Ezra Klein has been on fire lately and is my one-stop shop for day-to-day information on what’s going on with health care reform in the Senate.
In the past few days he has been making it crystal clear that the current package in the Senate (yes, even with all of the watering down and no public option, and no Medicare buy-in) is still a tremendous leap forward for America, and that knowledgeable health care wonks are virtually unanimous in support of its passage.
As someone who traveled to Iowa for 10 days in the winter of 2004 to help elect Howard Dean, I am extremely disappointed with his opposition to the bill. And as a long-time member of the “netroots”, going back to 2002 when I first started reading Talking Points Memo and Daily Kos, I am sad and angry that so many of my fellow progressives don’t seem to understand (a) the meaningful reforms in the current bill, (b) the tenuous thread by which it is hanging on in the Senate and (c) the impossibility (or extreme improbability) of getting a better bill through this Senate or any other in the next 5 to 10 years.
Ezra had a story earlier today about the likelihood that Ted Kennedy would be voting against the current bill, and declares a zero chance of that hypothetical. Furthermore, EMK would be working his butt off to bring progressives to the light:
But the issue is not so much Kennedy’s vote as his absence. If you know the health-care debate really well, it means a lot to say that Jay Rockefeller and Sherrod Brown support this bill. If you don’t know the debate very well, it means virtually nothing. Kennedy was the only liberal with the stature to sell a painful compromise to the base. Would he have succeeded? I’m skeptical. As one of the authors of No Child Left Behind and the original draft of the Medicare Prescription Drug Benefit (though he opposed the conference report of that bill), he would have come under withering attack as a sell-out. I’m not sure we ever could have been anywhere but here. But if other paths were available, Kennedy would have been the one to find them.
Via Ezra, here are 5 strong cost-cutting measures in the current bill:
- Bundled payments — paying hospitals for covering an “episode” instead of each individual procedure.
- Prudent purchasing — Exchanges set up with this bill will reject insurers from the pool if they mistreat customers, advertise falsely or raise premiums without transparently showing cause
- Medicare Commission — empowered to propose to Congress (for a filibuster-proof up-or-down vote) ongoing reforms aimed at transforming the system from here (suckage) to there (strong public option, etc)
- Excise tax on expensive insurance plans — Amplifies the incentive for insurers to find ways to bring their costs down
- An individual mandate — By bringing everyone (especially the young and healthy) into the market, insurance can better operate the way it should, instead of insurers or the government being saddled only with the old and/or sick.
Follow the links for more, if you’re curious.










Lost comments on comments
Published December 16, 2009 Uncategorized Leave a CommentTags: blog, comment
Here’s what really annoys me about the web and blogs these days: I leave comments on a number of sites (Publicola, CHS, Erik Lundegaard’s movie review site, my fellow bloggers, etc.) and then I have to remember to go back and check to see if anyone has replied. Sometimes I do if I’m thrilled with what I wrote, or curious about someone’s response, but usually I forget.
Maybe there’s some app/technology out there that auto-detects that you are commenting, and aggregates any responses? WordPress has a “notify me of updates” check-box, and I’ve been using that a bit, but it means I have to remember to hit it. Ideally, there would be one solution that applies everywhere…