Posts Tagged ‘health care reform’

Augustly Gutless

Wednesday, December 9th, 2009

The Senate has a deal on health care reform, unless it doesn’t!

What’s on offer at the moment is cowardly. The public option, overwhelmingly supported by the American people, doesn’t have 60 votes in the Senate.

So, there’s a comprimising dance of death, this time involving the good (expanding Medicare to those over 55) and the idiotic (having a privately managed non-profit insurance option that is certified by the government).

In the end, some sausage will emerge, but real health care reform is at least 10 years away.

Gorilla thinks: “August body? More like a swoon in June!”

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The Bauhaus Cause, The Boho Dance, The Reform: A Bozo Ottava Rima Song

Monday, December 7th, 2009

Fucking women makes the public option whole.
Misogyny’s after all a vote getter!
Chucking the condoms awakens a male soul
To be a prince, where once was a bed wetter
His Gal Nominee for prosecutor role
She gets paid less, like a Lily Ledbetter.
Conferencing point remains to keep ‘em down
More or less the plaything of a Senate clown.

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TGIF And Predictions

Friday, December 4th, 2009

These were the events that mattered in Gorilla’s world this week:

Afghanistan: The surge is surging, contrary to General McChrystal this is the beginning of the end. One year max is all the time that’s left to sort of straighten things out; the odds do not favor our doing so. There remain more contractors than troops in Afghanistan, and there’s little evidence that all the money is doing much good. Gorilla remains confident that we’ll be heading out by the end of next year, with full withdrawal by 2013.

Pakistan: More important than the Obama speech was his decision to authorize more covert action and more drone strikes inside Pakistan. It remains to be seen whether Pakistan is serious about cleaning out the Taliban from places like Baluchistan, or finding al-Qaeda leaders in Waziristan. The greater fear is that Pakistan will use the American withdrawal and/or the fear of India as an excuse to maintain the status quo. Gorilla thinks we’ll eventually have to decide whether to go into Pakistan, with or without Pakistani approval, particularly when it becomes apparent that Afghanistan is a lost cause.

Unemployment: Good news about the overall rate doesn’t change the fact that continued claims are way too high and that economic growth at present is insufficient to make a real dent. The jobs summit was a fiasco, there’s still no sense of seriousness in Washington that unemployment may not come down significantly for many years. Gorilla predicts that the lowest level of unemployment in President Obama’s term will remain that of February 2009 (over 7%).

Health care reform: Heading to the finish line, but the effort remains very minor. The breast cancer debacle says that politicians aren’t willing to do anything about costs or insist on anything like efficiency. Gorilla believes that we’ll all be in Medicare by 2025 at the latest.

Climate change
: A week full of announcements signifying nothing. Copenhagen is dead in the water and, as with so many issues, there’s no appetite for shared sacrifice of any kind. Gorilla believes we’ll have national health care before we seriously tackle climate change.

US Economy: Still growing anemically. The housing market bust continues. The CRE bust is on the horizon. The banks remain zombies as the next wave of foreclosures arrives. Ben Bernanke fails again and gets another term in office. The rich continue to enjoy the estate tax extension, while the politicians continue to party like it’s 1937. Gorilla thinks it will be at least 2 years, if not longer, before the economy is growing at a healthy rate (above 4%).

Blogging: Two of Gorilla’s favorite bloggers, Willem Buiter of the Financial Times and John Jansen of Across The Curve, announced that they’re retiring to pursue other opportunities. Gorilla will remain opportunistic while pursuing retirement.

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Why Health Care Reform Isn’t (Again)

Thursday, December 3rd, 2009

Why politics is (again):

You’re politicians.

You get outside experts to review the science, judge effectiveness, and make recommendations about a certain medical test.

You don’t like the recommendations, although the science is sound and the ineffectiveness is clear, and you’re hearing from a lot of constituents who feel the same way.

As your very first amendment to the Senate health care reform bill, you mandate that insurance companies pay for all tests of a certain kind.

You add a billion dollars to the cost of health care with no discernible benefit, other than to the medical-industrial complex.

Gorilla sums it up: “Boy, those pink ribbons have sure gotten expensive!”

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Stupidity Runs Out Of Subsidy

Tuesday, December 1st, 2009

Once again, the utterly stupid tie between employment and health insurance comes back to haunt the unemployed!!!

Seems that, absent an extension by Congress (good luck with getting 60 votes for that while health care “reform” is still being debated), subsidies will run out that would enable unemployed workers to keep their health benefits for 9 months after losing their jobs.

Once the subsidies go, the cost of insurance skyrockets, to the point that in many states it will exceed the monthly unemployment benefit.

So, more Americans will be without health care, or faced to choose between health care and eating.

It’s for this reason that health care reform as currently proposed is both totally inadequate and totally nonsensical.

Unemployed workers who lose their health care will, once they’re poor enough, be able to apply for Medicaid, meaning the government will be paying for their health care either way. Of course, Medicaid coverage is very minimal, but at least it’s something.

So why not simply bring everyone into Medicare and break the tie once and for all with employment?

Because that would mean the end of richly profitable health insurance companies (although they could be allowed, as they are now with Medicare, to sell very lucrative supplemental policies), reduce health care costs by at least 30%, and give the American people control over their medical-industrial complex.

No chance of that happening anytime soon!

Gorilla thinks: “We’d like to be more compassionate, but stupidity always gets in the way!”

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More Nothing From CBO

Monday, November 30th, 2009

Wow, only another month of pointless Senate debate, a conference committee, and by 2013 we’ll have health care reform!!!

And what does the CBO say about all this?

The good news on health care reform:

Those currently buying insurance as individuals will see their benefits improve and their premium costs go up less steeply than presently.

The bad news on health care reform:

Those currently buying insurance as individuals represent only 17% of the market.

So, for the 72% of Americans who currently get their health care from their employers, premiums wouldn’t change very much at all.

Proving: the employer based health insurance system is good for everyone who has a job, although it keeps wages down and premiums continue to skyrocket.

Those who don’t have jobs or the self-employed or the bone idle or the working poor or those whose employers don’t offer health insurance continue to be screwed.

Single payer would have insured everyone, cut administrative costs substantially (they’re currently 30% of health care spending, or more accurately insurance company spending to cherry pick the healthy, which by the way will still be in place following health care “reform”), and kept premium increases reasonable.

But the medical-industrial complex would make a lot less money, particularly from prescribing and getting paid for treatments of dubious medical effectiveness, and that’s just plain unacceptable to the Washington leadership circles they’ve purchased.

Gorilla, whose own insurance is going up next year by 12%, has gone beyond being dismayed: “Reform today is bullshit by other means. We’ll all be in Medicare by the early 2020s, including me!”

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TGIF And Predictions

Friday, November 20th, 2009

These were the events that mattered most in Gorilla’s world this week:

Obama in Asia: Nothing new here, we’re waiting for the Chinese currency to appreciate, while secretly delighted that our own is tanking. We’re waiting for the Chinese to do something about climate change, while secretly delighted that like us, they’re doing absolutely nothing. Gorilla believes the bilateral relationship with China will become the most important parley of this century, because it will assist us in managing our own decline as a superpower. The Chinese aren’t ready to lead, which is just fine by us, and won’t be until the Communist Party disappears, aka sometime after 2025.

Health Care: Science again gets in the way of politics. It’s easy to understand why nobody in the medical-industrial complex wants serious effectiveness studies, unless those studies demonstrate the need for more revenue enhancing treatments. Patients, on the other hand, love their doctors’ advice and their pink ribbons, even when these are pointless. Meanwhile, the Senate unveils yet another version of health care reform, leaving 20 million people uninsured, providing opt-outs for the states, keeping the foolish tie to employment, and establishing an independent commission with no actual power to reduce costs. Gorilla thinks we’ll have a bill by Christmas, and we’ll have actual health care reform by Christmas 2020.

Afghanistan: Our guy Karzai is sworn in for another term, promises to do better, and remains a sideshow pinata who periodically snaps our attention to the near total lack of a coherent Afpak policy. Obama continues to decide not to decide, and the Taliban continue to bomb their way to the negotiating table. Gorilla is confident we’ll begin heading out the door by the end of 2010.

EU: Rompy van Pompuy (actually, it’s Herman van Pompuy, but if you can’t joke about Belgians the world indeed would be a much smaller place) is the new EU President. Baroness Ashton is the new EU Foreign Minister. At least the banana war with Latin America looks like concluding. Gorilla suggests it’s even money that these two new high moguls will never be heard from again.

US Economy: Could be headed for an even more painful second recession, because the same sort of idiots who kept the US depressed in 1937 are making the same sort of noises today. Unemployment will continue above 10%, house prices will fall further, and feckless leaders will continue to do nothing except talk about balanced budgets and belt tightening. Gorilla suggests we won’t be any better off by 2012 and that Obama is starting to look and sound very much like Jimmy Carter.

Middle East Peace: Completely dead in the water now that the Israelis are building more settlements. The US is stuck in the middle with no leverage over 2 sides that aren’t serious about anything other than self-preservation. Gorilla does not expect anything more than ring around the rosy for at least another year.

Iran: Back on the radar screen, and doing its very best to avoid cutting a deal. The whole processing abroad thing is a neat idea but essentially a non-starter. The Russians and the Chinese aren’t going to do much, so it will be up to Obama to decide whether he can live with a nuclear Iran that isn’t likely to be more than a fifth-rate threat for another 5 years. Gorilla therefore believes a deal will be cut, and Obama will visit Tehran in 2013; only even money at the moment that he will do so as President.

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As Dead As Dead Can Be

Tuesday, September 29th, 2009

Serious health care reform, that is.

Unserious reform will pass this year, some fruit loopy co-ops or some phony trigger, or nothing at all if the progressives decide to stand tall, but the bottom line, as has been clear since the spring, is that the Obama Administration and the Democratically controlled Congress could not deliver the votes for anything other than ineffectual, marginal bullshit.

Six months were wasted on trying to be bipartisan, when everyone with a brain knew that the Republicans would never, never, never go along.

Small state Senators, totally in the pocket of the insurance companies, decided they’d rather just continue with business as usual.

One hopes our President will learn from this experience, because he’s blown it big time.

Gorilla doesn’t like to crow on this one, because it’s the country who loses: “I told you so!”

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This Week’s George T. Platter And Bait

Wednesday, September 16th, 2009

The tidetime folklorist wonders where in the Bible is the passage: “Thy shall not blaspheme the medical-industrial complex, nor temper with their profits, lest ye be smote with the apostasy of bipartisanship”.

This Week’s Platter: “We’re In The Money” (Max Baucus and other golddiggers post- ’33 keep the happy talk going in Movingforwardville)

This Week’s Bait: The Original Hope and Change Drone Spoon (teabags not included)

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