Health Care Reform

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The Massachusetts Senate Election

On the 19th, we get to vote for a new Senator.  And although the Rasmussen poll has Scott Brown, the Republican, within 10 points, I am willing to guess the margin will be more like 12 to 15 for Martha Coakley, the Democrat .  Believe it or not, I wrote that on Saturday before the Boston Globe poll was published today showing Coakley with a 15 point lead.  (There is also a Libertarian, Joseph Kennedy – not one of the Kennedys.  They have endorsed Martha.)

I favored Congressman Michael Capuano in the Democratic primary, but it will be good to elect a woman Senator for the first time.  Besides the fact that Mike was once my boss when he was Mayor of Somerville, I have only partially forgiven Coakley for her intransigence on the Fells Acre child care case she prosecuted as Middlesex County Assistant DA.  As far as federal issues go, there was not a lot of difference between them 

But I became solidly in Martha’s court after Scott Brown said that while he didn’t favor torture, it being against the Geneva Convention and all, he was in favor of waterboarding which, according to him, is not torture.  Coakley disagrees, agreeing with the Obama Administration policy.  Brown’s endorsement of waterboarding became the subject of a great Wasserman cartoon. 

 Brown has been running ads comparing himself with John F. Kennedy which don’t seem to have helped him much.

According to the poll released today

Half of voters surveyed said they would pick Coakley, the attorney general, if the election were held today, compared with 35 percent who would pick Brown. Nine percent were undecided, and a third candidate in the race, independent Joseph L. Kennedy, received 5 percent.

Coakley’s lead grows to 17 points – 53 percent to 36 percent – when undecideds leaning toward a candidate are included in the tally. The results indicate that Brown has a steep hill to climb to pull off an upset in the Jan. 19 election. Indeed, the poll indicated that nearly two-thirds of Brown’s supporters believe Coakley will win.

“She’s simply better known and better liked than Brown,’’ said Andrew E. Smith, director of the University of New Hampshire Survey Center, which conducted the poll for the Globe.

…

Coakley is seen as strongest on health care, the issue that 31 percent of respondents said was the most important. Fifty-one percent said they trusted Coakley to best handle the issue, with only 29 percent saying Brown.

Brown has trumpeted the prospect that he would be the 41st vote to block the health care proposals before Congress, while Coakley has said she would proudly cast the 60th vote to prevent a filibuster and grant final approval for the legislation.

The war in Afghanistan was the best issue for Brown, with 34 percent saying they trust him, compared with 35 percent for Coakley. Brown, a National Guardsman, supports President Obama’s plan to increase troop levels in Afghanistan; Coakley opposes it.

The turn out will be very light and with the Democrats holding the edge in party registration all Martha has to do is to get more voters out.  The ten day weather projection calls for temps around freezing and partly sunny in Boston. 

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Christmas and Health Care

This was posted this morning by Mark R., NY as a comment on the New York Times Prescriptions blog.  Thank you to you, Mark.

‘Twas the day before Christmas
And they passed a bill
Despite the considerable
Republican chill.

The Senate was finished
At last for this year
But the right wing continues
Their campaign of fear

So when the time comes
To sit down with the House
I wonder if Boehner
Will still be a louse

The minds of the people
They claim to have known
And they continue to harvest
The seeds they have sown

If at the end of this all
We can get our reform
It will probably be
When again it is warm

Let’s get that public option
Back on the table
With the donkeys together
And graze in their stable

Let’s hope that they can get
This health care bill right
So that everyone’s covered
And can sleep at night

And may the Republicans
Who can only say NO!
In two-thousand-ten
Be voted to go

So we can finally craft it
To be single payer
Like every other industrialized
National player

So despite this bill being
Quite a bit watered-down
There’s still hope for the future
Despite the tea-bagging clowns.

So we say to our Reps
On this Christmas Eve
Just make it affordable
And don’t you deceive

May two thousand and ten
Bring you all lots of cheer
A lot more of together
And a lot less of fear.

Happy Christmas!

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A first look at the Senate Health Care Bill

Lester Feder has a good short summary of the most contentious points in the Senate Bill that will pass tomorrow at 7 am.  I think that the House version is, except for the very restrictive language on abortion, a better bill and the efforts at reconciliation will be very interesting.

1. Affordability. The House generally does a much better job of helping low- and moderate-income Americans afford coverage. For the very poor, it opens the Medicaid program to individuals who earn less than $16,245 per year, whereas the Senate makes the program available only to those earning less than $14,404. The Senate offers more subsidies than the House to help the middle class buy coverage. But the Senate’s subsidized insurance offers weaker coverage than that mandated by the House and leaves these Americans far more exposed to out-of-pocket costs

2. Enforceability. The Senate would have insurers sell policies in state-based exchanges, relying on state officials to police the market. The House, on the other hand, sets up a national exchange, and many believe the federal government can do a much better job of protecting consumers than state regulators. There are also questions about whether the Senate’s legislative language protects consumers’ right to go to court if insurance companies violate the new regulations.

What’s more, there’s a minor provision in the Senate bill that could undermine one of health reform’s most important regulations. On paper the Senate bans underwriting–the practice of charging higher premiums to those with pre-existing conditions. The Senate, however, allows for the creation of “wellness incentives,” which are theoretically designed to encourage people to do things like quit smoking or exercise by reducing premiums for those who engage in healthy behaviors. But the Senate includes virtually no limits on the “wellness” indicators an insurance company can measure and allows for huge variations in premiums. This could mean people who have been pregnant, have high blood pressure or are HIV-positive could be hit with thousands of dollars in extra premiums.

2. Enforceability. The Senate would have insurers sell policies in state-based exchanges, relying on state officials to police the market. The House, on the other hand, sets up a national exchange, and many believe the federal government can do a much better job of protecting consumers than state regulators. There are also questions about whether the Senate’s legislative language protects consumers’ right to go to court if insurance companies violate the new regulations.

What’s more, there’s a minor provision in the Senate bill that could undermine one of health reform’s most important regulations. On paper the Senate bans underwriting–the practice of charging higher premiums to those with pre-existing conditions. The Senate, however, allows for the creation of “wellness incentives,” which are theoretically designed to encourage people to do things like quit smoking or exercise by reducing premiums for those who engage in healthy behaviors. But the Senate includes virtually no limits on the “wellness” indicators an insurance company can measure and allows for huge variations in premiums. This could mean people who have been pregnant, have high blood pressure or are HIV-positive could be hit with thousands of dollars in extra premiums.

3. Financing. The House bill is funded primarily through a progressive income tax on families earning more than $1million; it also requires employers to either cover employees or pay into the system. The Senate, on the other hand, imposes a poorly designed tax on “high cost” plans and an awkward alternative to an employer mandate, both of which could wind up hurting many of the Americans who most need help from this legislation.

As the process moves forward it will be interesting to see where President Obama lands.  Right now, he appears to be simply encouraging everyone to put something in a bill and pass it. 

The New York Times quotes from his interview on PBS

Unlike the House, the Senate measure omits a government-run insurance option, which liberals favored to apply pressure on private insurers but Democratic moderates opposed as an unwarranted federal intrusion into the health care system.

In an interview with PBS, Obama signaled he will sign a bill even if it lacks the provision.

”Would I like one of those options to be the public option? Yes. Do I think that it makes sense, as some have argued, that, without the public option, we dump all these other extraordinary reforms and we say to the 30 million people who don’t have coverage, `You know, sorry. We didn’t get exactly what we wanted?’ I don’t think that makes sense.”

I’m waiting for the conference bill before I decide whether the  bill is a good one or not.

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Bureaucracy and health care

I have to admit that when I hear people say they are opposed to the public option in health care because they don’t want their medical decisions made by a “government bureaucrat” my blood pressure begins to rise.  Who exactly makes decisions for those with private insurance?  A blue cross, healthsouth, wellpoint, or harvard pilgrim bureaucrat. 

When you call up and ask a question about your coverage does it matter if you get put on hold by someone who is a government employee or an insurance company employee?  Both enforce and interpret regulations.  After all one definition of a bureaucracy (OK it is definition #3 after people who work for the government) is “a system of administration marked by officialism, red tape, and proliferation.” [ Webster’s New Collegiate Dictionary]  Isn’t this when companies deny you for a pre-existing condition – like having been pregnant?  I’ve always had private insurance and have been put on hold almost every time I call about a payment or coverage.

So brought to you by Congressman Anthony Weiner, are the names of the Republican Congresspeople who are on medicare, but oppose the public option.

Rep. Ralph M. Hall
Rep. Roscoe G. Bartlett
Rep. Sam Johnson
Rep. C.W. Bill Young
Rep. Howard Coble
Sen. Jim Bunning
Sen. Richard G. Lugar
Rep. Don Young
Sen. Charles E. Grassley
Sen. Robert F. Bennett
Rep. Vernon J. Ehlers
Sen. Orrin G. Hatch
Sen. Richard C. Shelby
Rep. Jerry Lewis
Sen. James M. Inhofe
Rep. Ron Paul
Rep. Henry E. Brown
Sen. Pat Roberts
Sen. George V. Voinovich
Sen. John McCain
Rep. Judy Biggert
Sen. Thad Cochran
Rep. Harold Rogers
Rep. Dan Burton
Rep. Howard P. “Buck” McKeon
Rep. Frank R. Wolf
Rep. Michael N. Castle
Rep. Joe Pitts
Rep. Tom Petri
Sen. Lamar Alexander
Rep. Doc Hastings
Rep. Cliff Stearns
Rep. Sue Myrick
Rep. John Carter
Sen. Mitch McConnell
Sen. Jon Kyl
Rep. Phil Gingrey
Rep. Nathan Deal
Rep. John Linder
Rep. Kay Granger
Rep. John L. Mica
Rep. Walter B. Jones
Sen. Jim Risch
Rep. Ed Whitfield
Rep. F. James Sensenbrenner
Rep. Virginia Foxx
Sen. Kay Bailey Hutchison
Rep. Ginny Brown-Waite
Sen. Saxby Chambliss
Sen. Michael B. Enzi
Rep. Elton Gallegly
Rep. Donald Manzullo
Rep. Peter T. King
Rep. Ander Crenshaw

These are the 54 Republicans who don’t want government bureaucrats making health care decisions.

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Dr. Bones Explains Health Care

This past Sunday, the back page of the Boston Globe “Ideas” section was a great cartoon by Dan Wasserman.

And I’m still disappointed about the public option, but I’m not quite ready join Howard Dean and dismiss the entire bill.  [An update:  soon after I first published this Howard was on the Rachel Maddow show saying he is now not going to oppose the bill due to some additional changes that had been made.]

For more from Wasserman use the blogroll link for Out of Line.

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So what is really in the Health Care Reform Bills? One Progressive Analysis

I ran across this very interesting piece by Maggie Mahar who works for the Century Foundation.  The Century Foundation was founded in 1919 and  is “committed to the belief that a mix of effective government, open democracy, and free markets is the most effective solution to the major challenges facing the United States.”  1919 places it with the progressive movement and so it remains.

Mahar writes “Why Congress’ Health Care Bills are better than you think” posted on AlterNet on November 6. (Before the vote and before the Stupak amendment which is upsetting and a backdoor way of extending the Hyde amendment, but now is not the time to kill reform. Repeal of the Hyde amendment is a fight for another day.)  I have sampled a few of her observations, but the entire piece is very interesting, particularly her comments on the Congressional Budget Office which could be a blog on their own.

Many progressives are expressing deep disappointment with the health reform legislation now moving through Congress.

Some suggest that some legislators made deals with lobbyists and let them write the bills. Others complain that both the subsidies and the penalties are too low. Still others don’t like the fact that states can “opt out” of the public insurance option and decide not to offer “Medicare E” — Medicare for everybody.

Finally, many ask: “Why can’t everyone sign on for the public plan in 2013? Why do we have to wait until 2013? Why can’t they roll out universal coverage next year?”

Normally, I would be among the first to critique the bills. By temperament and training, I’m both a skeptic and a critic.

But in this case, I think it is important to recognize that we cannot expect this first piece of health reform legislation to be anything but wildly imperfect. In fact, I’m impressed by the progress Washington has made in just 10 months.

I’ve been watching the struggle for health care reform since the early 1970s, and compared to what has happened over the past 39 years, this is mind-boggling.

Mahar cites gains in three main areas:  affordability, no denial of coverage, and a realignment of Medicare.

On affordability

For example, under the House bill, a family of three making $32,000 a year would pay $1,360 in annual premiums for good, comprehensive coverage; under the Senate Finance Committee bill, that family would be asked to lay out $2,013. Today, without reform, if that family tried to buy insurance, it would find that the average plan costs $13,500. For this household, the current legislation makes all the difference.

Too often, the press suggests that such a family would be expected to pay $10,000 out of pocket to cover co-pays and deductibles. That just isn’t true.

Even if the entire family were in an auto accident and racked up $200,000 in medical bills, at their income level, the House bill caps out-of-pocket expenses at $2,000 a year. Under the Senate Finance bill, the family would have to pay $4,000.

Moreover, under both bills, there are no co-pays for primary care. Even private insurers cannot put a $25 barrier between a family and preventive care.

Moving up the income ladder, a median-income household earning roughly $55,000 would pay premiums of $4,300 to $6,500 — depending on whether the Senate Finance bill or the more generous House bill sets the terms.

Without legislation, they too would face a $13,500 price tag — and that is if they could get a group rate. If they are buying insurance on their own, coverage could easily cost $16,000

No denial of coverage

House Speaker Nancy Pelosi’s health care reform fact sheet offers two outrageous examples of just how easy it is for insurers to deny coverage today:

  • Peggy Robertson: The Colorado mother of two was denied health coverage because she had a C-section in 2006. The insurance company told her if she got “sterilized” she would be eligible for coverage.
  • Christina Turner: After being sexually assaulted in Florida, Turner followed her doctor’s orders and took a month’s worth of anti-AIDS medication as a precautionary measure. She never developed an HIV infection. Months later, when shopping for new health insurance coverage, Turner was repeatedly denied coverage because of the precautionary anti-HIV treatment she received after being raped.

Realignment of Medicare which has the Republican opposition literally foaming at the mouth.

What many reformers don’t seem to understand is that when the public plan begins to negotiate fees with providers in 2013, Medicare fees for some very expensive services will be significantly lower than they are today, while reimbursements to primary care doctors will be substantially higher.

Medicare already has announced plans to cut fees for CT scans and MRIs by as much as one-third and has proposed trimming fees to cardiologists by 6 percent next year. Meanwhile, it would hike fees for primary care physicians by 4 percent.

…

Over the next three years, Medicare will be realigning financial incentives to reward preventive care and management of chronic diseases, while reducing payments for overly aggressive tests and treatments that have no proven benefit — and penalizing hospitals that don’t pay enough attention to medical errors. In the process, Medicare will be conserving health care dollars while protecting patients from needless risks.

As President Barack Obama has promised, Medicare cuts can make health care safer and more affordable for everyone — including the upper middle class. Because most private insurers will mime Medicare’s efforts to reduce overpayment, the cost of care will come down for everyone.

Mahar makes a couple of other interesting points about the new legislation including this on the Senate opt-out.

…even if the Senate’s opt-out provision for states remains in the final health care reform bill, states will not opt out. It would be too difficult for politicians to try to explain to voters why they cannot have access to a government plan that will be able to offer comprehensive insurance for less than what they pay for private insurance.

She concludes

If there ever was a time to avoid the traps of perfectionism, it’s now. As the old saying goes, don’t let the perfect be the enemy of the good.

And there’s a lot that’s good in the bills coming out of the House and Senate. No, they’re not perfect, but they offer a path to even better reform in the future while improving the lives and health care outcomes for millions of Americans. And that is all to the good.

We need to encourage Harry Reid and the other Blue Dog Senators to get a backbone.  One way to ease re-election fears might be to have some provisions kick-in sooner rather than later.  Mahar doesn’t talk about time tables and I know that the health exchange and public option are set for 2013.  I think some more research is in order.

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First Look at the House Health Care Vote

A few days after the one year anniversary of Barack Obama’s election, the House of Representatives has succeeded in passing what pundits of many stripes are calling  “sweeping reform.”  I’m one of those sick political junkies who stayed up to watch the vote.  220 to 215.  39 Democrats voted against final passage while one Republican voted for.  The magic number was 218.

Speaker Pelosi and the House Leadership.  Photo from the New York Times.

I’ve been looking at the voting pattern posted on the New York Times “Inside Congress” webpage.  There were four votes taken last night.  Looking at Democrat Rick Boucher, an old friend from the mountains of Virginia in a district that voted for McCain and two Republicans, An Cao from New Orleans and Timothy Johnson from Illinois, is quite interesting.

On the Stupak Amendment that added language relating to abortion beyond that of the horrible Hyde Amendment, all three men voted party line and the amendment passed 240 to 194.   The next vote was on the Republican substitute bill.  Rick Boucher and Timothy Johnson voted against the Republican bill while An Cao voted for it.   The substitute was defeated 258 to 176.  (Speaker Pelosi didn’t vote.)

The third vote was to recommit the Democratic Bill.  This was defeated 247 to 187 with Boucher and Johnson (joined by Republican John Duncan from Tennessee) voted against and An Cao voting for recommitment.On the vote for final passage, Boucher and Johnson voted against the Democratic bill while An Cao voted for it.  The Senate Democrats should take a lesson from Rick and vote to end the Republican filibuster even if they vote against the final bill.  And An Cao stood with his leadership on everything but final passage.  (Snowe and Collins take note. )  Harry Reid needs only 50 Democratic votes for passage and Joe Biden can break the tie. 

Chris Cillizaa makes an interesting observation in the Washington Post this morning. 

8

That’s the number of House Democrats voting against tonight’s health care bill who represent districts carried by President Barack Obama during the 2008 election.

Of the eight, Obama’s highest percentage came in Rep. Artur Davis‘ 7th district where he won 74 percent of the vote. Davis’ vote is rightly understood through a political lens as, despite the overwhelming support for Obama in his district, he is running for governor of a conservative-leaning state next November and wants to safeguard against attacks from Republicans.

Six of the remaining seven members — Reps. John Adler (N.J.), Brian Baird (Wash.), John Barrow (Ga.), Larry Kissell (N.C.), Scott Murphy (N.Y.) and Glenn Nye (Va.) — represent districts where the President took 55 percent or less in 2008, making their decision to vote “no” strategically defensible

(The last Democratic member holding an Obama district to vote against the bill was Rep. Dennis Kucinich who, as we all know, is tough to predict.)

That means — for you non-math majors out there — that 31 of the 39 Democrats who voted against the bill represent seats won by Sen. John McCain (Ariz.) last fall.

Hats off to Speaker Nancy Pelosi for getting the bill passed.  Ball is now passed to Harry Reid.

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The Joe Problem

I started thinking about the Democrats Joe Lieberman problem back when the President (who was really new then and trying to play nice) gave his blessing to allowing Joe, a McCain and other Republicans supporter, back into the Democratic Senate caucus.  They also let him be the Chair of the Homeland Security committee.  So now why is Joe going to vote with the Republicans to let them filibuster the health care bill.  He claims he is opposed to the public option and worried about the deficit.

The other night Rachael Maddow had an interesting piece about Joe and Birch Bayh.  Yesterday, Bayh flipped flopped around, but in the end said he will vote with the Democrats to let Health Care Reform come to the floor of the Senate.  I hope he was scared of the ads that reform supporters would be running showing his wife on the board of directors of Wellpoint and graphs of how much money they made from the insurance companies. 

But Joe is a different problem.  As Nate Silver writes

The reason this is a little scary for Democrats is because the usual things that serve to motivate a Congressman don’t seem to motivate Joe Lieberman.

Would voting to filibuster the Democrats’ health care bill (if it contains a decent public option) endear Lieberman to his constituents? No; Connecticutians favor the public option 64-31.

Would it make his path to re-election easier? No, because it would virtually assure that Lieberman faces a vigorous and well-funded challenge from a credible, capital-D Democrat, and polls show him losing such a match-up badly.

Would it buy him more power in the Senate? No, because Democrats would have every reason to strip him of his chairmanship of the Homeland Security Committee.

Is Lieberman’s stance intended to placate the special interests in his state? Perhaps this is part of it — there are a lot of insurance companies in Connecticut — but Lieberman is generally not one of the more sold-out Senators, ranking 75th out of the 100-member chamber in the percentage of his fundraising that comes from corporate PACs.

So what does Harry Reid need to do?  Stroke Joe’s ego more?  Buy him a puppy as Nate Silver suggests?  And how many times does Reid do this?  Back to Nate

The other way that this is damaging to Democrats, of course, is that it may embolden an Evan Bayh or a Blanche Lincoln or a Ben Nelson to adopt Lieberman’s stance. None of these guys want to be the lone Democratic member to filibuster — but it’s much easier to defray individual responsibility on a procedural vote against your party when you have someone else joining you.

But while a Nelson or a Lincoln is liable to have a fairly rational set of concerns — basically, they want to ensure they get re-elected — it’s tough to bargain with people like Lieberman who are a little crazy. In certain ways, he resembles nothing so much as one of those rogue, third-bit Middle Eastern dictators that he’s so often carping about, capable of creating great anxiety with relatively little expenditure of resources, and taking equal pleasure in watching his friends and enemies sweat.

In other word:  Joe Lieberman is not rational and is more than a little nuts.  And he must be feeling great because his, little Joe Lieberman, is standing single handedly in the way of what is looking like an acceptable health care bill.

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Moving closer to Health Care Reform

Everyone on the Sunday talk shows yesterday optined that the health care reform effort was moving closer to passage. 

“We’re entering the final stage, and everyone is maneuvering to get the best possible deal,” said Drew E. Altman, president of the nonpartisan Kaiser Family Foundation. “The odds of passing legislation are steadily moving up.”

The final bill will not be perfect, but I believe it will contain a public option of some kind.  The other big questions are financing  and affordability.  The reason I think the bill will have a public option is because a friend my husband  was talking to the other morning supports one.  He is not a political activist, tends to be conservative, and is a veteran.  He talked about the rise in premiums he had experienced and the fact that vets have now come to understand that they won’t lose their coverage under VA – or have to pay for it – but that others will gain  the kind of health care they have.  He thinks this is a good thing.  And the opinion polls show others are moving his way.

I think there will be an opt out provision for the states, but, unlike the stimulus funding, the governors will not be able to “refuse” to implement the reforms at all.  I think it will end up will a 3 to 5 year trial period after which a state could opt out or a similar period during which the insurance companies in a state would have to lower premiums or they would have to become part of the government provided health care.

There are a lot of details to negotiate.  Like how to pay for reform.  We will have to see if the President has, in the end, provided the weapon to defeat the bill .  Is his 900 Billion cap going to mean a bad bill or no bill?

Howard Dean has a great feature on his health care reform webpage.  The vote tracker allow one to sort for public option supporters.  Dean, like President Obama, is not supporting a particular bill, but iw helping to keep an eye on the votes in support of the public option.  His latest count is 218 house votes and 51 in the Senate.  We need to work on those undecideds in the House, but it appears that if all Democratic caucus members vote against the filibuster, the Senate can then pass a bill with a public option.  Go to his list and filter for undecided Democrats and if your Congressperson or Senator is on the list, give them a call.

Even John McCain now thinks Congress will pass a bill with some kind of public option.

“I think the Democrats have the votes, and in the House, Blue Dogs bark but never bite,” Mr. McCain said on CBS’s “Face the Nation,” using the nickname for conservative Democrats . “So I don’t think they have a problem over in the House side. In the Senate I think the Democrats are very aware that they don’t want a repeat of the Clinton failure in 1994. So I think it’s very likely they will get something through. But it’s not clear to me what it is.”

The Democrats need to forget the Republicans and get the votes in the party.  Even Senator Ben Nelson appears to be moving toward support of some type of public option.

The remaining big pitfall is abortion and whether the bill has a provision to pay for the procedure under the public option.  Right now, I have to say that will be a compromise point and reproductive choice will remain a choice only for those that can afford a choice.

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Back with some random observations

I haven’t posted for a while for a number of reasons.  The two major reasons are first, I have been spending a lot of time on the computer at work and didn’t want to come home and do the same (rather watch the Red Sox) and, second, because the health care debate was beginning to depress me.  I’ve been kicked into starting to post again by what happened over the weekend  on the golf course in Lakeville, MA.

In case you haven’t heard the news, a swastika and Obama were carved into the 18th green.  This picture is from the Boston Globe.

lakeville_swastika_101309.jpg

President Obama is coming to Boston in a couple of weeks to support Deval Patrick.  The FBI, Secret Service, and Lakeville police are investigating.  The Globe reports

Lou Mincone, the public club’s assistant manager, said he was stunned by the vandals’ gall, and baffled by the senseless, hateful act.

“What would motivate anyone to do such a thing?” he asked incredulously. “To use the president’s name like that? It’s crazy.”

Mincone, who discovered the damage, said the vandals dug the message more than an inch into the turf, likely using a tool or sports cleats. He said the message, which was about 10 feet by 15 feet wide, was written sometime Sunday night or Monday morning

It took a while to do,” he said. “It wasn’t a five-minute deal.”

This is what the climate surrounding the election of a black man to be President has brought.  The tea baggers with the posters of the President as Hitler, the Rush Limbaugh’s, the Glenn Becks, and the Michelle Bachman’s.  I have been jolted out of my hiatus.

The Red Sox are all done.  And likely done is Jason Veritek.  We need to sign Jason Bay, figure out what ails Josh Beckett, hope Matsuzaka stays thin and strong over the winter, and that Papi finds his mojo.  Go Phillies!

The Senate Finance Committee compromised away real health care reform to court the insurance companies and the Republicans.  So the night before the vote the insurance companies issue a report that they will have to raise rates anyway and only Olympia Snowe voted for the bill.  To show what an Alice in Wonderland world this this, the President thought this was progress.  At this point he probably thinks, well, let’s pass something and fix it later which is the point I am rapidly reaching.

The insurance company report was issued by a group called America’s Health Insurance Plans.  According to the story in the New York Times

“The overall impact will be to increase the cost of private insurance coverage for individuals, families and businesses above what these costs would be in the absence of reform,” said Karen M. Ignagni, president of the trade association.

…

The report says that the cost of the average family coverage, now $12,300, will rise to $18,400 in 2016 under current law and to $21,300 if the Senate bill is adopted. Likewise, it said, the cost of individual coverage, now $4,600, will average $6,900 in 2016 under current law and $7,900 under the bill.

The study provides ammunition to Republicans attacking the legislation and might intensify the concerns of some Democrats who worry that the bill does not provide enough help to low- and middle-income people to enable them to buy insurance.

Scott Mulhauser, a spokesman for Democrats on the Finance Committee, said: “This report is untrue, disingenuous and bought and paid for by the same health insurance companies that have been gouging consumers for too long. Now that health care reform grows ever closer, these health insurers are breaking out the same tired playbook of deception. It’s a health insurance company hatchet job.”

I am becoming increasingly convinced that nothing can get done in this country because everyone is too worried about the effect on their profits.  Regulation of the finance industry, health care reform, tort reform.  In every instance those opposed worry about their own bottom line.  What ever happened to the idea of the common good?