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Versailles: The real problem with health care isn't that you can't get it, but that it costs too much

RL demands mean no real time to post on this, but does the Baucus-Grassley bill to overhaul Medicare looks like No Child Left Behind for doctors to anyone else but me?

All this talk about national standards for care and increased quality looks great in the abstract -- who can be against quality -- until you ask yourself who's going to be setting the standards and defining the quality of care. If it's the insurance companies -- or some kind of pissant Blaire-ite public-private partnership that's a beard for the insurance companies -- then the bill is just another way to deny us care.

At a time when Americans are worried about whether they can get care, and when smart pols know that single payer approaches like Medicare for All are getting increasing support at the grass roots, Obama and the Big Money Democrats are marching resolutely in another direction.

They're not listening. So I guess we'll have to get their attention!

NOTE Note that the approach of the Baucus-Grassely bill dovetails exactly with Obama's lowered baseline for reform at last night's presser. It's almost like they were co-ordinated, and it's a big Fuck You to the public option and the progressive caucus. Quelle surprise.

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vastleft's picture
Submitted by vastleft on

Obama established this framing loud and clear in his inaugural address (the parenthetical is mine):

Our health care is too costly (-5: "Too costly" = "Uniquely American solution" = "No single-payer");

Submitted by gob on

Lambert sez

does the Baucus-Grassley bill to overhaul Medicare looks like No Child Left Behind for doctors to anyone else but me?

- absolutely! The first thing that crossed my mind when I saw that report was a vision of thousands of doctors cutting off services to patients with multiple difficult-to-manage health problems, especially mental illnesses, in order to avoid being penalized for the inevitable worse-than-average outcomes.

The whole thing is starting to remind me of the nasty attempt by the Thatcherites to deliver death by a thousand cuts to the British system.

TonyRz's picture
Submitted by TonyRz on

Oh, the docs will do just fine. They'll demand elbow room on outcomes on their high-risk populations based on established risk stratification protocols. Of course, valid risk stratification requires accurate and detailed medical histories. And those histories will be reliable because - SURPRISE! - they're all collected and complete in ObamaNet - the bestest national health database EVAH! Which private "insurers" (i.e., deniers) will enjoy access to!

And you thought you were just gonna "forget" to report that year you were on anti-depressants. Har Har Har.

Submitted by hipparchia on

The whole thing is starting to remind me of the nasty attempt by the Thatcherites to deliver death by a thousand cuts to the British system.

yes, it's very much beginning to look like that.