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	<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
]]></content:encoded>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>Comments on: The Trigger</title>
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	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>Comments on: The Trigger</title>
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	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP $100 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP $100 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
]]></content:encoded>
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	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
]]></content:encoded>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
]]></content:encoded>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
]]></content:encoded>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
]]></content:encoded>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
]]></content:encoded>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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	<item>
		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
]]></content:encoded>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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	<item>
		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>Comments on: The Trigger</title>
	<atom:link href="http://marccooper.com/the-trigger/feed/" rel="self" type="application/rss+xml" />
	<link>http://marccooper.com/the-trigger/</link>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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	<item>
		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>Comments on: The Trigger</title>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615201</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Thu, 29 Oct 2009 20:30:17 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615201</guid>
		<description>Thanks, Michael.</description>
		<content:encoded><![CDATA[<p>Thanks, Michael.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615195</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Thu, 29 Oct 2009 19:09:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615195</guid>
		<description>Sorry, out for a day or so...Anna, most of the questions you pose would arise in your &quot;all&quot; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.

I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.

My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</description>
		<content:encoded><![CDATA[<p>Sorry, out for a day or so&#8230;Anna, most of the questions you pose would arise in your &#8220;all&#8221; scenario.  Many of these questions will be resolved in the reg-writing at HHS.  Insurer lawyers, as well as consumer/health group lawyers, will be all over that process, but in that case, Obama will have the last word.</p>
<p>I would say this, the cost will probably be at least partly age-rated, so that younger people will get a lesser rate than us feeble oldsters.</p>
<p>My guess is that the class of people eligible for the public plan, in this iteration, would be a relatively healthy group.  Sen. Wyden, who knows a lot about group health coverage, says just the opposite, based on his view that this group has received inferior health care to date, probably lives an unhealthy lifestyle, etc.  I think he is probably mostly wrong, but if we wait til all the variables are constants, the time for reform will have passed.</p>
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		<title>By: Jim R</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615101</link>
		<dc:creator>Jim R</dc:creator>
		<pubDate>Wed, 28 Oct 2009 04:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615101</guid>
		<description>&quot;its gotta be all or nuthin&quot;

A common attitude that develops from a habit of gettin&#039; something for nuttin&#039;. It develops into a right.
Your right.</description>
		<content:encoded><![CDATA[<p>&#8220;its gotta be all or nuthin&#8221;</p>
<p>A common attitude that develops from a habit of gettin&#8217; something for nuttin&#8217;. It develops into a right.<br />
Your right.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615094</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Wed, 28 Oct 2009 01:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615094</guid>
		<description>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????

Any idea of what the monthly cost would be? 

Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#039;s eligibility like for Medicaid????

This is insane. I stick with my notion that its gotta be all or nuthin&#039;.</description>
		<content:encoded><![CDATA[<p>So how will one PAY for it. Deductions??? Or one signs up and pays like a bill????</p>
<p>Any idea of what the monthly cost would be? </p>
<p>Will it function better than Medicaid? Will it be like having real coverage or still put one as a second class citizen and constantly having to renew one&#8217;s eligibility like for Medicaid????</p>
<p>This is insane. I stick with my notion that its gotta be all or nuthin&#8217;.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615089</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 23:43:46 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615089</guid>
		<description>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#039;ve heard Potter&#039;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &quot;insurance policy.&quot;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &quot;public option,&quot; starting with the UK system and heading rightward.  The version in the &quot;Reid&quot; bill is something a little right-of-center on the government-involvement spectrum.

The goal would be to make the &quot;premiums&quot; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult--basically impossible--to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &quot;good health risks&quot; or &quot;bad health risks&quot;, etc.  

My guess would be that they will be somewhat better risks than most because the uninsured--the eligible class--are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</description>
		<content:encoded><![CDATA[<p>Anna, I think you have pretty accurately described what passes for the public option at this point.  From what I&#8217;ve heard Potter&#8217;s issue mostly grew out of the mandated coverage, which is a different issue from the public option &#8220;insurance policy.&#8221;  Though all these issues are interrelated.  Last night Rachel Maddow went thru about 8 iterations of the &#8220;public option,&#8221; starting with the UK system and heading rightward.  The version in the &#8220;Reid&#8221; bill is something a little right-of-center on the government-involvement spectrum.</p>
<p>The goal would be to make the &#8220;premiums&#8221; for the public option sufficient to cover the claims plus overhead.  One of the problems is that it is difficult&#8211;basically impossible&#8211;to set the premiums on an actuarially sound basis because no one has more than a foggy idea who will be signing up for it, whether the eligible population would be &#8220;good health risks&#8221; or &#8220;bad health risks&#8221;, etc.  </p>
<p>My guess would be that they will be somewhat better risks than most because the uninsured&#8211;the eligible class&#8211;are generally younger adults.  Age is the single most significant morbidity factor an insurer can identify w/o requiring exams for coverage.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615085</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:38:49 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615085</guid>
		<description>I thought a Pub Op meant rather than one&#039;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.

According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#039;t eligible for Medicaid and too young for Medicare??????

I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check--still don&#039;t know what that is.

Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.

I admit I absolutely don&#039;t know what the hell they mean now by a Pub Op.

From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#039;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</description>
		<content:encoded><![CDATA[<p>I thought a Pub Op meant rather than one&#8217;s expensive health care plan one can opt to choose an equal plan at less cost because of not having a for profit insurer in the mix.</p>
<p>According to my very confused understanding now is the Pub Op now something akin to Medicaid that is meant to cover those that have no cover and aren&#8217;t eligible for Medicaid and too young for Medicare??????</p>
<p>I grilled my retired school teacher sister on her health care cover under Medicare plus her AARP 0 a month supplemental. She has had some serious health issues and got to choose her doctors and had terrific care. Once on Medicare you have x amount deducted each month from So Sec check&#8211;still don&#8217;t know what that is.</p>
<p>Now what is goofy is all those years of having the great coverage teachers got as part of their benefits/salary package could have been going towards a single payer plan. Its all mad.</p>
<p>I admit I absolutely don&#8217;t know what the hell they mean now by a Pub Op.</p>
<p>From what Potter said the ins ind was smacking its lips with the idea that people HAD to get some sort of cover because it means now they are going to get millions of more customers at mostly the government&#8217;s expense because all these bills so far keep them in the mix just leveling their fees a bit, but they will get many more premium payments to fuck around with in risky investments.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615084</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 21:09:35 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615084</guid>
		<description>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill - which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</description>
		<content:encoded><![CDATA[<p>Krugman answered a lot of these concerns the other day with his column on the Massachusetts bill &#8211; which tends to suck in even worse ways than the Reid-Pelosi likely plan.  The devil is indeed in the details, but the citizenry supports the Mass reform on principle, along with efforts to make it work better. The Dems may be skating on ice, but the thinnest ice of all is no reform.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615081</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:39:10 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615081</guid>
		<description>Michael Crosby Says: &quot;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&quot;

That&#039;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#039;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#039;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</description>
		<content:encoded><![CDATA[<p>Michael Crosby Says: &#8220;Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.&#8221;</p>
<p>That&#8217;s true, but Social Security and Medicare were/are open to all Americans and to many, it&#8217;s mandatory. The public option is only open to around 10%. I wonder how many Americans would support this public option if it wasn&#8217;t available to them. I think the Democratic Party is skating on very thin ice with such convoluted reforms.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615079</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:14:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615079</guid>
		<description>Anna Churchill Says: &quot;That link from KOS to that public policy site won’t stick.&quot;

On KOS, scroll down to
&quot;Health Care Tuesday
by DemFromCT
Tue Oct 27, 2009 at 07:00:03 AM PDT&quot; and it should work. The link here works fine using Firefox.

Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</description>
		<content:encoded><![CDATA[<p>Anna Churchill Says: &#8220;That link from KOS to that public policy site won’t stick.&#8221;</p>
<p>On KOS, scroll down to<br />
&#8220;Health Care Tuesday<br />
by DemFromCT<br />
Tue Oct 27, 2009 at 07:00:03 AM PDT&#8221; and it should work. The link here works fine using Firefox.</p>
<p>Also, this idea about 60% or more Americans supporting a public option is rather ambiguous to me, mainly because what do these people consider a “public option?” I’m not sure, but most would imagine it as some form of Medicare program for all. But from what I understand, these bills would exclude 90% of Americans from the public option. I’m not sure if most Americans are aware of that, though I haven’t read or seen all the polls. For me, what these bills do, call them what you want, is creating just another means-tested welfare program of some sort.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615077</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:11:03 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615077</guid>
		<description>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &quot;Democrat&quot;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</description>
		<content:encoded><![CDATA[<p>The enforcement problem that Matt describes is I think the reason the Republicans have taken such a total rejectionist position with respect to the health care reform legislation in both houses.  They want it known that this is a Democratic (or, as they would have it, &#8220;Democrat&#8221;) plan, and any problems arising from it (and there will be plenty) they will blame on the Democrats.  Of course that is the position the Republicans took on Social Security and Medicare, I believe, and the Democratic Party has survived the blowback from those reforms.</p>
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		<title>By: Michael Crosby</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615076</link>
		<dc:creator>Michael Crosby</dc:creator>
		<pubDate>Tue, 27 Oct 2009 20:06:33 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615076</guid>
		<description>The budget link is interesting.  I don&#039;t think that the fact that some people will have to pay more money under the &quot;Reid&quot; bill compared to the &quot;Baucus&quot; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.

I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. 

 

This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</description>
		<content:encoded><![CDATA[<p>The budget link is interesting.  I don&#8217;t think that the fact that some people will have to pay more money under the &#8220;Reid&#8221; bill compared to the &#8220;Baucus&#8221; bill means that the Reid bill is necessarily worse.  It certainly does not mean that the bill as a whole is unworthy of support.  What this illustrates is that no matter how you cut it, until we find a way to cut health care costs, the cost of insuring against them will be high.</p>
<p>I hope that something can be done to lessen the burden on those within 125%-150% of the poverty line.  Still, even if the burden remains as it is, and the other reforms we have been discussing are in the bill that is ultimately presented for passage in the Senate, I would urge a vote for it. </p>
<p>This process is extremely complex and painful.  That fact does not weigh against the necessity for fundamental reform of the way we deliver and pay for health care.  Rather, it underscores it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615074</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:43:12 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615074</guid>
		<description>That link from KOS to that public policy site won&#039;t stick.

The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</description>
		<content:encoded><![CDATA[<p>That link from KOS to that public policy site won&#8217;t stick.</p>
<p>The page comes up for a few seconds (the one going over the healthcare bill warning of its threat to low income famillites) then goes to error no matter how you link to it.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615073</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615073</guid>
		<description>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.

Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</description>
		<content:encoded><![CDATA[<p>Yezzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.</p>
<p>Its what I have been trying warn about. Thank you, Matt for digging for the dirt.</p>
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		<title>By: David</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615071</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 27 Oct 2009 19:07:28 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615071</guid>
		<description>Matt,

Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</description>
		<content:encoded><![CDATA[<p>Matt,</p>
<p>Excellent observations.  A bill like the Baucus one mandating that every American find a way to get themselves covered [only in the private insurance sector] without (1) controlling health care costs and (2) providing some competition and choice for Americans is worse than no bill at all.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615066</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615066</guid>
		<description>....THAT was a victory.</description>
		<content:encoded><![CDATA[<p>&#8230;.THAT was a victory.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615064</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615064</guid>
		<description>Mavis, if a bill gets passed that actually implements the incremental improvements you outline...bravo.

And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated-- tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</description>
		<content:encoded><![CDATA[<p>Mavis, if a bill gets passed that actually implements the incremental improvements you outline&#8230;bravo.</p>
<p>And, Mavis, I am hardly siding with Republicans. I am siding  with progressives. The ones who pushed and refused to get on board until this latest Public Option option was reinstated&#8211; tho it still allows states to not allow it. But it was stubbornness that even put the Pub Op back into the mix.</p>
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		<title>By: Matt</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615063</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:43:52 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615063</guid>
		<description>David Says:  &quot;...Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform...&quot;

You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:

http://www.cbpp.org/cms/index.cfm?fa=view&amp;id=2962 

And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</description>
		<content:encoded><![CDATA[<p>David Says:  &#8220;&#8230;Guess what? It turns out that the insurance companies have lawyers (!) who can make irrelevant any such legislation dealing with insurance reform&#8230;&#8221;</p>
<p>You’re right. I was thinking the other day when seeing these bills with 900 to a 1000 pages how many loop holes were intentionally put in there for pre-existing conditions, cancellations of insurance, denial of converge and god knows else. Then you have this from KOS:</p>
<p><a href="http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962" rel="nofollow">http://www.cbpp.org/cms/index.cfm?fa=view&#038;id=2962</a> </p>
<p>And these people would be required to buy insurance, with the IRS acting as the enforcement agent? Could one believe the horror stories arising out of IRS enforcement action against them- garnishing their wages, seizing bank accounts? Obamacare could become Frankenstein’s monster. Obama and the Democrats would be blamed for it and rightfully so.</p>
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		<title>By: Mavis Beacon</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615061</link>
		<dc:creator>Mavis Beacon</dc:creator>
		<pubDate>Tue, 27 Oct 2009 16:12:11 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615061</guid>
		<description>&quot;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&quot;

Yeah.  That&#039;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#039;t see that is beyond myopic - it&#039;s total blindness.

Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#039;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#039;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</description>
		<content:encoded><![CDATA[<p>&#8220;Those of you whose point of view deems compromise a necessary evil would have a point if each modest piece of legislation actually was a small victory.&#8221;</p>
<p>Yeah.  That&#8217;s why we have a point.  IT IS A PARTIAL VICTORY.  That you can&#8217;t see that is beyond myopic &#8211; it&#8217;s total blindness.</p>
<p>Preventing insurance companies from issuing recisions will help people.   Preventing insurance companies from denying coverage to those with pre-existing conditions will help people.  Instituting out-of-pocket spending caps will help people.  Those who couldn&#8217;t afford care but will now receive assistance in buying care will be far better off.   There are problems with the proposed bill, but there are real provisions that help real people (including me!).  Additionally, many experts expect this bill to help with long term costs.  Anna can continue to side with the Republicans by falsely claiming that the bill won&#8217;t help anybody or she can honestly acknowledge the benefits of this bill and then make a (frankly insane) tactical decision to oppose it.</p>
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		<title>By: reg</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615057</link>
		<dc:creator>reg</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:14:27 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615057</guid>
		<description>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#039;s true.  I have links to Bill Moyers&#039; shows to prove it.  I&#039;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#039;m very angry that this is the way things work.  I&#039;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</description>
		<content:encoded><![CDATA[<p>Is anyone else aware of the fact that most of what happens in the terrain of politics is bullshit, corrupted by lust for money and power ?  It&#8217;s true.  I have links to Bill Moyers&#8217; shows to prove it.  I&#8217;m fed up with this crap. If people listened more to what I have to say the world would be a much, much better place.  I&#8217;m very angry that this is the way things work.  I&#8217;m considering putting the rest of the fucked up world on notice and holding my breath until this sorry state of affairs turns around.</p>
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		<title>By: Anna Churchill</title>
		<link>http://marccooper.com/the-trigger/comment-page-1/#comment-615056</link>
		<dc:creator>Anna Churchill</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:10:42 +0000</pubDate>
		<guid isPermaLink="false">http://marccooper.com/?p=3449#comment-615056</guid>
		<description>PS...we are forgetting that the Pub Op has an opt out clause for various states. Gee, think thats to leave a big wedge in the door for the health insurance interests? That little clause makes the whole Pub Op a joke. Will still leave millions in the lurch and costly battles to be fought at the state level.

Ideally it should actually BE the states that create plans...like some were starting to do or some cities like SF. (whatever happened to the SF plan-- did it get stalled with the budget crisis? I lost track of that one)</description>
		<content:encoded><![CDATA[<p>PS&#8230;we are forgetting that the Pub Op has an opt out clause for various states. Gee, think thats to leave a big wedge in the door for the health insurance interests? That little clause makes the whole Pub Op a joke. Will still leave millions in the lurch and costly battles to be fought at the state level.</p>
<p>Ideally it should actually BE the states that create plans&#8230;like some were starting to do or some cities like SF. (whatever happened to the SF plan&#8211; did it get stalled with the budget crisis? I lost track of that one)</p>
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