The polls continue to say that roughly half of Americans don’t support health reform. A Zogby poll finds that about 51 percent of Americans oppose the Democratic version of health reform; a Quinnipiac University poll reports that 54 percent are unsupportive of Obama’s plan; a Public Policy Polling survey puts the number of those who oppose at 50 percent.
So what does a sample of New Yorkers in the Chelsea neighborhood of Manhattan think of health care reform and what’s happened to it? Interviews over the weekend in our non-scientific poll show that people are about as split as the scientific polls show. Some have strong opinions; others have tuned out; and still others say they are unaffected by the all the back-and-forth between the Dems and the Republicans. A few people I interviewed didn’t know about the big health care pow-wow on Thursday, even though that topic has consumed stakeholders, interest groups, Internet listservs, and health care reporters for weeks.
“I am not aware of the summit,” said thirty-eight-year-old Liza, who was having her nails done. But then, she had not been very engaged with the debate in the first place. “Personally I don’t think I will be affected by it,” she said. Liza has insurance from her employer, but she declined to say where she works. “There’s nothing I’ve heard that makes me think I would be.” Hmmm, I thought. Apparently the messages from the president and the pols these many months had not filtered down to her.
Seth, who also wouldn’t give his last name, had the same reaction. Seth is twenty-seven and said he is the CEO of a software firm a few blocks away. He told me there were nineteen hours in the day when he wasn’t sleeping and he had to devote that time to things higher on his priority list—running his business, keeping up with technology, and spending time with his wife. “I don’t need to have an opinion on everything,” he said. He did admit that he knew very little about the reform debate. At one point, he said Obama was trying democratize health care more like in Canada or France. I wondered if he meant: make it more like socialized systems.
A few minutes later, Seth said that the president was trying to privatize health care, making it so that everyone gets it—but that that would make the costs go up “substantially” because what you pay has to cover more people. “I can only imagine how much,” he said, and then told me about the insurance coverage for his workers. The premiums his company pays are going up 30 percent March 1. We have the perfect demographic, he explained: Most employees are between 28 and 35 and aren’t supposed to get sick. Policy wonks say the young, healthy invincibles will keep everyone’s costs down. Still, Seth said, his workers have had health problems. One employee got cancer; others had babies. For every dollar his company paid in premiums, the insurance broker said $1.03 was paid out for medical expenses.
I stopped in at Flannery’s Bar to see if some of the patrons would chat. A few did. Leonardo Mojica works as a computer analyst at New York University and started our conversation by saying, “It’s not going to affect me. It might when I get to Medicare or Medicaid.” That won’t be for awhile, since he is just fifty-five. He has had insurance from NYU for twenty years.
Mojica knew about the issues. “It was a big mistake to take the public option out of the whole package,” he told me. He said he was an independent but usually votes for Dems. (“Republicans, never!”) Yet he was not happy with the Democrats. “Democrats are usually chicken,” he explained. He supported Obama, but he was not happy with the president’s health care leadership. “He wanted to placate Republicans too much. He’s supposed to fight. One of the biggest disappointments is how he has been kow-towing to the please the Republicans. They will never cooperate with him.” Mojica said that if they pass anything, it will be “watered down.” “I don’t see any gains.”
Dear Editor:
As we enter what may be the final phase of debate on the Democrats’ health care reform package, here are a few observations.
Most people agree that our health system - cost of care as well as availability and cost of insurance - needs reform. Costs keep spiraling upward, many do not have access to insurance and for those who do, premiums keep rising.
Republicans and Democrats are fundamentally divided over how to address these problems. Republicans believe that unless the underlying cost issue is addressed, we will have accomplished little and spent at least $2.4 trillion over 20 years doing it. In the process, we will have raised taxes and health insurance premiums, forced many into dysfunctional government programs, turned insurance companies into wards of the federal government, and deprived individuals of choice. And health care costs will continue to inflate.
To tamp down cost, Republicans want to empower individuals to make their own decisions about their health care. Some of the steps: tax credits for health insurance and care (or equivalent funds to those who don’t pay taxes), subsidized state high risk pools for people with pre-existing conditions to get insurance at reasonable cost, expansion of health savings accounts, and medical malpractice reform to reduce some unnecessary costs. Individuals - whether in a large corporation or small business, self-employed or unemployed - would have money in their pocket to decide how best to spend their health dollars. Today, consumers of health care are insensitive to cost because someone else pays the bill. Most health care providers and insurers do not compete on the basis of cost.
Democrats believe in a top down approach. In broad terms, the Democrats’ proposals would force everyone to buy health insurance or pay a penalty (with subsidies for those who cannot afford to buy insurance), the federal government would dictate the terms of the insurance and establish boards to determine what care should be provided, and approximately 15 million more people would be put on the Medicaid rolls, a system that is already failing many people on it.
I urge your readers not to be fooled by the demonization of the insurance industry or the smoke and mirrors of the Congressional budget process in assessing whether the current health care legislation makes any sense for our country - or for the uninsured.
Sincerely yours,
Carlos Zaldivar
San Antonio, TX
#1 Posted by Carlos Zaldivar, CJR on Wed 10 Mar 2010 at 11:09 AM