Wednesday, July 29, 2009

Oh What a Tangled Web They're Weaving

The following article was published in Roll Call:

"Democrats are preventing Republican House Members from sending their constituents a mailing that is critical of the majority's health care reform plan, blocking the mailing by alleging that it is inaccurate.

House Republicans are crying foul and claiming that the Democrats are using their majority to prevent GOP Members from communicating with their constituents.

The dispute centers on a chart (see chart below) created by Rep. Kevin Brady (R-Texas) and Republican staff of the Joint Economic Committee to illustrate the organization of the Democratic health care plan.

At first glance, Brady’s chart resembles a board game: a colorful collection of shapes and images with a web of lines connecting them.

But a closer look at the image reveals a complicated menagerie of government offices and programs that Republicans say will be created if the leading Democratic health care plan becomes law.

In a memo sent Monday to Republicans on the House franking commission, Democrats argue that sending the chart to constituents as official mail would violate House rules because the information is misleading.

In their eight-point memo, which was obtained by Roll Call, Democrats identify a litany of areas where they believe the chart is incorrect.

For example, Democrats argue that the chart depicts a 'Health Insurance Exchange Trust Fund” that is “simply a recipient of IRS funds, with no outflow. ... This is false.'

The chart’s illustration of low-income subsidies is also 'misleading and false,' Democrats argue.

Congressional rules for franked mail bar Members from using taxpayer-funded mail for newsletters that use “partisan, politicized or personalized” comments to criticize legislation or policy.

The dispute over Brady’s chart is being reviewed by the franking commission, which must approve any mail before it can be sent. No decision had been made on the matter by press time.

Brady adamantly denied that the chart was misleading and said Democrats are simply threatened by the content of the graphic.

'I think their review was laughable,' Brady said. 'It’s ... downright false in most of the cases. The chart depicts their health care plan as their committees developed it.'

'The chart reveals how their health care bureaucracy works, and people are frightened by it,' he added. 'So this is their effort to try and discredit' the chart.

Republican Members have made 20 requests to mail a version of the chart to their constituents and have been told that the requests are being delayed while the commission reviews allegations that the chart is misleading.

'Hiding the truth about wildly unpopular policies is a Democrat specialty,' said one GOP aide. 'I’d like to see the flow chart on how Speaker [Nancy] Pelosi plans on implementing the open and transparent government she keeps promising everyone.'

'We have initiated discussions with the minority to try and resolve current differences and are operating in good faith to achieve that goal,' said Kyle Anderson, a spokesman for House Administration Chairman Robert Brady (D-Pa.). The committee has oversight of the commission.

Rep. Dan Lungren (R-Calif.), ranking member of the committee and a member of the franking commission, said through a spokeswoman that he is also aware of the situation and is working with the members of the franking commission to resolve the differences, but he added that he believed Democrats on the commission were overreaching.

'He strongly believes that the franking commission does not have the authority to deny Member communications based on partisan differences of pending legislation,' said Salley Collins, a spokeswoman for Lungren.

The franking commission is made up of three Democrats and three Republicans.

Republicans quickly embraced Brady’s chart, and over the past week about 50 Members have posted it on their Congressional Web sites or used it in a floor speech. It has also been posted on the home page of the Republican National Committee."

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Since House Democrats are preventing Republicans from mailing this chart out to their constituents, we'll just use other methods at our disposal...blogs and e-mail.

Our Democrat friends...and I use that term loosely...swear that the government will never come between us and our doctors. Hmmm....what do you think?

Saturday, July 25, 2009

America's Health Care System Is Not Broken

America’s health care system is not broken as President Obama stated during Wednesday’s press conference. Yes, our current health care system definitely needs some reform, which I mentioned in my previous blog.

Change the laws to allow small businesses to pool their resources to purchase affordable health insurance for their employees, tort reform, fix under-funding issues of current entitlement programs, secure our borders, and tax breaks for tax-payers who pay for their own health insurance equal to 100% of the cost they pay.

But it is far from being broken.

Opponents of the government’s health care reform bill are accused of lying…of not caring about the poor and uninsured…of trying to undermine the President. That is hardly the case.

We are participating in the Democratic process and exercising our Constitutional right to freedom of speech. We are trying to protect this country from what we consider an insidious takeover of our health care system and an eventual one-size fits all, single payer universal health care system.

We believe that the proponents of the reform bill are not being entirely truthful and a bit disingenuous.

Here are just a few statements in question:

Proponent Statement # 1: “Small businesses are being beaten out of existence due to the cost of insurance for their employees.”

Small businesses are being beaten out of existence due to higher payroll costs, rising taxes, high cost of business insurance and increased regulations.

In several states the minimum wage increases each year based on the rate of inflation, Oregon being one of them. In Oregon the increase has averaged 3%. In 2009 it increased by almost 6% (from $7.95 to $8.40). Oregon’s state minimum wage is the second highest in the country; just behind our Northern neighbor Washington at $8.55. Small businesses can not keep absorbing these increases in payroll for much longer.

As for the rising cost of health insurance, small businesses (unless their employees are unionized) currently have the option of not providing insurance if they can not afford it, passing more of the rising cost onto their employees or of dropping it altogether if it becomes too costly.

If the reform bill passes all employers with at least $250,000 in payroll will be required to provide health insurance for their employees. It will not be optional and, if any employers refuse to comply, they will face penalties of up to 8% of their payroll for every year they refuse.

This will be yet another added business expense that many small business owners will not be able to afford or avoid.

Proponent Statement # 2: “If you like your health plan, you can keep it, the only thing that will change is that you’ll pay less.”

While you WILL get to keep your private health insurance coverage if you like it…for the time being…don’t try to make any changes to the plan and, if you have an employer provided health insurance plan, pray you don’t lose it due to loss of employment.

On page 16 of the House’s plan, under the heading "Protecting The Choice To Keep Current Coverage" the "Limitation On New Enrollment" section of the bill states: “Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of the year the legislation becomes law.”

In other words, if the House’s health care reform bill is passed:

  • Those individuals who currently have their own private health insurance coverage will not be able to make any changes to their insurance plans or purchase a different private plan. They will have to enroll in the public option.
  • Individuals who have an employer provided health insurance plan and lose that plan due to loss of employment will not be able to purchase their own private insurance plan. If they don’t find employment with another employer who provides health insurance, they will have to enroll in the public option.

The Heritage Foundation commissioned the Lewin Group, a highly respected health care policy and management consulting firm, to examine the impact the House’s health care reform bill would have on private insurance when a government-run health plan is introduced in the marketplace. The study found that:

  • 88.1 million Americans could be transitioned out of their current plan as employers opt out of continuing their existing coverage. These Americans would lose the employer coverage they now have. The study also found that nationwide 103.9 million Americans would end up on the new government-run public plan.
  • Yearly premiums for Americans with private coverage could jump as much as $460 per person as a result of more cost-shifting, which would stem from the public plan.

And let’s not overlook our seniors who may be facing proposed cuts of $535 Billion in Medicare? $170 Billion of these cuts are proposed for the Medicare Advantage program with $158 Billion of those cuts being in the fee for services program which low-income and minority senior citizens rely on.

The rest of the cuts will be for nursing homes, therapy, and hospital care. The average senior citizen can expect to have their health care costs increase by about $250.00 per month.

So you could lose your coverage, whether you like or not, if your employer can cut costs by putting you on the public option. If you want to keep your own private insurance you will pay more not less and senior citizens, the group who can least afford to pay more, will pay more.

Proponent Statement # 3: “This is not a trick. This is not single-payer. That's not what anyone is talking about.”

A single payer universal health care system is exactly what the ultimate result of this health care reform bill will be…not immediately, but within a few years. Those in favor of a single payer universal health care system are not stupid. They know exactly what they need to do to accomplish their goal.

On June 30, 2003, then Illinois State Senator Barrack Obama stated at an AFL-CIO Conference, “I happen to be a proponent of a single payer universal health care program. I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care cannot provide basic health insurance to everybody.

"And that’s what Jim is talking about when he says everybody in, nobody out…a single payer health care plan, a universal health care plan. And that’s what I’d like to see. But as all of you know, we may not get there immediately. Because first we’ve got to take back the White House and we’ve got to take back the Senate and we’ve got to take back the House.” (NOTE: Obama now says he is not for a single payer universal health care system.)

On July 21, 2008, Jacob Hacker; a Political Science Professor and the architect of the system in which private and public insurance options would compete, was commenting on his vision.

He said, “Someone once said to me that this is a Trojan Horse for a single payer. And I said, well it’s not a Trojan Horse, right? It's just right there. I’m telling you! We’re going to get there…over time…slowly. We’ll move away from reliance on employer-based health insurance as we should.

"But we’ll do it in a way that we’re not going to frighten people into thinking their going to lose their private insurance. Where you give them a choice of public and private insurance when their in the pool and we’re going to let them keep their private employment-based insurance if their employer continues to provide it.”

On April 18, 2009, Representative Jan Schakowsky (D-IL) revealed the true goal of the public health care option. She said, “And next to me was a guy from the insurance company who then argued against the public health insurance option saying, ‘It wouldn’t let private insurance compete. That a public option will put the private insurance industry out of business and lead to single payer.’

"My single payer friends, he was right! The man was right!…This is not a principled fight. This is a fight about strategy for getting there and I believe we will!”

Does anyone doubt what is really going on here? I don’t.

Proponent Statement # 4: “You will not be denied care if you have a pre-existing condition.”

Oh, really? Well, how about the elderly who are going to see cuts in Medicare? Are they going to get the care they want or need? Let’s ask President Obama.

On June 24, 2009, during the President’s ABC Infomercial for health care reform, a woman named Jane Sturm told the story of her 105 year old mother who, at age 100 received a pacemaker.

She explained, “Her doctor said, ‘I can’t do anything more, unless you have a pacemaker.’ I said, ‘Go for it!’ She said, ‘Go for it!’ But the arrhythmia specialist said, ‘No, she was too old.’ Her doctor said, ‘I’m going to make an appointment because a picture is worth a thousand words.’

"And when the other arrhythmia specialist saw her…saw her joy of life and so on…he said, ‘I’m going for it.’ That was over five years ago.

"My question to you is, outside the medical criteria for prolonging life for somebody who is elderly, is there any special consideration that can be given for a certain spirit, a certain joy of living, a quality of life, or is it a medical cut-off at a certain age?”

The President’s reply, in my opinion, was chilling. He said, “We’re not going to solve every difficult problem in terms of end of life care. A lot of that is going to have to be, we as a culture and as a society starting to make better decisions within our own families and for ourselves.

"But what we can do is make sure that at least some of the waste that exists in the system that is not making anybody’s mom better, that is loading up on additional tests or additional drugs that the evidence shows is not going to necessarily improve care, that at least we can let doctors know and your mom know, that you know what, maybe this isn’t going to help. Maybe you’re better off not having the surgery, but taking the painkiller.”

Say what? We’re sorry…just take a painkiller?

My mother is almost seventy. She recently had a heart attack and required three stents to be inserted into her two arteries. If she had had this attack after the health care reform bill was passed would she be told, “We’re really sorry Marlene, but you have exceeded your usefulness to society. We’ll just give you pain killers?”

At what age are we going to be told that we’re too old to receive the health care we need and should start receiving end of life care…that we should just take painkillers and die peacefully like an animal being put to sleep? Seventy? Seventy-Five? Eighty? How old? And who will decide…some government bureaucrat who knows nothing about us? Take a pill…how absurd!!!

Finally, Proponent Statement # 5: “The government will not get between you and your doctor.”

Earlier this month, Energy and Commerce Committee member, U.S. Representative Phil Gingrey (R-GA), proposed an amendment to the health care reform bill which would ban government employees from overruling doctors on matters of direct patient treatment.

The amendment read, “In section 931 of the Public Health Service Act, as added by section 2401, add at the end the following new subsection: Nothing in this section shall be construed to allow any federal employee or political appointee to dictate how a medical provider practices medicine.”

“This is about the practice of medicine,” said U.S. Representative Joe Barton (R-TX), of the amendment. “If I asked for a show of hands about how many people think people in Washington should tell your doctor how to practice medicine on you, I don’t think there’d be anybody who would raise a hand. I wouldn’t raise my hand. I don’t want my doctor to be told how to practice medicine on me or my family.”

“My guess is most Americans would not like a detached bureaucrat who’d had a bad day to make that decision,” added U.S. Representative Roy Blunt (R-MO). “That’s what this amendment is all about…This is a debate about whether a federal bureaucrat can dictate to a medical provider…I would hope that this committee would decide that the doctor-patient relationship is more important than the bureaucrat-patient relationship.”

The amendment was rejected. 23 Republicans and one Democrat voted in favor of the amendment while 33 Democrats voted against it.

When Obama says, “This is not about me”, he’s right…it’s not about him…although he really wants it to be. For those of us who are opposed to this massive new entitlement program, it’s not about defeating him or ruining his presidency.

It’s about our right to privacy and keeping the government out of our medical records. It’s about our right to decide for ourselves, in consultation with our doctors, what health care we receive and when. It’s about keeping government bureaucrats out of our medical decisions.

Tuesday, July 21, 2009

Where's the Fire?

Where’s the fire? Why should we destroy the greatest health care system in the world to make sure that 45 million uninsured people or 13% of the population has insurance? Why should we destroy the insurance coverage of the other 87% of the population when half of those uninsured are uninsured because they choose to be and almost a quarter of them are illegal aliens?

I’m not saying that some sort of reform isn’t needed. I would be extremely naïve if I believed that. What I am saying is that they do not need to destroy our health care system. What I am saying is that they do not need to devise a health care system patterned after the failed socialized programs of Canada and Europe.

What they should do is change the laws so that small businesses, the largest employment sector in America, can pool their resources together to provide affordable health care for their employees. But at the same time, as put forth by The Heritage Foundation, combine these new pooling arrangements with, “other insurance market reforms designed to transition from an employer-owned and seller-driven market to a consumer-owned and buyer-driven market.” According to The Heritage Foundation, “the result would be to inject fresh incentives for both controlling costs and increasing quality into the broader health system. Insurers and providers would be forced to find ways to meet consumer demands for better results at better prices.”

What they should do is fix the Medicare, Medicaid and social security under funded issues before they add another entitlement program. Can America really afford another entitlement program that will ultimately be forced onto states already going bankrupt from mismanagement and too many federally mandated programs?

What they should do is change the civil justice system to reduce tort litigation and damages which have contributed to the rising cost of our medical care. The high costs of medical malpractice litigation and compensation payouts have significantly raised the cost of medical malpractice insurance for our medical care givers. Let’s make the plaintiff in lawsuits pay the court costs of the defendant, up to but not greater than their own court costs, if they lose.

What they should do is give every tax payer a tax credit equal to 100% of their out-of-pocket costs for health insurance. Not $2,500 for individuals or $5,000 for couples as the Republican plan calls for, but 100%. If the tax payer pays for the entire plan, he/she claims the entire cost. If the tax payer pays for a portion of their employer provided health insurance, the tax payer should be allowed to claim the portion he/she pays for that coverage. If the employer pays 100% of the health insurance, the tax payer receives no tax credit. The individual tax payers should have the same tax credit rights that employers who provide health insurance for their employees have.

What they should do is secure our borders. They should send the illegal aliens home and force them to come to this country legally before they receive any benefits, including health insurance.

What they should do is listen to the American people. They ignored us when we said “NO” to TARP I. They ignored us when we said “NO” to the bailout of the auto industry. They ignored us when we said “NO” to the Omnibus bill. They ignored us when said "NO" to the stimulus (porkulus) package. And, they ignored us when we said “NO” to the Cap and (Tax) Trade bill.

Today Obama was lamenting that there were some in DC who were set on blocking his health care reform. He was obviously talking about the Blue Dog Democrats (since Republicans couldn’t block his reform no matter how hard they tried) who got an earful from their constituents during the 4th of July holiday and are now backing away from support of his reform. Maybe finally, FINALLY, someone is listening!

What they should do is SLOW DOWN! They should stop acting like this country is on fire and everything is an emergency.