Friday, April 16, 2010
Tuesday, March 30, 2010
To Repeal or Not To Repeal -- That Is the Question
This week history will be made when President Obama signs into law a health care reform bill that reduces costs, increases access, and provides critical insurance reforms that will put patients first. This legislation also makes Medicare more solvent and expands prescription drug coverage, all while reducing the deficit and reining in health care costs. Many of these reforms will go into effect immediately, while others will be phased in over the next several years. Even with millions and millions of Americans standing to benefit from this bill, the majority of Republican Senate candidates are on the record pledging to do everything in their power to take away health care reform if elected to the Senate. Will more Republican Senate candidates join them?
“Republicans in Washington want their Senate candidates to run on the repeal of health care reform, and many like Mark Kirk, Kelly Ayotte, and Trey Greyson have succumbed to the pressure from the establishment,” said Democratic Senatorial Campaign Committee Communications Director Eric Schultz. “Others, like Mike Castle, Jane Norton, and John Boozman have dodged the question. We believe that every Republican should be clear on if they would support the repeal of health care reform if elected to the Senate. If Mike Castle is going to look voters in the eye and pledge to repeal health care reform which will have afforded coverage to 109,000 Delawareans, eliminated the doughnut hole for seniors, offered tax credits to small businesses, lowered the deficit, and ended appalling insurance practices – then good luck to him.”
Not only is the Republican strategy of running on pledging to take away health care reform bad policy, it is also bad politics. Newsweek columnist Jonathan Alter calls running on a pledge to repeal health care reform “a losing strategy,” Washington Post columnist Dana Milbank says that the “politics of repeal may not work out as Republicans expect,” comparing the Republican strategy of repeal to Republican presidential nominee Alf Landon’s pledge to repeal Social Security if elected in 1936. Respected political analyst Larry Sabato says that Republicans run a risk on running on repeal, and even conservative commentator David Frum thinks the Republican strategy of repeal is bad politics.
Although many Republican Senate candidates have taken the pledge to repeal health care reform, other have stayed silent. Below is a list of Republican running for the Senate who have pledged to take away health care reform if elected to the Senate. Noticeably missing from this list is Congressman Mike Castle in Delaware, Carly Fiorina in California, Jane Norton in Colorado, Linda McMahon and Rob Simmons in Connecticut, Rob Portman in Ohio, Senator Chuck Grassley in Iowa, John Hoeven in North Dakota, Congressman John Boozman in Arkansas, and Dan Coats and John Hostettler in Indiana.
Florida – Charlie Crist, Marco Rubio
If successful: 4 million Florida residents lose health care; donut hole reappears for 565,000 seniors; 216,000 small businesses lose tax credit; appalling insurance practices reinstated
Would Health Care Reform Help You?
This is a guest post from Barbara O'Brien of The Mahablog, Crooks and Liars, AlterNet, and elsewhere:
Many obstacles and stumbling blocks remain in the way of health care reform. The House and Senate bills will have to be merged, and then the House and Senate both will vote on the final bill. We don’t yet know what will be in the final bill, or if the final bill will be passed into law. Passage will be especially difficult in the Senate, where it will need 60 votes to pass. It is still possible that after all this angst, just one grandstanding senator could kill the whole thing.
But just for fun, let’s look at what conventional wisdom says will be in the final bill and see if there is anything in it that will be an immediate benefit to people with mesothelioma cancer and other asbestos-related disease.
It is likely that the final bill will provide additional funding for state high-risk insurance pools. Currently more than 30 states run such pools, which are nonprofit, state-sponsored health insurance plans for people who can’t buy insurance because of pre-existing conditions. The biggest problem with such pools is that, often, the insurance they offer is too expensive for many who might need it. Both the Senate and House bills provide $5 billion in subsidies for state high-risk pools to make the insurance more affordable.
Under the Senate bill, beginning in 2014, private companies would no longer be able to deny coverage to adults with pre-existing conditions, nor could they charge higher premiums for people with pre-existing conditions. Until then, the state high-risk pools could provide some help.
Closing the Medicare Part D coverage gap — also called the “doughnut hole” — is another potential provision that could help some patients with asbestos-related disease. The “doughnut hole” is the gap between the coverage for yearly out-of-pocket expenses provided by Medicare Part D and Medicare’s “catastrophic coverage” threshold.
For example, in 2009 Medicare Part D paid at least 75 percent of what patients paid for prescription drugs up to $2,700. After that, patients must pay for all of their prescription medications until what they have paid exceeds $6,154. At that point, the catastrophic coverage takes over, and Medicare pays for all but 5 percent of the patient’s drug bills. The final health care reform bill probably will provide for paying at least 50 percent of out-of-pocket costs in the doughnut hole.
You may have heard the bills include budget cuts to the Medicare program, and this has been a big concern to many people. Proponents of the bill insist that savings can be found to pay for the cuts, and that people who depend on Medicare won’t face reduced services. But this is a complex issue that I want to address in a later post.
The long-term provisions probably will include many other provisions that would benefit patients with asbestos-related disease, including increased funding for medical research. Although there are many complaints about the bill coming from all parts of the political spectrum, on the whole it would be a huge benefit to many people.
— Barbara O’Brien
March 22, 2010
Many obstacles and stumbling blocks remain in the way of health care reform. The House and Senate bills will have to be merged, and then the House and Senate both will vote on the final bill. We don’t yet know what will be in the final bill, or if the final bill will be passed into law. Passage will be especially difficult in the Senate, where it will need 60 votes to pass. It is still possible that after all this angst, just one grandstanding senator could kill the whole thing.
But just for fun, let’s look at what conventional wisdom says will be in the final bill and see if there is anything in it that will be an immediate benefit to people with mesothelioma cancer and other asbestos-related disease.
It is likely that the final bill will provide additional funding for state high-risk insurance pools. Currently more than 30 states run such pools, which are nonprofit, state-sponsored health insurance plans for people who can’t buy insurance because of pre-existing conditions. The biggest problem with such pools is that, often, the insurance they offer is too expensive for many who might need it. Both the Senate and House bills provide $5 billion in subsidies for state high-risk pools to make the insurance more affordable.
Under the Senate bill, beginning in 2014, private companies would no longer be able to deny coverage to adults with pre-existing conditions, nor could they charge higher premiums for people with pre-existing conditions. Until then, the state high-risk pools could provide some help.
Closing the Medicare Part D coverage gap — also called the “doughnut hole” — is another potential provision that could help some patients with asbestos-related disease. The “doughnut hole” is the gap between the coverage for yearly out-of-pocket expenses provided by Medicare Part D and Medicare’s “catastrophic coverage” threshold.
For example, in 2009 Medicare Part D paid at least 75 percent of what patients paid for prescription drugs up to $2,700. After that, patients must pay for all of their prescription medications until what they have paid exceeds $6,154. At that point, the catastrophic coverage takes over, and Medicare pays for all but 5 percent of the patient’s drug bills. The final health care reform bill probably will provide for paying at least 50 percent of out-of-pocket costs in the doughnut hole.
You may have heard the bills include budget cuts to the Medicare program, and this has been a big concern to many people. Proponents of the bill insist that savings can be found to pay for the cuts, and that people who depend on Medicare won’t face reduced services. But this is a complex issue that I want to address in a later post.
The long-term provisions probably will include many other provisions that would benefit patients with asbestos-related disease, including increased funding for medical research. Although there are many complaints about the bill coming from all parts of the political spectrum, on the whole it would be a huge benefit to many people.
— Barbara O’Brien
March 22, 2010
Sunday, March 28, 2010
Saturday, March 27, 2010
National Politics Round-up
This is our regular feature where every day I do a post with the top 5 Florida political blog posts about national stories. They are ranked according to quality, importance of the story and relevance to the present.
1. virtualista's posterous - Quiz for Fuckwits: "So, in the interest of pith, VF Daily has compiled this thoughtful set of questions—a Proof Questionnaire, if you will—to guide elected officials as they attempt to judge how likely it is that their offices have been intentionally attacked."
2. Smooth Like Remy - Punch Them In The Mouth With Their Polling Argument: "The Republicans made up some of the most vicious and vile lies about health care reform over the course of the last year and because the media was unwilling to call them out for these lies, several of them actually took hold with a segment of the population. Even when they were disproven over and over again, shameless Republicans continued to repeat them over and over again and the resulting confusion worked out in their favor...for awhile. The polling numbers for President Obama and the health care reform plans definitely went underwater for a time, even if the poll numbers for the underlying policies remained relatively strong. But Republicans made what could quite possibly be a cataclysmic error when they started using the polling as an argument to vote against health care reform. It was without a doubt an act of desperation as they saw the writing on the wall that health care reform would pass, but even in desperation you would think SOMEBODY would have pointed out how this might come back to bite them in the ass. Thank God, nobody evidently did."
3. Seminole Democrats - Dear President Obama: "Dear President Obama, Well done. Sincerely Yours, Theodore Roosevelt Woodrow Wilson Franklin D. Roosevelt Harry S. Truman Dwight D. Eisenhower John F. Kennedy Lyndon B. Johnson Richard M. Nixon James E. Carter William J. Clinton"
4. Ray Seaman - You Want It. You Buy It. You Got It.: "Now that the main body of health care reform is passed, we're at the end of the beginning of a much larger push to ensure universal access to health care."
5. Incertus (Brian) - Give Them Some Space: "Yes, the reactions coming from conservatives are overwrought. I called out someone last night because he used the word "traitor" to describe House members who voted for the legislation. And in the face of that sort of reaction, it would be easy to gloat, to remember the way it felt to be on the receiving end back in 1994, or 2000, or 2002, or 2004, and to jam it back in their faces. But it would be unwise, and more importantly (to me anyway), it would be unkind."
Subscribe to:
Posts (Atom)