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View Diary: Recession And Children's Health Care – A Revisit (103 comments)

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  •  One step forward, two steps back (0+ / 0-)

    You make very good points. The incremental approach has been a failure.  Its proponents have unwittingly allowed government leaders to pit groups against each other, competing for a small pot of money.  As special interest groups achieve success in getting its special population or demographic group covered, the reward usually comes at the expense of another group, whose budget or eligibility is cut to shift funds to the new group.

    Congress, governors and state legislators find it much easier to shift the same pot of funds from one group to the other, instead of expanding and improving the entire system for all.  The incremental approach is an exercise in futility, one that Congress mastered a long time ago.

    •  that's why Dasche is at HHS (0+ / 0-)

      and this is not an incremental approach.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Sun Nov 30, 2008 at 11:13:54 AM PST

      [ Parent ]

      •  Daschle wants comprehensive reform (0+ / 0-)

        like other leaders behind real reform, he knows we need to do more than cover everyone, but also reform how the health care system works, with a focus on patient centered reform that delivers quality care to all in a cost effective manner.

        Daschle also knows that picking winners and losers in the incremental approach won't help us reach those goals.

        •  indeed (1+ / 0-)
          Recommended by:
          Plutonium Page

          and he is not opposed to SCHIP.

          One of the first orders of business for HHS is likely to be expanding the State Children's Health Insurance Program (SCHIP), which provides health coverage to children of low-income families. Bush has vetoed efforts in Congress to expand SCHIP in the past. House Speaker Nancy Pelosi has said quickly sending a new SCHIP expansion to President Obama will be near the top of the to-do list for the next Congress.

          The incoming HHS secretary is likely to take some steps, too. Jeanne Lambrew, a former Clinton HHS official who helped co-write Daschle's health care book, said SCHIP expansion should be first on Daschle's list.

          "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

          by Greg Dworkin on Sun Nov 30, 2008 at 11:37:16 AM PST

          [ Parent ]

          •  If Dems and Obama don't deliver (0+ / 0-)

            on real, universal health care by the midterm elections, they will lose control of Congress in the midterms.  Take it to the bank.

            The talk of incrementalism shows many of those Dem leaders haven't figured this out yet. When it comes to health care reform, they're addicted to PR stunts that look good in the news media and keep their corporate donors happy and that's a tough addiction to break. Its such an insult to the few Dems who've worked so hard for real, meaningful reform.  

            We have to accept these people are good at getting elected, but many are not the sharpest tools in the shed. If they pass SCHIP after Obama is sworn in, it may be great for children but will be an ominous sign for Dems the midterms, to say nothing about the disastrous affect on the growing numbers of uninsured adults.  

            I'm not going to be an enabler of Dem's addiction to poor health care policy.  Patting them on the back for passing SCHIP and postponing real reform is like giving an alcoholic another drink.

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