Archive for June, 2009

posted by perkiset on Jun 29

Who’s afraid of public insurance? THIS POST shows clearly that people taking advantage of Medicare have a considerably higher opinion of their service than privately insured people do. This particular stat is just wild:
 

According to a national CAHPS survey conducted by the Centers for Medicare and Medicaid Services in 2007, 56 percent of enrollees in traditional fee-for-service Medicare give their “health plan” a rating of 9 or 10 on a 0-10 scale. Similarly, 60 percent of seniors enrolled in Medicare Managed Care rated their plans a 9 or 10. But according to the CAHPS surveys compiled by HHS, only 40 percent of Americans enrolled in private health insurance gave their plans a 9 or 10 rating.

 

All we need to do is drop the words “65 and over” from the Medicare plan and we’d have it nailed. What’s so tough?

posted by perkiset on Jun 29

So, you think you’re in danger of losing control of your healthcare decisions because the government might get involved? Who do you think is really making your decisions now?

Right now, unless you pay cash for everything you do (in which case you’re paying WAY too much, but I’ll address that later) your health care decisions are not made by your doctor. They are not even made by you. They are made by the for-profit insurance companies. Understand: they are playing a legalized form of craps and your health is not even on the table. Essentially they are betting that they can take more money from people than they’ll need to pay out in medical fees. So if you start to get expensive, or if your health gets in the way of their profits, YOU WILL BE DUMPED. Make no mistake about it, your health is not a function of your health - it is a function of their P&L.

The Republicans that are in staunch opposition (as well as the Blue Dogs) to health care reform and specifically a single-payer option are on that side because A) health costs are an excellent way to perpetuate a caste society and B) they don’t want to damage the profits of the insurance companies. On one hand, they say that a single payer option will be too awesome and the insurance companies will not be able to compete, on the other they say that the government can’t do anything right. So if you take that at face value, a government option will be horrible and the current private option is worse. Or, it’s nonsensical horsepoop and big money politics. You decide.

The Republicans also want us to focus on Canada as what a public option looks like - and although Canada is not a perfect system, it is far from horrible. In any case though, no one is talking about that kind of option. The best minds are focused on France’s single-payer system, which is arguably the best in the world today. And they insure 100% of the population. And they pay WAY WAY less per capita and per GDP than we do. And they have a considerably higher life expectancy. And they have a considerably lower infant mortality rate. And they have a WAY high customer satisfaction index.

Now this option will not work if we don’t have pretty significant legal reform as well, which is another reason why health care costs so much. That will be addressed next. But for now consider this simple thought: If you didn’t have to pay for health insurance, yet you had world-class care, how much more tax would you be willing to pay for that? In my case, about $1600/month (what I pay for my BC/BS premiums). Or how much more could your employer pay you if he no longer had to pay for either your health insurance OR workman’s comp (which would no longer be required)? You see? The lie is to tell you about the costs without talking about the benefits or balancing savings.

Are you ready to talk about health and not protecting insurance companies? Are you ready to talk financial reality? Are you ready to look at other countries in the world and see how we can be better? Are you prepared to address the fact that, despite being one of the highest costing health care countries in the world, we are 50th in terms of real benefit and health … just behind Morocco. Honestly. When you’re tired of throwing your health care dollars at the insurance companies and would prefer, instead, to receive health care for them, then let’s talk.

The single payer option: It’s about time.

posted by perkiset on Jun 24

I think it’s about time to start blogging again.

I haven’t been here for a while because the political landscape has been pretty plenty full of opinions, and yet there’s really been little happening except the Repubs stonewalling the Dems. But it is starting to be very different.

Recent polls show that more than 72% of Americans want to see a single payer system for healthcare. Yet the Obama administration has said that a single payer system is off the table. And just today they commented that they are open to a non-public option.

I need to be clear here: if Obama doesn’t start showing some spine on this issue, I may begin to waiver in my support for him. I mean, this is the guy that said during the campaign, “if he could wave a magic wand he’d make it all a single payer system.” Where have his testicles gone? Has he been purchased by the insurance industry as well? I mean, just how powerful can a 40 person minority in Senate really be FFS?

We’re really going to have to start watching and paying attention again. Obama is our president - we elected him and he is there because of a mandate for CHANGE not bipartisanship. That would be a nice also, but frankly, when the opposition was in power they could give a shit about the Dems, Liberals or, frankly, anyone that wasn’t in their club. I say this with the utmost respect and conviction: FUCK THEM. They brought us war, almost managed to collapse our economy, have outsourced our jobs overseas and lied repeatedly about what they are up to. The current push to write a check to the insurance companies is nothing more than CORPORATE WELFARE. The insurance companies ARE THE PROBLEM.

I’m going to have to start taking up digital ink again on this issue, because it’s really, really starting to bother me. Hoping you’re still out there,

/perk

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