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"Major HCR operations have ended and progressives and their allies have prevailed."

Haw. Good one, NTodd. What you said:

I will not celebrate the Senate vote taken in the the wee hours this morning.  At this point so many people are desperate to declare a win that they will accept anything so long as they can label it HCR.  You can list a lot of nice reasons to support this bill, from the children's pre-existing conditions provision to the resolution that puppies are cute and precious and ought not be boiled for dinner, but that's not HCR.

Call it Insurance Industry Regulatory Reform.  Call it the Protecting Kids and Middle-aged Americans Act.  Don't call it reform.

Let's not kid ourselves: this is playing the margins, throwing bones to a variety of groups so they'll grudgingly buy into the larger fraud.  Divide and conquer.

I understand sausage making is ugly, and that we now have the ability to pay so much attention to the daily--hourly--negotiations that we leap from outrage to outrage without sometimes seeing the larger context.  Are there no principles, then, we should stand for, no demands we must lay out that we will not back away from?

Thus far our response has been consistently to capitulate.  Single-payer was the dream in March, then that got boiled down to the public option.  Then we threw reproductive rights under the bus.  Then we lost the PO, but hey at least we got mandates to buy private insurance!

At some point you have to draw a line in the sand.  Intentionally or not, this process has appeared to come straight from Mein Kampf:

A shrewd victor will, if possible, always present his demands to the vanquished in installments. And then, with a nation that has lost its character-and this is the case of every one which voluntarily submits-he can be sure that it will not regard one more of these individual oppressions as an adequate reason for taking up arms again. The more extortions are willingly accepted in this way, the more unjustified it strikes people finally to take up the defensive against a new, apparently isolated, though constantly recurring, oppression, especially when, all in all, so much more and greater misfortune has already been borne in patient silence.

We've passively let each of these erosions to real HCR slide because at least we still have X, Y and Z.  Oh sure, there's a flurry of online petitions, phone calls, e-mails and faxes to show how angry we are, but that's not the action we need now--those are starting points and will not sway entrenched interests.

The victor is corporatism, and it has submitted, piecemeal, all the cuts that have left a bleeding corpse of a bill on the floor.  And people who would not have accepted any of this shit from Bush and the GOP during their Reich are quick to defend this bill and even question the intentions of those who oppose it.  Cognitive dissonance is indeed powerful.

"Vanquished in installments." Indeed. Happy Little Sausages!

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S Brennan's picture
Submitted by S Brennan on

Lambert, like you, but this is dumb:

"Call it Insurance Industry Regulatory Reform. Call it the Protecting Kids and Middle-aged Americans Act. Don't call it reform." - NTodd

Call it the "Bailout Bill for Insurance Companies" which benefits Democrat Party Campaign chests.

I can't speak for kids directly, but I don't know a single "Middle-aged American" who needs help, who will be helped by this bill. I can't see how young families are benefited by this as this bill enlarges medicaid eligibility while cutting funds...which means politically disposed triage, not more coverage.

Lambert, could we not post pieces that promote the "generational warfare" meme, that's the Obama "wedge issue" that got us into this mess?

The loopholes include:

Provisions permitting insurers and companies to more than double charges to employees who fail “wellness” programs because they have diabetes, high blood pressure, high cholesterol readings, or other medical conditions.

Insurers are permitted to sell policies exempting patient protections passed in other states. Insurers will thus set up in the least regulated states in a race to the bottom threatening public protections won by consumers in various states. ... See More

Insurers can charge four times more based on age plus more for certain conditions, and continue to use marketing techniques to cherry-pick healthier, less costly enrollees.

Insurers may continue to rescind policies for “fraud or intentional misrepresentation” – the main pretext insurance companies now use to cancel coverage.

http://www.calnurses.org/media-center/in...

SueTexas's picture
Submitted by SueTexas on

I am sure there will also be an additional charge for women of child bearing years since they might get pregnant and might actually use the insurance.

madamab's picture
Submitted by madamab on

They'll extend childbearing age? Some women are having babies in their fifties now.

And yet, we won't be able to get abortions if we need them either, because we won't be able to afford them.

As Ms. Magazine told us, this is what a feminist looks like.

Submitted by lambert on

How does this promote the generational warfare meme? It's not NTodd's fault the benefits of the bill are unevenly distributed -- or that the "young invincibles" are being forced to purchase insurance they don't see themselves as needing.