The Iowa chapter of the
Sierra Club is pushing state
regulators to investigate two factory farms and a feed mill linked to
this summer's massive recall of salmonella-tainted eggs, Lynda Waddington
reports in the Iowa Independent. The Sierra Club sent a strongly-worded
letter to Iowa Attorney General Tom Miller urging him to investigate
Wright County Egg, Hillandale Farms and the Quality Egg LLC feed mill. All
three firms were linked to the salmonella outbreak that sickened an
estimated 1200 people; and all three firms are linked to agro-baron Austin
"Jack" DeCoster.
Tom Philpott of Grist calls DeCoster a "habitual" environmental
offender and "one of the most reviled names in industrial agriculture." In
1996, the Department of Labor fined DeCoster Eggs $3.6 million for what
the then-Secretary of Labor described as "running an agricultural
sweatshop" and "treating its employees like animals." Over the years,
DeCoster enterprises racked up additional fines in other states. A
previous Attorney General of Iowa dubbed DeCoster a habitual offender for
water pollution. In 2002, five female employees at the DeCoster's Wright
County egg operation alleged that their supervisors had raped them and
threatened to kill them if they reported the crime. The company paid $1.5
million to settle the lawsuit.
Drowsy doctors
A coalition of public health activists is pushing the Occupational
Safety and Health Administration (OSHA) to regulate the work hours of
doctors in training. New proposed guidelines would limit the shifts of
first-year residents to 16 hours, but more senior trainees could be forced
to work shifts up to 28 hours. The group, which includes the Committee of
Interns and Residents/SEIU Healthcare, the American Medical Student
Association, and Public Citizen, says that's not good enough to protect
doctors or the public. As I explain in Working In These Times, research
shows that sleep deprivation is a major
preventable cause of medical errors, which is why the coalition wants to
see shifts for all residents capped at 16 hours.
Insurance
premiums soar
A new report from the Kaiser Foundation
Family shows that health insurance premiums continued to climb with
employers shifting an ever-greater share of the burden onto employees. A
family health insurance policy costs about $14,000 a year, with employees
shouldering 30% of that cost. Michelle Chen reports in ColorLines that
families that manage to hang onto their health insurance can't expect relief through health care
reform any time soon. The major reforms don't go into effect until 2014
and the biggest early beneficiaries will be those who are currently
uninsured rather than those who are already paying through the nose for
lousy coverage. The ultimate goal of comprehensive health care reform is
to reshape the health care and health insurance systems to bring costs
down across the board, but that's small consolation to workers who are
struggling to stay on top of their premiums right now.
This week's biggest health care story shouldn't even be making headlines: Democratic leaders in the Senate are finally pressuring the entire caucus to help bring a health care bill to the floor by sticking with the party on procedural motions. Astute readers will ask: "But aren't Senators supposed to stick with their party on procedural motions?" Yes, of course they are.
Health care reform is the Democrats' biggest political battle in two generations and the crown jewel of the president's domestic agenda. It's hardly unreasonable to demand that Senate Democrats side with their party to defeat a filibuster.
Democrats knew Republicans would filibuster a health care bill no matter what. So the central political question was how to thwart them. The options were: Pick off enough Republican votes to defeat a filibuster, pass the bill with a simple majority through budget reconciliation, or demand that all 60 Democratic senators vote as a bloc to defeat a filibuster. (These senators could still vote against the bill, if they so chose, but without a filibuster the bill would pass by majority vote.) The first strategy failed spectacularly, and the second was controversial and difficult to execute. The last option is the simplest and most obvious. It's scandalous that it took Senate leadership all summer to lay down the law.
At TAPPED, Mori Dinauer argues that "'moderates' who are holding out are uninterested in how their intransigence looks to the rest of the Democratic party, but knowing the pressure's on makes it all the more likely reform passes a floor vote." They don't care how it looks, but they certainly care if the party leadership is prepared to cut off their fund raising dollars to make a point.
A bill is beginning to seem like a fait accompli to some Democrats, but the opponents of health reform aren't giving up without a fight, reports Christina Bellantoni in Talking Points Memo. The GOP-allied Tea Party Express is undertaking a massive fund raising drive for "The Countdown to Judgment Day," which is one year to the day before the 2010 elections. The Tea Party Express is a major force behind the disruptive town hall health care protests.
In Salon, Mike Madden argues that the prospects for passing a bill with a public option are looking up as Democrats begin the horsetrading that will combine the various health bills passed by Congress into a single piece of legislation:
Congressional aides and outside activists say the White House is still pushing for the public option in private talks. A growing number of Democrats in the Senate say they think the bill will include some form of public option, including Majority Leader Harry Reid and health committee chairman Tom Harkin. "President Obama has said all along that the public health insurance option is his first choice" for making health insurance affordable, said Jacki Schechner, a spokeswoman for Health Care for America Now, a union-backed coalition that supports reform. "We want to make sure he gets his first choice."
Switzerland and the Netherlands are frequently cited as examples of countries that contain costs and cover everyone without a public option. However, as The Nation's Eyal Press explains, these countries have only managed to do so by eliminating for-profit health insurance, which in the American context, would be a far more radial solution than a public option.
In Mother Jones, James Ridgeway takes the New York Times to task for a story about the conflicts within the AARP over health reform. Members in their fifties have a different perspective on private vs. public health insurance than those over 65 who already qualify for Medicare. As Ridgeway explains, it's the status quo that's pitting Americans of different ages against each other. If Medicare covered everyone, age would cease to be a third rail in future health policy discussions.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment and immigration issues, check out The Audit, The Mulch and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Yesterday, the powerful Senate Finance Committee met to debate two amendments that would have inserted a public option into the committee's health reform bill. Both amendments were defeated as key Democrats sided with Republicans and the insurance companies. David Corn of Mother Jones diagnoses what ails Senate Democrats. It's split personality disorder: "They are the best friends of the health insurance industry. They are fiercest foes of the health insurance industry."
Sen. Jay Rockefeller's (D-WV) strong public option amendment was defeated 15-8 because senators Max Baucus (D-MT), Kent Conrad (D-ND), Blanche Lincoln (D-AR), Bill Nelson (D-FL), and Tom Carper (D-DE) joined the committee's ten Republicans. In the next round of voting, Nelson and Carper backed Chuck Schumer's (D-NY) amendment, but Baucus, Conrad and Lincoln stuck with the GOP and voted it down. Ironically, as Corn observes, the Senate Democratic communications team was busy emailing blistering indictments of the insurance industry while key members of the caucus were doing the insurers' bidding.
John Nichols of The Nation worries that yesterday's defeat is a sign that Congress is backing away from a public option, which was itself a compromise alternative to a single-payer, Medicare-for-all type system:
Baucus, the insurance-industry representative who doubles as a Democratic senator from Montana, long ago rejected the notion that a robust public option might be a part of any healthcare reform measure that would pass the Senate.
The Senate Finance Committee went on to add tens of millions of dollars for discredited abstinence-only propaganda for teens, as Mike Lillis of the Washington Independent reports. Well, at least pseudoscience has a public option. If kids can learn this nonsense for free at school, maybe they'll ditch church, where you have to put your money in the collection plate to hear the sermon.
Chris Bowers of AlterNet argues that a public option still has 51 votes in the Senate. Which means that the Democrats could still pass a healthcare bill by majority vote in the upper chamber, if they decided to forgo their quest for a filibuster-proof 60 and pass the bill through budget reconciliation.
Sen. Tom Harkin (D-IA), chair of the Health Education Labor and Pensions Committee, claims to have the votes to pass a plan with a public option, Lynda Waddington reports in the Iowa Independent. Harkin believes that the full Senate should have the opportunity to vote on the public option, considering that it's part of four out of the five bills that have been approved so far.
The fight for a public option isn't over yet. To date, all of the other health reform bills that are out of committee include a strong public option. The next step is putting these bills together to create the final legislation for the House and Senate to vote on.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
The public option remains in limbo. The Senate Finance Committee is fine-tuning the bill it unveiled last week, which does not include a public option. However, Brian Beutler of TPM reports that Democrats have already submitted three separate amendments that might add a public option.
Sen. Chuck Schumer (D-NY) submitted what he calls a "level playing field" amendment, which would, incongruously, create a public option that couldn't set its own rates. A second amendment submitted by Schumer and Sen. Maria Cantwell (D-WA) would create a public option much like that outlined the HELP Committee bill. Finally, Sen. Jay Rockefeller (D-WV) submitted an amendment that would create a robust public option, much like the one originally drafted in the House.
It's pretty clear that no bill containing a public option in its first draft will get 60 votes in the senate. However, as Beutler reports in a second TPM piece, the Democrats are seriously revisiting the prospect of using budget reconciliation to get a health care bill through the senate with a simple majority. However, Beutler explains that Democrats are reluctant to go the reconciliation route because senate rules restrict the kind of bill that can be passed through reconciliation. For example, only provisions that "materially affect" spending can be passed through reconciliation. But what qualifies as a material effect?
Meanwhile, President Obama continues to insist that the public option isn't dead yet, Steve Benen reports in the Washington Monthly.
In other news, women's health remains a hot topic in health care reform. To understand why health care reform is especially critical for women, Public News Service interviewed Dr. Susan Wood, a scientist who famously resigned from the Bush-era Food and Drug Administration over the politicization of the approval of Plan B. Since leaving the government, Wood has returned to academia to study women's health. Some of her key findings include:
About 20 percent of women under the age of 65 have no health care insurance; in some states, women are denied coverage if they have experienced domestic violence; and when women do have coverage, they are charged higher premiums and often see a long list of preexisting conditions that are excluded, with pregnancy sometimes on that list.
If there is a public option, will it cover abortion? Rep. Lois Capps has written an amendment addressing that question. She explains her proposal in her own words at RH Reality Check.
Uncertainty remains high as the senate inches towards a bill.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
While the Senate Finance Committee tinkers with the Baucus Bill, First Lady Michelle Obama is taking center stage in the health care reform debate. Obama's director of communications announced last week that the FLOTUS would be focusing on the health care needs of women and children. Mindful of the conservative backlash against Hillary Clinton's crusade for health care reform, Mrs. Obama is expected to steer clear of policy issues, according to Salon's Judy Berman.
Tying health reform to women's health is a smart political move. The far Right lured anti-choicers into a corporatist tax revolt with tall tales of tax-payer funded abortions. Now the White House is reminding Progressives that it cares, in a very general, non-policy kind of way, about women's health. While Progressives will appreciate the White House shining a spotlight on reproductive health, it won't mean much without policy specifics. It certainly won't make up for the President Obama's waffling on the public option.
The failure of the private insurance system has galvanized Dr. Willie Parker, an obstetrician/gynecologist active in Physicians for Reproductive Choice and Health, as a passionate advocate for health care reform. In RH Reality Check, Dr. Parker tells how the status quo falls short on women's health care:
I am not talking about withholding the latest, cutting-edge, exorbitantly priced medications or treatments. No-I've had patients whose health insurance doesn't cover such basic health needs as Pap smears and birth control prescriptions. And forget about having a baby-many insurance policies don't cover prenatal care or labor and delivery, or they treat pregnancy as a pre-existing condition.
In the Progressive, Mike Ervin reminds us that disability issues are also getting short shrift in the health care debate. Ervin takes aim at a Medicaid system that won't help until a person is completely destitute. He suggests that a robust public option might be a lifeline before disability erases the savings of a lifetime.
This week, expect the wheeling and dealing on the Baucus Bill to continue behind the scenes as the Finance Committee marks up the legislation before the final committee vote. But with Sen Olympia Snowe's (R-Maine) 60th vote in doubt, there are rumblings about reviving budget reconciliation as an option for passing a health bill in the senate with a simple majority.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Last Saturday, veteran right wing watcher Adele Stan of AlterNet covered the Tax Payers' March on Washington (aka the 912 March or the DC Tea Party). About 70,000 conservative protesters converged on Washington to air their grievances, including opposition to President Obama's health care reform agenda. Protesters carried signs warning of death panels, tax-funded abortions, and healthcare for "illegals."
In this interview, Stan explains that while the event was billed as a grassroots convergence, it was in fact orchestrated by Dick Armey's FreedomWorks and the right wing Americans for Prosperity. The rally also received massive amounts of free publicity from Fox News host Glenn Beck, coordinator of the 9-12 project. Stan describes how all the abortion-, immigration- and death panel-talk binds social conservatives, nativists, and big business interests into a cohesive rightwing coalition.
Stan says that ,while the tea baggers have cropped up recently, the leaders of the movement have been at this game since LBJ trounced Barry Goldwater in 1964.
To learn more, check out Addie's recent writing on the Tea Parties at AlterNet. The Wing Nut Code explains the significance of those creepy yellow snake flags and other right wing symbology; and The Same Old Faces explains how old guard Goldwater partisans are still pulling the strings for the right wing.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Opponents of health care reform are trying to pit the insured against everyone else. Conservative Republicans like Rep. Mike Pence warn that if we get a public option, millions of Americans will lose their private coverage because so many employers will stop offering private insurance. What Pence doesn't say is that right now, employers can stop providing insurance at any time and their workers will have nothing to fall back on. As costs rise, fewer and fewer employers are providing any health insurance at all.
Most insured people have no idea how fragile their coverage is under the status quo.
The Uptake carries President Obama's address on the uninsured, in which he hammered home the message that anyone under 65 can lose their coverage at any time. Luckily for those over 65, they have a popular public option, Medicare.
There are lots of ways to become uninsured, including job loss, employers cutting off benefits, or insurers kicking customers off the rolls. As Obama said:
Over the last twelve months, nearly six million more Americans lost their health coverage - that's 17,000 men and women every single day. We're not just talking about Americans in poverty, either - we're talking about middle-class Americans. In other words, it can happen to anyone. And based on a brand-new report from the Treasury Department, we can expect that about half of all Americans under 65 will lose their health coverage at some point over the next ten years.
It's common knowledge that insurance companies drop customers with preexisting conditions and cut paying customers off when they get sick. It might surprise you to learn that domestic violence counts as a preexisting condition in many states.
Amie Newman of RH Reality Check reports that the insurance industry figured out what feminists have been saying for decades: Once a man becomes a batterer, chances are he'll continue to abuse his wife with increasing brutality. If you're a human being, that's an outrage and a tragedy. If you're a conscience-free health insurance provider, it's a big red flag to drop victims because their wounds will cost you money. This is the logic of for-profit health insurance in a microcosm: Identify the most vulnerable and purge them because they hurt your bottom line.
Meanwhile, the Senate Finance Committee is set to unveil its long-awaited bill today. The committee will vote on the bill next week. We'll examine the bill in tomorrow's Pulse.
After a seemingly endless quest for a bipartisan bill, Finance Chairman Max Baucus (D-Mont) is signaling that he's prepared to move ahead without GOP support. Good thing, too. Sen. Chuck Grassley (R-Iowa) swears he's serious about bipartisanship, according to the Iowa Independent, but he spent the summer telling tall tales of death panels and fundraising as an opponent of "Obamacare." Sen. Susan Collins (R-Maine), one potential Republican swing vote, now says she rejects the very idea of public/private competition, according to Steve Benen at the Washington Monthly.
Finally, you can use the Washington Independent's new Public Option Scoreboard to keep track of every senator's position, based on their public statements.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Last night, President Obama laid out his vision for health care reform before a special joint session of Congress. The pillars of his plan are: i) Curbing the worst abuses of private insurance, ii) Requiring everyone to have insurance, iii) Insurance exchanges, which are basically government websites where customers can order insurance off a "menu" of plans, the idea being that if tens of millions of people order the #2 Combo, everyone's lunch will be cheaper.
The president made it clear that the country can't afford to wait for reform. Last night, he took on the self-proclaimed fiscal conservatives who claim that they oppose reform because it would increase the deficit. "Put simply, our health care problem is our deficit problem. Nothing else even comes close," Obama said. The president reminded the audience that each of us pays a "hidden tax" of $1000 dollars a year to subsidize charity and emergency care for the uninsured.
It was an impressive performance, but as John Nichols of the Nation observes, it was hardly a rousing, "to-the-barricades" oration:
Obama still talked about "options" and "choices." But he suggested that they would be offered mainly by insurance companies that would be enjoy "incentives"-i.e., new streams of taxpayer dollars-if they agree to abide by consumer-friendly regulations and come up with strategies for covering more of the uninsured.
The president expressed support for a very limited public option, a kind of welfare program that only about 5% of Americans would choose to join. This is not the public option his liberal supporters had in mind. It's non-threatening to the insurance companies, though. Private insurers love the idea of the government low-grading the insurance pool and taking on the sickest people who can't get coverage anywhere else. That means private insurers can make even more money off the remaining healthy, paying customers.
James Ridgeway of Mother Jones is even less optimistic, "As for the public option, that's pretty clearly gone down the drain."
One GOP legislator decided that a joint session of Congress was basically a town hall with the president. Rep. Joe Wilson (SC) screamed "You lie!" when the president explained, for the umpteenth time that undocumented immigrants will not be covered. As with the town halls, Wilson's performance had a whiff astroturf about it. Sure enough, Sue Sturgis of Raw Story found that Wilson pocketed over $2 million in campaign contributions from the health care industry.
The president also reminded America that health care reform will not pay for abortions. (For more on myth-making around women's health, see Laurie Rubiner's excellent post at RH Reality.)
Instead of presenting a vision and asking Congress to line up behind him, the president stressed that he was synthesizing a compromise position incorporating ideas from the left and the right. Instead of a coherent vision, the president's scheme sounds more like a last-ditch compromise plan to enable him to declare victory. Like many Democrats, the president seems to be confusing the strategic with the expedient. If "reform" means saddling ordinary Americans with expensive mandatory insurance without a meaningful public option to keep costs in check he could doom the electoral fortunes of the Democrats for years to come.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Today, President Obama will spell out his vision for health care reform before a special joint session of Congress. The president's speech marks the final phase of health care reform. This is Obama's last chance to recapture the momentum that Democrats lost to corporate-backed town hall hooligans and misinformation during the August recess.
The Uptake asks movers and shakers in Minnesota what they want to see from the president today (video above). Rep. Keith Ellison (D-Minn) says he wants to see the president explain why the public option is necessary to hold down costs, and reassure them that the public option will not threaten private insurance or lead to cuts in Medicare. "It's going to be the biggest moment of his presidency," Ellison tells the Uptake, "I hope he makes it a Roosevelt moment, a Kennedy moment, a Lincoln moment, because I think he has the ability to do that."
Devona Walker of New America Media on what Obama needs to do today: Explain the plan clearly, enforce party discipline, and convince the public that reforming health care is the only way to reduce deficits in the long run.
Brooke Jarvis of Yes! Magazine offers a history lesson on why so many presidents have tried and failed to achieve universal health care:
In each case, says historian Beatrix Hoffman, "the relentless opposition of medical, business, and insurance interests pushed reformers to design health care proposals around placating their opponents more than winning popular support. In turn, ordinary people had trouble rallying around complex proposals [that didn't recognize] a universal right to health care."
The root of the problem, Hoffman says, was that the proposals came from elites who sought to compromise with interest groups, where they believed real power lay, rather than to ally with grassroots movements.
In the Progressive, Cristina Lopez argues that, while everyone needs affordable high quality health insurance, Latinos and women are most in need of a public option because they are at greater risk of being uninsured and unable to afford private insurance.
Josh Marshall of Talking Points Memo wonders if the Democrats are courting disaster by forcing people to buy heavily subsidized private insurance with no public option to reign in costs:
Am I the only one who thinks that if the Dems pass a bill with mandates and subsidies for poor and moderate income people to purchase it but no public option or competition with the insurers, that it will be pretty much a catastrophe for the Democrats in political terms?
You 'solve' the problem of the uninsured by passing a law forcing them to buy health insurance which, by definition, most a) cannot afford or b) are gambling they won't need because they're young and healthy. Either you end up with low subsidies which still leave it onerous to buy, thus creating a lot of disgruntled people, or you get generous subsidies, which cost a lot of money.
The health care reform battled has created deep divisions within the Democratic Party. Tonight, the president will pick his side. Will he stand with the progressives for a public option, or will he back the Blue Dogs and their watered-down, politically risky compromise proposal? Keep your eyes on tomorrow's Pulse for the post-game breakdown.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Big news broke over the weekend: Evidently, the president lit a fire under Max Baucus (D-Mont) and the Senate Finance Committee by unexpectedly announcing last week that he'd be laying out his own vision for health care reform this Wednesday. Just weeks ago, committee member Kent Conrad (D-ND) predicted the Finance Committee wouldn't have a bill until November. But Baucus circulated a legislative framework over the weekend.
Baucus's bottom line: There will be no public option. Instead, the government will spend hundreds of billions of dollars to subsidize the same old expensive, inadequate private insurance system that health care reform was supposed to reform. The insurance companies get 46 million new customers, and in return, they will pay higher taxes to offset the cost of the subsidies-a kickback to Uncle Sam.
Last week Brian Beutler of Talking Points Memo and I sat down to discuss some burning questions in health care reform: What's the president's thinking on the public option? What leverage does he have over the progressives in the House who demand single payer and/or the Blue Dogs in the senate who reject it? Why is Sen. Olympia Snowe (R-Maine) the last best hope for bipartisanship? (The transcript of our discussion has been edited for brevity and clarity.)
You said the [week of September 1] really stood out from the last month in terms of the health care debate. How so?
Maybe the last two days just stood out from the previous month. ... Obama's approval [rating] slid and popular support for the idea of healthcare reform slid. And August came to an end and the President's vacation is winding down, and suddenly the administration realizes that Congress is coming back and they are going to have to do something. And so, it seems they start leaking to a bunch of high profile reporters that they are going to perhaps ditch the public option as part of a grander move to regain control of the debate.
Are the anonymous leakers saying in so many words that they want to ditch the public option?
Well, it's unclear what they are actually going to do. The Public Option would die with dignity. [If] that is accomplished, the President could maybe win over some Republicans, grab the debate and spell out in clearer terms what he wanted [beyond] the public option. He could do this all in a big speech for Congress which is scheduled to happen Wednesday.
Isn't this just a repeat of what we saw during the week of August 20, when the White House seemed to be doing a good cop/bad cop routine where an anonymous aide would leak "to hell with the liberals and the public option" and then another adviser would say on the record how much the president loves the public option?
It could just be a replay. Once those stories came out, the picture sort of fogged up. [There were] secondary reports that the President was courting Olympia Snowe (R-Maine) again-as if maybe one Senate Republican would vote with him on health care reform. Snowe's idea [includes a] public option, but you attach it to a trigger mechanism so that it is only enacted if the rest of healthcare reform is unsuccessful at bringing down prices and expanding coverage. And that's sort of been unacceptable to reformers and progressives, but ... that might be the pound of flesh that she yields from the bill. It fits in with the picture that the leakers painted ... that the public option was no longer going to be one of the key features of the bill.
You wrote about how budget reconciliation could be used to get around the filibuster. How would that work?
The greater problem is the structure in the Senate, where legislation can pass with a majority vote-but only after Senators have debated the bill for as long as they want. As long as 60 Democrats aren't there to shut the minority up, debate can go on and on and on. [ED note: AKA filibustering.] And for every major piece of legislation you see. this happens. ...
There's this de facto 60-vote rule on most legislation, at least in this Congress and the previous Congress since the Democrats took it over. It's extremely difficult to pass a bill through just the regular procedure without either having to concede a bunch of substantive provisions ... or just give up on the bill entirely. [There are] 59 members of the Democratic caucus right now, and maybe 10 of them are mushy on the more progressive part of the President's agenda. Even if all of them are onboard, you're still one vote short of what you need to end debate. And that is why Olympia Snowe matters right now.
So the House would pass the bill and the Senate would pass a bill with budget reconciliation?
They could in theory. Budget reconciliation is sort of like a magic bullet. Every year, the Congress can pass what is known as a budget reconciliation bill. It sets new taxes, or moves money around within the federal budget to basically do what the Congress's budget lays out. It ... was made exempt from the filibuster because Congress [has to] set a budget. ... They need to make sure that money is there and can't have Senators filibustering it just because they're in a fit of peak. So that bill can't be filibustered, but at the same time, the legislation that can be passed in it has to be relevant to the budget, it has to move money around in some way.
So you can pass a lot of elements of healthcare reform in theory-you can pass subsidies to poor people and middle-income people. And you can pass Medicaid expansion, and you might even be able to pass the public option because the public option may need subsidies of its own and could drive down other costs and be a big moneysaver.
How might the president pressure progressives into accepting the bill?
My sense is that the President [will pressure] progressives to back off on the public option. But that could change. Trying to figure out what is going to happen is kind of like trying to move 23,000 moves ahead in a game of 17 dimensional chess. ...
[Obama can] say is that what he's planning will, while not perfect, help a lot of people make the healthcare system more progressive than it was. ... But it would really harm the democratic party and his presidency if the whole project failed and nothing passed. Obama doesn't have a tremendous amount of leverage. [Many] progressive members of Congress are progressive because they don't have viable challenges. They come from progressive districts, with constituents like them, approval ratings in the 60s, 70s, and they aren't going to lose to a member of the opposite party. So in that sense, they can do what they want.
How can Blue Dogs say that progressives should suck it up and vote for every bill when they are never prepared to do the same thing?
... It would at least be a good experiment, for the party and the country, for the [Blue Dogs] to be put on the spot. They believe that their jobs are on the line if they vote for controversial legislation. I don't know how those conversations go when political members of the administration confront these guys and say 'You got into politics to make the world a better place, not to just have a tenure job on Capital Hill. So you're going to vote yes on this and if you lose your jobs as a result, then you did the right thing and we'll make sure that the Democratic party infrastructure is there for you ... .' But that's not the way the party thinks. [It's a] game of building an unstoppably large coalition, and that becomes the goal in the end. And at some point you lose sight of why you are amassing this giant congressional majority and you're never willing to say, well we built this 70 whatever majority so that we could sacrifice some of these seats and do something really impressive and progressive for the good of the country.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Ed. note: The Weekly Pulse is becoming the Daily Pulse for September. Every weekday, we'll bring you highlights from the health care reform debate, including exclusive video interviews with leading experts and independent journalists each Friday. Even better, you can be a part of the conversation. Stay tuned to find out more!
A power shift is underway in Washington. Massachusetts governor Deval Patrick announced on Monday that a special election to replace the late Sen. Ted Kennedy would not take place until January 19, 2010. With Kennedy's seat empty, the Democrats no longer have the 60 votes they need to break a filibuster in the Senate. Up until this point, the White House was hoping for a compromise bill that the entire Democratic caucus, and maybe even a few Republicans, could agree on.
Steve Benen of the Washington Monthly notes that the Gang of Six has made itself irrelevant. These powerful members of the Senate Finance Committee were in charge of hammering out a bipartisan health care bill. They forgot that they were only powerful if people believed a bipartisan compromise was attainable.
Talking Points Memo reports that the White House has given up on Republican gangster Sen. Mike Enzi (R-WY). They finally got the hint when Enzi told a radio listeners that Democrats wanted to kill the elderly with comparative efficacy research. The White House should have cut its losses two weeks ago when Sen. Chuck Grassley (R-Iowa) repeated the "death panel" meme at a town hall meeting. Grassley has also been raising money campaigning against "Obama-care."
It's looking more and more like the Democrats will have to look to budget reconciliation, a special parliamentary procedure that could sidestep a filibuster and pass a healthcare bill by a simple majority vote.
America's Health Insurance Plans, the industry's top lobby group, dispatched 50,000 employees to town halls to fight the public option. Stephanie Mencimer of Mother Jones took a cue from Michael Moore in Sicko. She asks AHIP what kind of insurance their top lobbyist has. Mencimer says AHIP was so standoffish you'd think she had a preexisting condition.
In Mother Jones, Ben Buchwalter and Nikki Gloudeman take a closer look at the corporate megabucks behind the town hall brawls. Corporate enemies of healthcare reform are using front groups like FreedomWorks to organize angry mobs at town hall meetings. Zach Roth of TPM Muckraker reports that "legendary GOP bamboozler" Howard Kaloogian has launched a tea party bus tour to protest healthcare reform.
Speaking of frauds, you've probably heard about so-called crisis pregnancy centers that pose as abortion clinics in order to cajole women into having babies. Ever wonder what happens to those babies? In the Nation, Kathryn Joyce goes inside the world of high-pressure Christian adoption agencies that support desperate women, as long as they promise to give up their babies.
This post features links to the best independent, progressive reporting about health care and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on health care affordability, health care laws, and health care controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net.
This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
When it comes to the debate around health care, you've heard the same voices of pundits and politicians repeated on the morning and evening news. You've seen a small group dominate the airwaves by shouting and spreading lies at town hall events. You've even seen guns at presidential events enter the fray. But have you seen your personal health care story told? Or that of your friends, families, co-workers, or neighbors?
One of healthcare reform's greatest champions died last night. Sen. Edward Kennedy (D-Mass.) succumbed to brain cancer at the age of 77. During his 46-year career in the senate, Kennedy's name appeared on virtually every major piece of progressive legislation from civil rights to economic justice, to healthcare. Kennedy called healthcare reform "the cause of my life."
Jack Newfield of The Nation remembers Kennedy as the senate's fighting liberal, the "best and most effective senator of the past hundred years."
We are left with weak, squabbling, visionless Democratic puppets and a President whose domestic reform policies are adrift-sliding towards the horizon with each passing day.
The loss is a blow to healthcare reform. Alex Koppelman of Salon notes that with Kennedy's passing, the Democrats have lost one of their most effective bipartisan deal-makers. Democrats will also be down a vote in the senate for the foreseeable future because Massachusetts state law doesn't allow for the appointment of an immediate replacement.
Naturally, with congress on vacation, wackos are rushing in to fill the media vacuum. Eric Boehlert asks in AlterNet why Republicans the only ones allowed to get angry about healthcare reform, or anything else. He notes that in 2003, the media decided that Howard Dean was too angry for prime time. During the Republican National Convention in 2008, SWAT teams were sent to raid the homes of suspected anarchist protesters. And yet, conservative demonstrators in Arizona are allowed to tote rifles just outside the security perimeter of a presidential event.
RNC Chair Michael Steele raised eyebrows by championing single-payer healthcare in an op/ed in the Washington Post framing the GOP as defenders of Medicare.
Odd that Steele has so much love for Medicare, but none for the nation's other leading source of government-run healthcare, the Veterans Administration (VA). This week, Steele accused America's other leading public insurance provider of encouraging veterans to commit suicide, based on a booklet published by the VA which explains living wills, advanced directives and other key concepts in end-of-life care, Rachel Slajda reports for TPM DC.
Progressives have been doing a great job debunking the death panel and death book myths, like this creative photo essay from TPM. But we're scarcely addressing the misconception that underlies them: The idea government-administered health insurance is inherently more prone to rationing than private health insurance.
Newt Gingrich and other prominent opponents of reform claim that a public option will restrict choices and deny care. What they don't say is that for-profit insurance is rationing. When your insurance company covers an old drug for your condition, but not a new one with fewer side effects, that's rationing. The company is restricting your treatment choices to improve its bottom line. When an employer or an insurer decides not to cover mental health care, that's rationing. The entire business model is predicated on charging people more and giving them less care so there's more money left over for the stockholders.
No health insurance can cover every treatment, no matter who runs it. But public insurance has two major advantages: 1) Public insurance tends to be cheaper to administer; 2) The tough choices about what to cover are ultimately in the hands of the voters, not health insurance bureaucrats with an eye on the bottom line.
The whole town hall concept is turning out to be a strategic blunder for the White House. The format makes legislators and the media sitting ducks for extremists and astroturfers who want to paint themselves as typical citizens. As Sandy Heierbacher of the National Coalition for Dialogue and Deliberation writes in YES Magazine:
[T]he town hall design sets the stage for activist groups and special interest groups to try to 'game' the system and sideline other concerned citizens in the process. As Martin Carcasson, director of Colorado State University's Center for Public Deliberation, recently pointed out, "the loudest voices are the ones that get heard, and typically the majority voices in the middle don't even show up because it becomes a shouting match."
How much more clear can the Republicans be? They are not interested in bipartisanship. Sen. Chuck Grassley (R-Iowa), supposedly the Senate's leading reasonable Republican on healthcare, couldn't even be bothered to rebuke a town hall participant who hinted about assassinating the president, as Raw Story reports.
If the Democrats want healthcare reform, they are going to have to go it alone. Let's hope they pass a bill that would make Sen. Kennedy proud.
This post features links to the best independent, progressive reporting about healthcare and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on healthcare affordability, healthcare laws, and healthcare controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net.
This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
Will healthcare reform include a public health insurance plan to compete with private health insurance? President Obama campaigned on the promise of a public option, but over the past week he and his top advisers have repeatedly signaled that they aren't willing to fight for it.
On Saturday, Obama told a town hall meeting in Colorado: "Whether we have it or we don't have it, [the public option] is not the entirety of health care reform. This is just one sliver of it, one aspect of it."
"I don't understand why the left of the left has decided that this is their Waterloo," an unnamed senior White House official gripes in this morning's Washington Post.
The White House is sorely mistaken if it thinks that the public option belongs in the "nice but not necessary" category. Josh Holland of AlterNet explains why the public option is the pillar of healthcare reform. Without it, there's little hope of containing costs or reigning in the power of insurance companies:
It may be just one "aspect" of health reform, but without it, the legislation promises to be a massive rip-off; a taxpayer give-away of hundreds of billions of dollars to an unreformed 'disease care' industry.
The industry would get millions of new customers thanks to generous government subsidies and a law requiring that (almost) everyone carry insurance. And that windfall would come without the structural changes needed to bend the medical "cost curve" in years to come -- without any provisions that might endanger the industry's bottom line.
In Salon, Robert Reich agrees. Competition between private insurance companies and the public option is the only hope to controlling costs. A public plan could bargain with providers to reduce costs and pass the savings on to taxpayers. The private insurance industry would have to slash its prices to compete.
Without a public option, "reform" would likely involve subsidies to private insurance companies, temporarily dulling the pain as premiums rise unchecked. That's the worst of both worlds.
Progressives shouldn't be surprised at the White House's noncommittal stance, though. Obama campaigned on a public option, but he has always framed it a darned good idea, not as a non-negotiable demand.
Why is it so difficult to get a healthcare bill through the Senate with the supposedly filibuster-proof majority? The simple answer is that the Dems need 100% of their delegation to cooperate in order to break a filibuster. So, the Democrats have 60 seats in the Senate but no way to advance their agenda without capitulating to the conservative Blue Dogs. The Republicans can be counted on to filibuster whatever the Democrats come up with. Which means that conservative Democrats like Sen. Max Baucus (D-Mont.) hold the balance of power.
As Ari Melber of The Nation explains, Baucus and his Republican counterpart Sen. Chuck Grassley (R-Iowa) also rule over the powerful and conservative Senate Finance Committee, which has been tasked with writing the Senate version of the healthcare bill.
Also in The Nation, Tom Geoghegan argues that it's time to break the stranglehold by abolishing the procedural filibuster. Unlimited debate in the Senate is enshrined in the constitution. In an old school filibuster, senators simply refuse to shut up until the session ends and the bill dies without a vote. In 1975, a group of liberals wrote a rule of Senate procedure that effectively allows senators to "filibuster" simply by saying they want to. In the old days, a filibuster was a grueling public ordeal. Senators slept on cots and spelled each other off. Today, "filibustering" means signing a form. It's private, easy and cost-free. The Republicans can, and will, filibuster all major Democratic legislation without having to stand in public and risk being branded as obstructionists.
As a result, 60 is the new 50 in the Senate. Since it's just a rule, the procedural filibuster could be abolished by a simple majority vote. Friends of the filibuster defend it as a bulwark against tyranny. Abolishing the procedural filibuster would discourage frivolous obstructionism, but keep the filibuster for cases when legislators actually care enough to lose sleep over it.
Ever wonder why the strongest public option, single-payer, was never on the table? Maybe because even the strongest proponents of the public plan are taking money from the insurance and biomedical industries. Mother Jones Rachel Morris wants to know why UNITEDHealth consultant Tom Daschle was on Meet the Press Sunday. A former Democratic senator, Daschle is a senior adviser to Obama on healthcare reform and a leading advocate of a public plan. However, he recently resumed a private consulting arrangement with UNITEDHealth, America's largest health insurer. Even public plan champion Howard Dean is a strategic adviser on healthcare policy to the lobby firm of McKenna, Long, and Aldridge. Dean won't disclose his clients, but McKenna represents a number of clients in the biomedical and health science industries.
The prospects of a public option are dimming, but not necessarily because of any rapid about-face by the White House. The Senate bill is in the hands of the Blue Dogs, who say they won't have legislation until November. Obama won't put the screws to the Blue Dogs, but there's still plenty of time to for citizens to make their voices heard.
This post features links to the best independent, progressive reporting about healthcare and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on healthcare affordability, healthcare laws, and healthcare controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
This week's edition of the Weekly Pulse is shorter than usual. Our team is getting ready for the fourth annual Netroots Nation blogger conference in Pittsburgh, PA. Esther Kaplan, editor of the Nation Investigative Fund, and I are conducting an investigative reporting workshop on Saturday from 1:30-4:15 p.m. Join us and help expose the corporate roots of the Teabagger/Town hall mob movement.
Here's the latest news on the healthcare front: Republicans and their allies are pressuring Democratic healthcare reformers at townhall meetings around the country. Addie Stan has a blockbuster piece in AlterNet that exposes the network of corporate funders and lobbyists behind the mobs.
The Progressive's Ruth Conniff explains the mobs' marching orders, as spelled out in a memo by Bob MacGuffie, a volunteer for the Tea Party Patriots, an anti-reform group with ties to former Republican Rep. Dick Armey's pressure group Freedom Works. MacGuffie instructs town hall protesters to shout at lawmakers and attempt to throw them off their game as they try to make the case for health care reform. So much for reasoned discussion.
As I reported in In These Times, the teabaggers are trying to scapegoat organized labor as the instigators of confrontations at town hall meetings. On August 6, a scuffle broke out in front of a town hall meeting in St. Louis. This video clip shows the last 10 seconds of a scuffle in which a man in an SEIU t-shirt lies prostrate on the ground. A 38-year-old conservative activist claims to have been severely beaten, but the video shows him apparently uninjured, darting around to different cops and trying to convince them that he was attacked. The man's lawyer claims that he saw his client get punched in the face and kicked in the head by SEIU members.
A spokesman for the St. Louis County police told me that the police hadn't reviewed the video because nobody had submitted it to them, despite a call to the public to turn over evidence for the investigation. The fact that the videographer hasn't turned over the video kind of makes you wonder if the teabaggers really take the "evidence" as seriously as they claim.
How's this for irony? According to Talking Points Memo, the activist was asking for money to pay his hospital bills because he's uninsured.
Finally, Jodi Jacobson of RH Reality Check reports that Kansas Now is calling upon AG Eric Holder to restore the Federal Marshall security detail of prominent late-term abortion provider Dr. Leroy Carhart, a friend and colleague of the late Dr. George Tiller. Carhart was placed under protection after Tiller was shot. But the feds didn't even wait for the trial of Tiller's alleged assassin to wrap before pulling Carhart's detail. Now he's on his own, just as the alleged killer's links to a broader coalition of violent anti-choicers are coming to light.
This post features links to the best independent, progressive reporting about healthcare and is free to reprint. Visit Healthcare.newsladder.net for a complete list of articles on healthcare affordability, healthcare laws, and healthcare controversy. For the best progressive reporting on the Economy, and Immigration, check out Economy.Newsladder.net and Immigration.Newsladder.net. This is a project of The Media Consortium, a network of 50 leading independent media outlets, and created by NewsLadder.
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