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TenBagger   United States. Aug 28 2009 00:40. Posts 2018
Health Care Fit for Animals

http://www.nytimes.com/2009/08/27/opinion/27kristof.html?em

By NICHOLAS D. KRISTOF
Published: August 26, 2009

Opponents suggest that a “government takeover” of health care will be a milestone on the road to “socialized medicine,” and when he hears those terms, Wendell Potter cringes. He’s embarrassed that opponents are using a playbook that he helped devise.

“Over the years I helped craft this messaging and deliver it,” he noted.

Mr. Potter was an executive in the health insurance industry for nearly 20 years before his conscience got the better of him. He served as head of corporate communications for Humana and then for Cigna.

He flew in corporate jets to industry meetings to plan how to block health reform, he says. He rode in limousines to confabs to concoct messaging to scare the public about reform. But in his heart, he began to have doubts as the business model for insurance evolved in recent years from spreading risk to dumping the risky.

Then in 2007 Mr. Potter attended a premiere of “Sicko,” Michael Moore’s excoriating film about the American health care system. Mr. Potter was taking notes so that he could prepare a propaganda counterblast — but he found himself agreeing with a great deal of the film.

A month later, Mr. Potter was back home in Tennessee, visiting his parents, and dropped in on a three-day charity program at a county fairgrounds to provide medical care for patients who could not afford doctors. Long lines of people were waiting in the rain, and patients were being examined and treated in public in stalls intended for livestock.

“It was a life-changing event to witness that,” he remembered. Increasingly, he found himself despising himself for helping block health reforms. “It sounds hokey, but I would look in the mirror and think, how did I get into this?”

Mr. Potter loved his office, his executive salary, his bonus, his stock options. “How can I walk away from a job that pays me so well?” he wondered. But at the age of 56, he announced his retirement and left Cigna last year.

This year, he went public with his concerns, testifying before a Senate committee investigating the insurance industry.

“I knew that once I did that my life would be different,” he said. “I wouldn’t be getting any more calls from recruiters for the health industry. It was the scariest thing I have done in my life. But it was the right thing to do.”

Mr. Potter says he liked his colleagues and bosses in the insurance industry, and respected them. They are not evil. But he adds that they are removed from the consequences of their decisions, as he was, and are obsessed with sustaining the company’s stock price — which means paying fewer medical bills.

One way to do that is to deny requests for expensive procedures. A second is “rescission” — seizing upon a technicality to cancel the policy of someone who has been paying premiums and finally gets cancer or some other expensive disease. A Congressional investigation into rescission found that three insurers, including Blue Cross of California, used this technique to cancel more than 20,000 policies over five years, saving the companies $300 million in claims.

As The Los Angeles Times has reported, insurers encourage this approach through performance evaluations. One Blue Cross employee earned a perfect evaluation score after dropping thousands of policyholders who faced nearly $10 million in medical expenses.

Mr. Potter notes that a third tactic is for insurers to raise premiums for a small business astronomically after an employee is found to have an illness that will be very expensive to treat. That forces the business to drop coverage for all its employees or go elsewhere.

All this is monstrous, and it negates the entire point of insurance, which is to spread risk.

The insurers are open to one kind of reform — universal coverage through mandates and subsidies, so as to give them more customers and more profits. But they don’t want the reforms that will most help patients, such as a public insurance option, enforced competition and tighter regulation.

Mr. Potter argues that much tougher regulation is essential. He also believes that a robust public option is an essential part of any health reform, to compete with for-profit insurers and keep them honest.

As a nation, we’re at a turning point. Universal health coverage has been proposed for nearly a century in the United States. It was in an early draft of Social Security.

Yet each time, it has been defeated in part by fear-mongering industry lobbyists. That may happen this time as well — unless the Obama administration and Congress defeat these manipulative special interests. What’s un-American isn’t a greater government role in health care but an existing system in which Americans without insurance get health care, if at all, in livestock pens.

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NewbSaibot   United States. Aug 28 2009 02:07. Posts 4946

Thanks for the read. Real healthcare reform will come if and only if a single event happens. That event is the "independent" crowd in our population who willingly pay bloated premiums for top level coverage to come to a decision; are they scared the quality of their care will suffer by releasing their grip on the industry so that everyone can enjoy a public option. There are 3 categories of healthcare users in this country.

You've got your Glenn Beck Fox News loving whacko's who will object to anything their propagandist overlords tell them to, they are a sub-sect of the conservative republican party which have very little influence. They typically embarrass their republican counterparts with their silly tea party antics and flag waving attention whoring. They are irrelevant.

Then there is the liberal left who are very diehard about moving to a public option due to the overwhelming evidence of its success. They take a rather easy approach of "hey it worked for them, why not us?" Some of these people are insured, others are not. Either way both are perfectly happy at taking a hit to the industry to protect the health of the nation.

Lastly there is the "independent" yet still rather conservative side of the population. Typically redstate voters but with a brain. They dont vote along party lines, they honestly just happen to believe in their party's policies. Most of this class is insured to a high degree, and their primary concern is if a public option destroys the private sector, and if the public option produces an inferior product. They take their kids for routine visits to the doctors, perhaps even had an emergency of their own. They reaped the benefit of wonderful medical treatment and are content paying for it the way everyone else does. Their decision lays in the fact of whether they have any empathy towards their fellow man. Do they really just not give a shit to let the uninsured whither away, or might a public option prove just as capable as the current private one. There's only 2 things which will ever change their mind. They either get burned by the industry seeking treatment and have their claims rejected and their policies canceled after years as a loyal paying customer, or they decide they dont mind taking the chance of letting the private sector crumble and hope the gov't can still assure enough funding goes into continued production of top notch medical technology and doctors.

It's pretty fuckin close right now. You've got about 40% of the population ready to go, 40% still thinking about it, and 20% kicking and screaming about the impending apocalypse should the reform pass. I feel pretty confident within my lifetime it will. It's simply stupid not too. The earth was eventually proven round, man learned to fly, black people became equal, and people stopped riding horses around for transportation. We will get there eventually. After universal healthcare is passed, and religion fades into oblivion, we will be well on our way to becoming a truly successful species.

bye now 

curtinsea   United States. Aug 28 2009 03:13. Posts 576

One uses fear, one sympathy, but both are propagandists. Propaganda comes from both sides of the aisle, and I notice most people only see that which comes from the 'other side'.

Painting people as "Glenn Beck Fox News loving whacko's" is insulting. I notice how liberals have non-offensive names for all it's beloved groups, but those with a differing point of view are fair game for name calling and abuse. Even if they are wrong, calling them names isn't any better than calling black people niggers or homosexuals fags and queers. If you take the high road, you don't need to stoop to name calling.

A so-called 'public option' will be the boondoggle the right fears, and it won't help near enough people to justify the expense. You can't fix the problem with insurance, because insurance is the problem. But the left love their spending packages and in the name of helping the little guy they can play on sympathy to get it through. But the Democrats aren't brave enough to even propose making tax payer funded health care available to all Americans. They are just as afraid of being labeled tax and spend liberals as Republicans are of being labled cold hearted and bigoted.

The system is corrupt, and it is ridiculous to claim one side or the other is right, or even any better. We've been lulled into taking sides in a race that never ends, no victory to be had for either side, just another lap around the track. One side will edge ahead of the other, but the race never ends. In the end, the average Joe comes out the loser.

Even if I had the answer though, nobody wants hear it. Newb and many who share his point of view are sure it's the Republicans' fault we can't get healthcare reform, and doesn't want to hear any different. Democrats have everything they need to pass what they want, there is no need for more debate. They aren't debating the republicans anyway, they have shut them out. Honestly if there were no Republicans in the Congress we would be no closer to getting something passed.


tomorrow, for sureLast edit: 28/08/2009 03:14

Uptown   . Aug 28 2009 05:48. Posts 3557

My personal belief is that one can afford healthcare as is if the individual busted his ass building a solid career and income stream, etcetc and that pple are lazy and whining. However, this is the same me who believes that, for instance, students are being lazy and making fucking excuses when they claim things like "I JUST DONT GET MATH" etc. My mantra is that overall, people make excuses for themselves without having given it their 120% (and I mean 120% over the last 10-15 years of their life to be in a solid position, not trying 120% AFTER getting their ass stuck in a shitty situation, whether it be in academics or in life in general). NO shit don't fucking 'get' calculus, you spent the last 8 years of in school doing jack shit!

But I willingly and freely admit that 'my view' is elitist and unaware, as many of my friends have pointed out in the past, for instance, "No man, you think everyone can be an A student just b/c you managed to go from B to A by busting your ass. Not everyone has it in them". And ofc I believe that everyone has it in them to do so, yet a part of my recognizes that I may very well be (and most likely am) wrong. And so perhaps I hope that people have it in them to actually bust their asses instead of taking the easy road out...

So in similar vain to my academic beliefs, my financial beliefs may very well be misconstrued as well. However, even if healthcare as is is an injustice to many people, how many of those 'people' can actually say that they did absolutely everything in their power since junior high to get themselves into a position where they WOULDNT be fucked by the system that already existed? The vast majority of these people (probably) just bleh'ed their way through JH, bleh'ed their way through HS and partied their way through college and ended up with a mediocre and unsatisfying job that wasn't going to take them anywhere, whereas they COULD have driven themselves to be protected from being subjected to such perils.

So while my belief is self-admittedly elitist and bigoted and cold-hearted like the financial-conservative that I am, I say fuck you all to the whiners who didn't spend the last 20 years of their lives getting themselves into a position where they would be safe from the risks of "the system". They had it in them to do it, the opportunity was there - they just failed to and will continue to fail to seize it.

Half Pot!Last edit: 28/08/2009 05:52

Uptown   . Aug 28 2009 06:21. Posts 3557

god I sound like such a bastard


edit: To make myself seem less of a bastard: I believe in unequal outcomes from equal opportunities, and definitely think that the precondition isn't satisfied for many Americans. They aren't given equal opportunities - and one of the most deep-rooted problems is education.

I'd be much more intersested in a serious attempt at education reform rather than health care reform, which to me is fixing the "unequal outcomes" portion without addressing the root cause of such a need.

Half Pot!Last edit: 28/08/2009 08:06

NewbSaibot   United States. Aug 28 2009 15:35. Posts 4946


  On August 28 2009 02:13 curtinsea wrote:
Honestly if there were no Republicans in the Congress we would be no closer to getting something passed.

lol amen to that. Seriously if this fucking party cant get something as basic as healthcare passed, something the rest of the modern world enjoys, I'm just gonna become a permanent independent and vote Ralph Nader every year. My party is a fucking joke, and the red party is fucking evil, so fuck em both.

As for people "busting their asses their entire life", we're not talking about becoming an astronaut and walking on mars in 40 years, or proving the theory of gravity is wrong. We're talking about not having to worry about dying from the flu, or having your leg fall off being bitten by a spider, or other equally retarded shit. There is no reason people should have to rott away in this society because they dont hold an advanced degree in hyperbolic topology.

bye now 

NewbSaibot   United States. Aug 28 2009 15:49. Posts 4946


  On August 28 2009 02:13 curtinsea wrote:
Painting people as "Glenn Beck Fox News loving whacko's" is insulting. I notice how liberals have non-offensive names for all it's beloved groups, but those with a differing point of view are fair game for name calling and abuse. Even if they are wrong, calling them names isn't any better than calling black people niggers or homosexuals fags and queers. If you take the high road, you don't need to stoop to name calling.

Nahh, im sorry, but Fox News deserves a special place in hell for the utter bullshit they present on television every night.

I tune into Bill O'Reilly, Glenn Beck, and Sean Hannity almost nightly, for about 5 minutes each just to see what the fuck they are saying "this time". Glenn Beck was more tame back in the day on his radio show, but he has completely fallen off his rocker since the election. Just yesterday he's got this chalk board up front where he calls it "ask questions day" or some shit. It involves posing a series of ridiculously conspiratorial questions clearly designed to insinuate guilt by association using the 6 degree's of separation theory, you know, like Kevin Bacon.

Allow this old Daily Show clip to illustrate: (damn, cant embed)

http://www.thedailyshow.com/watch/wed-september-13-2006/experteasers---head-lice

It's just shit like this that makes someone like me avoid the conservative party like the plague. I simply will not be associated with a group that garners this much media attention and has a significant enough majority of their population who thinks along these lines. I really am a natural born independent. I swear the only reason I vote straight ticket democrat these days is because 99% of their concepts appeal to me. But I would totally vote republican if I didnt feel their official policy was "fuck everyone but yourself".

bye nowLast edit: 28/08/2009 15:50

NewbSaibot   United States. Aug 28 2009 15:49. Posts 4946

bye nowLast edit: 28/08/2009 15:50

 



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