The New York Times front page today contains an article, Deep in Health Bill, Very Specific Beneficiaries, that provides a glimpse of some of the many, uh, tradeoffs various Senators got for their votes on the Senate health reform bill. The tribute Senator Nelson received for his vote is particularly noteworthy for its level of cynicism and corruption, even if you ignore his assault of women’s rights:
The Senate health bill, like one passed by the House last month, would impose tough new restrictions on referrals of Medicare patients by doctors to hospitals in which the doctors have financial interests. The package assembled by Mr. Reid would provide exemptions to a small number of such hospitals, including one in Nebraska.
Under the original Senate bill, doctor-owned hospitals could qualify for this exemption if they were certified as Medicare providers by Feb. 1, 2010. Mr. Reid’s proposal would move the deadline to Aug. 1, 2010.
Molly Sandvig, executive director of Physician Hospitals of America, which represents doctor-owned hospitals, said the change would benefit Bellevue Medical Center, scheduled to open next year in Bellevue, Neb.
Under the proposal, Ms. Sandvig said, “doctor-owners can continue to refer Medicare patients to the hospital” in eastern Nebraska.
“Senator Nelson has always been a friend to our industry,” she said. “But doctor-owned hospitals in other states were not so fortunate. They would not meet the Aug. 1 deadline.” . . .
Nebraska, with help from Mr. Nelson, won a particularly generous arrangement under which the federal government would indefinitely pay the full cost of covering certain low-income people added to the Medicaid rolls under the bill.
What a coincidence. Nelson apparently extracted millions in federal subsidies for private hospitals owned by doctors who have a financial conflict in referring Medicare patients to their own for-profit hospitals. If this happened under rational government contracting, this little gesture should land people in jail, but this is the US Senate in an era in which virtually no one at the top is held accountable for corruption.
Of course, as the article reveals, Nelson is hardly the only Senator whose vote is coincidentally tied to public benefits flowing to their likely contributors’ private profits. As David Axelrod points out, it’s what the Senate is for:
Mr. Axelrod said the provisions benefiting specific states, like Nebraska, and favored constituencies were a natural part of the legislative process.
Oh. I sure hope we demand that President Karzai stop the epidemic of corruption in Afghanistan before we risk another life over there.
Update/Related:
AP/HuffPo, How Nebraska’s Insurance Companies Stand to Profit . . .
Scarecrow, Obama’s Senate Health Care Bill: A Uniquely American Idiocy, and related links there.



65 Comments







-wiping tea from monitor- Hey! Hey! Thoughtfulness would have provided a spew alert before that last ‘graph. :-)
My apologies. Welcome to FDL. Most long-time readers know to put down their cups, or any item that if thrown will damage people or property, when they see my byline.
Thanks :-)
I’m betting Nelson got a blowjob too!
Coin of the realm, doncha know? *g*
The wonderful Karzai family.
http://www.post-gazette.com/pg/09354/1022440-82.stm
And isn’t it inspiring to watch democracy in action? I just feel so warm and cozy inside, knowing that Nebraska docs can refer patients to the hospitals these very same docs own.
Well, govt shouldn’t come between a doctor, his patient, and his own hospital, or something like that.
Nelson is more than disgusting as is our leader and his wholly owned subsidiary of Healthcare/Drug monopolies, the US Senate.
Scarecrow, what I’m wondering is how much the bribes added to the overall cost; remember the ‘need’ to hold it under $900B?
As towards community health centers, here’s some news. Wonder if such happens elsewhere.
It seems to me that the events described in this diary, and which were rampant in the health “insurance bill” sponsored by Obama, provide former Governor Rod Blagovich a defense for his actions.
Politicians are doing this stuff, for which he was accused of criminal activities, on a vast scale: Blago was doing what other politicians (including Nelson, Rahm and Obama) do on a daily basis.
Please expand more on this point.
He was paid for voting for the bill.
This bribe also sends the following message to everyone else in Congress: “It pays well to be an obstructionist.”
Talk about providing incentives for creating a dysfunctional Senate…
Ben Nelson should be under arrest for extortion.
Would Nebraska getting special treatment open the door to a lawsuit that all the states could file so they could get the same treatment?
Given the budget problems many states are facing well even GOP states can either file suit, try and drop more people from Medicare if thats possible or they could raise taxes.
I see a lot of lawsuits in the future.
Exactly! Especially in California. Arnold already asked Orhama for a hand but he was turned away. I guess we should have instructed Boxer to hold out until she got a quid pro quo as well.
How this could possibly be legal escapes me. I heard Maxine Waters on teevee earlier and she was none to happy about this, and said that lots of folks in the House were pissed off as well.
There are all kinds of federal largesse that vary from state to state, and those who get less invariably remind their colleagues in the next session. It helps to be a big state with lots of Reps and well-positioned Senators.
The second American revolution is at hand. When the supposedly good guys act just like the known bad guys what is our real option?
Take to the streets. Voting does not help much because both Parties are greedy with self interest.
If George Washington, Franklin, Jackson, Jefferson and crew were alive today what would they do against this corrupted form of Government?
http://www.richmonk31.blogspot.com
Apparently ‘sausage making’ is a legitimate means of
corruptiongoverning…! ;-)If Nelson were smart he’d have included a new toupee in his list of demands.
Really. That ‘ol thing is about dead.
*snide giggle*
It just seems so out of place… imagine a wig on an Easter Island statue.
Calling twolf. Calling twolf.
HA!!!
I’ll see if I can find the Dean linky.
That’d be one big toupee…! ;-)
Rather a bold fashion statement but I think they could pull it off…
Toupee from Hell, or Hell Toupee, if you prefer.
Well, here is what Ben got from Wall Street over the years:
Insurance industry $1,258,299
Lawyers/Law Firms $856,355
Health Professionals $452,045
Securities & Investment $408,110
Lobbyists $394,364
Real Estate $363,561
Commercial Banks $343,397
Agricultural Services/Products $319,386
Pharmaceuticals/Health Products $288,583
And here is what he has gotten so far for the 2010 election cycle.
Lawyers/Law Firms $505,707
Insurance industry $454,086
Securities & Investment $275,899
Lobbyists $270,164
Health Professionals $249,476
Real Estate $214,646
Pharmaceuticals/Health Products $201,393
Ben sure knows how things work in Washington, doesn’t he?
I don’t know about Ben’s knowledge of DC, but Ben certainly knows something about the insurance industry. Per wiki (internal cites omitted):
All in all, I’d say he’s *still* making his name and money in the insurance industry.
thanks for posting those numbers.
dk diary: Why Attack Firedoglake?.
*heh* sage advice…!
Thanks for the link. I skimmed the comments. The ones that are comprehensible (i.e. don’t require great familiarity with other dkos diaries) seem mildly positive.
Federal Judges are already forming opinions of this “bill” and if it makes it into law, it will be eviscerated as unconstitutional.
Link, please?
Personal conversation with relative by marriage that happens to be a federal judge and not happy with Reid’s poker skills nor legal prowess.
Unlike Nebraska the governors of other states saddled with increasing deficits and new Medicaid mandates can go directly to the SCOTUS for redress.
And they will.
I’ll bet by the time this bill is signed, any physician-owned hospital in any stage of development will be grandfathered. This, remember, is the Senate which couldn’t even pass a stinkin’ 5% tax on cosmetic surgery.
Given the Nelson debacle and the reference to federal judges preparing to declare the bill as being unconstitutional, and Jane’s 10 reasons to defeat the Senate, are you now prepared to say, Kill the Bill! Do please respond.
Blessings,
Really, I do not understand the outrage, with Nelson. You have a need for 60 votes and 40 are NFS. That drives the value of the last couple close to infinity. Every defense contractor with an expensive piece of hardware has parts coming from all 50 States. Senators are supposed to represent their own State as well as the Country as a whole.
In the “perfect world” we desire, defense contractors would not figure into the equation, at all. Our representatives and senators would represent *only* “the people”, not the abominations known as corporations. Of course, we would first need to restrict political political contributions, strictly, to “natural-born persons”……….my, wouldn’t that change things….
If I remember some Hartmann comments on the subject, Thomas Jefferson felt strongly that corporations should not be allowed to exist for more than eight years………
Hey Knox, I’m really confused.
All last night and all day today I kept reading you and your comments and you were against Mz. Hamsher’s posit regarding affiliation with teabaggers on KILL THE BILL . . . and you kept saying no one would listen to you here at FDL, so you were gonna leave.
Now yer all warm n fuzzy at Koz and cross post it here . . .
My head’s spinning, wassup, hoss?
Not sure what you saw at dk that makes you think I’m trying to be warm and fuzzy at dk. Nothing in what I wrote all last night (not sure what you mean by “all day today”) was ever intended to be an attack on Jane. Very much the opposite. But you’re right about my frustration; she and her circle seem to be determined to ignore me for reasons that I’ll never understand.
Anyway, what I was trying to do was to reverse the damage. In the recommended diaries at dk right now are:
1. Jane Hamsher convinced me: Pass The Bill!.
4. Teabagger Alliance, Day One – They bit me!!!.
Note the mockery in both that most effectively dismisses Jane. Note the absence of links to fdl in both diaries.
The kindest way to put what’s happening is that Jane and her circle thought that they had a winning strategy to attract attention. Fdl deserves much more attention. But not all attacks are the same.
Jane positioned herself to be easily marginalized and dismissed. She’s no longer a threat.
Had you helped give this diary at dk – Why Attack Firedoglake? – more attention, it would have helped reverse that and fdl would be receiving the kinds of attacks that are good for fdl: the kind that come from opponents’ fear and frustration.
But once again no one seems to be listening to me. I keep telling myself that I should just leave you all to it, but you’ve got a great group of insightful people, you’re right, and it’s frustrating to watch what’s happening.
Howard Dean said he thinks all the states will get the same deal Nebraska got on Medicaid.
Well, we should erect a statute to the man (Nelson).
Shucks, no effigy to burn…? ;-)
A statute or a statue? If you meant statue, it must have the wig.
He’s been erected enough, doncha think?
Definitely gotten more than his share of fluffing recently.
“Get yer money for nothing,
Viagra for free.”
Yep, governors will be on the horn to their reps/sens raisin’ holy hell. This thing just might collapse into a singularity under its own weight. Hmmmm, and collapse Congress right down with it.
I couldn’t find the link after checking my usual stops. Did anyone else see the video with Norah O’Donnell?
Earlier today someone posted a linky to this at Kos Senate Voting Steps To Come.
Great read, and a table of the 5 steps left (four steps after 1am this morning).
But it does not spell out what happens when Senate is done and has a final bill to go to House with . . .
I’m still confused on that process . . . can Pelosi force a complete acceptance of the Senate Bill, and ram it thru? Or does House get to debate Senate, make changes, merge and propose, all towards a final House vote AFTER a merge, then the merge is sent back to Senate for approval?
Anyone know?Thanks!
I lack knowledge of the prescribed procedures and available options, however my uninformed opinion is that the fix is in.
Sadly, I concur . . . . history says The House rarely improves or changes a final Senate Bill, even when The Senate has to use a House Shell of pre approved legislation to write in their bill needs as an amendment to that HR Number, what ever the original number was . . . .
Then somehow, Pelosi does NOT bring up the present House Bill for HCR, but brings up the Shell Bill Senate used, brings if forth and gets IT passed somehow, in a manner that the Prog Caucus can’t stop . . .
I’m eager to learn more on this . . . .
Isn’t it even more f*cked up when even HoJo points it out…
Huh…?
While HoJo speaks and flops and confuses, for me it’s been more confusing dealing with Harry Reid’s Manager’s Amendment he sent to CBO for scoring, and the bill left in the Senate that CBO still hasn’t scored, that confused me.
I now understand the Senate is merging the bill, not scored, with Harry’s Amendment, that WAS scored . . . see that link above I reposted that leads to a Kos diary ‘splaining the Senate procedures . . . .
And now, as Hugh has pointed out today, CBO is walking back some of that Manager’s Amendment predictions about savings . . . .
Add to that more and more suggestions and comments about the legal ramifications of the imposed mandate, now Nelson’s sweet deal other states will sue over . . . . you could see this shit tied up in courts for years!
Hmmm . . . in which case, private insurance reigns unchecked, the system continues to collapse, and folks continue to pay more, get less, and for those uninsured, use ER and not get operations, procedures, meds and care so they die faster.
Fugly as anything I’ve seen other than perpetual war and private contracting.
I certainly wasn’t surprised. Been pretty clear Obama was in bed with insurance and drug companies from the outset.
Depends on her arm-twisting/bribe strength. I don’t believe she can do it based just on House rules.
The House is more or less a “democratic” and “majority rules” kind of place.
Hmmm . . . ok, thanks MD!
I keep forgetting the ‘majority’ thang in House, as opposed to Senate, where filibuster is king of the hill and ya need the 60/40 thang depending on how shit’s shaken out by Maj Leader and such . . .
Time to climb into me tree.
Jesus Loves Me…
Be good to yourselves, and all other living things.
Namaste
G’nite, SD.
Aloha, SD…!
Given the challenges facing human beings in America, as distinct from corporations, these craven fools have succeeded in reducing this nation to an ungovernable political montrosity.
I had a bad feeling when the meme was about making Karzai’s Afghanistan more like the U.S. Mission Accomplished, Ben.
Let’s hope Nelson doesn’t wake up and realize what he’s done before Obama signs the reconciled legislation — making Nebraska the new Promised Land for Medicaid refugees.
watertiger is upstairs!
Late Night: John McCain Called. He Wants His Spotlight Back!