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MoveOn Pulls the "Trigger" on Rahm
July 07, 2009 9:06 PM
White House chief of staff Rahm Emanuel's remarks in today's Wall Street Journal -- in which he argued that a government-run public health care plan isn't as important as the need for competition driving down insurance costs -- has resulted in the liberal group MoveOn.org rallying its base to tell President Obama to resist Emanuel's views.
"The goal is to have a means and a mechanism to keep the private insurers honest," Emanuel told the Journal. "The goal is non-negotiable; the path is" negotiable.
Even more controversially, Emanuel floated the notion of a "trigger," in which a public plan is formed only if private industry fails to take the steps necessary to lower costs, as the GOP did when forming the Medicare prescription drug benefit.
On Captol Hill today, Sen. Charles Schumer, D-NY, told reporters that this was news.
"I had never heard that they were for the trigger," he said. "That came as a surprise to me. Maybe in year three there might be a public plan? Not good enough."
This afternoon, MoveOn sent out an email to its more than 3 million members saying that "Emanuel signaled support for a 'trigger' provision -- a proposal that would undermine the public option, and put off real reform for years."
MoveOn said that according to The Huffington Post, "Emanuel has been floating the idea of a trigger since January. Right now, when key committees are finalizing health care legislation, Emanuel's remarks will only embolden conservative opponents of reform. He should be standing with the majority of Americans for a strong public health insurance option -- not disastrous half-measures.
"Can you call the White House switchboard and tell them you're disappointed in Chief of Staff Emanuel's comments supporting the 'trigger'?"
Seemingly out of the blue, the White House sent out a paper statement from the president, who is in Moscow.
"I am pleased by the progress we're making on health care reform and still believe, as I've said before, that one of the best ways to bring down costs, provide more choices, and assure quality is a public option that will force the insurance companies to compete and keep them honest," the president said. "I look forward to a final product that achieves these very important goals."
As Slate's John Dickerson observes, "the president's statement, while aimed at reiterating his commitment, doesn't actually contradict anything Emanuel said. If, in the end, if Obama decides that a trigger or a cooperative plan keeps insurance companies honest, then he will say he's kept his word on the goals of the public option. So Obama's statement today can be read as both a walk-back of Emanuel's remarks and support of them. When I pointed this out to a White House adviser, the response was succinct: 'Mission accomplished..'"
- jpt
July 7, 2009 in health care | Permalink | Share | User Comments (126)
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If we have enough money for wars and bailouts, we definitely have enough money for health care.
Posted by: Hilary Smith | Jul 12, 2009 9:11:53 PM
Hi Gretchenmom, are you still here by chance? Sorry I didn't get back sooner.
Posted by: And Atlas Shrugs Yet Again | Jul 11, 2009 12:58:45 AM
And Atlas Shrugs Yet Again- Thank you for your answer. I's always nice to hold a real discussion without name calling, etc. I checked out all the claims on cost, etc from more than one source on the internet, but you may be correct that figures and percentages can be manipulated to meet anyone's purposes. With that in mind I don't believe a lot I have heard about Obama's health care proposals and many of what I would describe as scare tactics used to keep the status quo.
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I would like to see us move away from a system paid for in large part by employers. Costs are crippling many companies and leading them to purchase cheaper and cheaper coverage for their employees or, in many jobs, offer no insurance at all.
My friend is an example of the former. They have changed her insurance at work several times in the last few years. The cost went up $125.00 a month for her this year while the deductible was raised and there is less coverage offered on many items. As an example, her out of pocket prescription costs were raised, her insurance use to cover a few sessions of counselling. This is no longer part of the plan at all. They have expanded what is considered "pre-existing" conditions on new enrolees. My friend said she was glad that she was established and not new or they would not cover anything for her back at all.
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I certainly don't believe that what comes from the government is free like you stated. And the current system really is not that accessible to people without insurance.
But I don't think people understand that the current system is already costing us a fortune. Go to any emergency room in this country and you will see it full of people with no insurance there for things that could be handled by an office visit. The hospital has no choice but to treat them at a lot higher cost than a visit to a regular doctor. Since many of these people will simply not pay the bill, the costs are then put back on us all.
The hospital does a "emergency" visit which will include a lot of tests, perhaps a prescription and telling the patient to follow up with his own physician. Therefore, there is no follow up for many of these patients.
These people could, of course, go to a regular doctor but many doctors demand payment up front from patients without insurance and many uninsurad simply don't have the money. In my oppinion none of the above can be described as "assessible" health coverage. Or are we saying that only those who can afford insurance deserve health care?
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Your suggestion that my friend should apply for medicare, etc. is part of the current problem as well. Why should she have to go on disability when, with the proper treatment, she can work? Actually, she does work now. So in lieu of health care should we encourage people to simply go on medicare or medicaid as a solution?
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As far as taxes go, I think we will actually save money in most instances. First of all Obama is not talking about mandated coverage for everyone. He is talking about coverage for the uninsuraed or underinsured. If you like your insurance - keep it.
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My complaint with the past administraton is that he cut taxes three times and, in essence, "charged" the war. The Medicaid Part D plan should not been started without a plan to pay for it. These two things are where a large amount of our deficit originated.
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Obama is looking for ways to pay for the program from the start. We have needed health care reform for a long, long time. He is engaging all aspects of the health care fields, doctors, drug compainies, insurance companies, etc to help. He is asking for people like you and me to voice their opinions and give input. If you feel strongly do it - I already did.
Posted by: Gretchenmom | Jul 10, 2009 8:52:46 AM
Hi Gretchenmom,
I've had some real problems with insurance myself. I could go for adding a very few 'top level' rules to eliminate some of the biggest problems, if possible. But NOT a massive new gov. bureaucracy that adds a fortune in administrative costs alone. Not micromanagement either, where they take YEARS before adding new drugs or treatments to the approved list.
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Gretchenmom wrote: "that we pay more for health care than any other country,..."
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I've heard that a lot also, but I wonder if its really true? Especially if the huge differences in gov. taxes from one nation to another are taken into account? Plus, we may pay more in terms of absolute dollars per person, but are we getting more and better services than the countries we're compared to?
For us to even begin to discuss the pro's and con's of issues like this, we've got to be able to start with accurate information. That's difficult enough to ferret out, let alone when even the President goes around making grossly inaccurate statements (worst recession since the Great Depression NOT - although they may wind up causing it to become that bad the rate they're going!)
So many people talk as if they think whatever comes from the government is free... 'we'll get free health care from the gov' But gov services are anything BUT free. The government doesn't have any money, they have to take it from the private sector, from each of us - so its not just a cost we have to pay, but a drain on the productivity of the entire society, which hurts us all also.
Those taxes have to not only to pay for the service, but also to pay for the government employees and facilities etc required to collect those taxes and administer the programs that provide the services. Gov is a HUGE, expensive, and inefficient middle man.
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Gretchenmom continues:
yet it is not accessible to many of our citizens.
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How isn't it accessible? I mean, are you referring to health insurance, or health care?
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Gretchenmom con't: And we also have the most medical errors to contend with even though we pay the most.
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Frankly I seriously doubt that. ESPECIALLY after looking into the WHO rankings, and seeing how live children aren't counted as such in other nations we're being compared to, and other things like that.
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Gretchenmom con't: To top it off the greatest cause of bankruptcy the U.S is medical bills. There is something wrong with this.
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Another commonly heard statement that it seems is really off base.
Same with the badly misleading claims about how many people are without insurance - and again, these sorts of false or misleading claims are particularly egregious coming from our leaders, especially this president!
Having had several spine surgeries myself recently, I really feel for your friend. I'm a little suprised, however, because most (all?) insurance plans have maximum out of pocket limits -- and I thought it was usually quite a bit lower than $6000 (mine is $3500). I would think the doctors would work something out with her, if she explained her situation -- ESPECIALLY on the biopsy issue. Many hospitals also have assistance available for folks in her situation too... and with a failed back surgery and chronic pain, she may very well qualify for medicaid/medicare.
On your prescription drug issue -- typically the only time insurance won't cover the generic for a brand drug that they DO cover, is if the generic is known to not work the same as the brand, or has been reported for problems that way. Or there ISN'T a generic yet. Usually they LOVE making us buy approved generics, because the generics are so much cheaper. They wind up covering/paying more for the brand versions too.
Posted by: And Atlas Shrugs Yet Again | Jul 10, 2009 3:04:56 AM
Olivia - You said "Following your logic, we would have to get an amendment to the Constitution for practically every bill passed. That is why the Constitution established a Supreme Court."
That is exactly the problem the federal courts are unelected offices and have become involved in legislating from the bench. The framers of the Constitution place Article 5 in the Constitution as they recognized things would change and provided a method by which the people (through their state legislatures) would have a voice on changes. If something needs to be changed than lets use the method provided instead of the judicial branch.
If legislation needs to be passed it is the duty of the legislative branch to pass the law not the judicial branch. That is why the legislative branch is elected so that they can answer to the will of the people (at the polls). The judicial branch answers to no one and acts like gods. If the people in vote on an amendment and overwhelmingly passes it then the judicial has no right to change the amendment but the legislative branch can pass legislation to make the change and then answer to the people.
There are several actions being undertaken by this current administration which would have a hard time passing Constitutional muster besides healthcare. The first order of business for this administration should be to get our countries financial debt under control. There is no way that you can continually spend more than you have in revenue. Each year the federal government passes a budget for the years operational costs, a large part of the annual budget is the interest on the federal government debt (the interest MUST be paid each year to keep from defaulting on the debt) and it is rapidly growing with each expenditure that this administration is making. You don’t spend more than you make every year in your personnel life or you would have to declare bankruptcy, why should the federal government not operate in the same responsible way?
Posted by: Sandcrab1612 | Jul 10, 2009 1:52:52 AM
And Atlas Shrugs Yet Again SAID- "...If you really think that its reasonable for the federal government to drastically expand its size and scope, taking that much more in taxes from all of us, to cover things like health care and cap and trade -- then GET AN AMENDMENT TO THE CONSTITUTION FIRST."
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Following your logic, we would have to get an amendment to the Constitution for practically every bill passed. That is why the Constitution established a Supreme Court. I always find it interesting that generally Conservatives use the Constitution to defend things they don't like but find it difficult to accept the Constitution when it comes to Separation of Church and State issues. I'm referring to the folks who declare "America is a Christian country", and try to impose their moral values and belief system on everyone else. I am a Christian but still can clearly see that is MY choice and everyone, else deserves the same choice.
Posted by: Olivia | Jul 9, 2009 11:01:15 PM
And Atlas Shrugs Yet Again - Couldn't have said it better, Olivia and the rest on the left need to get educated on the Constitution, particulary Article 5 and the 10th Ammendment.
Posted by: Sandcrab1612 | Jul 9, 2009 7:44:48 PM
You're right Olivia -- most moderates and conservatives recognize that the constitution was written specifically to LIMIT the power and expansion of government. Whereas many liberals believe its a 'living' document, to be flaunted at the whims of whatever the current day politicians want.
You said: "Just because it is not spelled out in there does not mean it should not be done. " Actually, that's
EXACTLY what it means. That's why they provided for changes, when it was both really needed AND most of the nation wanted it -- that's what amendments are for.
Unfortunately, ever since the New Deal, the Constitution has been pretty abused. If you follow the 'living document' logic, you'd have to basically allow virtually any change to our form of government that anyone wanted. I think its pretty clear that's EXACTLY what the founders were trying to avoid in their design of the Constitution. They abhorred government encroachment on personal freedom that taxes and regulations embody, and did their best to KEEP GOVERNMENT TO THE SMALLEST SIZE POSSIBLE, while allowing it only those powers enumerated in the Constitution.
If you really think that its reasonable for the federal government to drastically expand its size and scope, taking that much more in taxes from all of us, to cover things like health care and cap and trade -- then GET AN AMENDMENT TO THE CONSTITUTION FIRST.
Posted by: And Atlas Shrugs Yet Again | Jul 9, 2009 6:20:37 PM
Posted by: sifto77 | Jul 8, 2009 10:04:54 AM- SAID "Obama has always voted "present". what makes people think he will change?..."
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I had to laugh when I read your post it made me think about Palin and the fact she can't claim to be "present" at all.
LOL
Posted by: Olivia | Jul 9, 2009 2:36:42 PM
Sandcrab1612 SAID- "Where in the US Constitution or the Bill of Rights is healthcare spelled out as a "right"? Where in the US Constitution is the Legislative or the Executive branch of the Federal Government given the power to provide healthcare to all?"
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Your question points out a fundamental difference in thinking between ultra conservatives and moderate and liberal thinking. Just because it is not spelled out in there does not mean it should not be done. Our forefathers knew nothing about what the future would hold and, in my opinion, made the Cdocuments vague enough, yet firm enough to cover any future Contingencies. The Constitution is magnificent because it is still relevant today...If it had been written to reflect the time it written, spelling out only the problems of that time in history, it would not be relevant at all to us. It is a living, breathing document, flexible enough to cover any contingencies. You say there is nothing in it supporting heatlh care reform - I say there is nothing in it against it either.
Posted by: Olivia | Jul 9, 2009 2:31:32 PM
Tom Beebe - You said "Why not start with making all our health care expenses deductable from the income on which we pay taxes? If healthcare is a "right", why must we may taxes on the money spent to acquire that right? Of course, this would take control of this important "right" away from the politicians, not divert it to them."
Where in the US Constitution or the Bill of Rights is healthcare spelled out as a "right"? Where in the US Constitution is the Legislative or the Executive branch of the Federal Government given the power to provide healthcare to all?
Posted by: Sandcrab1612 | Jul 9, 2009 10:27:17 AM
Why not start with making all our health care expenses deductable from the income on which we pay taxes? If healthcare is a "right", why must we may taxes on the money spent to acquire that right? Of course, this would take control of this important "right" away from the politicians, not divert it to them. Let's hear it, folks ! Speak up for your own control of your health care, not DC's.
Posted by: Tom Beebe | Jul 9, 2009 9:15:02 AM
That there is $288 BILLION in tax benefits in the Recovery and Reinvestment plan? That's almost like - how shall i put this - REDUCING taxes isn't it? Posted by: danita | Jul 8, 2009 10:01:33 PM
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Yea, let's see Gibbs or Obama get in front of the press and explain that one. Maybe Gibbs could giggle while he's explaining it.
"Uh, well I know I'm taxing you for all those other things, but hey I gave you 288 billion dollars! That's like, what, $13 a paycheck! It's a net win, isn't it? Now go one out there and sell it to the public for me!"
Yea, that'll work in unicorn land.
Posted by: Traffic Cop Timmy | Jul 8, 2009 10:38:50 PM
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It may even be a snicker hidden behind his hand. Supposedly they changed the tables for W4 witholdings, so you get that $13 every other week - but golly gee willickers, they forgot to change the tax tables, so next year you'll be taxed on that $13 'tax cut.'
Oops!
Posted by: And Atlas Shrugs Yet Again | Jul 9, 2009 5:10:46 AM
And Atlas Shrugs Yet Again -I wanted to answer your post by noting that we pay more for health care than any other country, yet it is not accessible to many of our citizens. And we also have the most medical errors to contend with even though we pay the most. To top it off the greatest cause of bankruptcy the U.S is medical bills. There is something wrong with this. Being sick should not make anyone bankrupt. I have a good friend right now who has Health Insurance and has had two back surgeries which required putting a lot of metal in her back. The surgeries have healed but she is still having a lot of pain daily because they now say she is alergic to the metal. Now they want to take the metal out which requires another surgery. Even with insurance the surgery would cost her at least $6,000 out of pocket. She is a single mom raising two kids and still struggling to stay afloat financially and pay off her other surgeries. She said she has decided not to have the surgery simply because of the cost even though she is in constant pain. She also has to have a biopsy on her back which the insurance will pay nothing towards because she has not met her deductible this year. Again, she is not having the biopsy done because she said there is no way she can pay for it. Emmanuel is right about competition in the system. The government running a system does not scare me half as much as the insurance and drug companies who now dictate our health care. Recently my doctor changed my medicine - my insurance says get generic when you can to save money. I have to pay $45 for a normal prescription and only $25 for generic. I have to pay $45 for the new drug because, (get this), the generic brand of the drug is not under their plan. This is a small thing but the way they second guess the doctor for every single prescription and test is obscene. People complain about Medicare does not do that and is really a good system. I am a senior and was afraid to go on Medicare but I have to say that it is a lot less of a problem than the regular insurance I had.
Posted by: Gretchenmom | Jul 9, 2009 1:00:38 AM
Achmed the Dead Terrorist
"If I'm dead that means I get my 72 virgins."
"Did they say it would be only female virgins?"
"Holy crap!"
Posted by: Traffic Cop Timmy | Jul 8, 2009 11:18:54 PM
Posted by: danita | Jul 8, 2009 11:02:43 PM
Why thank you. I'll take that as a compliment.
And my favorite puppet is Achmed the Dead Terrorist.
Posted by: Traffic Cop Timmy | Jul 8, 2009 11:09:26 PM
Timmy, you dismiss $288 BILLION in tax benefits as if were nothing.
Another example of how your seem to live in a fantasy land. $288 BILLION in tax benefits is nothing, jobs should be able to be magically created with the wave of a wand, all the problems with Iran should have been fixed by now, nothing short of bombing the heathen infidels is of any worth . ...
I know you've said Bush and Cheney are your heroes so I will expect nothing better of you than what you do - attack and smear the President day in and day out. A fair-minded approach is far beyond you.
Posted by: danita | Jul 8, 2009 11:02:43 PM
That there is $288 BILLION in tax benefits in the Recovery and Reinvestment plan? That's almost like - how shall i put this - REDUCING taxes isn't it? Posted by: danita | Jul 8, 2009 10:01:33 PM
________________________________
Yea, let's see Gibbs or Obama get in front of the press and explain that one. Maybe Gibbs could giggle while he's explaining it.
"Uh, well I know I'm taxing you for all those other things, but hey I gave you 288 billion dollars! That's like, what, $13 a paycheck! It's a net win, isn't it? Now go one out there and sell it to the public for me!"
Yea, that'll work in unicorn land.
Posted by: Traffic Cop Timmy | Jul 8, 2009 10:38:50 PM
The obama supporters are on the defense in this blog, where they should be. The obama tactic, however, is always to be on the offense - . You obama supporters better work harder; unfortunately you don't have a lot to work with, including sliding job approval numbers. Posted by: Jenny | Jul 8, 2009 10:22:46 PM
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Watched Brian Williams tonight and they did a story on how the Stimulus Plan might not be working too well. They showed one construction project with a guy who got a job and then interviewed someone else from some association who said it was "disappointing" how the money was slow in coming. Then they said the Obama Administration did not rule out another Stimulus Package.
Hey, I'm just the messenger!
Posted by: Traffic Cop Timmy | Jul 8, 2009 10:31:04 PM
The obama supporters are on the defense in this blog, where they should be. The obama tactic, however, is always to be on the offense - . You obama supporters better work harder; unfortunately you don't have a lot to work with, including sliding job approval numbers.
Posted by: Jenny | Jul 8, 2009 10:22:46 PM
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