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Reforming For Profits II (Greenwald Update)

(Reprint of Aug. 17th orginal with updates at end of post. Update I: Video of Dylan Ratigan’s Morning Meeting talking about the administrations “un-American” deals. Update II: Greenwald’s take — monied interests rule both parties; jettisoning the “Public Option” was part of the Obama plan.)

We must have misunderstood the plan. We actually thought the whole point of reforming health care was to help the american people have better, more affordable health care. We thought the promise was:

BARACK OBAMA’S PLAN FOR A HEALTHY AMERICA:
Lowering health care costs and ensuring affordable, high-quality health care for all

We must have missed the fine print that explained the caveat:

ONLY IF THE REFORMS ARE MORE PROFITABLE
FOR THE HEALTH CARE AND INSURANCE INDUSTRIES

Did the American people not get the memo that explained this? Or was our copy of Obama’s plan smudged? The media and politicians must have gotten the fine print copy. What else would explain why all the politicians and media hacks are morally outraged at seeing townhall anger, but those selfsame politicians and media hacks are apparently not even shocked to learn of this administration’s sell-out backroom deals with the health care industry?

And why the continued, almost obsessive focus on painting protesters as un-American? While these sweetheart deals, that are truly un-American and so beautifully depict why Americans no longer trust their government, are received in blissful willful silence.

From Miles Mogulescu at HuffPo:

The first hint of the real story came when Rahm Emanuel summoned leaders of liberal organizations to the White House and reamed them out for criticizing Blue Dogs who were trying to gut the public option, telling the liberals that they were “f..king stupid” and ordering them to stop

Gutted: The public health care option – bad for health care and insurance industry profits!

The next hint was a New York Times story in which the White House confirmed it had cut a back-room deal with Billy Tauzin, chief lobbyist for Big Pharma, to block any Health Reform bill that would allow Medicare to negotiate for lower drug prices. …

Blocked: The negotiation for or importation of lower priced drug – bad for health care and insurance industry profits!

A few days later came Business Week’s cover story entitled “The Health Insurers Have Already Won: How UnitedHealth and rival carriers, maneuvering behind the scenes in Washington, shaped health-care reform for their own benefit”. …

Encouraged: Behind the scenes maneuvers in Washington to shape reform – good for health care and insurance industry profits!

Thursday’s New York Times confirmed Business Week’s analysis, reporting that the White House, in conjunction with Sen. Baucus, has made a deal with hospital lobbyists limiting reductions in hospital costs to $155 billion over 10 years and crippling the public option by agreeing “that the final legislation would not include a government-run health plan paying Medicare rates — generally 80 percent of private sector rates — or controlled by the secretary of health and human services“. According to Chip Kahn, a top industry lobbyist, “We have an agreement with the White House that I’m very confident will be seen all the way through conference”. …

Limited: The reducion of hospital costs – bad for health care and insurance industry profits!

Crippled: A government-run health plan with Medicare rates or controlled by the secretary of health and human services – bad for health care and insurance industry profits!

Which leaves one to wonder what exactly is the point of these town hall meetings with the American people. Why even go through the motions when as the extensively detailed, must read Business Week article on the health insurance giants points out:

… much more of the battle than most people realize is already over. The likely victors are insurance giants such as UnitedHealth Group (UNH), Aetna (AET), and WellPoint (WLP). The carriers have succeeded in redefining the terms of the reform debate to such a degree that no matter what specifics emerge in the voluminous bill Congress may send to President Obama this fall, the insurance industry will emerge more profitable.

And these companies will not just maintain or increase profits, but could very well realize a windfall.

What people in Washington tend not to discuss, at least on the record, is the open secret that insurers are minimizing their forecasts of the eventual windfall they will enjoy from expanded coverage for Americans. UnitedHealth has given certain key members of Congress details about its finances and tax liability—both historical numbers and figures projected under various cost-sharing scenarios. But some on Capitol Hill are skeptical. “The bottom line,” says an aide to the Senate Finance Committee, “is that health reform would lead to increased revenues and profits [for the insurance industry]. … There will be [added] costs [to the companies], but we’re not sure the revenues and profits will be as low as they say.”

So when do we start discussing the fine print of this “reform” honestly. We are not reforming health care for the benefit of the American people. Our government is not interested in providing for the health and well being of the Americans so we can be better functioning members of our society. No, our supposed moral imperative to pass health care reform is to ensure the health and well being of the health care and insurance industries so they can be even more profitable members of our society.

When will the media finally realize, as Miles Mogulescu has that:

…The real story should be about the back room deals reportedly being negotiated between the Obama administration and Blue Dog Democrat Max Baucus, on the one hand, and Big Pharma, for-profit hospitals, and the private insurance industry, on the other hand. This is where the real action is taking place and it’s looking increasingly likely, as a result, that the Health Care bill which ends up emerging from Congress could represent a massive public subsidy to the private health care industry. …

Our government may not be calling this a bailout, but by creating another entitlement to support and protect a few large, for profit, public entities at the expense of the American people it sure sounds eerily similiar to what our government is still doing for Wall Street.

And don’t forget, the powers that be want to “reform” Social Security and Medicare next.

______

Update I – Somehow I missed this great video from Dylan Ratigan’s Morning meeting.

Visit msnbc.com for Breaking News, World News, and News about the Economy

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Update II – From Glen Greenwald’s Why the health care debate is so important regardless of one’s view of the “public option”

The attempt to attract GOP support was the pretext which Democrats used to compromise continuously and water down the bill. But — given the impossibility of achieving that goal — isn’t it fairly obvious that a desire for GOP support wasn’t really the reason the Democrats were constantly watering down their own bill? Given the White House’s central role in negotiating a secret deal with the pharmaceutical industry, its betrayal of Obama’s clear promise to conduct negotiations out in the open (on C-SPAN no less), Rahm’s protection of Blue Dogs and accompanying attacks on progressives, and the complete lack of any pressure exerted on allegedly obstructionists “centrists,” it seems rather clear that the bill has been watered down, and the “public option” jettisoned, because that’s the bill they want — this was the plan all along.

Exactly!

The Obama White House isn’t sitting impotently by while Democratic Senators shove a bad bill down its throat. This is the bill because this is the bill which Democratic leaders are happy to have. It’s the bill they believe in. As important, by giving the insurance and pharmaceutical industries most everything they want, it ensures that the GOP doesn’t become the repository for the largesse of those industries (and, converesly, that the Democratic Party retains that status).

Yes, he gets it! Greenwald really gets it!

This is how things always work. The industry interests which own and control our government always get their way. When is the last time they didn’t? The “public option” was something that was designed to excite and placate progressives (who gave up from the start on a single-payer approach) — and the vast, vast majority of progressives (all but the most loyal Obama supporters) who are invested in this issue have been emphatic about how central a public option is to their support for health care reform. But it seems clear that the White House and key Democrats were always planning on negotiating it away in exchange for industry support. Isn’t that how it always works in Washington? No matter how many Democrats are elected, no matter which party controls the levers of government, the same set of narrow monied interests and right-wing values dictate outcomes, even if it means running roughshod over the interests of ordinary citizens (securing lower costs and expanding coverage) and/or what large majorities want.

So, okay –Third party anyone?

______

From The Confluence re Greenwald’s post:

“Because that’s the bill they want — this was the plan all along”

Well no shit, Sherlock! That’s why I keep saying – “Failure is a feature, not a bug.” I’m glad to see that people smarter than me are starting to figure it out too.

  • tzada

    This whole administration is poison, anything they propose will always have a dark adgenda. They have made a modern day Trojan Horse.

    • jbjd

      Then, get him out of there. (Does your state have a law that requires the nominee for POTUS from the major political party to be eligible for the job, in order to get his name printed on the state’s general election ballot?)

  • tzada

    *agenda*

  • Doc99

    Now they’re talking openly of “Splitting the Bill.”
    All the “reform” falls by the wayside while the tax hikes get passed.

  • tzada

    The Death Book for Veterans
    Ex-soldiers don’t need to be told they’re a burden to society.

    If President Obama wants to better understand why America’s discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

    Last year, bureaucrats at the VA’s National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, “Your Life, Your Choices.” It was first published in 1997 and later promoted as the VA’s preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated “Your Life, Your Choices.”

    http://online.wsj.com/article/SB10001424052970204683204574358590107981718.html

    • creeper

      Death panels are already firmly in place at the VA. Recommendation from VA surgeon on repair of an aortic aneurysm that meets all the criteria for surgery:

      “Re-refer when aneurysm is larger.”

  • grayslady

    Thanks for covering this, Linda. We need Glenzilla’s analysis to go viral. “Health care reform”, as currently being discussed, isn’t about “death panels” or the public option–it’s about which political party can count on receiving the largest share of campaign contribution dollars from Pharma and insurance companies. Obama’s private deals with these folks already tell you everything you need to know about the reasons for this legislation. Obama, Rahm and Axelrod (the new Rove) are laughing themselves silly that they’ve outmaneuvered the Repubs on tying up future (and current) health industry donations. The citizens who voted for these amoral individuals don’t matter one whit.

  • rose

    we need mass protests that challenge all these crooks and liars and vote out all the crooks and send in the ones that aren’t, yet. seems Ralph Nader was right along with Pumas, who were supposed to be bitter,uneducated, white, haters, doesn’t it? I do think Hillary could have done 100% better, but she would have been crucified, no matter what, by the same ones that are still waiting for the masterful chess moves!

  • Ani

    But it seems clear that the White House and key Democrats were always planning on negotiating it away in exchange for industry support. Isn’t that how it always works in Washington? No matter how many Democrats are elected, no matter which party controls the levers of government, the same set of narrow monied interests and right-wing values dictate outcomes…

    Even the clueless koolaid drinker Frank Rich basically made the same point — the fix is in. He even started to make the leap that Obama is part of that fix, he is not victimized by it — he was elected by it.

    The corporate owned media picks our Presidents. NOW do these people see why they WANTED Obama? I was shocked by how many Dems I talked to last year just couldn’t figure this out. I said ask yourselves “who benefits”? If it were really Hillary Clinton who was the “corporate wh*re” as some tried to paint her, then the media would have been pushing for her instead of vilifying her daily. I assure you we would have seen a lot more vetting of Obama than we did. Instead, he got the messianic treatment.

    They got the salesman they wanted. Hows that working out?

  • Ani

    Great article, Linda. This is precisely why I didn’t want this idiotic plan to pass from the start — it smelled “fishy”.

  • donjo

    Could someone politely tell me why a Director of Medicare/Medicaid hasn’t yet been appointed by the Obamacons? Inefficiency in action; the motto of the present-day WH. Or is this being done on purposes?

  • LDW

    When ‘per capita’ spending on healthcare statistics are compiled, they are arrived at by dividing total healthcare money spent by the entire population, man, woman & child, insured or uninsured.
     
    America’s ‘per capita’ spending is $7290. This amount includes insurance premiums, where much of the money is spent on administration and profit-taking, and includes money spent on drugs, which is much higher than in countries where the government actually bargains with the drug companies.
     
    How much do other countries spend? Well, the average in OECD developed nations = $2964
     
    And other countries?
    Switzerland: $4417
    France: $3601
    United Kingdom: $2992
    Italy: $2686
    Japan: $2581
     

    From the Economist, http://www.economist.com/opinion/displaystory.cfm?story_id=14258877 “If American politicians peddle falsehoods about what goes on in other countries, Americans are correspondingly less likely to appreciate the extent to which they are being let down.”
     

    Americans are already spending enough to cover every man, woman and child in the United States,  and provide first rate, excellent healthcare, but the system is being looted by the insurance and drug companies and by private medical facilities that have been allowed to form a kind of medical cartel, which limits the choices of Americans and rations care for most of the people now covered.
     
    The government does have to ‘keep its hands out of the pockets’ of the American taxpayer, but luckily for the American taxpayer, there is a huge pool of money already in the system. The government just has to regulate how this money is being spent, so that more of it gets spent on healthcare, and less on mansions and yachts for the executives in the system.
     
    Look at more statistics…Does America really have the best care in the world?
    United States: one doctor for every 416 people
    In Switzerland: one doctor for every 256 people
    Netherlands: one doctor for every 256 people
     
    Despite the enormous amounts of money spent on healthcare in the United States,  figures for infant mortality and lifespan put the United States in the bottom quarter of statistics for industrialized nations. 
     
    America is already spending enough money. But Obama called in the insurance and drug lobbyists, and let them write legislation that would essentially give them more money to continue just as they are. When Obama tried to include a Public Option, the insurance industry saw this as a potential threat, and began seeding the media and fomenting the fearful with the idea that the Public Option would be akin to turning America into Stalinist Russia. The drug companies were already holding the winning ace in the legislation, because they promised a savings of $80 billion from an unknown ceiling of expenditures. The government promised to not negotiate the starting prices that the savings would be deducted from. That’s like a store inflating prices on the stickers and then claiming huge percentages of savings in a sale.
     
    Drug companies scream that they need the money they are paid, or else there will be no more motivation for innovation and research in America and America will lose its ‘edge’. The truth is that most research and development for new drugs and treatments is already mostly funded by the taxpayer and is done in universities and public hospitals, with the drug companies waiting to scoop up the lion’s share of the profitable patents that ensue. The drug companies spend much, much more on advertising and lobbying and executive compensation than they do on research and development.  The drug companies also make a lot of their money on older patents, and they try to keep any new drugs on the back shelf until the old patents expire, because they don’t want their new products to compete with the old ones. Furthermore, after patents expire, they have various barely legal ways to keep cheaper generic versions off the market.
     
    Another huge waste of money in the American system, and one which is not even fully calculated in the ‘per capita’ spending, is the legal morass of malpractice law. Tort reform is urgently needed. Settlements have to have some relationship to reality; experts called in to testify have to be better regulated; lawyers have to be paid on the basis of work done, not on a percentage of the win; and there has to be a ‘loser’ pay element to the system, because now the doctor who is proven innocent still loses thousands and thousands of dollars in time and money spent fighting the case, and law firms can put junior, low paid para-legal teams to work on a variety of cases in a kind of legal speculation, looking for the jury award gold, and paying nothing for the lives and careers they disrupt and paying nothing for the burden they exact on society as a whole by increasing healthcare costs.
     

    Americans have to stop chanting, ‘We have the best healthcare in the world!” and start asking ‘How come we spend so much money? Who is looting our system? Do other countries have better solutions that we should consider?”
     
    It’s time for blogs and newspapers and the television media to do genuine side-by-side comparisons of healthcare systems in other industrialized nations, and learn from them.
     
    It’s time to stop listening to the fearmongers who find horror stories of negligence or malpractice in other countries and present these stories as being the whole story and proof that other nations live in a healthcare nightmare. If the worst stories of neglect and malpractice from the United States were presented as how all healthcare works in America, people would instantly recognize that this is a monumentally unfair way to view any system.
     
    Americans have to start demanding that their politicians fight for them and for better healthcare in America, and stop fighting on behalf of the drug and insurance industry profits.