Wednesday on WNYC’s Brian Lehrer Show, Richard Parker, who lectures at Harvard’s Kennedy School, talked about his son’s hockey coach, a third-generation Cambridge fireman who voted for Obama in 2008 but went for Brown this time. The fireman, like most public sector workers, has very good insurance—a so-called Cadillac plan with good benefits that the Washington health care cognoscenti want to tax into oblivion. “They’ll screw my system if we don’t stop them,” the coach told Parker. The anecdote raised an important question—how affordable will insurance be when national reform is fully enacted? Parker said that people in the state perceive national reform as all about expanding coverage, not affordability, which he called “the poison pill at the heart of the bill.”
My own reporting over the past year shows that people in Massachusetts are concerned about affordability. One fifty-four-year-old woman, who lives in a small town south of Boston, told me she is an independent who voted for Brown because he could make a difference in Washington. That difference: stopping the health plan. “I know the plan is all wrong,” she said. What exactly was wrong? It was just like the one in Massachusetts, which makes people buy unaffordable insurance, she explained. “The Connector [the state’s shopping service] wants to determine your affordability. They don’t care if you have past loans or alimony to pay,” she said. Her daughter makes $32,000 working two jobs and can’t afford coverage; she pays the penalty for not having it.
In their post-mortems on Tuesday’s vote, many in the MSM ignored concerns like these and clung to the master narrative that all was well with health care in the Bay State. Massachusetts provided the national model for reform, and the state’s vote may be its undoing. How ironic! A Washington Post story proclaimed: “Brown’s victory in Mass. Senate race hardly a repudiation of health reform.” The Post tried to make its case, saying that the law has covered “all but 3 percent of Massachusetts residents” and “retains majority backing” of people in the state. As proof, it cited a Boston Globe poll showing that 59 percent of state voters supported the law. The paper acknowledged that 69 percent had supported the law last year, but found a silver lining—only 11 percent of those polled wanted the law repealed. “Divining voters’ motivation is difficult,” the Post concluded.
What the Post didn’t report was that this year’s poll did not ask people who were directly affected by the law whether they supported it. A year ago, Harvard pollster Robert Blendon and his colleagues asked that question, and found that only 37 percent of residents in that group supported the law while 56 percent opposed it. Blendon told Campaign Desk that the earlier poll was funded by the Blue Cross Blue Shield of Massachusetts Foundation; this year Blue Cross wasn’t interested in funding that particular poll. Blendon’s shoestring budget didn’t allow for asking that relevant question, even though he said he would have loved to do that.
Later in the story, the Post moved into he said/she said mode, giving the edge to the positive spinners. Princeton professor Paul Starr said that the Massachusetts reforms were “sufficiently popular” enough that Scott Brown didn’t repudiate them. That popularity, he continued, “should encourage people that if it’s done at the national level, that it would work as policy and that it would be popular.” Wow! What a leap, in view of what residents told us. Starr was counterbalanced by a conservative analyst, the Cato Institute’s Michael Cannon, who said that “things are not as hunky-dory as people have been saying;” that the law has cost residents and businesses more than supporters say; and that fewer people are covered than state data suggest.
We’re not sure what Cannon had in mind about fewer residents being covered. But Campaign Desk has noted that, according to the latest Census Bureau figures, 5.5 percent of the state’s population did not have coverage in 2008, up from the 2.6 percent who didn’t soon after reform took effect. The Post and other outlets still use the old figure. Is this another part of the “all-is-fine” narrative?
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Great post, Trudy. My vote for Brown was indeed a vote against national health care, as were those of many of my friends. Any thinking person can see that expanding coverage will increase costs.
People are disgusted with the way Obama and the Democratic Congress have acted - cutting deals behind closed doors, paying off recalcitrant Senators, and refusing to even consider conservative concerns such as tort reform. If this is such a great deal, why the midnight votes on Saturdays? Why not put the process on C Span, as promised? Why not post drafts of the legislation for comment? The more you think about it, the more insulting their actions have been.
Hey, if even Bob Herbert is fed up, you KNOW Obama' in trouble!
#1 Posted by JLD, CJR on Sat 23 Jan 2010 at 10:44 PM
Most people I know are love the ability to see doctors when they are sick I can not imagine not being for health care for all. It is really cold hearted not to support the ability for people to get health care when they are sick.
#2 Posted by Suzen, CJR on Sun 31 Jan 2010 at 08:26 PM
Everybody has the ability to see a doctor. The procedure is uncomplicated:
1. Schedule an appontment.
2. See the doctor
3. Pay the bill (Or pay the insurance premium).
If you can't pay your bill, then Medicaid covers you. If you can't get Medicaid, then you can afford to pay the bill.
If you are suffering a medical emergency, go the emergency room. Hospitals are required to treat you regardless of your ability to pay.
What's the problem?
#3 Posted by padikiller, CJR on Sun 31 Jan 2010 at 08:49 PM
padikiller is seriously misinformed about present access to medical care--at least in Massachusetts. 1. Schedule an appointment. Most doctors aren't taking new patients, with or without insurance. 2. See the doctor. Many doctors have a waiting period of months or weeks. The solution? Go to an emergency room if you need care right away. 3A. Pay the bill, Heard of medical bankruptcies? It's all the rage. 3B.(or pay the insurance premium.) Insurance companies are becoming very selective in whom they will cover. When I was terminated from our plan by Blue Cross for turning 65, so was my dependent son. 4.If you can't afford to pay your bill, then Medicaid covers you. False. Employees who can't afford their group coverage are expressly denied.
#4 Posted by Eileen Wheeler Sheehan, CJR on Mon 8 Feb 2010 at 02:19 PM
Same day, affordable, walk-in medical care right in the heart of the People's Republic of Massachusetts - no appointment necessary:
http://www.readymed.org/
#5 Posted by padikiller, CJR on Mon 8 Feb 2010 at 06:35 PM
Great piece, Trudy! My wife and I can no longer afford the measly BCBS policy we had as it went up to almost $800 in 2 yrs! It had a $2,000 for each of us and BCBS made it so many procedures, tests, don't count toward the deductible, so it wasn't real insurance anyway. My wife and I are only 50 and 51 respectively and will lose everything we have if we become ill. We don't qualify for subsidy (we are self employed) but cannot afford $10,000/yr for a policy we can't even use. But we're "lucky" we don't have to pay the $178 monthly fine because we don't make enough. Wait 'til the rest of the country wakes up . . . . oh, and I wonder for whom is "padikiller" working?
#6 Posted by Herb, CJR on Wed 23 Jun 2010 at 06:57 PM
"Wait 'til the rest of the country wakes up . . . . oh, and I wonder for whom is "padikiller" working?"
I work for reality... This is why you can't address the undeniable truth of my posts.
Pay your bills. Buy your own insurance. Don't expect the government to provide for you.
What a radical concept!
#7 Posted by padikiller, CJR on Wed 23 Jun 2010 at 07:57 PM
Padkiller doesn't work for anyone, he's a self made troll.
#8 Posted by Thimbles, CJR on Thu 24 Jun 2010 at 01:37 AM