Blog Watch

Posts Tagged ‘disparities’

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 Bloggers continue to focus on the various facets of the health overhaul debate, in particular, that the Finance Committee bill needs additional funding.

Bob Laszewski pounds away at the Finance Committee bill, which he argues could “make access even more problematic” because of insufficient subsidies for middle-income families in the context of a weakened individual mandate.  Laszewski also takes time to blast AHIP for bad PR strategy, saying, “I swear, if AHIP issued a press release on a crystal clear day telling DC the sun was shining no one would believe them.”

Heritage’s Brian Darling is upset with reports that the health overhaul bills are being crafted “in secret:” “Democracy does not begin and end on Election Day for the American people. Whether you are for or against Obamacare, we the people deserve an opportunity to read, digest and understand the most important health care legislation to be debated in the United States Senate in our lifetime. The American people relied upon the promise of the Obama Administration and the leadership in Congress to be open and transparent, therefore it is time to stop the closed door negotiations and allow the American people to participate in the democratic process.”

Health Beat’s Maggie Mahar argues that insurers are “running scared” because “the public sector option is still alive.” With this point, she says she means “Medicare E (Medicare for everyone)” which she describes as “a public option for patients under 65, run by the federal government.  The scent of real competition is what has insurers on the run.”

Perhaps the public option is still breathing, but according to Hot Air’s Ed Morrissey, not because of much help from President Obama: “Is this leadership?  It’s a passive-aggressive approach that leaves both progressives and moderates in Obama’s own party twisting in the wind.  Obama wants his advisers to take all of the flak from progressive action groups that will result from a retreat on government-run health insurance, but doesn’t have the stomach to take that hit himself.  The end result is confusion among legislators on Capitol Hill, and further entrenchment on either side of the issue.”

The New Republic’s staff editorial argues that lawmakers’ “desire to expand health insurance coverage exceeds their willingness to pay for it,” and they need to find more money for the health bills but are running into roadblocks:

With so many ways to raise revenue, finding some combination capable of winning majorities in both chambers would seem simple. It isn’t. Liberals don’t like the insurance excise tax, in no small part because unions don’t want it affecting older workers who won generous benefits in past collective bargaining agreements. Centrists want no part of taxes outside the health care system, particularly those that target the wealthy. And neither group seems seriously interested in extracting more concessions from the health care industry, which may have a little something to do with the fact that it bankrolls so many political campaigns.

The Washington Post’s Ezra Klein uses an answer from Sen. Olympia Snowe to take a big picture look at health reform efforts this year, arguing, “We have a conservative system of government (in that it’s very hard to change the status quo), and [Democratic lawmakers] designed health-care reform to be sensitive to that fact.”

Mark Trahant looks at another issue in the health overhaul debate: an exemption for Indian Americans to the requirement to purchase insurance.  According to Trahant, “But even if you agree with the exemption – as I do – there remains another issue to resolve, the money. Unless health care reform substantially improves the funding stream for the Indian health care delivery system, then the individual exemption is only a guarantee of permanent disparity.”

Monday, October 19th, 2009

Is the ‘Gang of Six’ Shrinking?

Dreams of bipartisanship appear to be fading…

James Capretta, summing up GOP problems with the health bills, responds to a suggestion from former Sen. Bill Bradley that Democrats agree to enact tort reform to get more Republican votes:

But should Republicans sign onto something even remotely resembling the bills now being considered in Congress if tort reform were thrown into the mix? No way. The bills written by the Democratic majority are so fundamentally flawed from beginning to end that they can’t be fixed. They would cause tremendous economic harm with massive new unfunded liabilities, taxes, and job-killing mandates on employers. Moreover, they would cede vast power to the federal government over virtually every aspect of our health care system. The result would be a long and likely irreversible deterioration in the quality of U.S. health care, with less innovation and more government-driven rationing of care. No amount of tort reform would be worth agreeing to that.

Capretta’s objections could explain, in part, why Senate Finance Committee Chairman Max Baucus, D-Mont. has been failing at his attempt to craft a bipartisan bill for months. 

According to TPMDC’s Brian Beutler, White House press secretary Robert Gibbs said yesterday that Sen. Mike Enzi, R-Wyo., “clearly turned over his cards on bipartisanship and decided that it’s time to walk away from the table.”  Beutler also reports on happening with Sen. Chuck Grassley, R-Iowa, and concludes, “Maybe the Gang of Six is actually down to four? Let’s see what the White House has to say.”

Following Baucus’ admission that “politics have crept in” to his team of bi-partisan team of negotiators, the Washington Post’s Ezra Klein titled a post “Gang of Six Death Watch,” clearly indicating his prognosis for Baucus’ prolonged effort to garner Republican votes.  Klein says, “This is, to my knowledge, the first time Baucus has admitted the possibility of failure in his ‘Gang of Six’ process, much less named the Republican leadership as the causal mechanism.”

Meanwhile, Heritage’s Conn Carroll continues to pound away at a public plan option, writing, “The bottom line is that a public plan will grant the federal government unprecedented power to constantly tinker with the healthcare sector in ways that will make one sixth of our entire economy completely dependent on decisions made in Washington, DC. This is not the way free societies operate.”

Elsewhere, a couple bloggers are taking a look at health disparities.

Mark Trahant describes Sen. Edward Kennedy’s, D-Mass., efforts to pass the Indian Health Care Improvement Act of 1976.  Trahant explains why lawmakers should keep in mind the Indian Health Service when making changes to the system under a health care overhaul:

The passing the Indian Health Care Improvement Act (then and again now) was more important than any credit a senator could gain by occupying center stage. This story also seems to be relevant to the current health care reform debate. The American Indian health system is different than that of the rest of the country and a complicated structure. Health care reform will have unintended consequences ranging from new insurance requirements to a better (or worse) process for Medicare and Medicaid reimbursements.

And Health Populi’s Jane Sarasohn-Kahn looks at the Institute of Medicine’s new recommendations to collect more thorough data on individuals’ ethinicity, and English language proficiency.  According to Sarasohn-Kahn “When you hear that the U.S. has the best health system in the world, keep in mind the nation continues to be marked with deep health disparities between the have’s and the have not’s of the country. ‘We’re #1′ in health disparities isn’t anything to be proud of, no matter which point on the political spectrum you may sit on.”

Finally, another reason health policy spectators could be in for an exciting fall: Jaan Sidorov of the Disease Management Care Blog predicts that the H1N1 (’swine’) flu virus could amount to the Obama administration’s Hurricane Katrina.  Sidorov speaks to primary care physician who suggests creative ways of vaccinating the population (like through UPS or FedEx) and Sidorov concludes, “This is the Obama Administration’s chance to show that it is different – that it is able to come up with non-FEMAoid approaches.”

Tuesday, September 1st, 2009