Tuesday, May 12, 2009

Quackery in Obama's health care proposal



President Obama on Monday praised health care industry groups for coming together to try and cut $2 trillion in expenses over the next decade to slow the rising cost of medical care.

At a White House news conference flanked by industry officials, Obama called the meeting of officials "who often fought with each other" a "historic day, a watershed event in the long quest for health care reform."


Bullshit. $2 trillion can be "saved" in healthcare costs? What is being lost? Healthcare profits? Research?


"If these savings are truly achieved, this may be the most significant development on the path to health care reform," said Ron Pollack, executive director of Families USA, which advocates for expanded health care coverage. "It would cut health costs for families and businesses, and it would enable adequate subsidies to be offered so that everyone has access to quality affordable health care."

Six medical trade groups, including the American Medical Association and America's Health Insurance Plans, which represents health insurance companies, have agreed to the cost-cutting. Health care costs would continue to rise, just not as quickly.


That last sentence still isn't a satisfactory explanation. Jeffrey Young at The Atlantic shares my skepticism:


Organizations representing the biggest players in the health care market promised President Obama on Monday that they'd find ways to cut national health spending by an astonishing $2 trillion over the next 10 years. Later that day, executives from these industries told the press that their companies' bottom lines would not suffer as a result. Whatever happened to Alfred E. Neuman's Cosmic Health Care Equation?

Among other things, this seems to be the latest example of health care industry lobbyists and executives trying to reassure investors that the sweeping reform plan being assembled by the Obama administration and the Democratically controlled Congress isn't going to put them out of business.


I'm still a great deal less concerned about the impact of this on the companies' stock prices, but that's just me.


At a press briefing in Washington Monday, health care executives were asked to explain how, for example, physicians and hospitals could maintain their incomes if spending were $2 trillion less over 10 years.

"I do believe that these savings can be achieved without detrimental impact on all of the groups that you described," Thomas Priselac, the president and CEO of Cedars-Sinai Health System said. "It will be important as we go through this reform that the payments that are provided be adequate for people to do what it is we're talking about in a new and different system."

Here's what Jay Gellert, President and CEO of the insurance company Health Net said: "I think we believe that we can do it without undermining the viability" private health care companies, he said. "The unique opportunity that we have now is to provide care to 40 or 50 million people if we successfully do this."

"I think that overall, that the efficiencies we'll bring will more than make up for the cuts, for the savings that we gain," Gellert said.


There's that smell of feces again. Besides the two corporate titans listed above, the assembled participants included PhRMA President (and former Congressman) Billy Tauzin, the heads of Merck, Kaiser, and the AMA, and SEIU chief Andy Stern.

I'm almost as disappointed in Stern helping peddle this crock as I am Obama.

Gene Green: still scared of progressives

Every time I start to like ol' Gene, he screws it up:

Representatives from a number of Houston organizations held a press conference and rally near Congressman Gene Green's east Houston office, after being prevented from doing so on the property where his office is located.

The group at the press conference today included religious, community, educational, and labor leaders, teachers and students, environmentalists, scientists, health professionals, and small business owners. ...

Following the event, one of the attendees tried to deliver a letter to Rep. Green's office stating her concerns, but was prevented from even going up to the office by the building security guard.

The group had tried to meet with Green or his chief of staff on March 2, when Green was in town, but he told the group something had come up and he had to leave town the morning of the meeting, and a substitute meeting with his chief of staff was canceled because that person was not available either.

Before the press conference yesterday, Bill Crosier and Ron Hayden went up to Green's office on the 4th floor at 11811 East Freeway to let his staff know they were here and invite them to attend, but found the door locked. Rep. Green had been previously invited to join the group at the press conference. A note on the door said the office was closed today because the staff was at a senior activity.

Crosier and Hayden were met by a security guard who asked if they were there for the "protest". They replied they were there for a press conference, not a protest, and hoped representatives of Rep. Green's office would be in attendance because his constituents wanted him to know how they felt about impending climate change legislation. They asked if the press conference could be held in the atrium of the building and were told no. They then asked if it could be held outside the building on the east or west sides, and were told no. The guard said the building management had been contacted by Green's office and the management said they could not hold the press conference anywhere on the property, not even on the parking lot.

Once outside, the guard and Officer Joseph C. Cram, with the Criminal Intelligence Division of the Houston Police Department, both told the group that they could not hold the press conference or any event anywhere on the property. Other police also arrived, apparently concerned about the event as well.

The group then moved to the parking lot of an adjacent property.

Good ol' boy Gene is on the House Energy and Commerce committee (chaired by Henry Waxman of California). The committee is holding hearings regarding climate change legislation under consideration by Congress.

So you would think ol' Gene might be interested in some input from some of his constituents. Well, he is, it's just that he thinks his only constituents are five refineries and "more chemical plants than (he) can count":

"I’d like to vote for a bill,” Green said. “But I’m not going to vote for one unless I think it’s going to be good for the area I represent.”...

Green has told congressional leaders and President Barack Obama that some carbon dioxide emission allowances will have to be given for free to refiners in order to win his support.

Green has become the main lawmaker pushing for free allowances for refiners, as one of just four Democrats on the Energy and Commerce Committee representing states with big refining operations. The others are Rep. Charlie Melancon, D-La., Charlie Gonzalez, D-Texas, and Jim Matheson, D-Utah.


Maybe we should let ol' Gene know that there are some concerned citizens who have to breathe the air that comes out of his district.

Ol' Gene is just one of those old-timers who's a little bit scared of "libruls". It's a mild, moderate case of fear and loathing, the kind you see more often in acute and chronic conservatism.

Maybe a dose of contested primary could cure that.