Better Dead Than Insured

The New York Times/CBS News poll out yesterday posed the following question:

57. Would you favor or oppose the government offering everyone a government administered health insurance plan — something like the Medicare coverage that people 65 and older get — that would compete with private health insurance plans?

Sixty-five percent said yes. Twenty-six percent said no. According to health insurance reform opponents, that makes nearly two-thirds of Americans socialists or worse.

At the Washington Post, Harold Meyerson observes:

Think about that. The public option has been demonized non-stop for the past half-year; it’s the key to the Republican charge that instituting such a program is tantamount to bringing socialism to America. They have clearly rallied the Republican base to this position, just as they rallied the base to fear the coming of death panels and publicly-subsidized immigrant care. But whereas pluralities of Americans simply said they didn’t know enough to believe one thing or the other about death panels and immigrant care, virtually all Americans not in the Republican base support the public option.
[snip]
Since Republican legislators represent the 26 percent of Americans opposed to the public option, their opposition to same poses no mystery. The conundrum is why some Democrats -- all save those from the most right-wing districts -- oppose it. When The Post’s uber-policy blogger Ezra Klein asked North Dakota Democratic Senator Kent Conrad yesterday why he didn’t support the public option, Conrad replied, “I don't think a government-run plan best fits this culture.” In Conrad’s mind, such as it is, American culture doesn’t seem to be shaped by the American people.

Funny how that works inside the Beltway. The status quo -- which, presumably, Conrad does think fits this culture -- produces outcomes like this from the Dayton, Ohio Daily News:

OXFORD — Friends say the Miami University graduate who died this week after reportedly suffering from swine flu delayed getting medical treatment because she did not have health insurance.
[snip]
Young became ill about two weeks ago, but didn’t seek care initially because she didn’t have health insurance and was worried about the cost...

That puts "Kimi" among the 45,000 a year whose deaths are attributable to lack of insurance coverage in America, according to a new Harvard Medical School study.

But then, better dead than red ... at least for a noisy 1/3 of the people in our democracy. Here's what that looks like:

Kimberly "Kimi" Young, 22, died
Tuesday night Sept. 22, 2009 at
University Hospital.

(Cross-posted from Scrutiny Hooligans.)

If You Like Medical Bills, You’ll Love These

Activists in the blogosphere are studying well over 500 amendments to Sen. Max Baucus’ Senate Finance Committee health care reform bill, including three “public option” amendments. All sides will hotly debate, soundly trash, and amend the hell out of the Baucus bill, H.R.3200 (on the House side) and any others that come out of the woodwork by October.

But those aren’t the only kind of bills Americans should be worrying about.

My sister died at 37 from a metastatic sarcoma (the same cancer that took Ted Kennedy, Jr.’s leg). I watched her die, went to her funeral, and then went back to her apartment to sift through stacks of medical bills.

In exhaustion and grief, we couldn’t tell which bills were paid, which were not, which were rejected, which were under review, and which were still in the pipeline and wouldn’t arrive for weeks or months. This doesn’t happen in most industrialized countries and shouldn’t happen here. It's a disgrace, a disgrace that none of the bills pending in Congress will cure. A disgrace that health insurance conglomerates and their allies in Congress are fighting hard (and spending hard) to preserve, along with the profits the billing process helps generate.

Over 60 percent of personal bankruptcies in the U.S. are from medical bills. Over three-quarters of those are in families who had health insurance, were probably satisfied with it, and thought their coverage was adequate until a serious illness proved otherwise. But it's the burdensome billing process itself that the health care reform debate has not addressed.

At the America’s Future Now! conference in June, Dr. Salomeh Keyhani of Mt. Sinai Hospital detailed the number of weeks doctors, nurses and their staffs spend each year dealing with insurance paperwork and procedures. Insurers make it as difficult as possible for customers to collect. Bottom line: if patients and doctors get frustrated and go away, the insurer won’t have to pay. Keyhani described the labyrinthine claims process as “passive aggressive” by design.

Keyhani's name came up again last week in connection with a nationwide poll published in the New England Journal of Medicine. Keyhani helped conduct the survey funded by the Robert Wood Johnson Foundation of 5,000 physicians representing a spectrum of specialties and regions, including American Medical Association members. The survey, Keyhani told NPR, found that "nearly three-quarters of physicians supported some form of a public option, either alone or in combination with private insurance options." That included AMA members, whose organization opposes a public option.

Yet only a single-payer-style plan promises to eliminate the mountains of bureaucratic paperwork that make our patchwork system cost nearly twice what other advanced countries pay. But since a nationwide single-payer system is off the table, even if a strong public option gets to the president's desk, most Americans will be sifting through confusing stacks of insurance paperwork for years to come. Some reform.

The anti-reform forces had their Tea Party in Washington on September 12. They offered no alternatives and screamed loudly about not being heard, but not loudly enough to drown out a majority that decides to speak with one voice.

President Obama must know that he has only to say the word and a sea of pro-reform supporters will travel to Washington in support of real reform and a robust public option. If summoned, supporters should bring their collections of medical bills, rejection letters and appeal forms and wave them overhead.

Talk about “Don’t Tread On Me.” Medical insurance paperwork is universally recognized and universally loathed. It could serve as a potent symbol of everything wrong with America’s dysfunctional, for-profit health insurance system.

Reform supporters might, en masse, flood congressional fax machines with their medical bills. Or stage media events with fax machines set up in public spaces for patients to fax their medical bills to Congress -- just to put an exclamation point on demands for meaningful reform.

There's something viscerally satisfying about feeding documents into a fax machine and knowing they're spitting out onto the floor of your congresscritter’s office. It's the next best thing to being there.

(Cross-posted from OurFuture.org)

What Does Happen Here

Last weekend, tens of thousands of health reform protesters prompted by Glenn Beck descended on Washington. They fear America is turning fascist because Barack Obama wants health insurance reform that reduces cost, guarantees choice, and is affordable and high quality for every American.

Diabolical.

“Don’t Tread On Me” is their battle cry — emphasis on “Me.” There is no "we" in their America, no welcome for your tired, your poor, your huddled masses of Americans, much less immigrants. E pluribus unum is Greek to them. They have reduced freedom to a fetish.

This is the kind of cheap, plastic, made-in-China patriotism you buy at Wal-Mart at everyday low prices — all packaging and empty on the inside.

Read more at Campaign for American Future.

The Bile Boils Over

Enter the Tea Baggers, the Birthers, the Deathers, Glenn Beck, town hall shouters, guys with guns, and Rep. Joe Wilson (R-SC). The right's simmering kettle of bile is boiling over.

You almost can't blame them for losing it. Conservatives spent three decades building, Bolero-like, towards their denouement: control of both houses of Congress, the Supreme Court and the White House. And a permanent Republican majority.

Their efforts climaxed with the presidency of George W. Bush. They lost it all to Barack Obama.

Bush's presidency climaxed on a pile of rubble in New York just after 9/11.

A flood of post-September 11 articles asked how the attacks happened, what we would do next, and why terrorists hate us. One savvy pundit asked, Would America keep its head?

We invaded Iraq on trumped-up intelligence. We conducted illegal surveillance on our own citizens. We imprisoned people without charge, here and abroad. We rendered prisoners for torture and tortured others ourselves in violation of international law. All the while, millions of staunch, law-and-order conservatives supported and defended it, and still do. Vigorously.

Did America keep its head? Uh, no.

But with the election of its first bi-racial president, the electorate threw the movement conservative and neocon bums out. Had America's temporary insanity finally abated? Uh, no. It's worse.

Osama was one thing. But Obama?

People weren't this crazed over Jackie Robinson, were they? Father Coughlin was off the air by then. People's minds were not as marinated in the mind poison the right-wing has pumped out daily for the last twenty years.

Case in point. I once worked in an office where a guy recorded Rush Limbaugh every afternoon. Using a small FM transmitter, he rebroadcast the show the next morning to fellow dittoheads in the building so they would be primed for Limbaugh's live broadcast at noon.

No lie.

In Appalachia, dentists call it "Mountain Dew mouth." Children carry around the acidic, heavily caffeinated soda, taking a sip every few minutes. It's "like bathing the teeth in it all day," according to one dentist. Children go from decayed to toothless.

Is the mind rot from listening to Limbaugh, Beck, Hannity or Savage every day any different? Or from passing on the sludge from Drudge or WorldNetDaily? Or from reading those chain e-mails forwarded by relatives and friends who spread them like Typhoid Mary? Inhaling mercury vapors might be less harmful.

Conservatives bathed in daily lies -- from WMDs to "death panels" -- have become so comfortable spreading them that they treat it like good, clean fun for the whole family. They spread them dutifully, no matter how extreme or outlandish (assuming they know the difference any longer).

The day of Obama's speech, Crooks and Liars' Dave Neiwert again insisted that "ideas, agendas, talking points, and memes in general regularly [migrate] from the extremist right in America into mainstream conservatism." This week we saw just how far up the infection goes.

Hours before South Carolina Republican Rep. Joe Wilson yelled "You lie!" at the president, former Speaker of the House Newt Gingrich appeared on NPR's Morning Edition and rebuffed an invitation to condemn the "death panel" rhetoric. The GOP leadership won't quit the useful idiots who do their dirty work for them.

By Obama's address that evening, "the town hall freak show" had come to a joint session of Congress.

Responding to Birthers, Deathers, and a flood of right-wing paranoia from the likes of Glenn Beck, Open Left's Paul Rosenberg discusses the mental elasticity of linear thinkers like Beck. They build elaborate conspiracies like Frankenstein's monster, linking together random bits of their own chaotic fears. "They are put together, but can't be logically deconstructed," he writes, nor argued with "any more than you can reason with a nightmare."

Responding to his flood of hate mail filled with "spitting, incoherent rage," Paul Krugman commented, "Something is going very wrong in the head of a substantial number of Americans."

The poison has spread to the GOP's very soul.

Cross-posted from Huffington Post.

Hide The Pseudoephed - Wall Street's Back At It

A severely anorexic friend once had her heart stop beating in church. A heart specialist at the service got her going again, but they had to jump-start her twice again on the way to Mission.

She'd recently taken to sucking on a Big Gulp cup of water all day. Flushed all her electrolytes. The hospital had never seen readings that low. But she was no longer using laxatives, she rationalized. That meant she was in recovery.

So what do we make of our friends on Wall Street and their new Big Gulp? Sunday's New York Times explains:

After the mortgage business imploded last year, Wall Street investment banks began searching for another big idea to make money. They think they may have found one.

The bankers plan to buy “life settlements,” life insurance policies that ill and elderly people sell for cash — $400,000 for a $1 million policy, say, depending on the life expectancy of the insured person. Then they plan to “securitize” these policies, in Wall Street jargon, by packaging hundreds or thousands together into bonds. They will then resell those bonds to investors, like big pension funds, who will receive the payouts when people with the insurance die.

The earlier policyholders die, the more investors ... reap?

If my wife had been drinking, she'd have done a spit-take. "What sick f***s would buy these?" she exclaimed. Or think them up?

But thank heavens, they've stopped bundling mortgages.

This behavior is like a gambling or meth addiction. It's not even about the money any more. Wall Street doesn't need bailouts. It needs rehab and a priest.

Cross-posted from Scrutiny Hooligans.

Push them harder

From Steve Benen at Washington Monthly:

IT'S COME TO THIS.... In 1988, then-President Reagan spoke to students nationwide via C-SPAN telecast. Among other things, he talked about his positions on political issues of the day. Three years later, then-President Bush addressed school kids in a speech broadcast live to school classrooms nationwide. Among other things, he promoted his own administration's education policies.

President Obama wants to deliver a message to students next week emphasizing hard work, encouraging young people to do their best in school. The temper tantrum the right is throwing in response only helps reinforce how far gone 21st-century conservatives really are.

Eventually, the spectacle of right-wing lunacy could supplant reality TV as profitable, ratings-rich popular entertainment.

So if I were a producer of such tripe, I'd be sending my scouts looking for the furthest-right wingnuts. As reality-TV talent, they've got it all: duplicitous, petty, rigid, manipulative, mean-spirited, histrionic, boogiemen hiding in their closets. America's Most Maladjusted. Now that's entertainment.

Push them harder, I say. This show is just getting good.

Like Tax Cuts That Way

What Digby said:

This is one of the problems with health care reform, as I've mentioned before. If the economy is doing well and deficits are going down, everybody's working and the fiscal scolds insist that reform will rain on the parade and ruin everything. More people working means more people have health insurance and the calls for reform are muted. If the economy is in trouble, then the fiscal scolds insist that the sky is falling because of rising deficits and reform will make everything even worse. Fewer people working makes the need more critical, but many of them see the deficit as a sign that government is dysfunctional and so they reject reform. No matter what, "the deficit" has a stranglehold on the political discourse in ways that makes reform nearly impossible.

The economy's good? It's time for tax cuts.

The economy's bad? It's time for tax cuts.

The tax cuts don't produce jobs as promised? It just means you need more tax cuts.

It's never time for health care for all Americans.

Elsewhere on Hullabaloo:

If these Democrats had a brain in their heads they'd realize that the best way to maintain their power (and keep getting those big bucks) is to pass a good bill. Successful reform will be their only defense because the true political downside to passing a bad bill now is being out there alone selling out the American people all by themselves.

Hey, McFly! Your shoe's untied!

When are these guys going to wise up?

Do Progressives Have What It Takes To Win?

Maybe it is something congenital about the left. Faced with lies, propaganda and intimidation, liberals go to Google to arm themselves with more and better facts.

Here! See my data?

Writing on Philly.com, Dick Polman wonders "whether there is some fundamental flaw in the Democratic gene pool ..." that the Democratic leadership was caught off guard by the conservative backlash against health care reform.

Recent town hall displays -- including the swastikas and death threats, explicit and implied -- prove again that it's past time that progressives got a clue and stopped bringing letter openers to gun fights.

Read more at Huffington Post.

Back to Boise

Today I finally looked back in on Bill Cope of Boise Weekly. A few weeks ago, I saw where Cope had ventured into the mountains to get some insight on socialist health care from "Badger" Bob, the socialist. Bob is both a capitalist libertarian and a socialist, so he ought to know socialism when he sees it. Bill found Bob drinking pitchers of Oly and throwing horseshoes with his buddy, Hoot, "a straight-up libertarian."

Things got a little heated:

"Tell me something, Hoot. Were you so damned confident in the free markets back when Enron was kicking the crap out of California by manipulating the energy grid? Or how about when we found out that Halliburton bunch was screwing the military out of billions? Did that make you proud of your unfettered laissez faire? Huh? Or what we're going through now with all these damn banks and such? ... Doesn't that make you wonder even a little bit if unregulated commerce ain't entirely what it's cracked up to be? You really suppose this is what your precious Adam Smith had in mind?"

If you look further, Cope explains the common medical condition, HUHA.

Something I ran across

As for the argument that government is unable to pull off anything like health care successfully, Steve Benen at Washington Monthly recalled a memorable scene from film:

It reminds me a bit of a scene in “Life of Brian.” The People’s Front of Judea are having a meeting and considering what the Romans had ever done for them. Reg asks, “Apart apart from the sanitation, medicine, education, wine, public order, irrigation, roads, the fresh water system and public health, what have the Romans ever done for us?”

Health Care Debate Loses Coherence

The descent into complete incoherence among conservatives -- especially on talk radio -- has become widespread as the health care debate intensifies. The once Mighty Wurlitzer is wheezing and groaning.

One suspects, however, that behind much of the "Don't Tread On Me" rhetoric directed at Obama is a spluttering "... but, but, but, you're black!"

Read more at Huffington Post.

The Uninsured Line Up For Care In Rural Virginia

This weekend was the tenth anniversary of Remote Area Medical’s free health fair in Wise County, VA. Stan Brock founded Knoxville-based RAM in 1985 to insert mobile medical teams into remote areas of third-world countries. Now over sixty percent of RAM’s work is in rural areas of the United States.

More than one thousand people arrived before sunup on Friday or camped out in their vehicles for a chance at health care they cannot afford to buy. Most are the working poor and hail from Virginia, with Tennessee a close second, followed by Kentucky and other surrounding states. Cars in the county fairgrounds lot held comforters and pillows, sleeping bags and sleeping people.

Read more at The Huffington Post.

Waiting in line for health care

Just back from a Saturday morning trip over to Newport, TN, where Knoxville-based Remote Area Medical (RAM) is holding one of its medical “expeditions.”

RAM’s head honcho, Englishman Stan Brock used to wrestle large snakes and gators for Marlin Perkins on TV's "Wild Kingdom." Brock formed RAM in 1985 to bring medical care to patients in remote areas of third-world countries. Now, sixty percent of RAM’s work is in “urban and rural America.”

The earliest patients arrived at Cocke County High School on Thursday to secure a numbered place in line for Saturday's free health care clinic. RAM expected to treat about 480 patients on Saturday and about half again as many Sunday. (They stopped accepting new patients about 9 a.m. Saturday morning.)

Most of the cars in the high school parking lot were nondescript. Some had people still sleeping in them. Others had blankets or sleeping bags inside or airing out on the hood. A few autos were missing grilles or glass and looked as if people lived in them. Some of those held animal carriers. RAM’s Newport expedition included veterinarians who provided pet services.

RAM’s patients are Americans without health insurance or jobs that provide it. Most need eyeglasses or dental care. Some exiting the gymnasium had rolls of gauze where teeth had been. One man held an ice pack to his jaw. A mother told us that while she has insurance through her job, her husband and kids do not. But adding them to her policy would take her entire monthly take home pay.

RAM does much of its work in Tennessee because the state allows doctors and dentists licensed in other states to practice within its borders for these events. North Carolina is not one of those states, Brock said in an e-mail earlier this week, otherwise residents in WNC’s remote western counties might receive a visit from RAM.

We noticed that October 3-4, RAM will be visiting the Appalachian coal country town of Grundy, VA, hometown of NC Governor Bev Perdue. Maybe the governor would support changing the rules in cash-strapped North Carolina to allow the state’s growing number of unemployed and uninsured a chance for the kind of free care RAM brings to Grundy.

[Photo courtesy of Jill Boniske.]

Good for whatever ails ya

Used to be, there was nothing that couldn't be fixed with another round of tax cuts. Now, it's More Market Capitalism.

This tidbit from the Mahablog:

I have discovered a proposal for “fixing” health care on the Cato Institute website that is an absolute hoot.

The plan (see PDF) is to eliminate employee health benefit insurance and all government health care support, and throw everyone into the private insurance market. Insurance companies would be allowed to risk-rate premiums, so that as people got older and/or sicker their premiums would go up.

However, Cato says, this doesn’t have to be a problem. The solution is ... wait for it ... insurance insurance. They call it “health status insurance,” but essentially it’s insurance insurance. It’s a separate policy you take that will insure you against catastrophic increases in your health insurance.

I’m not kidding. That’s the brilliant plan.

When the boat springs a leak, be sure to drill a hole in the bottom to let the water out.

This is from Cato's Exec Summary:

None of us has health insurance, really. If you develop a long-term condition such as heart disease or cancer, and if you then lose your job or are divorced, you can lose your health insurance. You now have a preexisting condition, and insurance will be enormously expensive—if it’s available at all.

Free markets can solve this problem, and provide life-long, portable health security, while enhancing consumer choice and competition. “Heath-status insurance” is the key. If you are diagnosed with a long-term, expensive condition, a health-status insurance policy will give you the resources to pay higher medical insurance premiums. Health-status insurance covers the risk of premium reclassification, just as medical insurance covers the risk of medical expenses. With health-status insurance, you can always obtain medical insurance, no matter how sick you get, with no change in out-of-pocket costs.

I am reminded of Curly in the bathtub, caged by his own plumbing repair, from "A-Plumbing We Will Go."

Bailout Bank Banks Bucks

Goldman Sachs rakes in billions:

Goldman Sachs Group Inc. set aside a record $11.4 billion for compensation and benefits in the first half of 2009, up 33 percent from a year earlier and enough to pay each worker $386,429 for the period.

The figures were released today with the firm’s record second-quarter earnings results. Revenue jumped 31 percent to $23.19 billion in the first half and the New York-based firm set aside 49 percent to cover its largest expense, compensation and benefits.

But here in downtown Charlotte, the banking center of the South, things aren't so rosy:

Just as first-time claims for unemployment insurance surged in the sour economy, final payments – made when laid-off workers have exhausted their initial benefits and all extensions – are climbing, with Mecklenburg County numbers more than double from a year ago.

[...]

Relief, in the form of new jobs, doesn't appear imminent, based on the latest labor statistics. The national unemployment rate rose to 9.5 percent in June, a 26-year high, with companies cutting 467,000 jobs – more than economists expected. Charlotte-area unemployment has outpaced the nation, reaching 12 percent in May. Economists expect both numbers to rise further before the end of the year.

Last month, the number of Mecklenburg County residents who ran out of unemployment benefits climbed to nearly 2,900 – the fourth straight month above 2,000 and more than double the number of people in June 2008, according to new data from the N.C. Employment Security Commission. Before the recession, the number of final payments in a single month never topped 2,000.

I'm just lucky to have a job again.

Still, I'm thinking of The Mouse That Roared for some reason.

So that's how it works!

Bill Cope of Boise Weekly ventures into the mountains to get some insight on socialist health care from "Badger" Bob, the socialist. Bob is both a libertarian and a socialist, so he ought to know socialism when he sees it. Bill found Bob drinking pitchers of Oly and throwing horseshoes with some buddies.

Hoot threw a shoe and it missed the stake by so far, the people on the other end ducked for cover behind a derelict Volkswagen. Then he said, rather too loudly I thought, "There's a gull-durn good reason those Republicans are trying to warn folks about socialism. Because socialism sucks, that's why!"

"Hoot," said Bob, "you didn't seem to mind those socialist roads we took to get up here. Or that socialist bridge that got us across the river. And I assume you have no objections to the socialist cops that caught the guy who stole your truck, or those socialist firefighters who stopped your shed from going up in flames last fall. And if it weren't for the socialist VA, you'd ..."

"What you saying, Badge? Them ain't socialism. Them're just plain ol' government stuff we gotta have to get by."

"That's one of the problems here. Whenever it's good for you Republicans, it's essential government services. But when it's good for everyone, it's socialism."

I thought all those guys were tea drinkers.

A very, very fluid situation

I was too busy to really comment on the Blue Dog letter story this morning, but I had noticed how minor many of their grievances with the public plan were. Rep. Heath Shuler, in particular, is one who complains about the lack of health services in our rural districts. Read on.

dday runs down and comments on their complaints:

What's interesting about the letter is how insignificant the changes actually are. Among other things, they want:

• a deficit-neutral policy, which is what every single proposal for this bill has included;
• aggressive solutions to bending the cost curve, which also is a goal of pretty much everyone;
• protecting small businesses, which every iteration of the plan has, including the employer mandate proposals that exempt certain small businesses and make them eligible for purchasing health care through the insurance exchange;
• rural health equity, a pretty small point;
• a public option that doesn't use Medicare bargaining rates, which isn't different from what, for example, Chuck Schumer has called for, although I find that to be a toothless public option, which I'll explain later;
• time to read the bill, which I support;
• bipartisanship, which is the most ridiculous of these demands, but which actually does exist in the bill on the Senate side, where dozens of Republican amendments have been included in the HELP Committee markup.

Obama himself professes to want a deficit neutral plan, so many of these points, I believe, are posturing either for political points or amendments to sweeten the cost of securing their votes, or both.

At the Wonk Room, Igor Volsky notes:

More importantly, the letter contains an inherent contradiction: the Blue Dogs want to find more savings within the system — they’re asking for Delivery System Reforms and “maximizing the value of our health care dollar” — but they’re also asking the bill to spend more on rural health and physician reimbursement. And they are reluctant to support any legislation that moves us towards that goal, causes providers to lose revenue, or regulates the system to improve efficiency.

Consider their objection to a “Medicare-like” public option that reimburses providers 5 to 10 percent above Medicare rates. According to MedPAC, Medicare rates are adequate and consistent with the efficient delivery of services. In fact, over-payments by private insurers to health-care providers drives up overall costs. “Hospitals which didn’t rely on high payment rates from private insurers ‘are able, in fact, to control their costs and reduce their costs when they need to’ and ‘combine low costs with quality,’” Glenn Hackbarth, the chairman of MedPAC, said during recent testimony in front of the House Ways and Means Committee. Moreover, if the public plan pays bloated market rates, it will fail to offer lower premiums within the Exchange, and would cause the government to spend more money on subsidies. [Emphasis mine]

Also today, more Blue Dog news:

More than 60 Democrats signed a letter authored by freshman Rep. Debbie Halvorson of Illinois and second-term Rep. Heath Shuler of North Carolina asking Waxman to jettison his plan to reinstate drug price controls to help low-income seniors. Instead, they are asking Waxman, Rangel and Education and Labor Chairman George Miller (D-Calif.) to support the drug industry’s offer to spend $30 billion help cover those costs – a deal that is backed by the White House and the Senate Finance Committee.

Waxman wanted to reinstate the price controls to save the government tens of billions of dollars over the next decade – money currently paid to prescription-drug makers – so that he could plow those savings back into the system and close a sizeable gap in the current government-funded prescription-drug program. The industry was hoping to avert such controls by pledging $30 billion to help seniors and another $50 billion to help pay for health reform.

$30 billion and then another $50 billion? Out of the goodness of their hearts? Whaddya figure these public-spirited drug makers would rather spend $80 billion and take hefty tax deductions on those costs rather than take the hit to their gross incomes from Waxman’s cost controls? Screw saving taxpayers billions in drug costs up front. That’s the small-government, free-market way. Thanks, Heath.

But wait. Just in, some of the New Dems (DLC-type centrists) are going in another direction:

A band of 22 New Democrat and Blue Dog lawmakers say they support a “robust” government-run health plan, boosting chances of moving healthcare reform with a public insurance plan through the House.

Democratic centrists remain the biggest obstacle to House Speaker Nancy Pelosi’s (D-Calif.) ability to pass a healthcare bill with a public plan, and many conservative Democrats oppose a public option as unfair to private insurers.

But the letter from the 22 New Dems and Blue Dogs indicates opposition from this group is far from universal.

[…]

The 20 New Democrats on the letter represent nearly one-third of the 68-member caucus. It is signed by two Blue Dogs and three members who are both New Dems and Blue Dogs.

See Blue Dog Rep. Loretta Sanchez comment on why she opted out of the letter:

This situation is very, very fluid.

Essence of Palin

Dahlia Lithwick over at Slate distills Sarah Palin into a single paragraph [Emphasis mine.]:

It's too easy to characterize Sarah Palin as an irrational bundle of bristling grievance. But I think it's more complicated than her simple love for playing the victim all the time. If you think of Palin as someone who never felt herself to be fully heard or understood, not truly politically realized in the eyes of the American public, her rage toward the country, the media, and those of us who fail to love and understand her is easier to comprehend. Think of an American visiting France who believes that if he just speaks louder, he will be speaking French. Palin has done everything in her power to explain herself to us, and still we fail to appreciate what she is all about. I'd be frustrated, too, if I thought I was offering up straight talk and nobody was getting the message. Especially if I held a degree in communications.

I've used that "speak louder" idea myself to describe the frustration many liberals feel in trying to communicate with conservatives. As with Palin, if your audience is not getting you, maybe the problem is you.

“Thar's no Jack S. like our Jack S!”

From Roll Call:

Senate Democratic leaders have stepped up the pressure on their rank and file to unify on procedural votes after finally gaining a filibuster-proof majority, but centrists who have long been headaches for the leadership are so far refusing to commit to the strategy.

[...]

The message to Democrats, Durbin said, is: “Don’t let the Republicans filibuster us into failure. We want to succeed, and to succeed we need to stick together.”

[...]

But Durbin said that moderates, such as Bayh and Nelson, have voted with Democrats on procedural issues many times before.

“They may vote against final passage on a bill. They may vote with Republicans on amendments,” he said. “But on this idea of allowing the filibuster to stop the whole Senate, I think, we have persuaded them more often than not that they shouldn’t let the Republicans control our agenda. We ought to control our own agenda.”

Add Mary Landrieu to that group.

Al Capp's Sen. Jack S. Phogbound would fit right in.

Flailin' Palin

Read Richard Cohen in today's WaPo:

Naming Palin to the GOP ticket -- a top-down choice by McCain -- was the most reckless decision any national politician has made in the longest time, and while it certainly says something about McCain, it says even more about his party. It has lost its mind.

And it gets better...

Eugene Robinson elaborates:

The reasons she gave for stepping down are not just contrived or implausible but literally nonsensical. She can most effectively serve the people of Alaska by ceasing to exercise the powers of chief executive? She worries that as a lame duck she would somehow be compelled to waste taxpayer money on useless junkets? In her "Don't Cry For Me, Alaska" news conference announcing her departure, the folksy non sequiturs -- "Only dead fish go with the flow" -- were like nuggets of Cartesian logic amid a tub of mush.

But I'm stating the obvious. The thing is, Palin's unsuitability for high public office has been obvious all along. Tina Fey got it right; the rest of us were far too reluctant to state plainly that the emperor, or empress, has no clothes.

Bill Kristol, compares Palin favorably to George W. Bush:

It's silly to claim Palin has no chance to win the nomination or the presidency.

[...]

The hostility of the GOP establishment may be an obstacle to her success. On the other hand, given the performance of GOP operatives and pols over the past few years, maybe their opposition isn't a bad thing.

In any case, this is the same GOP establishment that rallied behind first-term governor George W. Bush in 1997-98 and then propelled him to the nomination in 1999-2000. Had Bush accomplished more than Palin at that point?

Texas has a lot more people than Alaska does, but the Texas governorship is a weaker office -- and some of Bush's first-term initiatives went down in flames, while Palin's have largely succeeded.

As one of their finest under-performers, Kristol is supremely qualified to critique other "GOP operatives and pols." Aren't they supposed to object to affirmative action hiring?