[lbo-talk] Why Public Option Is Defective; Why Only Single-Payer Will Do

Wojtek Sokolowski swsokolowski at yahoo.com
Wed Jul 29 09:40:12 PDT 2009


This seems to be right on the target. The so called "Obama plan" which should be more accurately dubbed "Democrat party apparatchik plan" is a wolf in sheep's skin - taxing the middle class and herding people for fleecing by insurance companies disguised as a "coverage extension." This is not much different from the old Clinton scheme, which failed miserably and rightfully so. This one should fail too, because it is a really bad deal for most Americans. But then, if the health business smells profits, it may actually market is as a "reform" and congressmen will claim it as a feather in their cap.

Wojtek

--- On Wed, 7/29/09, Michael Pollak <mpollak at panix.com> wrote:


> From: Michael Pollak <mpollak at panix.com>
> Subject: [lbo-talk] Why Public Option Is Defective; Why Only Single-Payer Will Do
> To: lbo-talk at lbo-talk.org
> Date: Wednesday, July 29, 2009, 11:49 AM
>
> http://www.progressive.org/mpwool072209.html
>
> July 22, 2009
> The Progressive
>
> Why Obama's Public Option Is Defective, and Why We Need
> Single-Payer.
> By Drs. Steffie Woolhandler and David Himmelstein
>
>    Once Congress finishes mandating that we
> all buy private health
>    insurance, it can move on to requiring
> Americans to purchase other
>    defective products.
>
>    A Ford Pinto in every garage?
>
>    Lead-painted toys for every child?
>
>    Melamine-laced chow for every puppy?
>
>    Private health insurance doesn't work.
>
>    Even middle-class families with
> supposedly good coverage are just one
>    serious illness away from financial
> ruin.
>
>    Illness and medical bills contribute to
> 62 percent of personal
>    bankruptcies -- a 50 percent increase
> since 2001. And three-quarters of
>    the medically bankrupt had insurance, at
> least when they first got
>    sick.
>
>    Coverage that families bought in good
> faith failed to protect them.
>    Some were bankrupted by co-payments,
> deductibles, and loopholes. Others
>    got too sick to work, leaving them
> unemployed and uninsured.
>
>    Now Congress plans to make it a federal
> offence not to purchase such
>    faulty insurance.
>
>    On top of that, it's threatening to tax
> workers' health benefits to
>    meet the costs of simultaneously covering
> the poor and keeping private
>    insurers in business.
>
>    President Obama's plan would finance
> reform by draining funds from
>    hospitals that serve the neediest
> patients. His other funding plans
>    aren't harmful, just illusory. He's
> gotten unenforceable pledges from
>    hospitals, insurers and the American
> Medical Association to rein in
>    costs, a replay of promises they made
> (and broke) to Presidents Nixon
>    and Carter. And Obama trumpets savings
> from computerized medical
>    records and better care management,
> savings the Congressional Budget
>    Office has dismissed as wishful
> thinking.
>
>    The president's health plan can't make
> universal, comprehensive
>    coverage affordable.
>
>    Only single-payer health reform --
> Medicare for All -- can achieve that
>    goal.
>
>    Single-payer national health care could
> realize about $400 billion in
>    savings annually -- enough to cover the
> uninsured and to upgrade
>    coverage for all Americans. But the vast
> majority of these savings
>    aren't available unless we go all the way
> to single payer.
>
>    A public plan option might cut into
> private insurers' profits. That's
>    why they hate it. But their profits --
> roughly $10 billion annually --
>    are dwarfed by the money they waste in
> search of profit. They spend
>    vast sums for marketing (to attract the
> healthy); demarketing (to avoid
>    the sick); billing their ever-shifting
> roster of enrollees; fighting
>    with providers over bills; and lobbying
> politicians. And doctors and
>    hospitals spend billions more meeting
> insurers' demands for
>    documentation.
>
>    A single-payer plan would eliminate most
> insurance overhead, as well as
>    these other paperwork expenses. Hospitals
> could be paid like a fire
>    department, receiving a single monthly
> check for their entire budget.
>    Physicians' billing could be similarly
> simplified.
>
>    With a public insurance option, by
> contrast, hospitals and doctors
>    would still need elaborate billing and
> cost-tracking systems. And
>    overhead for even the most efficient
> competitive public option would be
>    far higher than for traditional Medicare,
> which is efficient precisely
>    because it doesn't compete. It
> automatically enrolls seniors at 65 and
>    deducts their premiums through the social
> security system, contracts
>    with any willing provider, and does no
> marketing.
>
>    Health insurers compete by NOT paying for
> care: by seeking out the
>    healthy and avoiding the sick; by denying
> payment and shifting costs
>    onto patients; and by lobbying for unfair
> public subsidies (as under
>    the Medicare HMO program). A kinder,
> gentler public plan that failed to
>    emulate these behaviors would soon be
> saddled with the sickest,
>    costliest patients and the highest
> payouts, driving premiums to
>    uncompetitive levels. To compete
> successfully, a public plan would have
>    to copy private plans.
>
>    Decades of experience teach that private
> insurers cannot control costs
>    or provide families with the coverage
> they need. And a government-run
>    clone of private insurers cannot fix
> these flaws.
>
>    Drs. Steffie Woolhandler and David
> Himmelstein are associate professors
>    at Harvard Medical School. They
> co-founded Physicians for a National
>    Health Program, a nonprofit research and
> education organization of
>    16,000 physicians, medical students, and
> health professionals who
>    support single-payer national health
> insurance. For more about the
>    group, go to www.pnhp.org.
>
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>



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