Sunday, August 16, 2009

Obama, co-pays and competition

You know what's cute? Conservatives who decry the public option are pretty much admitting that capitalism is less efficient than is the evil gummint. That admission tosses out decades of libertarian programming.

When Obama addressed an audience in Colorado yesterday, the following exchange occurred:
During an otherwise placid town hall-style meeting here with 1,600 people at a high school gymnasium, a University of Colorado student challenged Obama to an "Oxford-style debate" over the so-called "public option."

"How in the world can a private corporation providing insurance compete with an entity that does not have to worry about making a profit, does not have to pay local property taxes" or face local regulations, Zach Lahn asked Obama. "How can a company compete with that?"
You're right, Zach. A company can't compete with that. So let the competition begin!

Let's talk about profits, Zach. Why should I be required to help pay for some insurance exec's house in Gstaad? Why not cut out the fat altogether by switching over to a single-payer system? That's the question you should have asked the president, Zach.

I have another question for the president. He grandly announced to his Colorado audience that the new bill would cap co-payments:
...the president pledged that new legislation would ease the burdens of consumers by capping the amount insurance companies can charge annually for out-of-pocket costs such as co-pays and deductibles.
Now, I happen to think that capping co-payments is a superb idea. But how is Obama going to implement such a pledge? He did not write the legislation. He let the House and the Senate do it.

I see nothing about such caps in the actual bill going through the House. See for yourself: Go here and then use the "find" function to call up every instance of the term "co-pay" or "co-payment."

So forgive my cynicism, but Obama's co-pay pledge reminds me of his oft-repeated 2008 pledge to hold health care hearings on CSPAN.

6 comments:

Jesus X. Crutch said...

When does this process called "reconciliation" take place? Will it be as much of a free-for-all as the rest of the "sausage making" has been? Maybe Obama plans to wait until then, use his mad bi-partisan skillz, and welcome a new pony into the world. Or he could have Rahm beat the shit out of people until there's "consensus".

Anonymous said...

This is my favorite part of policy making. When the real issues start bubbling forth and some naif starts blurting out truths and gets to the crux of the matter. I may be full of crap, but I think a lot of the angst, hostility, and fury is a carry over from the bank "heist" this past fall and winter and the realization that everything is done to protect the profits and obscene wealth of the 1%. Also President Obama is not as advertised and many are feeling they were gypped.

Borrowing to transfer wealth until our currency is worthless, fake health care plans to help the population that do nothing to control costs to the public as in premiums, copays, and drugs, and letting the the credit markets run amok and charge usurious rates retroactively is not any Democratic party or president that I know. The fact that this country has been brain washed by the Reaganites to admire greed and theft and accept it as public policy has started to shift. The concept of robbing people while they are dying is starting to sink in as these truths become more obvious the anger will become greater. As usual the Democrats pick the worst possible time to throw in with the super crooked wealthy who are going out of vogue and need to look at moving to Gstaad or Dubai full time.

Edgeoforever said...

Isn't it sweet how the RW worries about the CEOs of the insurance companies? Almost as sweet as Obama doing the same. Kinda clear who is manning the kabuki theater.

leloup/France said...

http://www.youtube.com/watch?v=uNR_6UuVl4s

yep let the competition begin...

a lot of the deficit is caused by diverted taxes on producers (alcohol/tobacco/ pharma) that should otherwise cover it.

A little night musing said...

The cap is actually on total out-of-pocket costs. It's true that "co-pay" does not appear in the bill, but that's the wrong phrase to look for. (Not defending the bill, really, just sayin'...)

It also would not apply to existing health insurance plans provided through employers until 2018 (HR 3200 version: I can't find anything in the Senate HELP bill).

We should also note that the cap does nothing about the problem of expenses if you go out-of-network for some reason, or that of insurers refusing to pay...

Anonymous said...

The real savings come from killing the old people. Shhhh...