HOME



Digby's Hullabaloo
2801 Ocean Park Blvd.
Box 157
Santa Monica, Ca 90405



Twitter:
@digby56
@DavidOAtkins

emails:
Digby:
digbysez at gmail
David:
isnospoon at gmail
Dennis:
satniteflix at gmail








Infomania

Salon
Buzzflash
Mother Jones
Raw Story
Huffington Post
Slate
Crooks and Liars
American Prospect
New Republic
Common Dreams
AmericanPoliticsJournal
Smirking Chimp
CJR Daily
consortium news

Blog-o-rama

Eschaton
BagNewsNotes
Daily Kos
Political Animal
Driftglass
Firedoglake
Taylor Marsh
Spocko's Brain
Talk Left
Suburban Guerrilla
Scoobie Davis
Echidne
Electrolite
Americablog
Tom Tomorrow
Left Coaster
Angry Bear
oilprice.com
Seeing the Forest
Cathie From Canada
Frontier River Guides
Brad DeLong
The Sideshow
Liberal Oasis
BartCop
Juan Cole
Rising Hegemon
alicublog
Unqualified Offerings
Alas, A Blog
RogerAiles
Lean Left
Oliver Willis
skippy the bush kangaroo
uggabugga
Crooked Timber
discourse.net
Amygdala
the talking dog
David E's Fablog
The Agonist


Saturday Night at the Movies by Dennis Hartley review archive

01/01/2003 - 02/01/2003 02/01/2003 - 03/01/2003 03/01/2003 - 04/01/2003 04/01/2003 - 05/01/2003 05/01/2003 - 06/01/2003 06/01/2003 - 07/01/2003 07/01/2003 - 08/01/2003 08/01/2003 - 09/01/2003 09/01/2003 - 10/01/2003 10/01/2003 - 11/01/2003 11/01/2003 - 12/01/2003 12/01/2003 - 01/01/2004 01/01/2004 - 02/01/2004 02/01/2004 - 03/01/2004 03/01/2004 - 04/01/2004 04/01/2004 - 05/01/2004 05/01/2004 - 06/01/2004 06/01/2004 - 07/01/2004 07/01/2004 - 08/01/2004 08/01/2004 - 09/01/2004 09/01/2004 - 10/01/2004 10/01/2004 - 11/01/2004 11/01/2004 - 12/01/2004 12/01/2004 - 01/01/2005 01/01/2005 - 02/01/2005 02/01/2005 - 03/01/2005 03/01/2005 - 04/01/2005 04/01/2005 - 05/01/2005 05/01/2005 - 06/01/2005 06/01/2005 - 07/01/2005 07/01/2005 - 08/01/2005 08/01/2005 - 09/01/2005 09/01/2005 - 10/01/2005 10/01/2005 - 11/01/2005 11/01/2005 - 12/01/2005 12/01/2005 - 01/01/2006 01/01/2006 - 02/01/2006 02/01/2006 - 03/01/2006 03/01/2006 - 04/01/2006 04/01/2006 - 05/01/2006 05/01/2006 - 06/01/2006 06/01/2006 - 07/01/2006 07/01/2006 - 08/01/2006 08/01/2006 - 09/01/2006 09/01/2006 - 10/01/2006 10/01/2006 - 11/01/2006 11/01/2006 - 12/01/2006 12/01/2006 - 01/01/2007 01/01/2007 - 02/01/2007 02/01/2007 - 03/01/2007 03/01/2007 - 04/01/2007 04/01/2007 - 05/01/2007 05/01/2007 - 06/01/2007 06/01/2007 - 07/01/2007 07/01/2007 - 08/01/2007 08/01/2007 - 09/01/2007 09/01/2007 - 10/01/2007 10/01/2007 - 11/01/2007 11/01/2007 - 12/01/2007 12/01/2007 - 01/01/2008 01/01/2008 - 02/01/2008 02/01/2008 - 03/01/2008 03/01/2008 - 04/01/2008 04/01/2008 - 05/01/2008 05/01/2008 - 06/01/2008 06/01/2008 - 07/01/2008 07/01/2008 - 08/01/2008 08/01/2008 - 09/01/2008 09/01/2008 - 10/01/2008 10/01/2008 - 11/01/2008 11/01/2008 - 12/01/2008 12/01/2008 - 01/01/2009 01/01/2009 - 02/01/2009 02/01/2009 - 03/01/2009 03/01/2009 - 04/01/2009 04/01/2009 - 05/01/2009 05/01/2009 - 06/01/2009 06/01/2009 - 07/01/2009 07/01/2009 - 08/01/2009 08/01/2009 - 09/01/2009 09/01/2009 - 10/01/2009 10/01/2009 - 11/01/2009 11/01/2009 - 12/01/2009 12/01/2009 - 01/01/2010 01/01/2010 - 02/01/2010 02/01/2010 - 03/01/2010 03/01/2010 - 04/01/2010 04/01/2010 - 05/01/2010 05/01/2010 - 06/01/2010 06/01/2010 - 07/01/2010 07/01/2010 - 08/01/2010 08/01/2010 - 09/01/2010 09/01/2010 - 10/01/2010 10/01/2010 - 11/01/2010 11/01/2010 - 12/01/2010 12/01/2010 - 01/01/2011 01/01/2011 - 02/01/2011 02/01/2011 - 03/01/2011 03/01/2011 - 04/01/2011 04/01/2011 - 05/01/2011 05/01/2011 - 06/01/2011 06/01/2011 - 07/01/2011 07/01/2011 - 08/01/2011 08/01/2011 - 09/01/2011 09/01/2011 - 10/01/2011 10/01/2011 - 11/01/2011 11/01/2011 - 12/01/2011 12/01/2011 - 01/01/2012 01/01/2012 - 02/01/2012 02/01/2012 - 03/01/2012 03/01/2012 - 04/01/2012 04/01/2012 - 05/01/2012 05/01/2012 - 06/01/2012 06/01/2012 - 07/01/2012 07/01/2012 - 08/01/2012 08/01/2012 - 09/01/2012 09/01/2012 - 10/01/2012 10/01/2012 - 11/01/2012 11/01/2012 - 12/01/2012 12/01/2012 - 01/01/2013 01/01/2013 - 02/01/2013 02/01/2013 - 03/01/2013 03/01/2013 - 04/01/2013 04/01/2013 - 05/01/2013 05/01/2013 - 06/01/2013 06/01/2013 - 07/01/2013 07/01/2013 - 08/01/2013 08/01/2013 - 09/01/2013 09/01/2013 - 10/01/2013 10/01/2013 - 11/01/2013 11/01/2013 - 12/01/2013 12/01/2013 - 01/01/2014 01/01/2014 - 02/01/2014 02/01/2014 - 03/01/2014 03/01/2014 - 04/01/2014 04/01/2014 - 05/01/2014 05/01/2014 - 06/01/2014 06/01/2014 - 07/01/2014 07/01/2014 - 08/01/2014 08/01/2014 - 09/01/2014


 

This page is powered by Blogger. Isn't yours?

Hullabaloo


Sunday, December 30, 2007

 
Negotiating With Ourselves

I hate to use up a little space on Digby's own blog to essentially say What Digby Said (tm), but, you know, that. And let me try and apply it to what everyone feels is the most important domestic issue of the election, health care.

The debate so far, as it's been set up by the leading Democratic candidates, is extremely narrow. It asks whether you want to mandate coverage through the government, or to bring costs down to the point that people will want to get coverage. And yet what often goes unsaid is what that coverage actually buys you. Why is this not the most fundamental point in the entire debate?

At 13, David Denney's body functions like that of a baby. Severe brain damage halted his motor development at 4 months.

Unable to walk, sit up, speak or even eat by mouth, David is cared for by a licensed vocational nurse who feeds him formula through a stomach tube, watching closely in case he retches.

Blue Cross of California, the family's health plan, paid for the nurse for most of David's life at a cost of about $1,200 a week.Then about two years ago, the company decided that David didn't need a nurse anymore -- contradicting the opinions of two of David's physicians -- and it stopped paying.

"He's fragile, very fragile," said the boy's mother, Amparo Denney of Torrance. "It's not humanly possible to do this without help."

As a matter of course, insurers scrutinize what physicians order -- watching for unnecessary drugs, questionable treatments, experimental and unproven therapies, unwarranted surgery.

The extent of treatment denials by insurers is unknown. But patients are contesting them more than ever [...]

Many people who are denied treatment never contest it because they are unaware that they can or are too caught up in their medical crises to bother. As a result, some denials go unnoticed; some draw headlines.

A much-publicized pair of decisions this month by insurer Cigna HealthCare to deny and then permit a liver transplant for a 17-year-old girl from Northridge drew much criticism after she died hours later.


In a sane world, the fault line would be: eliminating health care that values profit over treatment versus maintaining the same failed system, and the parties would line up on those two tracks. That's certainly the way the Republicans are playing it. They'd rather smear a seven year-old and his family than give them health care. This so-called "post-partisan" compromise for health care reform in California was passed in the state legislature without one Republican vote, it will continue to pass without one Republican vote, and may become law without one Republican vote. They're not interested in compromise. They're absolutists, and as Digby says, they're better in the opposition obstructing everything.

But the Democrats are so browbeaten by taunts of class warfare and extreme partisanship that they give in halfway before the negotiation even begins. And the Republicans obstruct, so they give in some more, and the Republicans obstruct again, and then the bipartisan zombie goons get all upset at the Democrats for not getting anything done.

So we have these Rube Goldberg plans that try to split the difference between universal health care and placating insurance companies. And we hear all this happy talk about giving a place at the table to all competing interests and forging a workable solution.

I'm sorry, the company that favors the balance sheet over human life isn't really interested in that. The trade-off is supposed to be a forced market through mandates in exchange for having to sign up everybody. What about quality of care? I can tell you that in our California plan, which many have said is supposed to be better than the major Dem candidates' plans, there is no defined minimum baseline coverage. The companies have to spend 85% of premiums on health care (Medicare spends 96%), that's it. Good thing we don't live in a country where there have been phony accounting scandals recently!

The Nataline Sarkysians of the world, the David Denneys of the world are still at risk in that scenario. My man Edwards at least understands that negotiation isn't an option, but his plan doesn't say "Look, the hell with it, they're not going to compromise, sign everybody up for Medicare." It tries to sneak that under the door, but the conservative movement really isn't being sneaky, and they're not likely to get duped. They'll lie and call something that doesn't approach socialized medicine "more from the Commies who wanna control every part of your life."

So why are we* so interested in being cordial?


* Note responding to the comments; I say "we" because we are the Democratic Party, not these piles of mush who think we can wish our disagreements away.


.

Search Digby!