After the Senate passed its version of the health reform bill, the White House was quick to announce that the President and his aides will be actively involved in helping to guide the process of reconciling the Senate and House bills.
Nothing wrong with that; it’s what we’d expect from any White House in pursuit if its own agenda and legislation affecting the public interest. But something’s missing, something important.
What the announcement left out is any statement about whose interests and what positions the White House would represent. While I realize that criticizing the White House in dealing with Congressional realities is something that, in civilized Villages at least, is just not done, I seem to recall instances in the past when Presidents actually took public positions on matters important to them by, uh, you know, telling us what they wanted Congress to do or not do on specific issues.
Even completely despicable Administrations, which shall go unnamed, usually let us know what was really important in their perspective on the public/private interest; we always knew what they were demanding be included or taken out as legislation moved along. Why, some even said they’d veto a bill that didn’t have something they thought important.
We now have two different bills, with lots of overlap/common features but also dozens of important differences that affect the public interest, some profoundly so. Does this President have a view on any of these? And if so, would it be too much to ask, Your Majesty, that your Ministers give us a hint, this being a democracy premised on governmental accountability and all? I mean, you don’t have to put it on C-SPAN (though what’s wrong with that?), but maybe your COS could leak it to Jake Tapper, or someplace safe like Meet the Press? For example, consider this list from yesterday’s Times editorial:
AFFORDABILITY Under the more generous House bill, low-income people would pay substantially less and get better benefits than under the Senate bill. The House bill has far better subsidies to help lower-income Americans with premiums and cost-sharing. The Senate bill offers better subsidies for middle-income people. House staffers calculate that a family of four earning $33,000 a year would pay $1,521 in premiums under the Senate bill, which is $530 more than under the House bill. The same family would be exposed to as much as $4,100 in cost-sharing under the Senate bill, which is $3,100 more than under the House bill. Affordability is probably the most critical issue in winning popular support. The Senate needs to agree to more subsidies.
MEDICAID The House bill would expand Medicaid coverage to higher-earning people than the Senate bill does. It would raise Medicaid’s low payments to doctors in one crucial respect — paying primary-care doctors the same that Medicare pays. That would make it more likely that poor patients could find a doctor willing to serve them. The Senate should follow the House lead.
EMPLOYER MANDATES The House bill imposes higher penalties on employers who fail to offer coverage, a prod estimated to increase the number of covered workers by six million in 2019. The Senate bill has weaker penalties that would allow more employers to opt out, reducing by four million the number of workers covered. Under the House bill, employers would have to pay most of the premium and meet minimum benefit levels; the Senate has weaker requirements. The House bill is superior.
INDIVIDUAL MANDATE The House has stronger penalties on individuals who decline to buy insurance and would exempt fewer individuals on grounds they could not afford to buy coverage. Given that the reforms would work best with the greatest number of people insured, the House provisions should prevail.
I make this humble request, because there seems to be confusion among your subjects the citizens about whose interests your aides will be representing. Will it be big PhRMA, or AHIP/insurers and the hospitals with whom you reportedly cut secret special deals to protect their interests? Or will you side in protecting the public interest in controlling the prices and market power and limiting the public money these groups receive with no safety valve/alternative to continue corrupting Congress and, uh, forgive me, your own Administration?
Just thought I’d ask, with all due respect, and no offense to Katrina.



43 Comments




Whose Interests Is the White House Representing in the Senate-House Health Reform Conference?
1. Their own.
2. Those of corporations.
3. Blue Dogs’
OK, 1 and 3 are really the same.
I agree
With a bias to 2.
Tutu? It’s a yolk son.
All of the above are inextricably linked.
Blue Dogs are a stalking horse, as are LIEberman, Reid and (fill your Senator’s name).
This whole rigamarole is orchestrated by Streets K and Wall.
The President wants something to sign. He knows that means the conference report must pass both Houses, unless the House rolls completely for the Senate bill. Any actual outcome-based discussion is long past: the White House wants something for the President to sign. That has become the goal.
You continue to insist upon the absurd proposition that the leader of the Democratic Party, the most powerful officials in the Democratic Party, the elected members of the Democratic Party, or the Democratic Party should be held responsible for the actions of the Democratic Party.
What hippie drugs are you inhaling, Scarecrow…if that really is your name.
And the Tooth Fairy is visiting every night, Santa was just here a couple of days ago and the Easter Bunny is in hibernation waiting for spring.
Added: therefore, if one believes in crafting a better bill, one is opposing the President’s agenda. Since his agenda is, you know, signing a bill.
I’m not entirely that cynical…yet. But I have to admit that ever since Tiabbi’s article showed up on my doorstep, I’ve turned several shades of green up the jaded meter overnight.
I have never inhaled.
We were calling neighbors around the country to ask them to call their representatives and to tell those members of Congress to see that the HOUSE stands up for its health care bill.
If we are going to give up the public option, we should get something for it.
Yes, the exchanges and the subsidies should start in 2013. This is a Depression. Forget the impact on the CBO score, or make the hike of the medicare tax on 200k earners 1.2% or 1.5%.
what else?
Americans can still insist on improvements to the Senate bill that now that we are expected to trade the public option to satisfy 2 or 3 senators who represent fewer people than live in Brooklyn.
If we can’t have a public option, we should require insurance companies to spend 90 percent of premium on medical care, pre-existing condition ban for everyone not just kids starting in 2010, the House 2x rating for older insured and, we must have a permanent COBRA extension for workers who lose their jobs.
Particularly important is for the HOUSE to stand up for COBRA extension for the unemployed, which is in the House bill, Section 113. We need to help the unemployed keep their insurance until the exchanges start, without forcing them into expensive high-risk pools.
Section 113 of the House bill permits the unemployed, many of whom can’t get individual coverage because of pre-existing conditions, to buy into their old group insurance until the insurance exchanges start in 2013.
And one other thing. Where is the tough rhetoric. Why are we afraid to challenge the usurious rates and immoral thesis of the health insurance industry? These are the insurance companies we are fighting, not folks who make cars or milk. These companies have no product.
These are folks who call the service they provide — that is the medical care of their clients — they call it a loss; specifically the medical loss ratio.
These are folks who profit if you die. Who make more money if you dont get care.
Thanks. All worth considering. FDL’s Jon Walker has been compiling lists of ways to improve these bills:
35 Ways to Fix the Bad Senate Health Bill
16 More Ways to Improve the Bill
How long before the Obama administration is described as “completely despicable?”
IMHO the White House’s deals with PhRMA and AHIP are likely to involve criminal violations of 18 U.S.C. § 201 “Bribery of public officials and witnesses” — see http://codes.lp.findlaw.com/uscode/18/I/11/201
Do any of you know of anyone who has looked into this. (Thanks in advance.)
And once a bill is signed the country will see spininng on a level that would be the envy of a Dervish.
Hold on. I thought the President was powerless because of the 60 votes. Are people saying now that the executive branch has influence over the legislative process?
Since it’s just about being able to claim that he was the only one who could get a bill passed, does it matter what is in it?
So long as the Republicans appear to lose and the campaign coffers will be filled, who cares about the people? The intended beneficiaries, as all along, are the wrongdoers who help make the health care system the travesty it is.
Ironically, by trying to win at all costs, Obama may join the losers.
“Public policy” relating to political economy in America is so tightly choreographed between New York and Wall Street, it’s really a shame that some factions on the left feel compelled [always] to participate in the charade themselves. Instead of pointing of how the White House, the Congress and Wall Street coagulate around an agenda most favorable to the Fortune 500, they hunker down to defend the alleged lesser of the two crony capitalist evils.
Sometimes we have to do this in the voting booth. But between elections we should be doing everything possible to tear down the ridiculous “Republicans Evil, Democrats Good” bullshit.
You might also enjoy “Sick and Wrong,” by Matt Taibbi, Rolling Stone, Sep 03, 2009.
Yes, there are actually people who believe a President can make a difference and get more of what he wants, even when the Senate is dysfunctional, and some who even believe he did get more or less what he wanted.
http://seminal.firedoglake.com/diary/10433
Glenn Greenwald: White House as Helpless Victim on Healthcare
To answer the headline question, the President and the White House represent the combined interests of the health insurance and pharmaceutical cartels. This is no a longer a controversial notion. It is a matter of simple observable reality.
The question to ask is not “whose interest are they serving” the question to ask is “how can the real Obama agenda be derailed when it so egregiously conflicts with the movement for genuine reform benefiting the majority of Americans?”
Given what is inevitably going to happen to the economy in 2010, now that China has revoked our credit card, and the obvious rage people will have over this shitty Insurance Reform bill, clearly the only interest being served is the wealth of the Corporatists in charge. No sane Party would allow this thing to pass otherwise. It’s one last raid of the pantry, before it goes up in flames.
Maybe we can invade some rich country to take the minds of the masses off of it all.
One great answer to the right question to ask is: “The real Obama agenda can be effectively derailed via the creation of a 2010 mid-term election setback so enormous that the obstinate, nihilistic, and truculent Republican horde can and will block the passage of virtually any legislation of note until Obama can be removed from office in 2012.”
” genuine reform benefiting the majority of Americans”
___
Which would simply be Medicare for all (in addition to perhaps leaving the DOD and VA systems in place).
I today have 400 days until Medicare eligibility. Just want to stay healthy and uninjured until then.
You will like it a lot, believe me.
I’ve been my Mother’s POA since 2004, and was subsequently appointed my Dad’s legal guardian (he finally died last year). In addition I served 2 tenures as a Medicare QIO analyst. I know all about it, both professionally and personally, believe me.
What patient rights groups did the HIwte House meet with as two versions of this bill came together. I heard about meetings with Pharma and the purveyors of healt care, but I don’t recall any meetings with health care consumers -other than the occasional town hall participant?
I was just thinking of that this morning. We should demand (ha) that Obama meet with some REAL people and actually listen to their stories.
Only if it’s the right kind of setback. Anything that appears to endorse the R party is still endorsing the R-D party complex. I wish folks would get out of the way of and perhaps even join in a 2×4 shampoo from the left for both parties in the R-D complex.
Otherwise they just won’t get it.
exactly
He did that from time to time on the campaign trail. Remember what he told them? Lies.
What should have been done though is this:
1]
Obama talks to folks on the campaign trail about how he will end their health care horror stories
2]
progressives follows Obama around and collect their names—and a way to contact them after the election
3]
Obama becomes president and abandons all his promises on health care–the big promises about the stuff that really counts
4]
the progressives contact these people again and interview them about how the new health care “reform” will either help or not help them
See how something like this sweeps away the abstractions and boils this legislation down to flesh and blood realities?
Well, the president would not sign a bill authorizing single payer universal care. I question whether he’d sign a bill authorizing a credible public insurer. I also question whether he’d sign a bill authorizing benefits to begin immediately, which is what, um, we rather desperately need.
Mr. Obama wants “something” to sign, but he’ll only sign what he wants. The Senate, being smaller and easier to corrupt, knows that. The House, being more diverse and having to face its voters more frequently than either the Senate or President, is not quite so sure. Hence, the pincer movement talked about elsewhere that the Senate and President will engage in.
In this battle, Obama is Hannibal and the House is Rome. The people? They just die in battle.
I won’t say I enjoyed it. But I did read it. Taibbi is one of the few folks in print who style themselves “journalist” and yet still manage to report cogent fact and pertinent reality, rather than the bright, shiny opinion based reporting that passes as as journalism in the greater MSM. In the age of Kindle, I still feel the visceral need to touch his text, so I look forward to each issue, even if it is depressing. I was actually a little put off when RS went from a nice big folio style mag down to a teeny little House Beautiful size.
Smart man. Ingesting is a much more economical, sustainable plan!
This happened some time ago to those paying attention.
No money for people …just banks, corporations and wars. Dispicable.
Dear Sir.
Welcome to the wonderful world of false flag operations. I wonder if you get as mad as I do when they pull stunts like what just went down with AA 253. Do they think we are as dumb as they think we are? Follow the money trail. The only companies that make the machines that could prevent a similar event are located in Israel. Shades of 911 isn’t it? So what happened to drug sniffing dogs? Maybe there going the way of CO2 hating plants? The timing is also fantastic. Not a word was said about the Nazi heath-care plan and the last minute unconstitutional amendment to make it indestructible forever more. Do you think this could mean the end of the Democratic Party? I hope so. Then we only have one more parasitic political party to get rid of. Say your going to make a big deal about all this. Not all Americans understand what’s going on. Pray for the Republic.
One thing you’ve forgotten that’s vitally important – there’s no provision for enforcement of the new restrictions on the insurance industry in the Senate bill. The House bill has some, and the Senate bill was based on the House bill. That means the Senate deliberately removed it.
Without adequate enforcement, all the other things you mention mean nothing. The insurance companies will get away with anything they feel they need to, because you can always find someone smart or unethical enough to game the system.
Not all Americans understand what’s going on
Truer words were never spoken.
Imagine what would happen if progressives in Congress actually stood up for themselves.
Seriously, does Rahm have compromising photos of every progressive?
I know that they are not paying attention, but I did learn over the holidays that the left and the right are indeed all hating this administration and Congress over the health care fiasco. Do they really think that ANYONE is backing this lunacy?
The right-wing was never gonna vote for them anyway, and the left is now outta here. I sense a 2010 and 2012 disaster.
They really need to have somebody advising them before this insanity gets permanently codified.
“Particularly important is for the HOUSE to stand up for COBRA extension for the unemployed, which is in the House bill, Section 113. We need to help the unemployed keep their insurance ”
Um… anyone mentioning COBRA as even existing has never been unemployed.
An unemployed person is the LAST one to be able to afford unassisted insurance through COBRA – not that even an employed person could afford it.
Obama will be arm-twisting, but he won’t be twisting the arms of the private health insurance lobby or big pharma. He’ll be twisting the arms of progressives, the same as always. He wouldn’t miss another opportunity to take a shit on liberals and progressives.
The drones are afraid that republicans will repeal HCR if they get back into power. If republicans get majorities in 2010, the insurance lobby and big pharma money will go right back to the republicans (where it has always been anyway) and they won’t repeal HCR, they may increase the rates, further reduce regulations etc. but they’ll leave it in.
The only reason republicans have been opposing HCR is because republican voters would never stand for their representative or senator voting for it, although all the experts have said it’s a great deal for insurance and pharmaceutical industries.
People have yet learned to follow the money. The only hope we have of educating them is to let republicans have it in 2010 and let everyone see republicans leaving HCR largely in effect. Maybe then people will start following the money, but I have my doubts.
It doesn’t have to be 60, and there are at least two ways this is true.
Then again if anyone had a pair among them, including even Nancy, it also wouldn’t have to be merely “a (Strong) Public Option.”
I hate to say this, but I think they are standing up for themselves. It’s hard to fathom, but they are grown men and women and they are doing exactly what they want do. Part of the reason we still have people like this governing our country is because we make excuses for them- try to rationalize their behavior. It isn’t “explainable”. There’s no way TO “understand”. “More” democrats won’t do it & neither will “more progressive” democrats. All they have to do is lie. Only when we face the obvious and respond appropriately (throwing their sorry behinds out to make do in the REAL world) will WE be making the right choice.
Hi there
From initial scanning of the senate version, It referred to the insurance exchange as an ‘internet portal’ which made me think: Is there any other way to access the exchange or can it be assumed that internet access has 100% coverage in the US? I would assume that there will need to be provision made for offline access (unless I missed it).
Perhaps, since it’s the latest fashion, there will be a mandate for a computer and internet access(?)