Dr. Howard Dean says Obama's Health Care Reform bill can still be saved but not with the bad stuff that's currently in it to bless Health Care Execs.
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Left rebels against health reform
In a stunning reversal of fortune for President Barack Obama, top progressives are attacking the health-reform plan moving through the Senate as “hollow,” “unsupportable” and a sellout to corporate interests.
Republicans, after plotting for months to sink the signature legislation of Obama’s first year, suddenly think that Democrats might wind up doing it for them.
Most dangerously for White House chances of assembling 60 Senate votes, former Vermont Gov. Howard Dean launched a third day of attacks on the emerging bill, arguing in a Washington Post op-ed that it meets none of his benchmarks for “real reform.”
“[A]s it stands, this bill would do more harm than good to the future of America,” Dean wrote, then took to the airwaves to amplify his case.
Ed Schultz, an influential liberal radio host, declared on his “Ed Show” on MSNBC: “The base is restless. They are wandering in the wilderness, Mr. President. … They want to know, where are you? … Right now, Mr. President, your base thinks you’re nothing but a sellout — a corporate sellout, out that. … The only people who like this current bill right now, Mr. President, is the insurance industry — they get a bunch of new customers.”
Markos Moulitsas, founder of Daily Kos, wrote on his Twitter feed: "Time to kill this monstrosity coming out of the Senate." And "Kos" blogged: "You pass a s——-y program now that further bankrupts our nation, and we won't be talking about 'fixing' it in a few years, but whether it should even exist."
With polls showing erosion in both Obama’s popularity and in support for health reform, the White House mobilized to try to tamp down the rebellion from such essential allies.
Senior adviser David Axelrod called in to MSNBC’s “Morning Joe” to argue that Dean’s criticisms are "predicated on a bunch of erroneous conclusions."
“To defeat a bill that will bend the curve on this inexorable rise in health-care costs is insane,” Axelrod said. "I think that would be a tragic, tragic outcome. I don’t think that you want this moment to pass. It will not come back."
Liberals contend that the bill has been watered down so much that Congress should kill it and start over. The White House warns that health reform could be doomed for the rest of this presidency, and probably beyond, if it falters now.
The attack from the left comes at a delicate juncture when a delay of more than a couple of days could sink any remaining chance that the Senate can pass it by Christmas. Senate Democrats are circulating a possible schedule that would have them taking the final vote on Christmas Day.
Right now, Democrats are at least two votes shy of the 60 they need to pass the bill, with liberal Sen. Bernie Sanders (I-Vt.) saying he has not committed to vote for the bill in its current form.
The other, moderate Sen. Ben. Nelson (D-Neb.), has a completely different set of concerns, saying he’s still looking at compromise language designed to bar federal funds from paying for abortion – though the National Right to Life Committee has said the proposal by Sen. Bob Casey (D-Pa.) is not acceptable.
But Obama’s problem now is on the left. MSNBC’s Keith Olbermann told viewers Wednesday night that the Senate version has become “unsupportable … a hollow shell of a bill”: “This is not health, this is not care, this is certainly not reform.”
Pulling back the curtain on White House efforts to rein in Dean, Axelrod said the former governor “got on the phone with Nancy-Ann DeParle, our point person on the health care issue, [who] went through point by point.
“She explained why he was wrong,” Axelrod continued. “And he simply didn’t want to hear that critique. I saw his piece in The Post this morning, and it is predicated on a bunch of erroneous conclusions.”
Arianna Huffington, founder of The Huffington Post, said on “Morning Joe” that business lobbyists “are winning” on a host of Washington issues, including health reform.
“There is no cost containment here,” she said. “Reconciliation [a Democrats-only strategy requiring only 51 votes] is a very pragmatic alternative.”
Asked if she would enthusiastically support Obama for reelection, Huffington replied: “This is not really the question. … Depends on the alternative. … The American middle class was let down. … Can you really say this White House is on the side of the American people?”
Sen. Lindsey Graham (R-S.C.) accused the Democrats Thursday of abandoning the goal of true reform to the political imperative of simply passing any bill they can label health reform.
“It's now an effort by a political party to protect itself. They're in a political panic, quite frankly,” Graham told reporters. “Nobody really cares what it is anymore as long as they can get it passed, signed, and claim a political victory. That is going to do a lot of damage to long-term health care reform efforts. And I would urge them not to do this. They're walking off a cliff.”
Peggy Noonan, the columnist and former Reagan speechwriter, told Axelrod on “Morning Joe”: “On the issue of health care, you are losing the left, you are losing the right, you are losing the center. That looks to me like a political disaster.”
(Ed Shultz says to let Pres. Obama's bill go to Conference and put the Public Plan back.)
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Dr. Howard Dean: Health-care bill wouldn't bring Real Reform
If I were a senator, I would not vote for the current health-care bill. Any measure that expands private insurers' monopoly over health care and transfers millions of taxpayer dollars to private corporations is not real health-care reform. Real reform would insert competition into insurance markets, force insurers to cut unnecessary administrative expenses and spend health-care dollars caring for people. Real reform would significantly lower costs, improve the delivery of health care and give all Americans a meaningful choice of coverage. The current Senate bill accomplishes none of these.
Real health-care reform is supposed to eliminate discrimination based on preexisting conditions. But the legislation allows insurance companies to charge older Americans up to three times as much as younger Americans, pricing them out of coverage. The bill was supposed to give Americans choices about what kind of system they wanted to enroll in. Instead, it fines Americans if they do not sign up with an insurance company, which may take up to 30 percent of your premium dollars and spend it on CEO salaries -- in the range of $20 million a year -- and on return on equity for the company's shareholders. Few Americans will see any benefit until 2014, by which time premiums are likely to have doubled. In short, the winners in this bill are insurance companies; the American taxpayer is about to be fleeced with a bailout in a situation that dwarfs even what happened at AIG.
From the very beginning of this debate, progressives have argued that a public option or a Medicare buy-in would restore competition and hold the private health insurance industry accountable. Progressives understood that a public plan would give Americans real choices about what kind of system they wanted to be in and how they wanted to spend their money. Yet Washington has decided, once again, that the American people cannot be trusted to choose for themselves. Your money goes to insurers, whether or not you want it to.
To be clear, I'm not giving up on health-care reform. The legislation does have some good points, such as expanding Medicaid and permanently increasing the federal government's contribution to it. It invests critical dollars in public health, wellness and prevention programs; extends the life of the Medicare trust fund; and allows young Americans to stay on their parents' health-care plans until they turn 27. Small businesses struggling with rising health-care costs will receive a tax credit, and primary-care physicians will see increases in their Medicare and Medicaid reimbursement rates.
Improvements can still be made in the Senate, and I hope that Senate Democrats will work on this bill as it moves to conference. If lawmakers are interested in ensuring that government affordability credits are spent on health-care benefits rather than insurers' salaries, they need to require state-based exchanges, which act as prudent purchasers and select only the most efficient insurers. Sen. John Kerry (D-Mass.) offered this amendment during the Finance Committee markup, and Democrats should include it in the final legislation. A stripped-down version of the current bill that included these provisions would be worth passing.
In Washington, when major bills near final passage, an inside-the-Beltway mentality takes hold. Any bill becomes a victory. Clear thinking is thrown out the window for political calculus. In the heat of battle, decisions are being made that set an irreversible course for how future health reform is done. The result is legislation that has been crafted to get votes, not to reform health care.
I have worked for health-care reform all my political life. In my home state of Vermont, we have accomplished universal health care for children younger than 18 and real insurance reform -- which not only bans discrimination against preexisting conditions but also prevents insurers from charging outrageous sums for policies as a way of keeping out high-risk people. I know health reform when I see it, and there isn't much left in the Senate bill. I reluctantly conclude that, as it stands, this bill would do more harm than good to the future of America.
Sources: Politico, Washington Post, MSNBC, Morning Joe, Google Maps
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