The Obamacare Rollout was Bad. The Fallout is Even Worse. But the Plan Just Might Work.

 The ACA rollout is a mess.  I mean, really--only six people were able to sign up on the website the very first day?  Insane. 

But what did we expect?  They're saying the website doormen woefully underestimated the numbers of drive-bys and joiners on that first day.  It's rumored they only planned for 250,000 visitors.   After all the fuss about Obamacare, they actually thought a mere quarter-million curiosity-seekers would line up to get inside?  On any given day on YouTube the antics of a single adorable kitten can get more than 250,000 hits.

This is Obamacare, O ye gentle incompetents over there at HHS.  What were you thinking?  You've got a few million people out there breathlessly awaiting the day you admit defeat and shut the whole thing down.  Many of those same people are in positions of power.  The spotlight is on them every time you screw up.  They get to call you names and then, if you fail or even falter, they get to say "Told you so."

They're already saying you're pushing a plan that will never work, that it's a scam, that it's the devil's work.  To their minds it's settled, then.  Obamacare is a scourge and it needs to be eradicated from the face of the earth.

The hitch in all this is that they're not obligated to come up with something else to take its place.  Nobody expects that.  Their one and only role is to find the nearest public stage and read from their "Eviscerate Obamacare!" scripts.  And where are you in all this?  You're in the wings setting up their scenes and feeding them their lines.

Republicans, to a person, worked overtime for years to stop any hint of a public health care plan.  Even one as watered down as Obamacare is a danger to them and their monied interests.  But in spite of their hopes and plans for interference-free health care practices and profits, the unimaginable has happened: The Affordable Care Act, a frail shadow of its original promise but a threat nonetheless, is now the law of the land.  Now all these frantic losers are left with is a chance to work overtime to make sure it doesn't succeed.

The U.S Supreme Court gifted the opposition with yet another roadblock:  Individual states now have a choice and can opt out of portions of Obamacare--including the Medicaid options.  They'll have the extra advantage of letting the Fed (that's us) pay for anything they don't want to be a part of.  Talk about a prescription for failure.  I'm guessing they're ecstatic about it.

The Essential Wendell Potter, former CIGNA CEO turned whistleblower, makes it no secret that what we need in this country is universal health care.  He's not happy with the ACA rollout disaster, for several reasons, including this one:

"HHS wasted valuable time trying to persuade more states to operate their own exchanges. Officials apparently deluded themselves into thinking that even some of the red states could be persuaded that it would be in their best interests to have a state-run exchange than one run by the federal government. In hindsight, those officials wasted months in which time and resources could have been devoted to making sure the federal exchange would work on Oct. 1. HHS officials should have realized from the beginning that Republican governors and state legislators had no incentive for Obamacare to work. There wasn't a chance that they would operate their own exchanges if doing so might enhance the chances that Obamacare would be perceived as a success. "

 No kidding. Texas, anyone?  Potter has been on this since the beginning, exploring the depths to which the opposition will go in order to kill the dreaded Obamacare.  It's not a pretty picture.  (More from him here and here.)

We have to keep reminding ourselves that this is just the beginning.  Universal health care is in the infant stages; there will be falls and failures all over the place until we get it right.  Outside of Medicare and military care, we've never been anywhere close to the kind of public options we're heading for now.  Some of it will work, but some won't.  We'll adjust.  And we'll never want to go back.

The powers opposing this first step won't ever adjust, either.  They'll fight this to the end and beyond.  (They can't help it; it's in their DNA.) We have to make sure they'll lose.  But first we have to make sure we have the weapons to fight them.  That would mean--you ready for this?--a health insurance program that works the way it was promised.

Nobody ever won a battle by handing ammunition to the enemy.

__________________________

Also posted at Alan Colmes' Liberaland.

Hey, Liberals: Now is the Time to Panic

WARNING:  Cheers for Obama here, at least until Tuesday, November 6.  Don't come looking for relief from Obama luv.  You won't find it on these pages. I'm getting ready to panic and, if past history is any indication, it's not going to be pretty.

Romney/Ryan have a chance to win this thing.  That revelation is so shocking we should be calling for a congressional investigation into how right wing billionaires and clueless teapartiers were able to pull that off. (Right. . .that'll happen)

There's no way someone like Mitt Romney (businessman to the core, anti-government advocate today but not yesterday, job destroyer and giddy out-sourcer, liar, liar, liar) could actually be considered American presidential material.

There's no way someone like Paul Ryan (Old Testament advocate of female-body ownership by non-females, mathematics-deficient "policy wonk", fair-to-middlin' mountain-climber and marathon-runner, liar, liar, liar) can be taken seriously for that all-important second slot.

There are many who want to blame one person--Barack Obama--for what's been happening, but you won't find them here.  I don't want them here.  I want people who know a right wing ambush when they see one and are willing to work their asses off to defeat the real enemy--the Republicans.

There are no saints among politicians but there are plenty of sinners.  If Academy Awards were given for vicious, humanity-chewing, dishonest performances, the Republicans would win, hands down.  They're out to destroy us and half the country thinks it's nothing more than a stinkin' horror movie. (Nothing to fear, it's only pretend. Get your popcorn here.)

But some of us don't, thank God:

• Chris Savage at Eclectablog says Act Like a Republican and "Don't help Mitt Romney win". 

• At Margaret and Helen, Helen calls it bullshit as only Helen can.

• I don't usually agree with Paul Krugman, but everything he said in this column is what I would have said if I could write as well as he can.

• My Michigan pal Flowerchild has had enough, too.  She brings some badasses to dagblog to help us understand.

• Robert Reich isn't giving up, either.  Here he is on The Politics of Fear and the Party of Non-voters.

• Reagan's money guy, David Stockman, slices and dices Romney's claim as job creator.

• Leo Gerard reminds us that Romney's version of adequate health care involves finding a way to the ER.  That should be enough, right there.

• And former Cigna huckster Wendell Potter nails it:  Romney's Talking Points on the Uninsured are Like the Ones I Wrote When I Was an Insurance Industry Flack
  

I'll remind us once again that Mitt Romney wants to be president of the United States and there's a strong chance he could become one.  He has no use for us.  He admits he has no use for us. We don't want a president who has no use for  us.  We've fallen pretty low but not so low we would give away our vote to a man who has made it that clear that we are not worthy of his attention.

There is no reason on earth that a man like Mitt Romney should be considered for the highest job in the land. We can stop it.  We can work to get out the vote, we can continue pulling up facts that prove Romney, Ryan, and the Republicans don't deserve this chance, and we can declare a moratorium on bashing Democrats, other liberals, and Obama (especially Obama) until after November 6.

We have seen the enemy and it isn't us.

(Addendum, 10/18:  This is big:  Daniel Ellsberg, no admirer of Obama, to say the least, calls for an Obama win.  Because, contrary to the opinion of some on the Left, the Republicans are much, much worse,)

Why Junk Insurance deserves an Occupy Movement

Things are heating up in Chicago and I don't know a soul who is surprised by that.  It's Chicago and it's Emanuel Land.  Last week the Occupy Wall Street Windy City branch decided to occupy Grant Park past the posted 11 PM closing time.  The police, never ones to miss even vague radical clues, guessed correctly that these folks had other things on their minds and weren't going to be ready to leave just because a simple sign said they should.

When the clock moved past the magic hour, Mayor Rahm barked, the police moved in, and more than a hundred people were arrested in the eviction process. (Contrast that to the Good Mayor of Lansing, my hero and should-be governor, Virg Bernero, who welcomed the OWS protesters to the state capital, encouraged the crowd to keep up the good work, and provided park permits and the services necessary to make the days easier for them. Ahem and aha.)

So the climate in Chicago is apparently not good for protesters, (though I have to say it's much better than that in Oakland) but I'm hoping those same OWS crowds got wind of this week's Junk Insurance Conference, and hot-footed it over there.  (It began yesterday and runs through Friday.)

My hero, Wendell Potter, former CIGNA CEO turned whistleblower, wrote about it in HuffPo:

On Wednesday [10/26/11], the third annual Voluntary Benefits and Limited Medical Conference will open at the Marriott Renaissance Schaumburg Convention Center, not far from Chicago's O'Hare airport. In just three years, this conference has grown to be a very big, three-day extravaganza. According to the conference Web site, it will "bring together all the players in the industry, from employers and benefits managers, to insurance agents, consultants, brokers, insurance companies, TPAs (third-party administrators), and enrollment firms."

All you have to do is spend a few minutes on the Web site to get an understanding of just how much money there is to be made selling inadequate coverage to naive consumers. You'll see all the big names in the insurance world among the attendees and exhibitors, including the very biggest -- Aetna, Blue Cross and Blue Shield, CIGNA, Humana and United -- as well as dozens of restaurant and fast food chains and other employers of low-wage workers.

 Yes, it's a den of thieves (no surprise -- they're "insurance" biggies), but this is pretty stunning:

One of the big for-profit insurers sponsoring this year's conference markets a limited-benefit plan only to employers with inordinately high employee turnover. Not only are the benefits very limited, the underwriting criteria almost guarantee an impressive profit margin.

Under the plan, the average age of an employer's workers cannot be higher than 40, and no more than 65 percent of employees can be female. (Insurers have long charged women more than men simply because of their internal plumbing.) To meet the insurer's additional demands, employers must have a 70 percent or higher annual employee-turnover rate (that's not a typo), which means that most employees won't even stay on the job long enough to use their benefits. Employees also get no coverage for care related to any preexisting conditions they might need during their first six months of enrollment in the plan. And get this: Employees have to pay the entire premium. The insurer doesn't even allow employers to subsidize their workers' coverage. No wonder the big box retailers and restaurant chains love this junk. They list them among the employee benefits they supposedly offer but don't have to part with a dime when a worker enrolls in one of the plans.

We have come to accept the business of "insurance", not as "assurance", as it was originally defined and administered by quasi-benevolent non-profits, but as just one more scam in the long list of scams we Americans have to watch out for.  This is our health we're talking about and we've put it in the hands of merciless privateers.

CIGNA HQ

The insurance companies, begun as non-profits and mainly run that way until the 1970s and 80s, at least pretended to understand the part about shared risks.  Sometimes they win, sometimes they lose.  Sometimes people die long before they've outspent their premiums, while other people cause their insurance carriers to dig deep, like it or not.  That's the crux of the insurance biz.  One thing the carriers understand to the core:  they'll never go broke selling us insurance policies.  They'll always pull in more money than they'll put out.  If that weren't so, there wouldn't be an insurance industry.
 
But now we're at the point where the watchdogs are fed too well, where members of our own government fight hard against an equitable, non-profit health care solution, where the industry is so bloated, enough will  never be enough.  Even the big guys are not above committing fraud, but what makes the whole scam even more egregious is that they never needed to go to such lengths in order to make their fortunes.  The fortunes were theirs to be made.  The entire system works to their advantage, even when they're being good guys doing the right thing.

I haven't heard that there are any protesters over at the Marriott convention Center yet, but it's not too late.  As I said, the Conference runs through tomorrow (Friday).  But if the OWS folks happen to miss the Conference, they can always camp out in front of a few grand and glorious corporate offices.

Blue Cross-Blue Shield, Houston, TX

 
(Note that the only corporate office list I could find complete with addresses and phone numbers comes from India.  Yes, India.  I said India)

This Wretched, Reckless Approach to Health Care: It's Killing Us

We may be slow learners, but the rest of the industrial world has figured it out: Universal, single-payer or national health care systems. That's the reason why all those other countries cover everyone, have better patient outcomes, cause no one to declare bankruptcy or lose their homes because of medical bills, and spend less than half per capita on health care than we do.
We could do it too, by reducing the starting age for Medicare from 65 to 0. There's still time to act.  -  Michael Moore,  Huffington Post, 9/29/09 _____________________________________________________________________

 It doesn't matter what you say.  It doesn't matter what I say.  It doesn't matter what Robert Reich says.  It doesn't matter what Bill Moyers says.  It doesn't matter what Wendell Potter says.  It doesn't matter what Michael Moore says:



It doesn't matter what Jay Rockefeller says.  It doesn't matter what Anthony Wiener says.  It especially doesn't matter what Barack Obama says.

What matters is this:  We, the citizens and taxpayers, may win a skirmish or two, but in the end Big Business will win the battle.  They owned us yesterday, they own us today, and unless we finally get wise and get tough, they'll own us tomorrow and tomorrow and tomorrow.

They own us because they've ceaselessly, endlessly, without thought of the consequences, bought and paid for the loyalties of the majority of our elected officials.

We haven't quite come to terms with it yet--mainly because we can't quite believe it. We expect that sort of maneuvering by the Republicans.  Going against the Common Good in favor of the capitalists is in their DNA.  They apparently can't help it.

But the Democrats?  The Democrats.   The Blue Dogs--those dirty dogs--have sold us out. But the Blue Dogs aren't the only ones.  Not by a long shot.  On the Senate side, Max Baucus, Blanche Lincoln, Kent Conrad, Bill Nelson and Tom Carper all voted against the public option.  Not surprisingly, they've all had their fingers in the Health Care honey pot.  According to Raw Story, those five senators have up to now received some 19 million dollars from the opposition to health care reform.  That opposition being, of course, the Health Care industries.  Those industries, I have to remind myself, that are devoted to caring for our health.

Sixty votes is the magic number.  Sixty Senate "yea" votes means a filibuster-proof passage.  It's the number that, if it isn't there, stops everything.  Convenient, isn't it?  It means even those who side with the insurance companies but don't want to admit it have an easy out.  "Can't vote yet because we don't have the 60."  Okay.  So what?

Where are the Dems who, if they're too cowardly to go for Single Payer, will at least put the vote for Public Option out there?  If it's voted down, after jawing about it for hours or days or weeks, then start all over again.  Put it out there again.  And then again.  Wear those filiblustering bastards down.

Millions of sick people are without a safety net.  People who could be saved are dying here. There is no reason, save greed, that we don't have a government-sponsored health care system.  I know it.  You know it.  We all know it.  If it's not in our budget, then shame on them.  They built that bloated budget on taxpayer money coerced from us through fear and outright lies.  Now that we need it for actual Common Good, they're going to pretend it's asking too much.  No.  They've asked too much of us for too long.  Now it's payback time.  They owe us.

So what are we going to do about it?  How long does this conversation go on?  There are people in our government who are intent on holding this up, and they're out there openly, blatantly, recklessly, holding this up.  We know who they are.  And they know we know who they are.  And they don't care.

So what are we going to do about it?  Good God. . .are you as sick of this as I am?  Enough, already. There are some enormous asses out there for the prodding, so. . .where the hell is my pitchfork?

Ramona

(Cross-posted at Talking Points Memo here.)

My Words on Bill Moyers' Lips - I'm Speechless

I missed Bill Moyers Journal on Friday night, and I was away from home all day yesterday until about 8 PM, so I had no idea that the end paragraph of my lowly blog about Moyers' interview with Wendell Potter made it onto the top of his show. (The clip shows my blog at Talking Points Memo but the content is the same as the original post here.)



Rowan Wolf over at Talking Points Memo Cafe saw it, blogged about it and put it on YouTube. To say I'm pretty stunned by this is a total understatement, and normally I don't like to toot my own horn, but this may be my 15 seconds of fame, so you'll have to forgive me for this, please.

I really want to talk about how blogs and bloggers have come out of the shadows and onto the battlefield. It's becoming a powerful vehicle for change, but with that comes the same kind of responsibility that journalists advocate but don't always follow. There are thousands of political bloggers out there now, and picking and choosing is a daunting, time-consuming occupation. Our political views are often going to be different, but the one thing we should be able to agree on is that we've come to this new vehicle for change with the understanding that we have an obligation to tell the truth as we see it and understand it. We'll make mistakes--plenty of them. Most of us are not professionals, after all, and our passion is bound to get in the way of clear thinking and good judgment some of the time. But our voices are out there; we're growing stronger, and I believe this country will be the better for it.

I came late to blogging. I just didn't get it. So much of what I saw was superficial, shallow navel-gazing--a kind of helter-skelter motor-mouth. Every thought, worthy or not, was transported onto a personal page for everyone to read--even those just merely, superficially interested.

I think it was the blogs on The Daily Kos that first convinced me it could be used to pull whole communities of people with common interests together so that one voice became many, and many voices could ultimately gain the power to change things.

I started my own blog here on January 20, the day of Barack Obama's inauguration. I remember hesitating for a long time before I hit the "Publish Post" button. It seemed like such a conceited, ego-driven kind of thing to do, but after the past eight years, and after the heady jubilance of the Obama victory, the passion to do something was overwhelming.

All I can do, really, is write. I'm not good at organizing or speechifying or getting on the telephone to try and convince anybody of anything. Writing is re-writing, and since I never get my thoughts straight the first time, it's the perfect vehicle for me. But I wanted my blog to include more than just my voice. I wanted it to be an open outlet for the blogs, articles, columns and videos so many of us were sending to one another by email almost every day. I've created links to many of them, but there are so many good writers out there who have a voice and are working hard to get themselves heard. It's becoming a real movement now, and outlets like Talking Points Memo are right at the forefront.

Somewhere along the way, Iwas lucky enough to find Talking Points Memo and the TPM Cafe. A whole new world! Intimidating at first because, man, are they smart! But I started a blog there and they welcomed me with a generosity that actually kind of floored me. My comment section here on this blog remains forelorn and lonely, but at TPM the comments sections are lively and boisterous -- full of good talk and good information. You can always count on the commenters to make you get it right. That's the terrifying beauty of political blogging--we're all opinionators and we make our opinions known!

But this one blog about Moyers and Potter must have struck a tiny nerve. My Blogspot blog had 162 hits that day and the next, and it received 656 Diggs--all because it was posted on TPM.

We have the power to make change. On my last post, I was wallowing in Faithlessness, but today I'm energized. And all because Bill Moyers spoke my words for a few seconds on his show. Okay, I'm ready to get back to work. Health care, labor, education, voter fraud, congressional shenanigans, shameless fat cats--bring 'em on.

What can I say? I'm easy.

Ramona

Bill Moyers shines light on the health insurance mess - a Journalistic Best

There are so few mainstream investigative journalists in this country anymore, I have to wonder in whose pockets the MSM has cozily slipped--and why.

When one of our best investigative newspapers has slipped to such depths that it's publisher invites health insurance execs hellbent on killing any hint of public options to hobnob with, and thus lobby, top-level White House officials at a private soiree in her own home (but only if they fork over $25,000), and when nobody else seems to notice or care, we can give up any remaining quaint notion of a watchdog press.

We're on our own, folks, and if not for the precious few like Bill Moyers and Rachel Maddow, we would be dead in the water. They are the mainstream media remnants of a once-proud profession and we need to treat them like the treasures they really are.

They study the issues, they bring on guests who can discuss them intelligently, they ask the right questions, they give their guests time to answer thoughtfully, they continue the conversation with smart follow-ups, and best of all, they don't give up their precious air time to raucous, spitting catfights between notoriously biased opponents.

Last week, Bill Moyers brought to our attention two important stories. (See above for the first one)

On "Bill Moyers Journal" on PBS Friday night, Bill talked with Wendell Potter, a former Cigna exec turned whistleblower. In Potter's own startling words (startling not because we didn't know, but because a former insider, someone who, less than two years before, was a practicing purveyor of these professed sleazy tactics, said them):

“The industry has always tried to make Americans think that government-run systems are the worst thing that could possibly happen to them, that if you even consider that you're heading down the slippery slope towards socialism... I think that people who are strong advocates of our health care system remaining as it is, very much a free market health care system, fail to realize that we're really talking about human beings here, and it doesn't work as well as they would like it to... They are trying to make you worry and fear a government bureaucrat being between you and your doctor. What you have now is a corporate bureaucrat between you and your doctor... The public plan would do a lot to keep [health insurance companies] honest, because it would have to offer a standard benefit plan. It would have to operate more efficiently, as does the Medicare program. It would be structured, I’m certain, on a level playing field so that it wouldn’t [have an] unfair advantage [over] the private insurance companies. Because it could be administered more efficiently, the private insurers would have to operate more efficiently.”

The interview is a half-hour long. Later into it he outlines the insurance industry's efforts to discredit Michael Moore's documentary, "Sicko", when they saw the truth in it and were afraid the American people might believe it, too. This to me was a stunning admission, the entire interview an astonishing piece of journalism--again, not entirely surprising, but I saw a door opening, enough for us to wedge our foot in. Wan rays of sunshine about to turn dazzling, if only we can keep the momentum going.

I beg everyone who reads this and clicks onto the link to send it on to everyone you know. Send it to your congressmen, your governors, your legislatures, the White House. Get an email chain going--put the link up on yard signs or billboards. Put it on bumper stickers. Stencil it on tee-shirts or tattoo it onto your forehead. Whatever it takes.

This is a television event too important to let die. Please. Keep it alive. Keep it going. It's up to us now.

(Cross-posted on Talking Points Memo here)

Ramona