Politics
Hold your nose and swallow
Close your eyes. Hold your nose. Open your mouth. Now swallow. – That’s how my mom tried to keep me from gagging when taking medicine. That’s what our Democrat leaders are telling us now about health care “reform.”
Another gigantic example of big event legislation. A massive bill way too big to fail – or read – or understand – or debate. Chock full of things for just about every special interest so Dems can finally deliver a health care bill.
- No insurance? We’ll give it to you.
- Can’t afford insurance? We’ll help you.
- Uninsurable? No longer.
- Have insurance? We’re not going to change a thing.
- On medicare? We’ll close the prescription donut hole.
- Own insurance or pharma stocks? We’ll increase your markets and your profits.
- A health care provider? We won’t set prices.
- Against a woman’s right to choose? Us, too.
- Against expanding Medicare? Us, too.
- Against a public option? It will be in name only.
- Anti-deficit? It’s paid for with savings and new taxes.
- Anti-health care reform? Your state can opt out.
- Anti-Obama? Won’t go into effect until after the next presidential election.
- Anti-immigrant? Us, too.
- Own a business? Have we got some loopholes for you.
- Middle class poor with lots of debt? Okay, nothing for you, but didn’t we just pass a tax cut and credit card reform?
- Healthy and just starting out? There are no jobs anyway, go for Medicaid.
- Work on K Street? You’ll make your bonus.
- An accountant or lawyer? Consider it a bailout.
H.R.3590 – Service Members Home Ownership Tax Act of 2009 (this is the actual name of Senate health care bill which is an amendment of a bill already in the cue to speed it up – aka: The Patient Protection and Affordable Care Act) runs some 2,074 pages containing 327,911 words (War and Peace has 561,893 words). It is the poster child example of the preferred way to govern these days: one gigantic omnibus bill that no one authors (or is to blame) and no one really knows who (or what lobby firm) added or compromised what that ends up in it. Bills that can be labeled, branded, lobbied, spun and base-rallied pro or con. Legislation to do everything, will last forever and we’ll fix down the road, depending upon who is in the majority down the road. This type of legislation is the reason politics is so partisan. And, this is what I hate about health care reform.

Note on the numbers in the chart: I downloaded the documents (transcripts of the older document) and used Microsoft Word’s word count tool. Some of the documents included signers, secretary notes, enactment dates, and other information that may cause count to vary slightly.
Couldn’t we have broken out a few things that we all believe in? Small, understandable bills that could be bipartisan? Simple language to solve some basic problems that simple people could believe government could actually accomplish? Incremental reforms to fix what we all might agree is broken?
- Why do we have to debate the public option to get rules changed so preexisting conditions don’t prevent people from getting insurance?
- Why do we have to debate whether every business will be forced to offer – and every individual will be forced to have – insurance in order that individuals and mom and pop businesses are allowed to join group plans at a reasonable cost?
- Why do we have to agree not to negotiate prescription prices in order to have higher penalties for people who commit Medicare fraud?
- Why do we have to debate subsidies for the uninsured, just so we can get rid of subsidies of private insurance companies offering Medicare (or at least require them to report quality of care results)?
- Why do we have to debate changes in tort so that we can pass legislation to cover newborns who don’t have insurance?
- Or require reporting on the effectiveness of drugs, medical tests and procedures? Or require electronic reporting? Or remove lifetime limits? Or limiting waiting periods? Or insurance plan transparency? Or transparency of physician ownership and investments? Or investments in primary care provider training? Or nursing student loans? Or funding for a National Health Service Corps? Or a national and state background checks for facilities and providers? Or medical bankruptcy prevention? Or improvements in access to immunizations? Or addressing childhood obesity? Or hospice reform? Or chronic disease prevention? Etc.
Wouldn’t it seem more civilized to pass specific bills that we agree on rather than bundling those we agree on with a bunch of controversial issues forcing our representatives to vote up or down on the whole package – or, God forbid, break with their party?
Why can’t we have a separate debate/vote on a public option or expanding Medicare? And a separate debate/vote on allowing insurance companies to compete in national markets? And a separate debate/vote on requiring everyone to have some form of coverage?
What is really going on here? Our leaders just don’t have much faith in us. They act as if they believe that the only way they can build a constituency to pass a bill is to make the issue seem to have epic proportions. To frame a debate as one that threatens our existence or our way of life. To excite the base, shake out the campaign contributions, get TV face time and get reelected. They did this to invade Iraq (Vietnam, Korea, Philippines, Mexico, Indian Wars, etc.). To bail out Wall Street (protect many other industries). And now, to pass health care “reform.”
We need our health care industry reformed. We must find ways to stablize costs. We must become more efficient and more competitive. We must do better in preventive care. We must discuss as a society, how the poor, the unfortunately sick and the innocent should receive health services. We also must find common ground, or we may lose more in the process than gained by any victory or defeat of the bill.
This bill is not about really about “reform” – I sincerely wish it were since I hear and read so much about it. Don’t get me wrong – there is a lot of great stuff mixed in the 2,074 pages – important, life-improving and life-and-money-saving stuff. But much of this bill and almost all of the cost, is about expansion of health care insurance for those who can’t afford insurance, don’t choose to buy it (preferring, in most cases I suspect, to eat or have shelter), or have been denied it. Reform is mostly packaging.
As a result, we’ll probably get a compromise of a “reform” law. A compromise of a benefit for the uninsured. Certainly a more divided country. And, we’ll probably have to do it all again some day soon because many of the real issues won’t have been honestly included, debated in daylight, voted on, or made sustainable.
On the other hand, what an historic achievement to get it this close. Maybe it really does take this cynical, scare-the-hell-out-of-everyone, Rahm Emanuel-pit bull-but-open-to-compromise-approach to get something done? Please weigh-in with your comments.
Suggested Reading:
- Center on Budget and Policy Priorities
- USA.gov Laws
- Archives.gov Charters
- OpenCongress.org Bills
- George Carlin’s 10 Commandments
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Sorry they were unable to overcome some basic bias and really give the situation the thought it merits. Knee jerk anti Dem disgust cetainly shines
in a place one might expect actual factual discourse. -
Ha! Lee being accused of being anti-Dem. Sweet. This toward a guy who supports a ruinous, destructive public option. Wow. I think I’ve finally read everything on the internets.
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Man–A MONTH’S worth of commonsense in ONE place?
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I hope this bill goes down in flames. It is not going to do what needs to be done, and I don’t want anyone taking credit for “fixing health care” when it isn’t fixed.
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It’s support of people like you that guarantee this measure will fail. Even if it passes, the economic damage wrought by this political grab-bag of pay-offs will ruin the healthcare system. So Obama, Pelosi & Co., can rule over its ashes. Doctors will flee, deficits will increase, unemployment will spread and our standard of living will fall. This is exactly what the authors of legislation like this want because it increases dependence upon the gov’t. Your attitude in the following statement illustrates the point well:
“It will fix some things – many onerous things. Likely it will break some others that I hope our leaders will have appetite to fix when they realize it.”
If it risks making problems worse, then why support it? In fact, you have no conception of the damage any version of the House and Senate bill will cause. You don’t want to understand because you have invested so much in supporting it.
People thinking like you don’t care what comes out of Congress. I posit a few possible motivations. 1) You naively **hope** Obama, Reid and Pelosi’s political skills can solve the nation’s medical problems. 2) You just want want your side to score a few political points to justify your support for these kleptocrats in power. Or 3) You actually WANT the system to fail, so the people with more resources to gain access to functioning healthcare are equally burdened with a ruined healthcare system as the poor. Because that’s fair. The fastest way to confiscate private property without forcible coercion is to saddle the productive sector with unsupportable debts.
The other principle you don’t give a damn about is the Constitution. What right does the gov’t have to MAKE people purchase insurance? Any obligation required by gov’t upon the citizen to forcibly spend their money to participate in a gov’t program will be challenged in the courts — and rightly overturned. All it is fundementally is a tax increase anyway that creates a vast gov’t program that will never be solvent and never disappear. You know, like Medicare.
This gov’t is greatly expanding its powers over the citizens. The political leadership’s only goal is autocratic control of another vast sector of the economy. That is the only truth that’s been revealed in the 2,000-plus pages of legislation, Saturday night “emergency” votes, arm-twisting and lies.
“At that time, we’ll need to close our eyes, hold our noses, open our mouths and swallow.”
Nope: we must inhale deeply, gather all our respiratory excreta, and spit this loogie back in their faces.
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Thanks Lee. Too many people are afraid to speak-up against health care “reform” due to political correctness (Lord help us!)The word that best describes my feeling for the whole mess is: TERRIFIED. Knowing that the people safely tucked inside the Belt Way–people that will in no way have this bill affect their own lives–have got me basically hog tied w/their 300,000+++ worded plans of raising my taxes while lowering my social security and medicare benefits to pay for one more broken system. It gives me night terrors.
Has anyone else noticed the not-so-subtle message to Baby-Boomers in recent years?:
“There’s Too Many of you & you’re just Living Too Damn Long!”
I’ve found the more words one of these “help the people” bills has—the more dangers it’s hiding.
Go ahead, call me paranoid…I just call myself wide awake.
By the way, the delivery of the flu vaccine, the one the government ALERTED everyone to (by way of continuous TV & print announcements prior to its release)the one they described as being absolutely necessary for anyone wanting to be a good citizen (by not spreading disease)has been so slowly delivered to the Northwest, people stopped getting in line for it. They dropped the “Must-Haves” from Everyone to all persons w/preexisting conditions, pregnant women and children down to most children under 5 and pregnant women (when available from their own physicians.) A preview of government “care”?
Gypsy -
This is why all your gov’t spending/control regimes will fail. The federal gov’t has demonstrated for decades that they are ill-equipped to handle the healthcare problem. I mean, this what you started on about in the first place! The only people who have any hope of helping the sick and injured are the practicioners. If we do not put them first — meaning, put their professional, economic requirements first — any measure is doomed to fail. Without a substantial reward for their sacrifice to become doctors, they won’t make the effort. If you want to defend and support doctors, you will get gov’t the hell out of their way. They can decide how to care for the indigent. They can also decide how to allocate scarce, expensive, cutting-edge treatments. The federal gov’t has no expertise in this area and has no business sticking its bureaucratic nose in where it does not belong.
The constitution was designed to defend private property, intellectual property and the freedom to contract/transact. I guess Austen would trade those guaranties in the name of pragmatism and victim-class protection (with such victim-classes defined by the gov’t for their perpetual benefit). I’m sure it comforts Austen that access to his private medical records will be overseen by various unknown, medically untrained bureaucrats whose No. 1 job is to maintain their bosses’ political turf. What a great idea! As for me, you can pry such gov’t restraints and liberties from my cold, dead hands.
You think the gov’t will save you, will cure you? How can you possibly think that given their compounding failures that have resulted in these legislative embarassments? How can you say “but we must have something” when all you’re being offered is a steaming pile of tax increases, lower-quality healthcare and endless expansions of gov’t power? It’s a joke that anyone takes these measures seriously other than as a threat to their healthcare and liberty.
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Whew! Just read every word of this story and the comments. Excellent points, Lee. I hope you’re running for something because I’m voting for you.
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Since you rely mostly upon sympathetic emotive argumentation, contempt is usually the quickest means of drawing out your premises. Again, I am not disappointed: “Or simply the fact that due to certain pre-existing conditions, I’m already judged, so who the hell cares as long as I get the care I need?” Hah, who cares indeed. This is fundementally why the solutions you seek will fail. Again, you don’t care how the system is funded or allocated. You merely want a blank check from the gov’t to solve all your problems. We cannot take such arguments seriously. They are devoid of merit and lead to precisely the sort of politicized paranoia that drives the healthcare discussion.
I don’t propose to create economic class systems, that’s (unsurprisingly) your suggestion. I refer to legal classes of victims. The gov’t needs to create legal victims to propose solutions to solve their problems. Then control their access to resources. This is all what these plundering healthcare measures seek to do. Why would I have faith in the gov’t to cure my medical problems? Why would I have faith in such a gov’t when people like you seek unending largesse?
And I am “doing something” by refuting your faulty logic here and demonstrating the consequences of the failed policies which you seek. You are trying to convince people of an argument that’s highly destructive. I am merely showing them why you’re wrong.
Lee, you want facts. I admit I don’t know precisely the present value of unfunded medical welfare liabilities. But I am fairly certain that it is either a 13 or 14-digit number. You can go look that one up. Then go check on the overall federal deficit. These are the facts that matter. A hugely unfunded federal deficit growing larger every day is all the evidence of failure that one requires. Then maybe we can talk about the long term implications for the currency, interest rates, unemployment, trade, foreign policy and the standard of living if we pass a massively more insolvent public option.
“Defend private property, intellectual property? Nah, the Constitution doesn’t mention it.” Lee: you are ASS-WRONG!!!
Ariticle effing ONE: “To promote the Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the exclusive Right to their respective Writings and Discoveries…” Amendment 4: searches and seizures. Amendment 5: compensation for takings. A fundemental principle driving the constition was limiting gov’t so that people could be “secure in their persons, houses, papers, and effects, against unreasonable searches and seizures,” That you see the document as a justification for gov’t “facilitating” our lives demonstrates precisely your perspective. And why the stuff you write on this site must be refuted. God forbid we elect more people like you. We got enough already.
Last Ms. Austen, I assure I have read literature, hold degrees in it in two languages, along with advanced degrees in finance and economics, topics that plainly elude you. Though I have not read “Emma,” I’m sure I could do so and understand it. Why don’t you try, “Microeconomic Theory” by Andreu Mas-Collell or “General Theory of Employment, Interest and Money” by Keynes? Let me know if you make it past the first two pages of the introductions.
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No, they’re “eat” and “****”
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I see you’ve changed the concluding phrasing of the original post but the title remains “Hold your nose and swallow.” On this point there is no agreement between us. I cannot accept either of these abominations out of Congress for the sake of the incremental change you believe it will achieve. On the contrary, it will bring incremental failure. You say you’re for a paid public option — but let’s just pass these insolvent measures first. Measures that will include an expansion of a non-medical purely political bureaucracy and eventually include buy-offs for every fence-sitting senator. Mary Landreiu set the price floor at $300 million just to stop a filibuster. How much higher will her price go to vote for it? How many senators/reps demand the same tribute for their vote? Don’t you realize that’s a complete contradiction between your advocacy of a “paid-for” program and your support for these monstrosities? They’re not paid for. They don’t fix anything. Your position is totally dishonest.
I don’t deny the reality of the problems only the damage wrought of gov’t-controlled solutions. You and others constantly demand that we need all these immediate changes NOW!! and then we’ll deal with the collateral damage later. Not everyone agrees. They know the collateral damage won’t be trivial with unemployment already past 10 percent.
As to personal insults, I ain’t sweatin’ it. I give as good as I get. Enjoy the reading list.
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Thanks, Lee, for what I read as an artful cry for simplicity. How could all this dust be kicked up over the notion that Obama & team — and all of us, regardless of political leaning — would have been far better off if the healthcare package had been un-bundled, i.e. the easy separated from the hard, so that we could actually see and understand each proposal? Why on earth would anyone rant against simplicity? Complexity is the delight of special interests and the source of the exaggerations, lies and moronic behavior on both sides of the aisle. Complexity is the hell of it, and reform is impossible, apparently, because of it.
P.S. If you think Medicare (government) doesn’t work well, then you aren’t a user. Medicare is simple and clear, and it works exactly how it says it will. Which of us out there can say that about coverage from corporate insurance providers, with their non-competitive geographic advantages, and their jargon-loaded, incomprehensible explanations mailed to our homes, explaining why such-and-such is not covered?
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How can you think Medicare works well when it’s many trillions of dollars in debt, and the gov’t that funds it is many more trillions of dollars in debt? How can you think that extending this insolvent program by a gov’t whose needs are expressly and entirely politicial — NOT medical; evidenced in the very bills now under consideration — will improve the situation? You can only hold such beliefs if your motives are entirely political and further that you think it’s OK to soak your neighbor to pay your bills under gov’t coercion. This whole discussion is an exercise in fabian socialism. You’re welcome.
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Confused? I don’t think so. I’m merely trying to correct the many, many false assertions you present. So you’re saying Medicare would post a surplus but for politicians spending that money on other programs? Um, no. Medicare is a large part of the national deficit.
Moving all the workers into a gov’t-run program will destroy healthcare. Gov’t will set all prices. There will be no incentive for practicioners to take risks or see more patients than necessary. They will be paid like union pipefitters (or worse than them), punching in from 9 to 5 and seeing as few patients as possible according to their contract. And forget about technological advancement. No pharmaceutical company, no surgeon, no engineer will take the huge financial risk to invent new drugs, tools and technology. Leaves everyone worse off.
Fraud will explode under a gov’t-run system. Right now criminals make off with billions of gov’t money. In response, all bureaucrats do is complain they don’t have large enough budgets to fight the problem. None of that money goes healthcare.
I prefer revolutionary socialsts. I can shoot at them.
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Surplus years? What?
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