Informative Comments on Health Care Reform by California Nurses Association

Once again, Medical News Today publishes a timely and informative comment about the recently House passed Health Care reform bill. Rose Ann DeMoro, Executive Director of the California Nurses Association/National Nurses Organizing Committee, issued a statement on November 9th noting some of the strengths and shortcomings:

Of all the torrent of words that followed House passage of its version of healthcare reform legislation in early November, perhaps the most misleading were those comparing it to enactment of Social Security and Medicare.

Sadly no. Social Security and Medicare were both federal programs guaranteeing respectively pensions and health care for our nation's seniors, paid for and administered by the federal government with public oversight and public accountability.

While the House bill, and its Senate counterpart, do have several important reform components, along with many weaknesses, neither one comes close to the guarantees and the expansion of health and income security provided by Social Security or Medicare. More

Industry groups weigh in on Obama's speech

Healthcare industry groups generally agreed with President Barack Obama that the status quo on the current healthcare system was not sustainable, but offered differing views on how the system should be fixed.

Insurance regulation was a chief focus of the president's speech on Wednesday night. Obama said that a government-run public option would be a way to get insurers to lower costs. In a written statement, Karen Ignagni, president and CEO of America's Health Insurance Plans, reiterated the organization's longtime position that a public plan was not the solution to improving coverage. “New health insurance reforms and consumer protections will solve the problem without creating a new government-run plan that will disrupt the quality coverage that millions of Americans rely on today,” she said.

“America's hospitals stand ready to do our part to extend coverage to more Americans and to continually strive towards providing high-quality care for patients that is more efficient and affordable,” said Richard Umbdenstock, president and CEO of the American Hospital Association, in a written statement. The AHA continues to have concerns on how a public plan would be constructed, but is “glad to see that President Obama is open to exploring other ideas that would help us achieve our shared goal of universal coverage.” -- Jennifer Lubell

From ModernHealthcare.com

Posted: September 10, 2009 - 1:00 pm EDT

Paul’s Comment: Why has the insurance industry not already put into effect those “insurance reforms and consumer protections” that Ms. Ignagni finds acceptable? Since it takes an earthquake-sized shift in electoral politics to move Congress to enact fundamental reforms, if Congress doesn't enact some type of public option now, will there ever come another time when Congress will adopt a public option before it is too late?

The Sad State of The Healthcare Debate

The following was found on "The Hill's pundits blog." The author, Peter Fenn, comments on "The Republicans and Small Business and Healthcare." As an illustration of the way ALL politicians spin issues, it is sickeningly accurate. The politician's rule is: ignore what the other (person) (reporter) (candidate) says or the question he or she asks. Answer the question you wanted the reporter to ask; address the issue you want to address, whether relevant or irrelevant to the issue to which you are responding. But, most importantly, never, ever let the facts get in the way.

July 28, 2009 – 9:36 am

By Peter Fenn

The Republicans and Small Business and Healthcare

I just love the Republicans’ rhetoric on how they stand up for small businesses.

Democrats propose any kind of tax on millionaires and it suddenly becomes an attack on “America’s small businesses.” We try and put together a healthcare plan that makes it possible to keep costs down for small businesses and allows them to insure employees and it becomes about “big government.”

Democrats go after Goldman Sachs for their average salaries of $900,000 when unemployment is nearing 10 percent and we are “socialists.” Democrats complain that Goldman received over $10 billion last year in bailout money, parlay that into $5.1 in first-quarter profits and prepare to shell out $11.4 billion to their executives so far this year and we are attacking the capitalist system.

Now we find out that Goldman has a Cadillac of a healthcare plan that costs over $40,000, just less than the average American family makes in a year. This plan is truly amazing — no co-pays, no deductibles, no cost for prescriptions and don’t worry about pre-existing conditions. And, of course, all free — and it is not taxed, all deductible. Now, tell me, how does that help our small businesses?

Here are the facts on small businesses: 1. Firms with fewer than 20 employees account for 18 percent of private-sector jobs but almost 25 percent of net employment growth in the past 15 years; 2. However, small businesses pay nearly 20 percent more for the same health insurance policy than larger firms because of broker fees, administrative costs and adverse selection; 3. While 99 percent of firms with over 200 employees offer health insurance only 49 percent of firms with three to nine employees do.

Furthermore, there has been a decrease from 2002 to 2008 of small businesses (three to nine employees) offering health insurance — 58 percent down to 49 percent.

Now, explain to me how this is working so well for small businesses. Since I started my firm over 25 years ago I have paid 100 percent of my employees’ health plans. I was glad to do it and lucky enough to be successful. But, like all small-business owners, I have seen those costs rise considerably. My partner and I saw first-hand how pre-existing conditions can raise the costs; we watched as our premiums went up over the years much faster than inflation or the cost of living. Again, we are fortunate that we can afford it, but many small businesses cannot.

To say that we can’t afford health insurance reform is counterintuitive — we cannot afford not to pass real change to the current system. Small business deserves it and needs it — now. Republicans should get on board and really help America’s small businesses.

© 2009 Capitol Hill Publishing Corp., a subsidiary of News Communications, Inc.

Federal Health Care Reform Legislation

There seems to be general agreement among members of Congress that there is a significant need for health care reform. The rising cost of health care cannot continue unabated, and the need to provide affordable health care for most, if not all Americans, is subject to little debate.

Legislative action on this issue cannot be allowed to turn on anecdotes. Unfortunately, people always have and always will fall through the cracks. During the debate in Congress, one will hear of isolated incidents after isolated incidents; the person who had to wait an inordinate amount of time to get a follow-up appointment; the person who was sent to the wrong specialist. These are the statements of members of Congress who realize the need for reform, but want the reform to wind up looking as much like the current system as possible.

The real question for people to focus on is how large are the cracks in the system, and how to close those gaps? A person with cerebral palsy may need physical therapy every week for his or her life. It is a common feature of health insurance plans to pay for only 10 visits per year for physical therapy. This is a major crack in the system and needs systemic reform.

A number of organizations that are involved with people with disabilities are working hard to try to shape the legislation to address the needs of people with disabilities. One such organization is Easter Seals. You can go to its Health Care Reform Web Site for information or directly to its "Support Health Care Reform Legislation" site to send messages to your members of Congress. I hope you will go to its "Support" web page; but, if not, at least, become familiar with the issues at its Health Care Reform site.

Thank you.

Paul