Will Republicans Vote Against Their Own Healthcare Proposals

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Will Republicans Vote Against Their Own Healthcare Proposals

Postby Bruce Gourley » Mon Feb 22, 2010 10:30 am

Obama unveiled his Health Care plan today, and it includes many Republican proposals, such as:

Personal responsibility incentives: Allows health insurance premium to vary based on participation in proven employer wellness programs

Medical liability reform through grants to States: Provides grants to States to jump-start and evaluate promising medical liability reform ideas to put patient safety first, prevent medical errors, and reduce liability premiums.

Extends dependent coverage to age 26: Gives young adults new options.

Automatic enrollment by employers in health insurance: Allows employee to opt-out.

Mechanisms to improve quality of health care.

Comprehensive Sanctions Database.

Registration and Background Checks of Billing Agencies and Individuals.

Expanded Access to the Healthcare Integrity and Protection Data Bank.

Liability of Medicare Administrative Contractors for Claims Submitted by Excluded Providers.

Community Mental Health Centers.

Limiting Debt Discharge in Bankruptcies of Fraudulent Health Care Providers or Suppliers.

Use of Technology for Real-Time Data Review.

Illegal Distribution of a Medicare or Medicaid Beneficiary Identification or Billing Privileges.

Study of Universal Product Numbers Claims Forms for Selected Items and Services Under the Medicare Program.


For more details on the inclusion of Republican proposals in Obama's health care plan, click here. For more information on the plan as a whole, click here.

The question is, will Republicans vote against their own proposals because of their hatred of Obama?
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby Jonathan » Mon Feb 22, 2010 11:15 am

Typical bait and switch (with the standard side of accusations of hatred) stuff from Bruce.

The issue is still not Republican votes. The issue remains the fear that so many Democrat Senators and Representatives have about how they will fare in November after supporting yet another near $trillion bill that will obviously be stuffed with hundreds of pages of provisions that simply could not be approved if voted on individually.

The solution here is clear: instead of a single massive bill, introduce each provision as an individual bill so that all members of Congress, and the President, can go on record as being in support or opposition. You want to raise taxes on current insurance plans that cost a certain amount? Introduce that bill. You want to change regulations so that individuals can shop plans across state lines? Introduce a bill. You want to expand Medicare so that the states, not having the ability to print money, have to make budgetary choices in order to cover the additional folks? Introduce the bill. Want to collect taxes for 3-4 years before benefits start in order to close a 10 year business case (to heck with the 10 years after that?)? Introduce the bill.

The problem with all of the healthcare bills so far is a simply lack of leadership, Dem leadership. They still have the votes (59 in still among the largest majorities in the history of the chamber) to do what they want. But do they have the courage to risk their own jobs this Fall?

I would like to see the Republicans come to the summit/Obama photo op with some concrete options to argue for and the will to keep this thing meaningful. But they do not need to provide cover for scared Dems by swallowing a massive bill that is, overall, horrendous just because it contains some provisions that they favor.

If you can't see the reason in that, you probably would be unconcerned about a few ounces of raw sewage in your soup of the day at lunch.
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby Bruce Gourley » Mon Feb 22, 2010 11:23 am

Jonathan wrote:If you can't see the reason in that, you probably would be unconcerned about a few ounces of raw sewage in your soup of the day at lunch.


If not for "big government" tightly regulating American corporations and monitoring America's food supply, you quite likely would be eating raw sewage ... or rat guts ... in your soup today.
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby Jonathan » Mon Feb 22, 2010 2:02 pm

Bruce Gourley wrote:
Jonathan wrote:If you can't see the reason in that, you probably would be unconcerned about a few ounces of raw sewage in your soup of the day at lunch.


If not for "big government" tightly regulating American corporations and monitoring America's food supply, you quite likely would be eating raw sewage ... or rat guts ... in your soup today.


It is actually a combination of government health regulations and free market principles that keeps the sewage out of the soup. The trick is finding the sweet spot between minimizing the regulations and maximizing the ability of restaurants to function. Regs that are too loose will open up the food supply to more contamination. Regs too tight, and business will be unable to provide the service at a reasonable price. Restaurants that fail health dept audits usually fail to attract repeat business.

No need for government to be "big" for this to happen. In fact, the bigger the government, the less the impetus for the inspector to do a thorough and just job in evaluation. Further, the bigger the government, the great the risk for the larger food service company to use the temptation of corrupt practices on government inspectors in order to drive the smaller providers out of business.
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby Bruce Gourley » Mon Feb 22, 2010 2:10 pm

Jonathan wrote:
Bruce Gourley wrote:
Jonathan wrote:If you can't see the reason in that, you probably would be unconcerned about a few ounces of raw sewage in your soup of the day at lunch.


If not for "big government" tightly regulating American corporations and monitoring America's food supply, you quite likely would be eating raw sewage ... or rat guts ... in your soup today.


It is actually a combination of government health regulations and free market principles that keeps the sewage out of the soup. The trick is finding the sweet spot between minimizing the regulations and maximizing the ability of restaurants to function. Regs that are too loose will open up the food supply to more contamination. Regs too tight, and business will be unable to provide the service at a reasonable price. Restaurants that fail health dept audits usually fail to attract repeat business.

No need for government to be "big" for this to happen. In fact, the bigger the government, the less the impetus for the inspector to do a thorough and just job in evaluation. Further, the bigger the government, the great the risk for the larger food service company to use the temptation of corrupt practices on government inspectors in order to drive the smaller providers out of business.


Actually, food and medical corporations had knowingly been marketing unhealthy products for over a century prior to the formation of the FDA, a failure of the free market to respond to long-time consumer complaints. The creation of the FDA was adamantly resisted by unrepentant corporations who preferred greater profits over the lives of their customers, and who accused government of a heavy hand in siding with consumers.
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby Jonathan » Mon Feb 22, 2010 2:43 pm

You miss my point. Does the FDA ever overreach? Is it ever corrupted? The history on this is spotty. It is very difficult to show a direct correlation between health/wellness/mortality rate/etc.. and the creation of the FDA. I'm in favor of regulating the food/drug supply. I'm not in favor of having an agency so powerful that is without direct public accountability. Consider how successful drug companies have been in keep "non-traditional" and other nutrient based remedies from being covered by health insurers. Consider the inconsistency of the FDA in protecting the public from harmful items (best example of this is tobacco...any number of items, less harmful than cigarettes, are denied access to US markets...cigarettes remain on the market, in large part, because government enjoys the tax revenue).
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Re: Will Republicans Vote Against Their Own Healthcare Proposals

Postby William Thornton » Mon Feb 22, 2010 5:14 pm

Hey, price controls. How retro.
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