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Senator Tom Coburn (R-OK) holds up a copy of the U.S. Constitution during the Senate nomination hearing of Supreme Court nominee Samuel Alito on Capitol Hill in Washington January 11, 2006. Roman Catholics would be the majority on the U.S. Supreme Court f
One of the biggest opponents of the Affordable Care Act, Sen. Tom Coburn (R-OK), says the health insurance exchanges will work, and will work well. But the whole thing of making sure people can afford to have health insurance is still the most awful thing ever.
"I'm not worried about the exchanges," he said in a Senate floor speech. "They'll get that fixed." [...]

"It will eventually work and work well," he said.

Coburn was less favorable toward the rest of the law, which he said would remain problematic due to "centralized management" within the federal government. "It is inefficient, most of the time ineffective, oftentimes complicated by fraud or incompetence," he said.

It's only centralized, Coburn should realize, because so many Republican governors and legislatures decided to try to boycott the whole thing and refused to set up their own exchanges. It will only be complicated by fraud or incompetence if the state regulators who are supposed be overseeing private insurers in their states allow it. And in Republican-led states, that seems pretty damned likely.

But, hey, at least he's recognizing the reality that a broken website isn't the equivalent of Benghazi, or something. I guess that's progress.

Originally posted to Joan McCarter on Thu Dec 12, 2013 at 01:40 PM PST.

Also republished by Daily Kos.

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Comment Preferences

  •  Tip Jar (49+ / 0-)

    "The NSA’s capability at any time could be turned around on the American people, and no American would have any privacy left, such is the capability to monitor everything. [...] There would be no place to hide."--Frank Church

    by Joan McCarter on Thu Dec 12, 2013 at 01:40:19 PM PST

  •  Yeah, because private insurance did such a great (38+ / 0-)

    job in a less regulated market. Frankly, I think the GOP and the private insurance industry ought to be licking Obama's boots for adopting THEIR plan in the first place which saves private insurance to begin with.

    They should be licking his shoes. Instead, they call him a "socialist" and worse.

    I'm a socialist, and trust me: the President and most Democrats are certainly NOT.

    •  And private web-developers did such a great job (8+ / 0-)

      putting together the ACA website. . . .

      •  There was no shopping around on that. (0+ / 0-)

        No competition.

        Nobody has ever claimed that there are no crappy private sector companies.  That's actually one of the ideas behind competition: to weed those folks out.

        Which can't happen if there are none.

        LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

        by dinotrac on Fri Dec 13, 2013 at 08:26:43 AM PST

        [ Parent ]

    •  Anything to save those profits by god. (0+ / 0-)

      I've said this here before, my illustrious senator, Isakson, told me by e-mail during the health care debate that he would not do anythinig to further health care for americans because he had to "protect the profits" of the insurance companies.  I deleted the thing, being so pissed off.  I should have sent it to the Atlanta Journal Constitution or at least bought an ad therein!

      And who would have ever thought that we'd let these guys allow a for-profit health care system to begin with.  Never thought I'd see such a thing.  I'm naive about greed.

      The GOP will destroy anything they can't own.

      by AnnieR on Fri Dec 13, 2013 at 08:17:52 AM PST

      [ Parent ]

      •  Who would ever have thought (1+ / 0-)
        Recommended by:

        that political positions would attract sociopaths in numbers that actually have an impact?

        THE ONLY WAY YOU CAN CONTROL PEOPLE IS TO LIE TO THEM. You can write that down in your book in great big letters. -- L. Ron Hubbard Technique 88

        by xenubarb on Fri Dec 13, 2013 at 09:30:41 AM PST

        [ Parent ]

        •  We have our big oil and wall street (0+ / 0-)

          dems, but good grief the GOP seems to have been over run with sociopaths.  The things they've been doing in congress the last several years are skin-crawl worthy, there's such a lack of humanity and common decency.   It's caused me some worry; I won't lie.  Don't know where we're headed with a group like that with 50% of the vote.  And what does it say about those 50% who vote for them?  Skin-Crawling, like I said.

          The GOP will destroy anything they can't own.

          by AnnieR on Fri Dec 13, 2013 at 10:21:36 AM PST

          [ Parent ]

    •  They don't admint it but.... (1+ / 0-)
      Recommended by:

      They don't like the fact he is Black.   White would have been less of a problem.  After all Santa and Jesus are white.

      Sarcasm on...It is so nice I live in a post racial America...Sarcasm off.

      by wbishop3 on Fri Dec 13, 2013 at 10:31:00 AM PST

      [ Parent ]

  •  I guess somebody can play the world's smallest (9+ / 0-)

    violin for Coburn but millions of Americans will have better health plans and millions will have health insurance(and more could get it if they allow Medicaid expansion in more states).

    Will be glad when this clown retires in 2016.

    I agree with President Obama, our country's journey is not yet complete. We must continue the work that our forebearers at Seneca Falls started, and put the Equal Rights Amendment into our Constitution.

    by pistolSO on Thu Dec 12, 2013 at 01:48:40 PM PST

  •  An important memo to Sen. Coburn: (23+ / 0-)

    Every state was given the opportunity to design their own marketplace exchange that would've fitted well for the people of their own state. If most states would've taken that route, the implementation process wouldn't have been as problematic in the first place. Ironic how Republicans rail against with what they see as the Fed govt having too much centralization. Yet when the administration was expecting more states to opt into designing their own exchanges, Republican led states instead chose to let the Fed. govt lead the way.  

    •  selective state's rights (1+ / 0-)
      Recommended by:
      Mr MadAsHell

      Not that I am not guilty of that in some ways, but day-umm, these ki-ids live for state's rights, Martha.  Whats they'se thinkin of now?

    •  Exactly. (1+ / 0-)
      Recommended by:

      Someone ought to tell Coburn that if he knows that the exchanges are working well that he should just tell Oklahoma to create its own exchange. But then again, that would make way too much sense.

      Wendy Davis for TX Governor, 2014!

      by GleninCA on Fri Dec 13, 2013 at 09:42:14 AM PST

      [ Parent ]

    •  The smaller government people in Texastan (0+ / 0-)

      Were too busy getting into women's private parts to set up state exchanges.

      Good Hair Perry had to get new glasses to look like he knows what the hell he is doing.

      Lt Governor Dewhurst is running for guvnuh.  He is going around Texas refusing to answer questions relating to Education and women's private parts.  

      He just says Howdy Yall

      Sarcasm on...It is so nice I live in a post racial America...Sarcasm off.

      by wbishop3 on Fri Dec 13, 2013 at 10:40:14 AM PST

      [ Parent ]

  •  Cons always have ulterior motives. (1+ / 0-)
    Recommended by:

    They never are direct in saying what they want because then, when they don't get it, it doesn't look as if they failed.
    The problem this creates is that when the issue is something they don't want, they can't be direct about that either. So, they end up complaining about irrelevancies (death panels, fraud, inefficiency, centralized control).
    Fact is that the federal Treasury is the source of all dollars. We have a single payer, a system the Euro zone countries just recently adopted and then the member countries discovered what a hassle it could be not to be in charge of their own currency. The several U.S. States could have warned them, if they'd realized that's a major problem and fundamental to why they don't have enough dollars to pay for necessities.
    Why do our states not realize that? Because the myth that the bankers control the currency has been perpetrated for so long (100 years).
    Why does the Congress perpetrate the myth? Because they don't want to be held to account AND they rely on the bankers to fund their propagandistic election campaigns. One hand washes the other.

    Obamacare at your fingertips: 1-800-318-2596; TTY: 1-855-889-4325

    by hannah on Thu Dec 12, 2013 at 02:02:55 PM PST

  •  Fraud & incompetence, thy name be teh GOP. (6+ / 0-)

    ...wispy longings for a time before Elvis and the Beatles, back when "a girl could cook and still would". You know before the troubles.~Hunter.

    by denig on Thu Dec 12, 2013 at 02:09:36 PM PST

  •  Ron Johnson said same thing, wonder what's gotten (3+ / 0-)

    into them?

  •  It's a Republican idea... (8+ / 0-)

    But what this shows is that Coburn realizes it may have been a political miscalculation to go after the technical failures of the web site.  Those are going to be solved and then the GOP will have to find 'other' failures.  Some nebulous 'inefficient central control open for fraud or incompetence' is very difficult to define or prove.

    “Socialism never took root in America because the poor see themselves not as an exploited proletariat but as temporarily embarrassed millionaires.” - John Steinbeck

    by RichM on Thu Dec 12, 2013 at 02:42:13 PM PST

    •  You're goddamn right it's a GOP idea (1+ / 0-)
      Recommended by:

      EVERYONE should remember that, ESPECIALLY those who praise Obama nonstop for foisting this shit upon us.

      IT SHOULD HAVE BEEN A PUBLIC OPTION OR SINGLE PAYER, which are DECIDEDLY NOT REPUBLICAN IDEAS. Obama took a Republican idea and has made it palatable to far too many people--in order to not look like he was wrong, for POLITICS, not people.

      Obama had his chance. He blew it. These are not the last shots from the starboard side that he will have to endure for this very shitty law. But he has his minions to defend him, so all's right in HIS world.

      "I feel a lot safer already."--Emil Sitka

      by DaddyO on Fri Dec 13, 2013 at 08:01:25 AM PST

      [ Parent ]

      •  You're kind of late with that hate (1+ / 0-)
        Recommended by:
        Mr MadAsHell

        The law is in place.  Work to elect people to make it better and be happy some of your neighbors can see a doctor now.

        Listening to the NRA on school safety is like listening to the tobacco companies on cigarette safety. (h/t nightsweat)

        by PsychoSavannah on Fri Dec 13, 2013 at 08:23:30 AM PST

        [ Parent ]

      •  States can still offer a public option (3+ / 0-)

        By allowing everyone to buy into their state medicaid program.  I'm surprised this isn't being discussed seriously.

      •  That horse left the stable (0+ / 0-)

        two years ago. It is now dead, why do you keep flogging it?

        The ACA allows states to implement single-payer. When it passed I am not sure that many of those voting for it realised they were voting into law a single-payer mechanism, but they know now.

        If the argument is, and was, "it's the best we can get right now", then it is vastly better than what we had before the law passed.

        "Purity" is gonna hurt us all.

        I hope that the quality of debate will improve,
        but I fear we will remain Democrats.

        Who is twigg?

        by twigg on Fri Dec 13, 2013 at 11:07:53 AM PST

        [ Parent ]

  •  Funny how that federally run Medicare (17+ / 0-)

    seems to work more efficiently than PRIVATE insurance.

    The last time we mixed religion and politics people got burned at the stake.

    by irishwitch on Thu Dec 12, 2013 at 03:14:59 PM PST

    •  Yup And 1.8 million of them are on Single Payer! (7+ / 0-)

      That's the hidden agenda in ACA: by 3:1, the signups have been for Single Payer, AKA Medicaid!
      Betcha never expected THAT!
      BTW, Thanks Brainwrap for compiling this data and making it accessible.

      If I ran this circus, things would be DIFFERENT!

      by CwV on Fri Dec 13, 2013 at 07:55:39 AM PST

      [ Parent ]

    •  Keep counting (0+ / 0-)

      It's all you have to defend this atrocity of a law on 'health insurance'.

      I have spent so much money out of my own pocket, and continue to do so, because of this law, the extreme length of time in years(2009-2013 and counting) insurance company has been jacking up every single payment to them, all in anticipation of this law.

      I am stuck with my wife's public education plan. It is EXPENSIVE. The deductibles are outrageous. The co-pays are on EVERYTHING EXCEPT doctor's visits--everything. I'm still paying off a thousand dollar out-of-pocket visit to the ER on Christmas Eve TWO YEARS AGO.

      I HATE HEALTH 'INSURANCE', and nobody's going to change my mind. It is a RIPOFF. It is NOT INSURANCE, but a game to see how much money I have lying around and TAKE IT. And this only makes it worse for me and those like me--who are, by way of their employment situation, NOT FREE TO SHOP AROUND for something cheaper.

      Did you all forget about us in your rush to cheer, to defend, to NOT join in the idiot's delights of mindless Obama attacks? Because this is not a mindless Obama attack, but a LEGITIMATE one.

      "I feel a lot safer already."--Emil Sitka

      by DaddyO on Fri Dec 13, 2013 at 08:07:27 AM PST

      [ Parent ]

      •  I shudder to think (3+ / 0-)
        Recommended by:
        wishingwell, Mr MadAsHell, Brainwrap

        What increases you would have incurred WITHOUT ACA! Before ACA, employers were dropping their insurance plans because of double-digit increases every year. Now, insurers have to spend 80 percent of premiums on patient care, and the excess gets refunded.

        The bugaboo with ACA is that to get Big Pharma and Hospitals on board, very little was done to control costs. If there is any fixes that need to be done to the ACA, cost controls need to be at the top of the list.

      •  My wife and did not use the exchange in Oregon (1+ / 0-)
        Recommended by:

        because we don't qualify for a subsidy. But we will save $600 a year on our new silver plan. We have more coverage. Better co-pays and if we use it we can't be dropped or have our payments jacked.

        The ACA is a good start and hopefully we are heading for national single payer.

        Medicare for All, y'all!

  •  In other words: (7+ / 0-)

    GOP says, "This will always have problems, because you elected Republicans."

    Peace is not merely a distant goal that we seek, but a means by which we arrive at that goal. - Martin Luther King, Jr.

    by Gentle Giant on Fri Dec 13, 2013 at 07:46:16 AM PST

  •  When folks talk about fraud and incompetence (5+ / 0-)

    at the Federal level they aren't talking about the ACA, they're talking about Congress.

  •  Republican philosophy in a nutshell (4+ / 0-)

    Even if the end result is good and everyone benefits, if the way we get there doesn't conform to some heroic John Galt free enterprise fantasy, then all the real world good that actually takes place doesn't count.

    They are living in a fictional taking place in their own minds where literally feeding starving children is bad if it's done through government, but good if done through private enterprise.

    Perhaps they could wake up and notice that the starving children don't care where the food comes from, or what hypothetical economic circulation of goods and services is taking place.

    •  The end result is NOT 'everyone benefits' (0+ / 0-)

      But you can continue to believe that with ALL your heart. Be my guest.

      "I feel a lot safer already."--Emil Sitka

      by DaddyO on Fri Dec 13, 2013 at 08:08:56 AM PST

      [ Parent ]

      •  What? (0+ / 0-)

        I don't understand what you're saying.  There are numerous scenarios where everyone benefits from a certain policy.  Unemployment Insurance, for example, not only benefits the person receiving the benefits, but has a stimulative effect on the economy (since the money is almost always immediately spent) resulting in more taxes paid back to the government.

        Economics is not a zero sum game.  Wealth is created through process.  Republicans object to that process if government is involved, regardless of the end result.  That's my point.

    •  I'm entitled and it's everyone else's fault. (1+ / 0-)
      Recommended by:

      That's the Republican philosophy in a nutshell.

      I like Marsha Blackburn on Facebook. Don't hate.

      by Benintn on Fri Dec 13, 2013 at 10:06:47 AM PST

      [ Parent ]

  •  Someone ought to (1+ / 0-)
    Recommended by:

    send Coburn a dictionary.

    Having one centralized management structure with limitations on wages and no profit incentive is less efficient than the distributed, fee and bonus driven structures used by private companies?  Fat chance.

    I am not religious, and did NOT say I enjoyed sects.

    by trumpeter on Fri Dec 13, 2013 at 07:55:53 AM PST

  •  GOP: inefficient, ineffective, fraudulent, etc. (1+ / 0-)
    Recommended by:

    "It is inefficient, most of the time ineffective, oftentimes complicated by fraud or incompetence," he said.

    I have to agree with Coburn.  The GOP is all of those things.  If you ever want to know what a GOPer, each of whom reflexively engages in projection, really thinks about the GOP, just look at the derogatory terms he or she applies to their opponents.

  •  For-Profit Corporate Death Panels & Their Enablers (1+ / 0-)
    Recommended by:

    from the Party of Stupid just loathe the idea of Single Payer Medicare-for-All because "those people" will be insured.

  •  I couldn't agree more with your headline (1+ / 0-)
    Recommended by:

    Buying ANY 'affordable' insurance sucks. Ask a Canadian. Or a Brit. Or a German. Or...

    I don't care what Coburn's motives are. They are blatant. He ain't on my side--he's in the way. But he is RIGHT THIS TIME, at least, in this distillation of his critique of the ACA.

    I don't know anyone who the ACA helps, and I'm glad it DOES help someone. But it sure as fuck ain't helping me...not with my co-pays and deductibles I have with a supposedly gold-standard public education employee's health care plan.

    "I feel a lot safer already."--Emil Sitka

    by DaddyO on Fri Dec 13, 2013 at 07:56:43 AM PST

    •  As a Canadian(ex-pat) . . . (0+ / 0-)

      though I still have family back in Canada.

      The "affordable" health care works fine.  My mother had knee replacement surgery(both knees).  Her only out of pocket(which was covered by supplemental insurance was the semi-private room@200/day)

      My Dad needed a CT scan, he did have to wait three weeks for it. That was only because they were traveling in the intervening two weeks.

  •  Coburn is remarkably dull. (1+ / 0-)
    Recommended by:
  •  Coburn should focus on negotiating payoffs for his (3+ / 0-)

    philandering friends. He's apparently pretty good at it.

    Legislating? Not so much.

    "Life is short, but long enough to get what's coming to you." --John Alton

    by Palafox on Fri Dec 13, 2013 at 07:59:06 AM PST

  •  Your job (2+ / 0-)
    Recommended by:
    Amber6541, PsychoSavannah

    Mr. Coburn, that is the reason people elected you, to fix and make more efficient programs that help the citizens of the country, duh?

  •  Dr.// Rev. Coburn is a Republican (1+ / 0-)
    Recommended by:

    so he is devoid of any Christianity in his soul and compassion in his heart for the sick and less fortunate.

    Don't Tax the Rich.
    Don't Feed the Poor.
    Give Corporations
    More & More.

  •  are you kiddin me? (1+ / 0-)
    Recommended by:

    well the republicans have certainly exemplified government incompetence

  •  and this from a doctor, no less - (1+ / 0-)
    Recommended by:

    He has no business being a doctor or a senator or in any position where the lives of others are in his hands.  Makes my skin crawl.

    The GOP will destroy anything they can't own.

    by AnnieR on Fri Dec 13, 2013 at 08:14:53 AM PST

  •  Why Doesn't He Try To Make ACA Work Better (0+ / 0-)

    by coming up with real solutions instead of knocking the law down all the time.  Republicans and democrats could have both been seen as doing something rewarding for people who don't have healthcare, but instead republicans decided they hated President Obama more than they wanted to help Americans.  Republicans cheered for America to fail just so President Obama would fail.  

    "Don't Let Them Catch You With Your Eyes Closed"

    by rssrai on Fri Dec 13, 2013 at 08:17:27 AM PST

  •  Coburn is my Senator, (0+ / 0-)

    And as much as I dislike his bs on the ACA, he has hit the nail on the head for most of his career about waste and fraud in government. Shame that he apparently wears blinders when it comes to waste in the military.

  •  back up plan (0+ / 0-)

    The R plan is to complain about every step in the ACA.  Once it's working, they will cry about services not covered--something everyone with insurance knows about.  They will probably recommend calling Obama when there is an insurance problem.  Yes, that makes no sense, that's almost a prerequisite for all their positions.

    Actions speak louder than petitions.

    by melvynny on Fri Dec 13, 2013 at 08:18:51 AM PST

  •  It does actually suck. (0+ / 0-)

    On and individual level, the exchanges can be a godsend.
    I know that we are very grateful for the subsidized insurance that we can get -- the stuff is very expensive around here.

    On a national level, however, we are just getting help with paying for a horribly corrupted system that acts like a lead weight on the national economy.  It is too expensive by a factor of two ( or more) and comes nowhere near to delivering the quality of care that we pay for.

    And the costs!


    This is a new world with dangerous new economic competitors.  How can we expect to maintain a lead -- or even keep up with -- other countries when we are forced to pay so much money just to keep doctors, hosptial execs and big pharma folks playing golf at the best clubs?

    LG: You know what? You got spunk. MR: Well, Yes... LG: I hate spunk!

    by dinotrac on Fri Dec 13, 2013 at 08:25:04 AM PST

  •  I agree--private insurance sucks (0+ / 0-)

    Now that we're on the same page, Tom Coburn, let's discuss taxpayer funded single payer universal healthcare coverage. :)

  •  Hoo Boy! (0+ / 0-)

    I always knew Coburn was daft, but this validates my conviction.

    Who in Haysoos effing 'Merica wants 'Mericans to not have have healthy lives?

    Senator Coburn; front and center!

    Enagaged activism wins elections. 100 million words on liberal/progressive websites gets beat by one new GOP voter casting their vote.

    by Nebraska68847Dem on Fri Dec 13, 2013 at 08:38:22 AM PST

  •  Let's stop (0+ / 0-)

    blaming the GOP governors for opting out of setting up their own exchanges and understand that this was essentially by design.  The GOP insisted on devolving power to the states knowing that this was exactly what would happen, just like how they don't want Medicaid to be a federal program because they want red states to be able to be less generous.

    This is all intentional.

    29, white male, TX-07 (current), TN-09 (born), TN-08 (where parents live now)

    by TDDVandy on Fri Dec 13, 2013 at 08:51:18 AM PST

  •  I can just hear the chanting crowds now: (0+ / 0-)

    "No se puede! No se puede! No se puede!"

    If we're going to have a large, complex society in which the notion of self-government has any currency, we're going to have a large, complex government apparatus to go with it. Coburn and the rest of his anti-government gang are not really anti-government; they're just against the government when they're not in charge. Fuck Coburn and the Republicans. They have turned themselves into enemies of the state and of the people.

    The GOP can't win on ideas. They can only win by lying, cheating, and stealing. So they do.

    by psnyder on Fri Dec 13, 2013 at 09:03:25 AM PST

  •  Insurance for Insurance's Sake. (0+ / 0-)

    It seems that the American health care consumers have been tricked into feeling content by virtue of the fact that they have health insurance coverage...any kind of coverage.
    They are grateful that they have a job that provides health insurance, regardless of how unnecessarily expensive it is, and how lousy the coverage is. They are grateful that they are able to buy health insurance in the private marketplace, regardless of how expensive it is, and how lousy the coverage is.
    We have all been trained to accept the worse from the Health Insurance Complex, and to be satisfied with our sorry ass lot in life.
    Of course, there are a those that want to protect their economic interests in this scam being perpetrated on the American people.
    Just being able to say that you have insurance coverage IS NOT ENOUGH. That's like saying you are a car owner, but are leaving it abandoned in your driveway, because its broken down, and too expensive to repair and fuel up. Ya, you have a car, but what's the point?
    This economic reality will result in you being one unfortunate health issue away from the poor house.
    This is the whole point of the Health Insurance Complex isn't for insurance's sake.

    You're not going to amount to jack squat! - Matt Foley

    by glb3 on Fri Dec 13, 2013 at 09:05:43 AM PST

  •  I wrote about my own (0+ / 0-)

    experience with Obamacare today. If you'd like, you can read it here.

    Republicans want smaller gov't for the same reason crooks want fewer cops. - James Carville Support Small Business: Shop Kos Katalogue

    by wyckoff on Fri Dec 13, 2013 at 09:08:16 AM PST

  •  It's eternal (0+ / 0-)

    The phrase "centrilisation" occurs in Dickens's Our Mutual Friend, written before Karl Marx ever set foot in a library.  A Scrooge-like character (he is a lot like Coburn) says it is "not English."

  •  Really great points, McJoan. (0+ / 0-)

    The pressure now goes on Republican state leaders like John Kasich and Bill Haslam.

    Tom Coburn can't fix the problem because it's a state-by-state problem.  Time for him to focus on what needs improving in Oklahoma, not in Congress.

    I like Marsha Blackburn on Facebook. Don't hate.

    by Benintn on Fri Dec 13, 2013 at 10:05:38 AM PST

  •  But so too I can see his side (sorta) (0+ / 0-)

    The market is an optimization technique, however, what I think those that tout the market as the complete answer fail to realize what it optimizes; profit.

    A company can optimize by offering better services and/or lower cost, but as we have seen it can also optimize by dirty tricks and sowing disinformation or destroying the alternatives.  In a sufficiently complex system, which it will choose is a matter of luck as much as anything else.

    Our hope is that the ACA has reshaped the dynamics of healthcare so that the most profitable is the most beneficial to people, but that's not a guarantee.

    I can see my way through to understanding that guys opinion if it's a matter of him worried that if we get it wrong having it in law makes it harder to change.

    On the other hand, we've been patient enough, it's time to shake things up, I just hope I can score some free drugs out of it.

    •  sorta kinda need a new question (0+ / 0-)


      I still think the broader question is this: should this be something on which a profit system is built?

      As a society, we have already decided that certain 'utilities' should be available, kept healthy to enable the 'stream of commerce' and uninterrupted to enable commerce to function fluidly.

      So, we have public roads, quasi public utilities, public water, etc.

      We would a last world order if, when using the roads, we had to stop and get frisked every two miles by road owners and bandits.

      Our country is experiencing the degrading IQ's provided, in part, by an insecurity in our health care delivery.

      I think health care should be regarded as important as a robust highway system and kept in place and delivered at least with the sovereign fortitude with which we keep our roads available for defense and commerce.

      Single payer.

  •  Corporate fascism? No problem! (0+ / 0-)

    Coburn and the rest of the corporate fascists have no problem with private corporations ruling people's lives, and in the case of insurance companies deciding whether someone lives or dies.  What a despicable shit he is.  

  •  Thanks for a priceless article! (0+ / 0-)

    “The meaning of life is to find it.”

    by ArcticStones on Fri Dec 13, 2013 at 12:06:55 PM PST

  •  ACA (obamacare) (2+ / 0-)
    Recommended by:
    ArcticStones, catilinus


    First post here in Kos land. Still experiencing withdrawals from the 'All Miley/Kardachian All The Time" at Huff. Got shit-canned with the new regime. Good thing, too. It was like huffing (ouch) nitrous-quick kick, no payoff.

    Smarter peeps than I have commented on the architecture of the ACA, good, bad (very) and otherwise.

    But, where the rubber meets the new reality, I and my lovely wife have signed up for the CA version on the exchange. We were otherwise uninsurable, since we had that dreaded pre-existing condition of being healthy and 59 and 61. We also have the other dreaded condition-over educated and unemployed.  

    Now we are on the exchange with the Anthem Platinum and are paying a whopping $54 a month for health insurance.

    I can spend hours telling you why O sucks. But at this point, he sucks $1446 dollars a month LESS than he used to.

  •  It is a laughable article of right-whinge faith... (0+ / 0-)

    that "federal government... is inefficient, most of the time ineffective, oftentimes complicated by fraud or incompetence."

    Strangely enough whenever that assertion gets tested in the real-world, it turns out the government does the job at least as well and at significantly lower cost. You can check out for-profit prisons or private embassy security or "green zone" protection, but my favorite is the 18 year experiment in privately run Medicare HMOs.

    In 1995 Congress, because it wanted to test whether or not private industry COULD run Medicare at lower cost, created the Medicare HMO program, which turned a hefty portion of the Medicare program over to private for-profit health maintenance organizations. The private firms said they could do it at 20% lower cost.

    Two or three years ago the Obama administration took a look at that program's results and what did they find? The program cost 27% MORE than it cost for the government to do it (remember the government was still running the rest of the program) and the medical outcomes were no better under the private program than the were under the government run program. So... the Obama administration did what "conservatives" have been saying should be done when a public program doesn't work... it told the private HMO providers that from then on it would only pay them any more than it cost us to do the job and the right-whingers screamed bloody murder.

    THAT is the infamous $716 billion cut by which the far right constant yells "Obama Cuts the Medicare Program."

    "An egg is not poultry.” An old Blues tune's brilliant insight into the notion that a zygote can, in any sense, be "a person."

    by carbonman1950 on Fri Dec 13, 2013 at 03:38:08 PM PST

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