Skip to main content

View Diary: Brief Notes On The Baucus White Paper About Health Reform (227 comments)

Comment Preferences

  •  I agree. A public option (6+ / 0-)

    should be available ot everyone.

    I think Baucus is a starting point.  The final bill likely will be different in some ways.

    "What we've seen the last few days is nothing less than the final verdict on an economic philosophy that has completely failed." -- Barack Obama

    by TomP on Wed Nov 12, 2008 at 02:54:19 PM PST

    [ Parent ]

    •  on that, though (3+ / 0-)
      Recommended by:
      ferg, TomP, cgirard

      Medicaid is inferior to most private health plans almost across the board, although it varies state by state. But there are broad limitations on what it covers in most cases.

      Medicare is a different story, it is generally superior to most private plans, but it still does not cover everything.

      And appeals have traditionally been much harder with public plans that with private ones, speaking as a provider.

      I'm still in favor of a national single-payer plan. But there are benefits to the private plans, like it or not. And in an incremental system, they should be part of the plan.

      None of this, however, does anything to reduce costs.

      Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - WSCoffin

      by stitchmd on Wed Nov 12, 2008 at 03:09:37 PM PST

      [ Parent ]

      •  cost reduction is part I am guessing comes from (1+ / 0-)
        Recommended by:

        reducing the amount of emergency room care, reducing the layer of administrative bureacracy that is based on denial of benefits (Krugman wrote about this) etc. You are right it's not enough a lone, but it starts the process if I  understand it.

        •  but honestly, that doesn't address (2+ / 0-)
          Recommended by:
          jd in nyc, elfling

          the intrinsic extra costs built into the system.

          Here's just one example about which I posted in eugene's diary earlier today. Just getting a colonoscopy as a screening test has layers of costs associated with it, far beyond the costs of the test itself.

          Let's also talk about the fact that medical device salespeople make tremendous amounts of money, and while docs' salaries are controlled by insurers, no one puts limits on these folks. Do you know that if you have a joint replacement, the (usually non-medical) rep for the prosthetic company is usually in the OR and may wind up making more for the procedure than the orthopedic surgeon himself? Who do you think pays for that?

          There's more waste, too, than what is just administrative.

          I could go on and on, really I could. But until we address some of these issues, until we recognize the complexity of the absurd costs we have in medical care in this country, we simply are not going to be able to fix the problem in any meaningful way.

          Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - WSCoffin

          by stitchmd on Wed Nov 12, 2008 at 04:47:39 PM PST

          [ Parent ]

          •  I think some of you are pulling the cart before (2+ / 0-)
            Recommended by:
            cassandraX, ems97007

            the horse. None of what you say is ignored.It is just not addressed right now. this is not a legislative draft. It's a blueprint. What are you talking about can be addressed once the broad  contours of the plan is agreed upon. Discussing the nuts and bolts of cost controlls when we haven't start to agree yet on the broad contours seems premature.

            •  maybe, but one of the objections will be cost (3+ / 0-)
              Recommended by:
              jd in nyc, elfling, ems97007

              so it's very releveant. And you can't address cost reductions when you don't know what the costs are.

              I for one want to see a streamlined, more effective, more efficient system. I don't want to just subsidize the rotten system we have now, and that goes beyond insurance company graft and mismanagement.

              I want to be able to take care of patients. Call me simplistic, but there you have it.

              Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - WSCoffin

              by stitchmd on Wed Nov 12, 2008 at 05:09:06 PM PST

              [ Parent ]

              •  Yes, but this again is just the rough contours (0+ / 0-)

                We must remember that in looking at it. Are tehre things that will be added or changed/ probably. but first we must start to gain consensus amongst the party that this is indeed the openning of the discussion.

      •  Baucus on single-payer (0+ / 0-)

        From his 10/21/08 Hearing Statement:

        Every Montanan and American has a right to affordable, meaningful coverage. This does not mean a single payer system like Canada’s.

        From the US Chamber of Commerce & NFIB endorsement of Sam Baucus:

        As chairman of the Senate Finance Committee, he has demonstrated a strong commitment to transforming America's broken healthcare system into a vibrant marketplace so that small usiness has access to affordable insurance options that are widely available and meet the varying needs of our diverse, small business community.

        I hope the focus can be shifted from health insurance to health care and from markets to social justice. This is about taking care of people, not keeping markets "vibrant".

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site