Showing posts with label HR 3200. Show all posts
Showing posts with label HR 3200. Show all posts

Wednesday, August 19, 2009

The Many Faces Of Health Care Reform

I can't keep up these days... and I am really trying. But the winds at the White House are changing so fast. or maybe they are not and it is just a tactic, I don't know. I hate to think the worst but when something totally stumps you, you have to look at the possible alternatives.

The big debate right now on Health Care Reform is "the public option" meaning government would provide a competitive alternative to current insurance plans. Many people fear that because the government will play the role of both "health care insurance company" as well as "health care insurance rules judge" that they will always beat out any competition. This will result in the government taking over health care both in terms of (1) health insurance and (2) health insurance regulation, but also in providing health care (because of new regulations on Doctors and the fact that they would then be paid by the government.)

The other side of the debate has everything to do with providing health care for uninsured people. Forget the fact that not everyone wants to buy insurance and that senior citizens would be forced into the government program (if they don't spend their money on a government-approved alternative.) The fact is that the other side of the debate is concerned with providing health care insurance to the currently uninsured. Whether they understand how this gets paid for or if millions of Americans flooding into that new solution creates health care rationing, just about anyone agrees with the altruistic goal of helping people. That isn't the debate. The problem is in the "how."

So, this blog post is not about the details of the plan. This post is about the mixed messages coming from the bills largest proponent, the President.

Over the weekend the Washington Times (and a number of other news groups) wrote that the White House communicated President Obama was not married to passing a Health Care Reform bill that contained a "public option." Since that time other Democrats went on the record saying that the Public Option didn't have enough Democrat support in the Congress to pass the reform bill and that we should move on to focus on "reform" and stop flogging that dead horse. The White House even did a little more face-saving by saying, ...We have been saying this for about two months now. Now, I thought I was paying attention and I don't recall them ever saying they were fine with supporting a bill that didn't include the "public option."

Next in the time line comes a letter from the Congressional Democrats sent to Obama asking, "What the? No Public Option?" This only just happened and was likely the result of so many Democrats hitting the road to pimp Health Care Reform including the public option and taking a beating in public forums.

Now, in today's Washington Times President Obama is said to be back in vocal support of the Public Option. The source: his letter back to Congressional Democrats. Obama basically writes back and says, wait a sec... I still want a public option and nothing has changed.

So how do we take this? Here are my alternative explanations for this kind of double-talk:

Semantical Accuracy: If you look at both sides of what President Obama is saying at the same time, then he is communicating... I want the public option just like you, Liberals, but I am not married to it and would sign health care reform bill into law without it, like you, Conservatives.

Liberal Bias: If you look at this as a liberal, then you think that the President saying he is fine without it but really wants it simply means that he wants people to cool their jets in opposition to it, while he gives a wink to the liberal folks and says, ...hey, keep pushing for it because we really still want it. At the same time liberal folks who have stuck their necks out and said stuff like health reform without a Public Option is a waste of time (Nanci Pelosi) are worried that Obama might be simply pandering to them if he is really willing to sign a Health Care Reform bill into law without it.

Conservative Bias: If you have your conservative hat on then while you thought that the President's wavering commitment to the Public Option felt like a move in the right direction, now you simply wonder if he was pandering to conservatives while still sending support to the senators who are hitting the road pimping the Public Option. The conservative mind feels worried that the President is pandering at best and lying at the worst if he isn't really willing to sign a bill into law without the Public Option.

At this point the double-talk only serves up one outcome for those who are paying attension: a loss of trust for somebody. If you are a liberal and you want him to simply be pandering to the conservatives but in the end he signs a bill into law that doesn't include the public option, well, then you lose trust. If you are conservative and he refuses to sign a bill without the public option, then he is a liar to you, and you lose trust. Someone loses trust as a result of this experiment in words.

There is one other reaction at this point that I can think of and it goes like this...

Fan-boy: The substance of the President's words matter less that your ability to spin them into unwavering support. One week ago you were championing along with the President for Health Care Reform that included the Public Option and this week (for at least a moment) you were celebrating the seemingly bi-partisan move to not be married to a bill that must contain the Public Option.

The problem with fan-boy is that the only guiding value in that scenario is unwavering support for the icon that is the President. If you were a proponent of the Public Option and looked at the details then you would likely have a very difficult time cooling your jets and suddenly be fine with not including it. If you opposed the bill then you understood the ideological, social and financial difference that the Public Option made and were not about to simply start endorsing it. If none of that mattered to you, then I have a difficult time imagining that you were paying attention, because one way or the other a decision in this category would end up shaping the lives of Americans. So the details matter.

Sunday, August 2, 2009

White House FY 2010 Budget Has A New Name

The Fiscal Year 2010 Budget from the White House is now being renamed by Obama's Treasure Secretary. While it was once described as “A New Era of Responsibility” it has now been labeled “an exploding budget deficit.” And do you think that the answer should be to tame that budget by cutting back programs that we cannot afford, the same tactic that all Americans employ when faced with a financial short come? No. We are being told that the answer could be a tax-hike for the Middle Class.

One of the latest additions to an already run-amuck budget: H.R. 3200. The H.R. 3200 bill, dubbed “America's Affordable health Choices Act of 2009,” seems anything but affordable. At the minimum it promises to add $1 trillion do our national debt and since President Obama doesn't want to appear irresponsible, rather than simply tack that onto our national debt (nobody wants that) his White House staff are leaving the door open to ask the Middle Class to foot the bill. When National Economic Council Director Larry Summers was asked if Obama would tax the Middle Class rather than keep his campaign word when he repeatedly vowed "you will not see any of your taxes increase one single dime," Summers said "There is a lot that can happen over time... it is never a good idea to absolutely rule things out, no matter what."

Now, I know a number of Americans who would like to stick it to the high priced insurance companies and find a way to bring down the cost of health care. The trouble is that H.R. 3200 is so far reaching that it funds programs, makes decisions and eliminates choices faster than it brings in alternatives or a savings. To answer your question in advance, no I have not read the entire bill consisting of more than a thousand pages. But I have struggled through the first 50 pages, and it is painful. For the government to create an affordable competitive plan they first have to take over the game. In fact, for them to compete they have to pretty well fix the game. To bring to light a comparison, imagine the following scenario:

Imagine that the U.S. Government wanted to make buying cars more affordable. Well, according to this plan, first it needs a horse in the race. So it goes and buys a car company (hmmm... check that off the list.) But owning a car company doesn't make cars more affordable. So what does it have to do? Well, it needs to control the features on the car, “optimize” them to keep the costs down. How does it do this? By creating a committee that decides who (which Americans) get what features. That is the first part of the equation: keeping costs down. But how does it make it competitive? Well, private car companies could just offer nice features at a reasonable cost and keep the U.S. own car company out of the game, right? We all win then, right? Well, no. You see the U.S. also needs to define what it means to be competitive. How do they do that? Well, they allow existing car companies to maintain their existing cars for the next four years, at which point all non-government-owned car companies now have to play by the new rules as defined by the government. Literally all of the cars older than four years old would have to come off the road at which point everyone would have to get into a car that now played by the governments new rules. In other words, if you are happy with your car, feel free to keep it... well, for the next few years, at which point all cars will have to look like the government cars. Hmmm? And the committee keeps deciding whose car gets what features? You guessed it.

Now we do the math! If you are in the Middle Class then you are currently paying a good sum of money for your health care. Next, imagine that H.R. 3200 gets passed. Now you are paying for your private health care and at the same time paying for other peoples health care because your taxes just got hiked up. I thought this was supposed to be cheaper... or “affordable?” Apparently, it is only affordable if you aren't paying taxes at all. But wait for it! You might anyway. Since Joe Biden was voted into the White House as the Vice President he has headed a task-force to define WHO the Middle-Class really is. So, for all you know even if you make less than $50,000 per year (currently the cut-off for the Middle Class), soon you might fit into the definition of Middle-Class. At what point does this plan become affordable?

Well, if you are anything like me, you are seeing a pattern here. The American public was first duped when Obama said he wouldn't raise your taxes. During the election he defied John McCain when he confidently declared to America that he could pull off his budget plans without raising taxes. He named his first fiscal budget “An Era of Responsibility” but we all now know that it is “an exploding budget deficit” at the admission of his own Treasury Secretary. I am waiting for the same Americans who voted President Obama into office to finally realize that the “America's Affordable health Choices Act of 2009” is both not affordable and oxymoronically eliminates “choice” by simply becoming the gatekeeper for the definition of what our “choices” will eventually be.

As a sidenote to this health care debate: research the history on Medicare and Medicaid. These struggling programs are constantly in jeopardy due to the way they exist and are managed by Congress. While you are at it understand that H.R. 3200 is modeled after elements of both of those programs as well as the Social Security system all of which have been bailed out over the years due to the unsustainable fiscal reality of those programs. Why are we sitting on our hands imagining that Congress is suddenly able go from mismanaging those three programs and yet we are cool with them taking on something so much larger and further reaching!?

CALL, EMAIL or WRITE YOUR CONGRESS-PERSON and tell them NOT TO SUPPORT H.R. 3200. If ever a public health care plan was a good idea, this is not that plan (and Congress knows it... now you need to tell them you know it too!)