ubetchaiam

For those who argued we should just pass SOMETHING, even if it was a bad bill, because they said we could fix it later, this is what you
get from a strategy of perpetual compromise, a bill that is utterly
beyond redemption. It’s time to throw HR 3962 in the medical waste
bin, and do what should have been done in the first place, build a
new national health care system on what actually DOES work, by
extending the existing economical and efficient Medicare plan to all
ages.

Kip Sullivan at Firedoglake:

Introduced by Bernie Sanders, The Too Big to Fail, Too Big to Exist Act of 2009:

A BILL
To address the concept of ‘‘Too Big To Fail’’ with respect to certain financial entities.

1 Be it enacted by the Senate and House of Representa-
2 tives of the United States of America in Congress assembled,
3 SECTION 1. SHORT TITLE.
4 This Act may be cited as the ‘‘Too Big to Fail, Too
5 Big to Exist Act’’.
6 SEC. 2. REPORT TO CONGRESS ON INSTITUTIONS THAT
7 ARE TOO BIG TO FAIL.
8 Notwithstanding any other provision of law, not later
9 than 90 days after the date of enactment of this Act, the
10 Secretary of the Treasury shall submit to Congress a list

2

1 of all commercial banks, investment banks, hedge funds,
2 and insurance companies that the Secretary believes are
3 too big to fail (in this Act referred to as the ‘‘Too Big
4 to Fail List’’).
5 SEC. 3. BREAKING-UP TOO BIG TO FAIL INSTITUTIONS.
6 Notwithstanding any other provision of law, begin-
7 ning 1 year after the date of enactment of this Act, the
8 Secretary of the Treasury shall break up entities included
9 on the Too Big To Fail List, so that their failure would
10 no longer cause a catastrophic effect on the United States
11 or global economy without a taxpayer bailout.
12 SEC. 4. DEFINITION.
13 For purposes of this Act, the term ‘‘Too Big to Fail’’
14 means any entity that has grown so large that its failure
15 would have a catastrophic effect on the stability of either
16 the financial system or the United States economy without
17 substantial Government assistance.

The Lords get the vaccine while the peasants wait in line. What could be more natural or fair?

Today, Citizens for Responsibility and Ethics in Washington (CREW) asked Health and Human Service (HHS) Secretary Kathleen Sebelius to investigate why the Center for Disease Control (CDC) approved the distribution of the H1NI vaccine to Wall Street firms at a time when the vaccine is unavailable to most Americans.

Recent news reports indicate 13 companies, including Citigroup, Goldman Sachs, JP Morgan Chase and Time Warner, have been cleared to receive the vaccine.

Melanie Sloan, executive director of CREW said today, “Although CREW has been unable to uncover the demographic makeup of Goldman Sachs, Citigroup, and JP Morgan Chase, it seems safe to assume the vast majority of their employees are not pregnant women, infants and children, young adults up to 24 years old, and healthcare workers.”

No, seriously.

On November 9, Maggie Mahar is doing a book salon at Firedoglake on her book Money-Driven Medicine. I think it probably contains many useful facts, and even decided to order it last week from Amazon. For example, it correctly points out that the largest problems in the American health care system today are unnecessary procedures and overpayment for services. However, I now know that I will need to closely scrutinize its every word before accepting it as true. Why will it be hard to take this book at face value? Because Mahar has lately engaged in a complete flight of fancy about the proposed "public option."

The forced-birthers are out in force in the blogosphere, looking for federal funding of abortions in the bill, so I thought I'd help them out.

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The public plan and the exchange[s]

The public plan might or might not pay for abortions that don't fall under the Hyde amendment. The Secretary of HHS cannot require private insurance plans offered through the exchange[s] to cover abortions of any kind. Fortunately Sec HHS can't prevent private insurance from paying for abortions either. Abortion cannot be listed as part of the essential benefits package.

If you want to know why people might NOT want to choose the public plan, here's one reason that some women will "choose" to stay with private insurance.

Oh well, at least it doesn't prohibit abortion coverage outright.

Never let it be said that the scientists who publish in dry, staid medical journals lack a sense of humor. That resurrecting dead patients line is the title of an article that appeared in JAMA [Journal of the American Medical Association] a few years ago, and beyond the fact that it provided me with a snappy headline, gives me the chance to post one of my favorite lolcats [again], and is cited in another article in another journal, it has no further bearing on this post.

The another article in another journal, Looking Forward, Looking Back: Assessing Variations in Hospital Resource Use and Outcomes for Elderly Patients With Heart Failure, is monumentally less gripping than, oh, the last installment of Harry Potter, or even the labels on cat food cans, but it's nonetheless an important data point in the present health care deform reform debate.

To back up for just a moment, the Dartmouth Atlas Project is a massive gathering of data gleaned from Medicare spending records over many years. Mapping the data has produced the realization that Medicare spending varies widely throughout the country. Peter Orszag, President Obama, and Tom Harkin, to name just a few personages, are all quite taken with it, and with the Dartmouth researchers' assertions that the patients in higher-spending regions fare no better than those in lower-spending regions.

If only those spendthrifts in Miami and McAllen could be made to behave more like those prudent paragons living in Minnesota, we could save hundreds of billions of $$$$$ in health care spending every year.

Not so fast, corpus breath. The Dartmouth Atlas only catalogs dead people. The researchers looked back over the patients' lives for the 6 months [and for some purposes, 2 years] before they died. Concluding that since they all died anyway [duh!], the ones who got more care [and therefore cost more money], didn't really need all that extra care [and therefore we don't need to be spending that extra money on them].

It's an attractive notion, but one of the things the Dartmouth researchers didn't do so much of was looking forward.

No Associated Press content was harmed in the writing of this post

... despite what anyone says, and I'm totally confident that Obama's vetting process will continue to produce public servants of the most awsum and unimpeachablest integritude, despite blips like chief speechwriter Jon Favreau, Commerce Secretary-designate Bill Richardson, and Treasury Secretary Tim Geithner, but doesn't this pose the appearance of conflict?

[Daschle's] finances [include] more than $300,000 in income from health-related companies that he might regulate as secretary....

And, even though a substantial proportion of that $300,000 must come from the insurance parasites that single payer would remove from the health care system, it's impossible for me to imagine that this would influence Daschle's views of what's "politically feasible [rhymes with weasel] and what isn't.