Health Care Reform – Managing the Real Cost of Living

(updated below)

Fifteen years ago, Harry and Louise sat at their kitchen table and worried about the possibility of a national health care plan. "They choose, and we lose," was the theme of their widely-viewed political advertisement. By 2008, the now middle-aged couple acknowledged that "Whoever the next president is, health care should be at the top of his agenda."

CEOs Urge Reform – Health Care Costs “A Significant Competitive Disadvantage in the Global Marketplace”

Reuters news service reported on a Business Roundtable study released this month:

U.S. business leaders urged lawmakers on Thursday to act quickly on healthcare reform, saying American companies were losing out to other countries with cheaper healthcare and healthier workers. […]

Ivan Seidenberg, chairman and chief executive of Verizon Communications, said an overhaul of the U.S. healthcare system 'should have been done yesterday'.

Quoting from the study summary (PDF):

According to the Business Roundtable Health Care Value Comparability Study, a new measure of the “value” (cost and performance) of the U.S. health care system relative to our competitors’ systems on a weighted scale, the workers and employers of the United States face a 23 percent “value gap” relative to five leading economic competitors – Canada, Japan, Germany, the United Kingdom and France (the “G-5 group”) – and a 46 percent “value gap” compared with emerging competitors Brazil, India and China (“the BIC group”).

Media Ignores Single-Payer Option

A study by the media watchdog group Fairness & Accuracy in Reporting (FAIR) concluded that:

Major newspaper, broadcast and cable stories mentioning healthcare reform in the week leading up to President Barack Obama's March 5 healthcare summit rarely mentioned the idea of a single-payer national health insurance program … advocates of such a system – two of whom participated in yesterday's summit – were almost entirely shut out. (03-06-09)

What is Single-Payer?

The publicly funded organization Single Payer Central supplies a succinct definition:

Single payer health insurance is a system by which the health care expenditures of an entire population are paid for through one source.

Distinctly different from socialized medicine (where the government owns and operates health care facilities) a “single payer system” is simply a financing mechanism. The government collects and allocates money for health care but has little to no involvement in the actual delivery of services. Care is provided privately at hospitals and clinics but paid for publicly.

Who Wants It?

Recent polls have established that substantial health care reform is a high priority for the majority of Americans. When asked, most favor the single-payer option.

In June of 2008, the U.S. Conference of Mayors resolved to back single-payer health insurance.

An Indiana University School of Medicine's Center for Health Policy and Professionalism Research survey found that a majority of American physicians support national health insurance. Roger Bybee explains why.

The cost of health care insurance administration is a significant portion of the fee paid for a doctor's office visit. A family practice physician recorded a typical day at his office to show the resources devoted to dealing with “an insidious bureaucratic monster, the health care insurance system."

Physicians For A National Health Program (PNHP) predicts that a single-payer system “would eliminate the wasteful spending and high administrative costs of private insurance, saving almost $400 billion annually."

Single-payer advocate Dr. Oliver Fein chronicled his first-hand experience at the White House Health Care Summit.

KDKA radio host Chris Moore interviewed Russell Mokhiber, an organizer of the activist group, Single Payer Action. Mr. Mokhiber talked about mobilizing support for H.R. 676, The United States National Health Insurance Act. You can listen to a podcast of their conversation.

Despite widespread support, single-payer faces formidable opposition from the health care insurance industry. According to Consumer Reports, “In 2006, the nation's six biggest private health insurers collectively earned almost $11 billion in profits." But, there are indications that health insurers might not have as many business allies as in 1993. John F. Wasik of Bloomberg News comments that there is "No Reason to Demonize U.S. Single-Payer."

Our confidence in American financial institutions has diminished. The only thing they've earned recently is outrage. The health insurance industry is in danger of catching the spillover of that anger. President Obama and Congress might want to consider that as they negotiate a solution to the real cost of living.


Update: On Tuesday, March 31, the PBS program FRONTLINE presents “Sick Around America,” a report on the failures of the American health care system. From the PBS Pressroom:

As President Obama launches his plan for reforming healthcare, Kaiser Family Foundation president Drew Altman tells FRONTLINE, “This is the first big opportunity for health reform since ... [the] early 1990s. And a question is again, pointedly, whether we will blow the opportunity again this time or [whether] we will actually get it all done or get something significant done.” Consultant Laszewski wonders if Americans have the will to make it happen. “Every doctor I meet says he’s underpaid. I’ve yet to meet a hospital executive who thinks he or she can operate on less. I have yet to meet a patient who is willing to sacrifice care. So we have this $2.2 trillion system, and I haven’t met anybody in any of the stakeholders that’s willing to take less. And until we’re willing to have that conversation, we’re just sort of nibbling around the edges.”

FRONTLINE airs from 9:00 p.m. – 10:00 p.m. EDT. View a preview of “Sick Around America.”

The AIG Bonuses – Outrage on Sale

Are you a righteous citizen upset about the $165 million in bonuses paid to employees of bailout recipient AIG? How dare they pass out your tax dollars to those unworthy scoundrels! Have you called the White House or petitioned your member of Congress?

Either way, you might want to note the $12 billion in shrink-wrapped $100 bills that vanished in Iraq, or better yet, the projected $3 trillion cost for the removal of Saddam Hussein. Don't sell your outrage cheap.

The Pittsburgh Post-Gazette's Tony Norman expressed his thoughts on the subject.

Edited 03-18-09 at 11:30 pm.

America's Day of Reckoning Has Arrived

“The State of Our Economy is a Concern that Rises Above All Others”

U.S. Presidents usually give a major speech before a joint session of Congress when they have served for a year. President Barack Obama could not wait that long. He spoke on Tuesday night because America needed a stopper. He accomplished that, and provided an outline for the future.

President Obama delivered a serious, ambitious speech. It was realistic, pointing out past mistakes and emphasizing responsibility and accountability. It was holistic, calling for new energy, health care and education initiatives to address our cultural and economic deficiencies and foster sustainable prosperity.

The President did what a new leader needs to do in a complex, deteriorating situation – he bought some time. He gave us the big picture; now we need the details. It is crucial that a solid plan for the banking system be forthcoming.

Republican Response Recycles Vaporware

Louisiana Gov. Bobby Jindal gave the opposition party's response. It was, in a word, weak. Gov. Jindal offered little guidance and less vision, essentially saying to Americans: Folks, we'll lower your taxes and you're on your own. Evidently, the Republican plan is no plan.

Read the full text of President Obama's speech at the Washington Post.

Examining a Failure to Communicate

Dow Dives – Was Confidence Subverted by Cable News?

Last Thursday, Ron Morris, Director of Entrepreneurial Studies at Duquesne University, and founder of Pittsburgh Business Radio, interviewed professors Conway Lackman and Bill Carlson about the state of the mortgage industry, the economy, and the economic stimulus plan. It was an informative and entertaining conversation that ended too soon. For me, the most revealing comment was made off-air as the professors were leaving. How do I know that? Ron Morris believed it was interesting enough to delay his next guests while he told the story. Here are the highlights:

I've been teaching down there now for about eight years … I run into Bill or Conway and I have never not had a fascinating conversation with them. … I just want to tell you something they said on the way out the door. … I said Conway, why is it – cause the market just closed at the lowest point since October of 2002, and I said, Conway, why is that? And he said, Ron, somebody's not explaining this thing right, 'cause, he said, it's not a bad economic stimulus plan. He said it's pretty good. It must be in the communication because I think it's good. […]

Morris' faculty biography describes him as a "knowledge philanthropist." He speaks with a candor that engenders trust. Ron closed the story with a solid endorsement of the functional knowledge of his two colleagues:

Conway Lackman and Bill Carlson, over the 8 years I've been at Duquesne, have made me more money than any other individuals I've met in my entire life. … They tell me things, and I listen and then I do things based on one of the things they tell me.

If you're willing to accept that the economic stimulus plan is "pretty good," but it's not being explained right – well, how can that be? President Obama has clearly demonstrated his ability to communicate. Think Progress might have the answer. They calculated that in a sample period during the stimulus debate, Republicans appeared on cable news shows nearly twice as often as Democrats. Only five percent of the guests were economists.

The full 43 minute interview with Lackman and Carlson is available as an MP3. You can hear the quoted remarks in the first three minutes of the next hour's program.

House Committee Grills Bankers

As the House and Senate agreed to a $789 billion stimulus package on Wednesday, the CEOs of 8 major banks were testifying before the House Financial Services Committee. Addressing the bankers, and it seems, everyone else in the room, Chairman Barney Frank said, "There's a lot of anger in the country, much of it justified."

Committee members questioned, castigated and berated the bank executives. Rep. Michael Capuano (D-MA) made it clear that "America doesn't trust you anymore."


Thanks to TPMtv

Nor do Americans trust Congress to right the economy. A Rasmussen poll released Wednesday says that 67 percent of voters "have more confidence in their own judgment than they do in the average member of Congress." Fifty-eight percent agreed that "no matter how bad things are, Congress can always find a way to make them worse."

One hundred percent of them better hope that they are wrong.