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RufusW
Joined: 14 Jun 2008 Location: Busan
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Posted: Mon Oct 26, 2009 7:00 pm Post subject: Senate Bill to include Public Option |
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Here it comes..... (woop!)
A video clip of Reid announcing it, with a little roundup:
http://crooksandliars.com/john-amato/harry-reid-puts-public-option-bill-stat
Interestingly, the 'opt-out' may well save the GOP from themselves. If the public option is successful there's no way the electorate will want it taken away. The Republicans will have to endorse it in some way, even if just be ignoring it. It'll shift the whole GOP towards the centre. Ironic? |
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Street Magic
Joined: 23 Sep 2009
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Posted: Mon Oct 26, 2009 7:32 pm Post subject: |
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Sounds like they're going to try to go with the state opt out plan. I almost prefer this to a straight up universally accessible public option in that it'll provide a neat opportunity for fairly direct comparisons to be drawn in assessing the success of either setup, assuming some states do opt out. Of course, it'll also allow interests on either side of the debate to make faulty comparisons skewed by variables unrelated to the public option, but this still seems like we're headed in the right direction overall, speaking as someone who supports socialized health care in the US. Although I have some reservations about the further consolidation of medical records, I think of health care as an area like education or law enforcement where we'd probably be better off treating it as a public service rather than as a business. |
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Rusty Shackleford
Joined: 08 May 2008
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Posted: Mon Oct 26, 2009 8:26 pm Post subject: |
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The opt out is baloney. Why would the individual states opt out when they are chipping in anyway? You are paying in through taxes but not trying to claw back some of that money. |
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Street Magic
Joined: 23 Sep 2009
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Posted: Mon Oct 26, 2009 8:42 pm Post subject: |
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Rusty Shackleford wrote: |
The opt out is baloney. Why would the individual states opt out when they are chipping in anyway? You are paying in through taxes but not trying to claw back some of that money. |
That would be a concern if it were established that this hypothetical public option needed to be funded by federal taxes. I can't find any information on whether this is true and if so, what portion of the taxes would be imposed at the federal level. Have you heard anything about these details? It's probably too early to tell I guess.
EDIT: Come to think of it, I remember there was agreement on withholding federal funding for abortions, which probably means they're counting on there being federal funding for everything else (although I think this was for the House bill, which wasn't set up as an opt out). Anyway, the issue of federal funding for state issues is already in play with farming subsidies in a big way, and in fact, it's pretty well established that the red states take way more from federal taxes than they give back through them, but yeah, I still agree with your criticism if that's how the bill ends up working.
Last edited by Street Magic on Mon Oct 26, 2009 9:06 pm; edited 2 times in total |
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Rusty Shackleford
Joined: 08 May 2008
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Posted: Mon Oct 26, 2009 8:48 pm Post subject: |
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Street Magic wrote: |
Rusty Shackleford wrote: |
The opt out is baloney. Why would the individual states opt out when they are chipping in anyway? You are paying in through taxes but not trying to claw back some of that money. |
That would be a concern if it were established that this hypothetical public option needed to be funded by federal taxes. I can't find any information on whether this is true and if so, what portion of the taxes would be imposed at the federal level. Have you heard anything about these details? It's probably too early to tell I guess. |
Name one govt enterprise that runs at a profit. If you believe the public option won't need to be propped up by subsidies, from day one of its inception, you are naive beyond rebuke.
If the public option is to run as a stand alone venture, what is the purpose of it? It will still be operating in the same market (and presumably, but not necessarily) under the same regulatory framework. It has no more chance of being successful than the current private "insurers". |
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Street Magic
Joined: 23 Sep 2009
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Posted: Mon Oct 26, 2009 9:04 pm Post subject: |
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Rusty Shackleford wrote: |
Name one govt enterprise that runs at a profit. If you believe the public option won't need to be propped up by subsidies, from day one of its inception, you are naive beyond rebuke. |
The IRS lol.
I'm not saying I believe it won't need federal funding, I just wanted to know if you knew any details about whether it would and if so how much. Your criticism is a good one precisely because one would expect a state opt out plan not to require states to pay once they opt out, so I think my question was a reasonable one.
Rusty Shackleford wrote: |
If the public option is to run as a stand alone venture, what is the purpose of it? It will still be operating in the same market (and presumably, but not necessarily) under the same regulatory framework. It has no more chance of being successful than the current private "insurers". |
Do private insurers receive funding through state taxes? I may be way off base here and there might not be any realistic expectation for states to fund a public option, but that's what I was thinking would happen, at least for some portion of the tax burden, given that the plan is a state opt out one, in which case the difference would be that private insurers don't get state tax money. Feel free to clear this up for me as I'm admittedly ignorant on the details of this issue. |
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Fox

Joined: 04 Mar 2009
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Posted: Mon Oct 26, 2009 9:27 pm Post subject: |
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Rusty Shackleford wrote: |
If the public option is to run as a stand alone venture, what is the purpose of it? It will still be operating in the same market (and presumably, but not necessarily) under the same regulatory framework. It has no more chance of being successful than the current private "insurers". |
The theory is that private insurers are price gouging their customers and cutting off people who actually need the insurance they paid for whenever they possibly can. The former is probably true; the latter is obviously and proveably true. The hope is that a non-profit public option will create a competitor that doesn't behave that way, forcing private insurers to have more customer-friendly practices or be out-competed.
Even if a non-profit public health insurance provider were not as efficient as private industry can be, it could still serve this function merely by existing.
Personally I'd rather just abolish insurance, pay for regular and optional expenses out of pocket, and have a national single payer pool for emergency, required treatment. This would be the cheapest way for our nation to get health care, and it would protect those who through no fault of their own became sick in a life-threatening fashion, which I want. We're making this far more complex than it has to be. |
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RufusW
Joined: 14 Jun 2008 Location: Busan
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Posted: Mon Oct 26, 2009 9:47 pm Post subject: |
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Rusty, presumably states who opt-out wouldn't require their citizens to pay whatever federal tax is involved.
There is the question about what happens to those who are too poor to afford it. Obviously they'll still get the same (state financed) welfare they get now, but presumably they get bumped up slightly to the coverage of the PO.
Waiting on the details.... |
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Street Magic
Joined: 23 Sep 2009
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Posted: Mon Oct 26, 2009 9:56 pm Post subject: |
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RufusW wrote: |
Rusty, presumably states who opt-out wouldn't require their citizens to pay whatever federal tax is involved.
There is the question about what happens to those who are too poor to afford it. Obviously they'll still get the same (state financed) welfare they get now, but presumably they get bumped up slightly to the coverage of the PO.
Waiting on the details.... |
Although it's important to note that there isn't really a welfare system available to people just because they're poor. You have to either qualify for TANF, which means you need to at least have a kid, or you need to have already been working full time for a while to qualify for the very limited unemployment benefits offered for a few months after you're terminated (which must be for reasons not related to your performance on the job), or you need to prove you're disabled enough for disability benefits, which is notoriously difficult for a variety of different conditions despite their known crippling profiles. There used to be a welfare program set up to support anyone who could prove they were looking for jobs where they'd get paid to work for non-profit organizations, but that was ditched in 2004 (http://en.wikipedia.org/wiki/Welfare-to-work).
EDIT: Although maybe some states provide benefits I'm not aware of (and I just realized you specified "state financed," so my reply doesn't make much sense in that context).
EDIT 2: After a cursory search, it looks like the above is still relevant. State benefits are pretty much identical to TANF i.e. they only cover people with kids. |
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RufusW
Joined: 14 Jun 2008 Location: Busan
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Posted: Tue Oct 27, 2009 12:49 am Post subject: |
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I was really referring to medical welfare and state as in federal (and state). There is a minimal level (emergency care) but people at this level with be upgraded to the public option; I presume there needs to be exra money and it'll come from somewhere. |
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Street Magic
Joined: 23 Sep 2009
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Posted: Tue Oct 27, 2009 6:50 am Post subject: |
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@ Rusty: I think the best reference points in guessing how the public option will turn out would be in checking out how Medicaid and Medicare work. My guess is that despite the frequent comparisons to Medicare that have been going on throughout this debate, the public option will probably be funded in the same way Medicaid has been assuming the public option will have the state opt out setup. If this is the case, there would be federal matching for states which choose to participate, although the states that opt out would still stand to benefit in the way that a poker player might benefit from folding despite having been made to put up the ante. Taxes would go up, but the added tax burden wouldn't be anywhere near the cost any state participating in the plan would have to pitch in. It'd be pretty ridiculous if they were to set up a state opt out system where opting out wouldn't have any sort of effect on the cost required from the states that choose to do so. |
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ontheway
Joined: 24 Aug 2005 Location: Somewhere under the rainbow...
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Posted: Tue Oct 27, 2009 8:04 am Post subject: |
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Insurers make very little money as it is. The increased regulation and mandated coverages will cause rates to quickly double - again.
The cost of health care (not insurance) is already double due to government regulations and mandates. These regulations on providers actually reduce quality and availability while making costs higher. This of course doubles the cost of insurance.
The required coverages of insurance for unneeded coverages, or coverage of expense items that are not properly part of insurance has caused an addional 5 fold increase in rates. Insurance today costs 10 times what it would in a free market.
But, the fascist-socialists have no interest in reality or in making health care better, more affordable, or improving access. They want power and control for themselves, and they want to scoop out some of the trillions of dollars they can funnel through the government and keep it for themselves and their cronies and supporters. This is what national health care legislation is about. This is what the fascist-socialist Democrat party is about.
The truth is that insurance companies do a good job and make very little while attempting to survive the onslaught of the fascist-socialist ruling elite:
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Published: Monday, Oct. 26, 2009 / Updated: Monday, Oct. 26, 2009 08:37 AM
Health insurer profits not so fat, fact check shows
By Calvin Woodward - The Associated Press
... in pillorying insurers over profits, the critics are on shaky ground. A look at some claims, and the numbers:
The claims
�I'm very pleased that (Democratic leaders) will be talking, too, about the immoral profits being made by the insurance industry and how those profits have increased in the Bush years.� � House Speaker Nancy Pelosi, D-Calif., who also welcomed the attention being drawn to insurers' �obscene profits.�
�Keeping the status quo may be what the insurance industry wants their premiums have more than doubled in the last decade and their profits have skyrocketed.� � Maryland Rep. Chris Van Hollen, member of the Democratic leadership.
�Health insurance companies are willing to let the bodies pile up as long as their profits are safe.� � A MoveOn.org ad.
The numbers
Health insurers posted a 2.2 percent profit margin last year, placing them 35th on the Fortune 500 list of top industries. As is typical, other health sectors did much better � drugs and medical products and services were both in the top 10.
The railroads brought in a 12.6 percent profit margin. Leading the list: network and other communications equipment at 20.4 percent.
HealthSpring, the best performer in the health insurance industry, posted 5.4 percent. That's a less profitable margin than was achieved by the makers of Tupperware, Clorox bleach and Molson and Coors beers.
The star among the health insurance companies did, however, nose out Jack in the Box restaurants, which achieved only a 4 percent margin. |
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mises
Joined: 05 Nov 2007 Location: retired
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Posted: Tue Oct 27, 2009 8:25 am Post subject: |
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Ontheway, you know the CEO of United Health was paid a 1billion bonus?
http://money.cnn.com/magazines/fortune/fortune_archive/2006/07/10/8380799/index.htm
This fits nicely into a very big problem in the United States. Shareholder decisions are held by large institutions who behave in a nepotistic manner seeking only short term gain and the expense of long term performance and stability. Also, naked short selling allows Hedge Funds and others to influence shareholder votes by creating counterfeit shares before votes. The whole system is corrupt to the core and we (as diehard capitalists) can't fault the people who looking at a disgusting system with disgust and demanding major reforms. Us libertarians have allowed our faith in the market to be manipulated by large market participants in the financial services industry (of which insurance is included). |
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ontheway
Joined: 24 Aug 2005 Location: Somewhere under the rainbow...
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Posted: Tue Oct 27, 2009 8:46 am Post subject: |
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mises wrote: |
Ontheway, you know the CEO of United Health was paid a 1billion bonus?
http://money.cnn.com/magazines/fortune/fortune_archive/2006/07/10/8380799/index.htm
This fits nicely into a very big problem in the United States. Shareholder decisions are held by large institutions who behave in a nepotistic manner seeking only short term gain and the expense of long term performance and stability. Also, naked short selling allows Hedge Funds and others to influence shareholder votes by creating counterfeit shares before votes. The whole system is corrupt to the core and we (as diehard capitalists) can't fault the people who looking at a disgusting system with disgust and demanding major reforms. Us libertarians have allowed our faith in the market to be manipulated by large market participants in the financial services industry (of which insurance is included). |
United Health is not an insurance company, is it? So, this is not part of the health insurance debate.
The problem with executive compensation is multifaceted:
1) There are very few execs who can manage the large institutions that the socialist marketplace has engendered. So, those execs command oversized compensation. The complexity has been increased geometrically due to the ironic fact that applying simplistic socialistic notions of governance, which are guaranteed to fail, increases management complexity at a geometric rate.
Businesses need to get bigger to afford the expertise required to survive the socialist regulatory environment. This requires higher paid executives. The execs and the fascist-socialist polls gain. Everyone else loses.
We need to abolish socialism and its simplistic solutions that do not work but increase complexity and cost. We need to allow the marketplace to generate the solutions that fit with the proper level of sophistication and logic but engender smaller, manageable institutions.
2) The income tax, which must be repealed, causes massive economic distortion. In addition to the fact that the income tax has prevented insurance portability as an option in the marketplace, the income tax has massively increased the size of business entities. This is due to the fact that profits held in the business and stock gains are not taxed to the shareholder until the earnings are paid out or the shares sold. This increases the rate of return on retained earnings artifically and causes corporations and investors to prefer to hold shares that should be sold or eschew dividends in favor of capital gains. A slight shift in ROI due to the income tax effect can multiply the size of a corporation over the long term and thereby increase the complexity of management and ultimately the level of executive compensation.
We need to abolish the fascist-socialist income tax and all socialism so that businesses will be smaller, pay out their earnings instead of retaining them when a higher ROI is available elsewhere, and make management easier and possible by a larger segment of the population thus reducing the need for overpriced top execs.
3) Much of the increase in executive compensation is illusory due to the 99% fall in the value of the dollar. You need to have $100 million dollars in the bank to have the effective wealth that people think they mean when the utter the magic words: "He's a millionaire." In the US today, anyone with less than 100 million dollars in assets is middle class.
We need to abolish the Federal Reserve and go back on a 100% gold standard so that prices will be stable and the money will be honest and stable. There will be zero inflation, distortion will be ended and people will eventually be able to understand what market prices actually mean.
4) When sports figures are earning hundreds of millions of dollars, it is clear that the idea of earning that much is not what people think it is. Today's billionaires are yesterday's millionaires. People have lost perspective and the reality is that very few have enough intelligence to comprehend the magnitude of the numbers. When you try to explain the fact that the total debt of the US Federal Government is now $99 trillion according to the Federal Reserve, when you try to teach them what money is, they cannot comprehend.
Eventually we will have to divide the currency by 100 as was done in France nearly 5 decades ago to adjust out what the socialists have stolen and get back to numbers that are within the reach of average people. We must also abolish public schools so that people can actually get an education and learn something instead of being force fed lies, nonsense and kept under the socialist shroud of ignorance. |
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mises
Joined: 05 Nov 2007 Location: retired
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Posted: Tue Oct 27, 2009 9:05 am Post subject: |
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United Health is not an insurance company, is it? So, this is not part of the health insurance debate. |
Yes, it is a health insurance firm, among other things.
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1) There are very few execs who can manage the large institutions that the socialist marketplace has engendered. So, those execs command oversized compensation. |
This is exactly what I mean when I say that the minds of market loving libertarians have been captured. The compensation is not in any way correlated with performance. It is correlated with the extent to which the shares are held by institutions.
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2) The income tax, which must be repealed, causes massive economic distortion. |
Fine. But this doesn't change the fact that shareholders are supposed to hold CEO's accountable. Which they don't, because the shares are held by short-term profit seeking Hedge Funds, pension funds (who should look long, but don't because of bonus structures) and ibanks.
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3) Much of the increase in executive compensation is illusory due to the 99% fall in the value of the dollar. You need to have $100 million dollars in the bank to have the effective wealth that people think they mean when the utter the magic words: "He's a millionaire." In the US today, anyone with less than 100 million dollars in assets is middle class. |
Completely irrelevant. The salary/bonus structure is designed for short term profit taking and not long term stability. These firms have monopolies or oligopolies and don't have to concern themselves with customer satisfaction. Which is why the public option + a repeal of the laws that grant health insurers monopolies is good policy.
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4) When sports figures are earning hundreds of millions of dollars, it is clear that the idea of earning that much is not what people think it is.
Today's billionaires are yesterday's millionaires. People have lost perspective and the reality is that very few have enough intelligence to comprehend the magnitude of the numbers. When you try to explain the fact that the total debt of the US Federal Government is now $99 trillion according to the Federal Reserve, when you try to teach them what money is, they cannot comprehend. |
I don't follow. Here is the American income distribution:
http://en.wikipedia.org/wiki/Household_income_in_the_United_States
84% of households don't earn more than 100k, which isn't all that difficult (dual income, both in middle class jobs). Yet much of the <100k population has a quality of life that is comparable to the super-wealthy a century ago.
I, of course, agree with you about many things. But in this situation, the financial services industry (FIRE economy) has strip-mined the middle class of their wealth and pulled the income distribution north. This will not change. FIRE owns everything.
If the public option will help the little guy get a few breaks in life, then so be it. The whole system is designed to screw him out of his wealth. I |
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