (AZ-8) (AZ Daily Star editorial)I support reform that allows Americans to keep their current health-care program, keep their doctors and keep their hospitals. I support reform that creates competition through a strong public option that lowers everyone’s costs and competes with private insurers. I support reform that allows Arizonans who lose their jobs to afford insurance so they can get back on their feet without fear of getting sick. I support reform that will slow the growth of health-care costs and does not impose new taxes or burdens on our nation’s most valuable economic contributors, small businesses. I support reform that would allow this father to keep his insurance so his daughter and wife don’t have to go without proper care.
• Bart Gordon (TN-6) Overall, the typical Blue Dog has received $63,000 more in campaign than other House Democrats over the past two decades, according to the CRP analysis. The top three recipients were Rep. Earl Pomeroy (N.D.), with $1.5 million, and Tennessee Reps. Bart Gordon and John Tanner, both of whom collected over $1.2 million from the industry and its employees, according to the data.
• Parker Griffith (AL-5)
• Jane Harman (CA-36)
• Stephanie Herseth Sandlin (SD-AL), Blue Dog Co-Chair for Administration
• Baron Hill (IN-9), Blue Dog Co-Chair for Policy
• Tim Holden (PA-17)
• Frank Kratovil (MD-1)
• Jim Marshall (GA-8)
• Jim Matheson (UT-2) voted against the health care reform bill last week in the Energy and Commerce Committee.
• Mike McIntyre (NC-7)
• Charlie Melancon (LA-3), Blue Dog Co-Chair for Communications, voted against the health care reform bill last week in the Energy and Commerce Committee.
• Mike Michaud (ME-2)
• Walt Minnick (ID-1) Blue Dogs are choosing to speak with constituents over the phone
• Dennis Moore (KS-3) Blue Dogs are choosing to speak with constituents over the phone
• Patrick Murphy (PA-8)
• Glenn Nye (VA-2) Blue Dogs are choosing to speak with constituents over the phone
• Collin Peterson (MN-7)
• Earl Pomeroy (ND-AL) Overall, the typical Blue Dog has received $63,000 more in campaign than other House Democrats over the past two decades, according to the CRP analysis. The top three recipients were Rep. Earl Pomeroy (N.D.), with $1.5 million, and Tennessee Reps. Bart Gordon and John Tanner, both of whom collected over $1.2 million from the industry and its employees, according to the data.
• Mike Ross (AR-4) "The committees' draft falls short," the former pharmacy owner said in a statement that day, citing, among other things, provisions that major health-care companies also strongly oppose. Five days later, Ross was the guest of honor at a special one of at least seven fundraisers for the Arkansas lawmaker held by health-care companies or their lobbyists this year, according to publicly available invitations.
• John Salazar (CO-3) There will be a hot time in the old town hall meetings when John Salazar returns to his district for the August recess. Traditionally a time for elected federal officials to touch base with constituents, public meetings this year will be dominated by health care reform. Like The Daily Sentinel as stated in their “Blue Dog Salazar quiet on health care reform” editorial, many voters would like these meetings to “give representatives a chance to learn what their constituents have been reading about the measure and allow for a give-and-take about political, medical and moral choices within the system we have now and any kind of reform that might take place.”
• Loretta Sanchez (CA-47)
• Adam Schiff (CA-29-Pasadena) During much of the time when Schiff and others spoke, there was yelling from crowd, with individuals calling Schiff a liar and demanding he be recalled. Supporters, meanwhile, repeatedly yelled at the opposition to quiet down. The panel Schiff assembled included a representative from Kaiser Permanente, a consumer advocate, and representatives from smaller health-care groups. All professed some level of support for a public health care option.
• David Scott (GA-13)
• Heath Shuler (NC-11), Blue Dog Whip: addressed 24 questions in a call-in on Thursday night, according to the Asheville Citizen-Times. He also answered two written questions at the Henderson County Democratic Party’s picnic on Saturday, the Times-News in Hendersonville noted.
• Zack Space (OH-18)
• John Tanner (TN-8) Overall, the typical Blue Dog has received $63,000 more in campaign than other House Democrats over the past two decades, according to the CRP analysis. The top three recipients were Rep. Earl Pomeroy (N.D.), with $1.5 million, and Tennessee Reps. Bart Gordon and John Tanner, both of whom collected over $1.2 million from the industry and its employees, according to the data.
• Gene Taylor (MS-4)
• Mike Thompson (CA-1)
• Charlie Wilson (OH-6)

Fight the Good Fight!! (If you like what your Senators and Reps are doing, contact them too to tell them to to keep up the good work.)

• Finance Chairman Max Baucus, D-Mont., Nichols, a health-care economist with the New America Foundation, said he believed that Iowa Sen. Charles E. Grassley, the leading Republican on the Senate Finance Committee and Senate Republicans' most influential voice on health care, was the "linchpin." If he supports the cooperatives as proposed by Obama and Montana Democratic Sen. Max Baucus - the Finance Committee chair, with whom Grassley has been working for a bipartisan bill - criticism from the far right will lose much of its power and a bipartisan bill will likely pass, Nichols said.
• Sen. Chuck Schumer (D-NY) In an effort to defuse the most explosive issue in the debate over comprehensive health care legislation, a top Senate Democrat has proposed that any new government-run insurance program comply with all the rules and standards that apply to private insurance.(May 2009)
  
• Sen. Ted Kennedy (D-MA) an early supporter of health care, due to his own ailing health he hasn't been vocal in the debate.
  
• Rep. Barney Frank (D-MA) Frank lashed out at protester who held a poster depicting President Barack Obama with a Hitler-style mustache during. "On what planet do you spend most of your time?" Frank asked the woman, who had stepped up to the podium to ask why Frank supports what she called a Nazi policy. Frequently, Frank was interrupted by boos. A man in the back kept calling the congressman a "liar". Frank responded by saying "Disruption never helps your cause. It just looks like you're afraid of rational discussion."
• Sen Arlen Specter (D-PA) Specter also told reporters that he still favored the so-called "public option" for a national health care system, despite reports that the Obama administration might be shifting its support to some kind of "co-op" plan. Under the public option, the federal government would act an insurer for many Americans. Under the cooperative alternative, the government would fund start-ups of new types of coverage that could eventually function independently.
• Sen. Robert Menendez, D-N.J., accused Republican leaders of trying to hinder bipartisan progress to deny Obama a political victory.

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Wanna see a Town Hall for yourself? Here's the updated list of upcoming events -- pull out that oak tag and staple gun that puppy to a stake, then head out and shake it in front of a CNN camera please...

And TOMORROW, Thursday, at 2:30 EDT (11:30 PDT) Obama will be hosting an online forum on the Health Care Reform proposal. Details are here as to how to watch online, or you can Twitter questions to @BarackObama (tag with #hc09).

Special bonus for you Palin watchers out there. Ahh, the good old days of the campaign....