Posts Tagged ‘President Obama’

Tom Harkin Taking Up Ted Kennedy’s Healthcare Reform Torch

Wednesday, October 14th, 2009

Harkin on KennedySenator Tom Harkin (D-IA), the liberal who succeeded Senator Ted Kennedy as chairman of the Senate Health Committee, is predicting that Congress will pass healthcare reform with a public option before year’s end.

Harkin, who recognizes that there is opposition to the Health Committee’s bill, believes his fellow Democrats will join with President Barack Obama to pass a wide-ranging healthcare reform bill that the late Kennedy described as “the cause of my life.”

President Obama is championing an insurance marketplace where people who lack employer-provided healthcare can purchase coverage.  This exchange would encompass private insurance companies and a public option to create competition aimed at driving down high premium prices.  The majority of Republicans and some conservative Blue Dog Democrats oppose the public option, claiming it would have an unfair competitive advantage by offering lower prices.  They reason that this would drive private insurers out of the market.

Because of Senate procedural rules, Democrats need 60 votes to avoid a Republican filibuster to delay the legislation.  With Massachusetts Governor Deval Patrick’s appointment of Paul Kirk to fill Ted Kennedy’s Senate seat until next January’s special election, the Democrats now have that bullet-proof majority – assuming Harkin can bring the Blue Dogs into line.

“I’m convinced we’re going to have a healthcare reform bill on the president’s desk before we go home for Christmas,” Harkin said.  “And there will be some form of public option.  There’s a lot of support for it.  We’re not going to accept defeat.”

House Democrats Looking for a Palatable Tax to Fund Healthcare Reform

Wednesday, September 30th, 2009

Congressional Democrats are mulling a tax on high-cost insurance plans to pay for overhauling the nation’s healthcare delivery system.  Speaker of the House Nancy Pelosi (D-CA) says that such a tax is “under consideration” as Democrats seek consensus before bringing a bill to the House floor this fall.

49095“We just have to see how much money we need for what,” according to Pelosi.  “And if we’re taking the bill down in cost, there are other provisions in the Senate bill that bend the (costs) curve that might be more palatable.”  A House tax option likely would be a scaled-down version of the one Senate Finance Committee Chairman Max Baucus (D-MT) has proposed.

The Democratic House plan wants to increase taxes on upper-income people to pay for covering the uninsured.  Baucus wants to tax high-cost “Cadillac” insurance plans often valued at more than $8,000 for an individual and $21,000 for a family and which may have no deductibles or co-payments.  Those in favor of the tax, which President Obama supports, believe it will reduce healthcare costs by persuading people to become more cost-conscious consumers.

The insurance tax should reduce the cost of the House’s healthcare reform bill.  How to pay for the plan is just one issue that House leaders are trying to settle as they work to merge three committee-approved bills into one piece of legislation.  The major issue is that the House Democrats’ 10-year bill costs $1 trillion-plus, higher than the $900 billion that President Obama prefers.  Although House Democrats realize that cuts are required, they want to protect the subsidies that will help low-income Americans purchase coverage.  Unfortunately, the subsidies are the most expensive part of the legislation.

Where Are Our Manners?

Wednesday, September 23rd, 2009

Recent incidents related to the healthcare reform debate have raised public civility as a topic for discussion. Congressman Joe Wilson (R-SC) interrupted a presidential address on healthcare reform to a joint session of Congress to accuse President Obama of lying – a serious breach of House rules.  Some have even wondered if the brazenness is what gave license to Serena Williams and Kanye West for their recent outbursts.

article-1205953-0607f1fb000005dc-274_468x359arlenThe level of public rudeness became particularly apparent during the August Congressional recess when numerous town hall meetings on healthcare reform turned into screaming matches.  Such incidents are typically followed by outrage, the usual YouTube video, an apology and – in some cases – punishment.

Despite his calls for civility at a town hall meeting near Pittsburgh, Senator Arlen Specter (D-PA) had a constituent spit on him, was called a liar and had his morals questioned.  The baffled Senator Specter was taken aback when one attendee said “One day God’s going to stand before you, and he’s going to judge you and the rest of your damned cronies on the Hill.  And then you’ll get your just desserts.” He was accusing Specter of being too much in favor of President Obama’s efforts to reform healthcare insurance.

Writing in the Washington Post, Rick Perlstein notes that “The orchestration of incivility happens, too, and is evil.  Liberal power of all sorts induces an organic and crazy-making panic in a considerable number of Americans, while people with no particular susceptibility to existential terror – powerful elites – find reason to stoke and exploit that fear.  And even the most ideologically fair-minded national media will always be agents of cosmopolitanism:  something provincials fear as an outside elite intent on forcing different values down their throats.”

The good news is that Wilson paid a price for his rudeness when the House of Representatives formally reprimanded him.  Specter’s assailant had his 15 minutes of fame.

RIP: The Senate’s Liberal Lion and Healthcare Reform Champion

Tuesday, September 1st, 2009

ted-kennedy-dies-001Ted Kennedy’s passing deprives President Obama of a critical political ally in his efforts to reform healthcare.  In his role as chairman of the Senate Health, Education, Labor & Pensions committee, Kennedy fought tirelessly for decades to reform a system that today deprives 47 million Americans of affordable, accessible healthcare coverage.

In The Guardian, Michael Tomasky notes that, “The heavens somehow conspired to make this Kennedy death, however expected it might have been, nearly as heartbreaking as those of his vigorous younger brothers.  It’s not just that the great cause of the last 40 years of his life, reforming America’s healthcare system, sits at a perilous juncture, although it certainly is that, in part.  But the tragic irony of the timing is even greater, because we see in the very healthcare debate that so needed his input the precarious state of the institution to which he devoted his life, and which he shaped and influenced more than probably any other senator in history.”

Kennedy, writing in the July 27, 2009, Newsweek, declared that healthcare reform is “the cause of my life”. “In 1973, when I was first fighting in the Senate for universal coverage, we learned that my 12-year-old son Teddy had bone cancer.  He had to have his right leg amputated above the knee.  The pathology report showed that some of the cancer cells were very aggressive.  I decided his best chance for survival was a clinical trial involving massive doses of chemotherapy,” according to Kennedy.

“During those many hours at the hospital, I came to know other parents whose children had been stricken with the same deadly disease.  We all hoped that our child’s life would be saved by this experimental treatment.  Because this was part of a clinical trial, none of us paid for it.  Then the trial was declared a success and terminated before some patients had completed their treatments.  That meant families had to have insurance to cover the rest or pay for them out of pocket.  Our family had the necessary resources as well as excellent insurance coverage.”

Other heartbroken parents were not able to pay for the continued treatment and that made Kennedy realize that “No parent should suffer that torment.  Not in this country.  Not in the richest country in the world.”  So passionate was Kennedy that Americans have access to healthcare that he often paid for others’ treatment out of his own pocket when they could not afford it.

Kennedy made healthcare reform his lifelong passion, vowing “We will end the disgrace of America as the only major industrialized nation in the world that doesn’t guarantee healthcare for all of its people.”

Wherever you stand on the issue, there is no doubt that Kennedy was a great senator, a statesman that Republicans and Democrats respected and emulated.  He did not live to see the healthcare bill passed, but perhaps his death will quell partisan dissension and bring us closer to a solution.

Charles Krauthammer Gives ObamaCare Two Thumbs Down

Thursday, August 6th, 2009

Conservative Washington Post columnist Charles Krauthammer thinks ObamaCare is a fantasy that the president will not be able to deliver.

According to Krauthammer, President Obama promised healthcare reform claiming that medical costs are ruining the economy.  Now, the Congressional Budget Office has said that the Democrats’ healthcare plan will increase costs by more than $1 trillion.

“In response, the president retreated to a demand that any bill he sign be revenue neutral,” Krauthammer said.  “But that’s a classic misdirection:  If the fierce urgency of healthcare reform is to radically reduce costs that are producing bobama-care-tlnudget-destroying deficits, revenue neutrality (by definition) leaves us on precisely the same path to insolvency that Obama himself declares unsustainable.”

Democratic Senator Max Baucus of Montana, chairman of the Senate Finance Committee, said that the president was “unhelpful” for ruling out taxing employer-provided insurance plans to help pay for coverage.  The House’s conservative Blue Dog Democrats are wincing at what they see as skyrocketing healthcare reform costs.

Krauthammer contends that “The president is therefore understandably eager to make this a contest between progressive Democrats and reactionary Republicans.  He seized on Republican Senator Jim DeMint’s comment that stopping Obama on healthcare would break his presidency to protest, with perfect disingenuousness, that ‘this isn’t about me.  This isn’t about politics.’”

Considering that the Clinton administration is considered successful by many despite its inability to pass healthcare reform, Krauthammer’s opinion may be overly negative if current efforts fail.  Plus, characterizing a cause that 74 percent of Americans support as a personal whim of the president seems unfair.  Also, 30 states have the same form of a public option for health insurance and studies show that residents support it overwhelmingly.  The issue is really about how to pay for it and here, the president will have to level with the American people about the real cost.

Rural Family Practice Physician Chosen as Surgeon General

Friday, July 24th, 2009

President Obama has chosen a little-known family practice physician who runs a small clinic in a rural community on Alabama’s Gulf Coast as his Surgeon General of the United States.  She is Dr. Regina Benjamin,  who has spent her career tending to the healthcare needs of the poor.  According to Obama, “When people couldn’t pay, she didn’t charge them.  When the clinic wasn’t making money, she didn’t take a salary for herself.”artbenjaminnominationgi

Dr. Benjamin has committed herself to fighting the preventable illnesses that prematurely took the lives of both her parents, as well as her brother and sole sibling.  According to Dr. Benjamin, “I cannot change my family’s past, but I can be a voice to improve our nation’s healthcare for the future.”

Dr. Benjamin’s medical education was paid for by the National Health Service Corps, a federal program where students agree to pay back by working in areas that lack physicians for a specified time.  To honor that obligation, she founded the not-for-profit Bayou La Batre Rural Health Clinic in 1990 in the fishing village of Bayou La Batre, AL.  She remains the practice’s CEO.

The clinic, which was heavily damaged by Hurricanes Georges and Katrina, burned to the ground several years ago.  Every time, Dr. Benjamin rebuilt, even if it meant mortgaging her house or maxing out her credit cards.  Despite the setbacks, Dr. Benjamin remains dedicated to providing quality healthcare to the village’s 2,500 residents.

Benjamin is a stark contrast to Obama’s first nominee for Surgeon General – Sanjay Gupta, a glamorous TV personality and globe-trotting neurosurgeon who raised the hackles of Senators and withdrew his nomination.

The Surgeon General post, which is used primarily as a bully pulpit on healthcare initiatives, requires Senate confirmation.

House Proposes $1.5 Trillion Healthcare Reform Package

Wednesday, July 22nd, 2009

The House of Representatives has proposed a $1.5 trillion package that would make healthcare coverage a right and a responsibility for all citizens.  If passed, medical providers, employers and the wealthy would pick up the tab.  The United States is the only developed nation that lacks healthcare coverage for all citizens, and approximately 50 Health Care Reformmillion people do not have access to insurance.

“We cannot allow this issue to be delayed.  We cannot put it off again,” says Representative Henry Waxman, a California Democrat and chairman of the House Energy and Commerce committee.  “We quite frankly cannot go home for a recess unless the House and the Senate both pass bills to reform and restructure our healthcare system.”

President Obama is promoting healthcare reform every chance he gets.  In a Michigan speech about spending for community colleges, he said, “There’s going to be a major debate over the next three weeks.  And don’t be fooled by folks trying to scare you saying we can’t change the healthcare system.  We have no choice but to change the healthcare system because right now it’s broken for many Americans.”

Organizing for America – Obama’s campaign organization – is launching a series of 30-second television ads on healthcare reform that will air in Washington D.C., on cable networks nationally and on local stations in eight states.  The ads depict ordinary citizens telling their stories about problems with the current healthcare system.

Senate Advances on Reshaping Healthcare Coverage

Tuesday, July 21st, 2009

A crucial Senate committee has approved legislation to reform the nation’s healthcare system.  This is significant because it marks the first time the committee has acted on legislation to fulfill President Obama’s goal of reshaping how healthcare is paid for in the United States.s-obamated-large

Specifically, the Health, Education, Labor and Pensions Committee voted 13 – 10 — along strict party lines — to endorse a $600 billion measure to expand coverage to virtually all Americans by requiring individuals to get insurance with their employers contributing to the cost.  If enacted into law, the legislation would provide federal aid to families and individuals who make less than four times the poverty level – approximately $88,000 for a family of four.

The committee’s chairman, Senator Ted Kennedy of Massachusetts, missed the vote because of his ongoing treatment for brain cancer.  Even though Senator Kennedy is acting behind the scenes in the push to pass this legislation, he remains one of the prime movers for enacting healthcare reform.

Eco City is Florida’s Destiny

Thursday, June 25th, 2009

A developer with more than 41,300 acres in Osceola County in Central Florida (just south of Orlando) is envisioning the first eco-sustainable city in the United States  and will be called Destiny, FL.destiny-sustainable-city-florida-bg

Destiny has been recognized by The Clinton Climate Initiative as one of 16 large-scale urban projects demonstrating that cities can grow while reducing carbon emissions to near zero.

Destiny’s developers are currently considering a solar plant that would produce power at about 40 cents per kilowatt.  Intuitively, it would also need to incorporate green technology, eco-friendly companies, a gray water irrigation system, environmental research groups, and “green collar” jobs.  It is slated to break ground in 2011 and will eventually include approximately 100,000 residential units and 30 million SF of non-commercial space to support a population of 200,000 to 250,000 residents.  This is in step with President Obama’s focus on alternate energy.  The American Reinvestment and Recovery Act (ARRA) includes  $20 billion in tax cuts for alternative energy including a multiyear extension of the production tax credit for wind, geothermal, hydro power and bio-energy.  Additionally, President Obama has pledged to invest $150 billion over 10 years to develop alternative energy, which he says will create 5 million jobs.

Wellness Is a Proactive Approach to Healthcare

Wednesday, June 24th, 2009

Now is the time for healthcare providers to take a proactive approach to the well-being of their respective communities and target markets.  The American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, contains $1 billion for the new Prevention and Wellness Fund.  This Fund will make available resources for funding immunization programs; infection prevention programs; and the prevention of mpj040515400001chronic diseases such as high blood pressure, diabetes and heart disease.  Based on statistics provided by the Center for Disease Control and Prevention, more than 70 million people in the United States (approximately 25 percent of our total population) live with cardiovascular disease.  Wellness programs have a direct impact on the prevention of these diseases and will be an important components of any preventative program.

Healthcare providers have historically been hesitant to invest in wellness and fitness centers due to the capital resource requirement and uncertain return on investment.  With careful planning and strategic development, these facilities can bring a substantial new revenue stream into the organization.  Skeptics may point to the Medical Fitness Association, which reports that in 2008 there were approximately 950 medically based wellness and fitness centers in the United States, with one-third reporting operating losses.

While such risks do exist, investing in wellness facilities and programs that directly address the prevention of chronic disease have the potential for more than satisfactory financial results.  If managed with a clear direction, thought and competence, these facilities can provide a financial return far more attractive than the equities market has offered in the recent past.  The resources allocated to fight chronic disease will come back tenfold in cost reductions over the long term.

Now is the time to invest in the well-being of our future.  We should not wait for another opportunity like the one Congress and President Obama have provided.  We need to take advantage of this now.