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Health Care Rationing

Signe Wilkinson
© Signe Wilkinson

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If a public option would drive private health insurance out of business, how do UPS and Fedex survive against the USPS?

The next time a pundit claims that a public option will put private health insurance companies out of business and lead to socialized health care, I hope someone asks them how UPS, Fedex, and hundreds of other smaller delivery companies are still in business, despite having to compete with the US Post Office.

This is actually a good analogy, since the USPS provides universal service — delivering letters to anywhere in the US for the price of a stamp (even remote locations) — while private companies provide enhanced services to those people who are willing and able to pay more. This is how it should be with health insurance (and is how it works in countries like New Zealand). The government provides universal coverage for a basic price, while private health insurance companies compete with enhanced services (i.e., they could cover elective procedures that the public plan doesn’t).

Imagine the outcry if the Fedex and UPS insisted that the US Post Office be abolished, while retaining the right to refuse delivery to locations that they determined were too expensive to service. Sorry, that check you wanted to send to your daughter spending the summer in Alaska — no can do! Or imagine if there were hundreds of delivery companies and each one had different complex rules and addresses to which they deliver, and purposely tried to figure out how to not deliver your letters. Sorry, you used a USPS zip code, and ours have 23 digits — into the trash! Would that be that different from the situation that doctors and patients now find themselves in dealing with health insurance companies?

Of course, if delivery services were run like health insurance companies, you would have to pick one company to use (or your employer would pick it for you) and you couldn’t switch companies, even if they didn’t deliver to the address to which you wanted to send something. Naturally, their prices would increase 10% every year. And you couldn’t send “preexisting packages”.

The truth is that the health insurance industry doesn’t want to have to compete. How then could they continue to charge so much more for health care, pocketing the extra money while providing terrible service and results?

UPDATE: There are other analogies that work as well. Like how public schools (especially public universities) coexist with private ones. Arguments about whether the USPS is efficient or a good use of resources are completely irrelevant to the analogy. The point is that when someone says that a public option cannot be allowed because it would necessarily drive private insurance companies out of business, they are absolutely wrong (unless by “business”, they mean making obscene profits and providing mediocre service).

UPDATE 2: This post has spawned a huge discussion over at Reddit.

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Real Pirate Cruises?

Getty ImagesI’m not sure if this is a joke, and I suspect it is, but a few sites (here, here, and here) are reporting that a (suspiciously unnamed) Russian luxury yacht company is offering pirate hunting cruises off the coast of Somalia.

Not only do they hope to get attacked by Pirates, they guarantee it (or half your money back). They deliberately cruise at a slow speed of five knots and play music to attract attention. Not only that, but you can rent an AK-47 for only $7.50 a day (plus $10 per 100 rounds of ammo).

The rumors may have been started by the Somali Cruises site, which even includes testimonials like the following:

Six attacks in 4 days was more than I expected. I bagged three pirates and my 12yr old son sank two rowboats with the minigun. PIRATES: 0 – PASSENGERS: 32! Well worth the trip. Just make sure your spotter speaks English.

I haven’t had this much fun since flying choppers in NAM . Don’t worry about getting shot by pirates as they never even got close to the ship with those weapons they use and their shitty aim.

I got three confirmed kills on my last trip. I’ll never hunt big game in Africa again.

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The Party of Family Values?

A graph printed in the NY times arranges the states according to their divorce rate, teenage birthrate, and (perhaps most telling of all) their subscriptions to online porn sites. So, which states would you think would lead in these “sin” statistics? Red States, the home of family values, moral rectitude, and social conservatives? Or Blue States, the home of moral turpitude and liberal attitudes toward abortion and gay marriage?

New York Times

Note that the states are colored by whether they voted for Obama or McCain in the last election, which means that there are more blue states than red states. But even so, the top 11 states for each statistic are all red — except for two states. Interestingly, South Carolina, whose governor was just caught cheating on his wife, has a fairly low divorce rate. Perhaps his marriage will survive his indiscretion?

I also find it interesting that the three states where same-sex marriages are legal and are currently being performed — Massachusetts, Connecticut, and Iowa — have very low divorce rates.

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Late Night Political Humor

“Oh. Marital infidelity. You are just another run-of-the-mill human being whose simple moralizing about the sanctity of marriage is only marred by the complexities of their own life. Well, just another politician with a conservative mind and a liberal penis.” – Jon Stewart

“Did you hear about Mark Sanford, the governor of South Carolina? He mysteriously disappeared last week and nobody knew where he was. Today, Sanford admitted to having an affair in Argentina. I’m like, great, now we’re outsourcing mistresses.” – Craig Ferguson

“Last night, we talked about the strange disappearance of South Carolina Governor Mark Sanford. The media reported he was hiking the Appalachian Trail and forgot to tell anyone, including his wife and sons, over Father’s Day weekend. We here reported that he had actually gone into the woods to chase a coyote and f*ck it. It turns out, we were both wrong. I apologize to you, sir, for implying that you were a coyote f*cker. Clearly, you went to Argentina to have dirty, dirty sex with a capybara, a giant rodent indigenous to the Argentine region.” – Jon Stewart

“Mark Sanford, the governor of South Carolina — this just keeps getting weirder. He was missing for five days. He finally showed up. He claimed that he was just hiking in the Appalachian Mountains. Then just today, he revealed that he was not hiking in the Appalachian Mountains, he was in Argentina the entire time — in Argentina, where he was having an extramarital affair. Wow! It all seems insane until you realize who his mistress is — Carmen Sandiego.” – Jimmy Fallon

“Anybody here from South Carolina? Their governor down there, Mark Sanford disappears. He’s gone for four days. The first time he said he was hiking the Appalachian Trail. Okay, I’m just dumb enough to believe that. Then he says, ‘No, no, no, forget the Appalachian Trail. I was in South America.’ Now, I’m not sure I’m with him. Today he said he woke up in Las Vegas, hung over with a tiger and a baby.” – David Letterman

“I have to be careful here. I haven’t had much luck with jokes about governors, so I have to be careful.” – David Letterman

“Today the governor of South Carolina, Mark Sanford, who’s the head of the Republican Governors Association, held a press conference to reveal he had an affair with a woman from Argentina. People were shocked because Republicans traditionally don’t do well with Hispanic women.” – Conan O’Brien

“Well, you know what they say, in the way that no man can resist the wiles of an exotic Argentine woman, those same women are equally tantalized by middle-aged, fiscally conservative Episcopalians.” – Stephen Colbert

“‘Come on, honey, let’s f*ck. You’re giving me blue state balls.'” – Jon Stewart

“But now it turns out that he was in Argentina with another woman. A married guy, got a family, he’s in Argentina with another woman. And here’s what I want to know — why can’t he be like our former governor and use a local escort service? What’s the problem?” – David Letterman

“The past couple of years there have been a whole bunch of scandals involving governors. You know things are bad when the most normal governor of the last decade was Jesse ‘The Body’ Ventura.” – Craig Ferguson

[When Sanford’s wife didn’t appear at his press conference:] “Good for her I say! Good for you! Finally! I never understood why these women had to stand by their douchebag at the press conference. He’s like, ‘Oh I did this I did that then I took off her dress and then we went to Hooters’ … I think what the wives should do is just wear a t-shirt that says ‘I’m with stupid.'” – Craig Ferguson

“Needless to say, this not great news for the Republican party. So many prominent Republicans have been caught in these situations lately: Mark Sanford, Larry Craig, David Vitter, John Ensign from Nevada. And do you want to know why this is happening? The gays. They’ve destroyed the institution of marriage and now this is what we get” – Jimmy Kimmel

“You know about this Bernie Madoff, the weasel? The guy – I mean, up to a couple of weeks ago, he was the most hated man in America. And then I had my trouble with the governor of Alaska.” – David Letterman

“Well, they’re getting ready to sentence the guy and they’re talking about he could go away for quite a long time, and he’s now asking the judge for a reduced sentence. Did you know you could do that? I had no idea you could say, ‘Well, you know what? I was thinking more in terms of, you know, maybe a weekend now, and a weekend after the holidays.'” – David Letterman

“Yeah, Bernie is asking for a sentence of 12 years. Nice to see the guy hasn’t lost his sense of humor.” – David Letterman

“But in addition to the sentence, he is also banned from trading securities. And I thought, well, they nipped that in the bud. Way to go.” – David Letterman

“You guys remember Dick Cheney? Vice President for eight years? Listen to this – and by all means try to stay in your seats when you hear the news. Don’t be rushing out to bookstores. He’s written a memoir about his life. Not just a memoir, a thousand pages! It’s a great book. You can actually use it to stand on to reach a better book.” – David Letterman

“Former Vice President Dick Cheney is in the news. Cheney has signed a publishing deal to write his memoirs. I don’t want to spoil anything, but it ends with him killing Obi-Wan Kenobi.'” – Conan O’Brien

“This guy doesn’t say anything for eight years, and now he’s got a thousand-page book? Talk about torture. There’s your torture right there.” – David Letterman

“Anyway, the book is fantastic, and you better get to Barnes & Noble early for the book shooting.” – David Letterman

“You folks been following what’s going on in Iran? Listen to this. They’ve been going over the voting results, the presidential election, and the president, Mahmoud Ahmadinejad, received more than 100% of the vote.” – David Letterman

“But the Iranian supreme leader says the election results are official. He said, ‘It’s over, the election results are official. And besides that, it costs too much to rig another election.'” – David Letterman

“Hey, two Columbia University students who major in statistics say the Iranian election was rigged because they found there were too many sevens and not enough fives in the vote total. Then the students admitted that they have too many free evenings and not enough girlfriends.” – Conan O’Brien

“And President Obama, this guy takes everything seriously. He’s very upset about what’s going on in Iran. As a matter of fact, today he announced that he’s going to stop smoking Camels.” – David Letterman

“The ‘Transformers’ sequel came out today. One of the ‘Transformers’ is a Chevrolet. Fortunately, it has a sidekick that transforms into a tow truck.” – Conan O’Brien

“Toyota has begun production on a Prius Hearse which they say will be better for the environment than the traditional gas-powered hearse. Experts say it’s the perfect way to tell everyone at your funeral procession, ‘I’m judging you from beyond the grave.'” – Conan O’Brien

“On July 14th, everybody, President Obama will throw out the first pitch at the All-Star game in St. Louis. That’s pretty cool. Yeah. But Joe Biden will be on hand to commit the first error.” – Jimmy Fallon

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Short Attention Span

Scott Stantis
© Scott Stantis

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Like a jealous lover, the insurance industry doesn’t want you to be able to get health insurance from anyone, even if they turned you down

Instead of a “healthy” debate, the arguments against health care reform are becoming more and more bizarre. I’ve already talked about the fact that even though most people are in favor of single-payer health insurance, our representatives are so owned by the insurance companies (who are paying off politicians with the money they have been ripping off from us) that they are not allowed to even mention single-payer as a possibility.

But it gets even weirder from there. Now the insurance industry is trying to kill the idea of even giving you a choice of a public option. Who could be against the idea of giving you a choice of either keeping your existing health insurance, or having the option of a government-run insurance plan (especially to people who have been turned down for insurance)? We are talking about something like Medicare, but which would be available to all those people that private insurance companies refuse to cover. If we can’t have the single-payer system we want, could this be a reasonable compromise?

But like a jealous lover, the insurance industry doesn’t want you to be able to get health insurance from anyone, even if they turn you down! Take the recent argument from Senator Chuck Grassley (R-Iowa). Grassley argues that a public insurance option would be so popular — that people would prefer it so much over private insurance — that it cannot be permitted. The private insurance industry is so important (at least to his campaign contributions) that he would prefer that people die rather than give them the choice of a public plan!

Next is the attack ad being run by the double-speak group Conservatives for Patients’ Rights (CPR), who bizarrely warn you that giving you a choice of a public plan would actually deny you the “choice” of being ripped off by private insurance companies. Seriously! I guess this should not be a surprise, since the leader of CPR is a former health insurance CEO who was forced out of his job after his company committed the largest health over-billing fraud case in history, not to mention that the PR firm that created the ad is the same company that came up with the “Swift boat” attack ads against Kerry in 2004.

So if the health insurance companies can’t come up with any actual, valid arguments against a public option, what can they do? How about a Republican website that says:

Obama and Hitler have a great deal in common … Say NO to the Obamination of Obama Care!

Yup, if calling a public option socialism doesn’t work, they escalate to calling it fascism! Are you afraid yet? Of course, Obama has no problem debunking the myth that the secret evil socialist purpose of a public option is to put private insurance companies out of business.

Another tactic is to simply deny that there is any public support for a public option. Recently, Senator John Cornyn (R-Texas) did just that, claiming that all those polls that show overwhelming support for a public option must be wrong, using a statistical argument that was immediately debunked.

But the lies don’t stop there. Opponents of a public option still claim that a public plan would be subsidized by your tax dollars, which they say would give it an unfair advantage over private insurance. But this is simply false. The only subsidies that are being proposed would go to individuals and families, who could then use them on their choice of insurance (either private or public). In an excellent article, Robert Reich goes through the arguments being thrown out against a public option and debunks them.

So what can be done about this? Plenty! First, pass around this article about a former insurance industry insider who testified to Congress about all the ways that private insurance companies rip people off. Second, give support to groups that expose representatives who lie about health insurance reform. Finally, and most importantly, contact your own representatives. The only way to counteract all the pressure that is being put on them from the powerful insurance industry is for them to hear from us, the people who are suffering from substandard health care. Tell them you’re angry and you’re not going to take it any more!

Stuart Carlson
© Stuart Carlson

UPDATE: The right continues to lie about health care reform, and the media is letting them get away with it.

UPDATE 2: A study published in the New England Journal of Medicine indicates that our current health system isn’t working even for people who have adequate insurance.

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Health Care Reform Infomercial

Maybe it is just me, but doesn’t Colbert look more like Obama with his short hair?

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Late Night Political Humor

“Here’s a big story, ladies and gentlemen. Yesterday, there was an earthquake in Alaska. I’m kind of afraid to say anything.” – David Letterman

“Have you been following what’s going on in Iran? Oh, it’s crazy. They had the election. Now it looks like there was some monkey business going on. And now people are demonstrating in the streets. And the government has imposed a curfew, in Iran. I was thinking, whoa, I just hope this doesn’t ruin the swinging Iranian night life.” – David Letterman

“Ahmadinejad has declared himself the winner of the election and is planning his inauguration. And I said, ‘Well, why not? The country is really in a party mood. Let’s go. Let’s get those plans in order. Let’s have some fun.'” – David Letterman

“And the leader of Iran’s opposition party, Mousavi, the guy who apparently lost in the election, says he’s ready to become a martyr. Don’t kid yourselves. It’s tough being a martyr nowadays, really. I mean, with the economy and all the budget cuts. When you die now, because of the economy, you’re only going to be greeted by 35, maybe 40 virgins, tops.” – David Letterman

“The Navy has dispatched a destroyer named the U.S.S. John McCain to deal with the North Korean ship that may have illegal weapons. Well, actually, the Navy didn’t dispatch the John McCain, it just kind of wandered off on its own.” – Conan O’Brien

“The mayor of Los Angeles, Antonio Villaraigosa, announced he is not going to run for governor of California. Villaraigosa realized he had no chance of becoming governor of California because he was born in this country and you can understand every word he says.” – Conan O’Brien

“Do you know anything about this swindling weasel Bernie Madoff? He’s in jail now and they haven’t even sentenced the guy yet. But he’s in the cooler right now. And he is barred — I heard this today — barred from working in the securities industry. I’m thinking, well, great. How is the guy supposed to earn a living when he gets out of jail in 150 years?” – David Letterman

“And his attorney is looking for a shorter sentence. He wants 12 years. Bernie wants 12 years. Well, you know, if anybody deserves a break, it’s this guy, really.” – David Letterman

“Bernie could be going away for 150 years. Whoa, man, that’s a long time. I mean, when he gets out, the Republicans could be back in.” – David Letterman

“Anybody here from South Carolina? Well, their governor, their Governor Mark Sanford just disappears for four days. Literally, takes a hike. He’s out. And now, he’s back. And he says, ‘Well what’s the big deal? I was just on a vacation to clear my head.’ You see, we never had that head-clearing problem with Bush. You know what I mean?” – David Letterman

“This is a big story because his wife, the governor’s wife, had no idea where the guy was for four days. And today he gets a call from Bill Clinton saying, ‘Hey, who’s your travel agent? Who, where, how do I — how do I get in on this?'” – David Letterman

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Mourning in America

John Campbell
© John Campbell

Ed McMahon, Farrah Fawcett, and now Michael Jackson, all in one week.

Donna Barstow
© Donna Barstow
Op-Ed CartoonsDonna Barstow blog

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NPR plays “Name that Lobbyist”

NPR photographer Robb Hill wondered who would be interested enough to attend the meeting where 22 senators gathered to start working on overhauling healthcare in the US. So he took four photographs of the audience, and is inviting people to identify the people in the photos. So far, the public has identified eight lobbyists (plus three more that attended but were not in the photos). There are three in this photo — can you identify more of them?

NPR
© NPR and Robb Hill

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Fox News uses D for Disgraced?

After Fox News labelled disgraced Governor Mark Sanford as a Democrat (when he is a Republican), Intershame pointed out that this happens far too often to be an honest mistake:

Mark Sanford

John McCain

Arlen Specter (before he actually became one!)

Mark Foley

Lincoln Chafee

Pat Toomey

Ted Stevens

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God takes ‘let he who is without sin cast the first stone’ seriously, punishes hypocrite

Personally, I think the sex life of anyone — including elected officials — is their own damn business, but you can’t help but shake your head at the behavior of people like Governor Mark Sanford and you may even enjoy watching him squirm. After all, he preached morality to others while sinning himself. He publicly called for President Clinton to resign for his sexual indiscretions. He tried to force Larry Craig to resign after his public bathroom caper and arrest. He opposes gay marriage (even civil unions) based on the “sanctity of marriage”, and talks about “family values” while spending father’s day with his lover, away from his children.

What is worse, the only reason Sanford admitted to his infidelity was because it was discovered. So when he says he’s sorry, it seems like he is only sorry because he got caught. Plus there is the issue that as a governor, he shouldn’t just vanish without telling anyone where he is. On top of all that, he used public money for at least one of his visits to his girlfriend. It doesn’t make it any better that he is paying that money back — now that he got caught.

Even so, reading the emails between Sanford and his love, I do feel sorry for him. Love is a powerful thing that makes us stupid. Nobody is immune to it. I refuse to judge him, even though he judged others. Let he who is without sin, cast the first stone.

But I do find it especially annoying that some conservatives are claiming that Republicans are judged more harshly, and are forced “into resignation or disgrace more easily than their equally adulterous Democratic counterparts.” As if they didn’t deserve harsher judgement for their “family values” rhetoric and hypocritical condemnation of others. But George Stephanopoloulos points out that while Republicans Sanford, John Ensign, David Vitter, and Larry Craig stayed in office after sex scandals, Democrats Eliot Spitzer, Jim McCreevey, and Kwame Kilpatrick all resigned (not to mention that Clinton was impeached). How hypocritical is it to be hypocritical about your own hypocrisy?

UPDATE: Just when I thought this couldn’t get any more hypocritical — Rush Limbaugh blames Sanford’s affair on Obama and the Federal government.

UPDATE 2: A journalist argues convincingly that some politicians invite judgement on themselves in an article entitled “Attention, Narcissist Horndogs”.

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Late Night Political Humor

“You folks following the Iranian elections? Well, Mahmoud Ahmadinejad is the winner. And lots of protests. And it got to be so crazy that Iran’s supreme leader actually spoke live on television last night. And it preempted Al Jazeera’s most popular show, their number one show over there, which is ‘How I Met Your Camel.'” – David Letterman

“Some experts are saying the Iranian election was rigged because in some towns, voter turnout was more than 100%. What’s even stranger, all those extra votes were from elderly Jewish people in Palm Beach, Florida.” – Conan O’Brien

“But the supreme leader said that the Iranian elections were not rigged. Well, that’s good enough for me.” – David Letterman

“He did say that there was some trouble early on and they did make some errors. As a matter of fact, he’s now saying that they forgot to count votes for Susan Boyle.” – David Letterman

“More unrest in Iran as the government continues to crack down on protesters. And to disperse crowds, Iranian police used tear gas, water cannons, and the NBC primetime lineup.” – Conan O’Brien

“But the Iranian government is planning a curfew because things are getting so crazy in Iran. And I thought if there is one thing an angry mob respects, by God, it’s a curfew, isn’t it?” – David Letterman

“Nice vote of confidence for President Obama this weekend. John McCain, of all people, said that President Obama has ‘done well’ during his first few months in office. In fact, McCain’s so proud of Obama, he sent him a card with a five dollar bill inside.” – Conan O’Brien

“President Barack Obama’s approval rating of 61%, which I thought was staggeringly high, has now dropped to 56%. So don’t kid yourselves. Hillary could still win this thing.” – David Letterman

“John McCain is being more outspoken about President Obama’s foreign policy and his Iranian strategy. And today, McCain got so loud and so angry, and he was screaming, that they asked him to leave Denny’s.” – David Letterman

“According to a new report, Ford, General Motors and Chrysler have greatly reduced their number of customer complaints. The automakers did this by greatly reducing their number of customers.” – Conan O’Brien

“Did you hear this? Hillary Clinton busted her elbow. Apparently, she slipped and hit the floor when she went home to her husband early, unannounced.” – David Letterman

“And she hasn’t recovered yet. As a matter of fact, she’s still wearing her orthopedic pantsuit.” – David Letterman

“Hillary Clinton is expected to make a full recovery after having surgery to repair her broken right elbow. Yeah, doctors say she’ll be able to point and crazy smile at people in no time.” – Jimmy Fallon

“Today, President Obama signed a bill that prevents tobacco companies from using misleading labels like ‘low tar’ and ‘light.’ The tobacco companies said from now on they’ll label their low tar cigarettes as ‘less cancerific.'” – Conan O’Brien

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Great Satire – Health Americans Against Reforming Medicine

[from haarm.org]

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