Mitt Romney has come out swinging against the health care plan he helped create, tackling the issue head on during a recent speech in New Hampshire. He seemed to be promoting a new narrative for his handiwork in Massachusetts—you know, the health care plan that his office once said was built on “a culture of insurance” and “personal responsibility.” Boston Globe politics editor Glen Johnson reminds us that Romney himself said last year the Massachusetts law was the “ultimate conservative plan” because it required individual responsibility. But the other day he told the New Hampshire crowd that Obamacare, which is patterned on the Massachusetts law, “is bad law, bad policy, and it is bad for American families.”
Apparently spooked by potential presidential opponents—conservatives such as Mike Huckabee, no less, who liken the Massachusetts plan to Obamacare—Romney now argues that Massachusetts had its own peculiar problems that the state tried to address. Don’t quite know how uninsured people were unique to Massachusetts, but okay. Romney wants voters to believe that he now wants states to solve their own health care problems. “One thing I would never do is to usurp the constitutional power of states with a one-size-fits-all federal takeover,” he told cheering voters in New Hampshire. Mitt Romney, meet John C. Calhoun.
The press has picked up something new to say about Romney—he’s in favor of state’s rights, and health care is the place to begin protecting those rights. His message: scrap the federal law and let the states do their own thing. Never mind that states have a long history of failed attempts to solve the health care mess. Romney’s new storyline, however, obscures some legitimate questions the media should be probing about Massachusetts reform and what it means for the federal law if it is eventually implemented. That requires reporters to move off the standard political story that merely passes along what the candidates utter, whether true or not.
An AP story noted that Romney said “some things worked; some things didn’t,” but the reporter didn’t delve into the what-didn’t-work stuff. Neither did Politico. Both stories brought up Huckabee’s new book in which he called the Massachusetts plan—renamed Romneycare by Republicans—“socialized medicine.” As we’ve pointed out, it is not socialized medicine, but sticking a sentence in a story referring to Huckabee’s campaign talk conveys to the public that it is.
There’s plenty to talk about when it comes to the ills of Massachusetts health care, a couple of which Johnson mentions in his piece. The law doesn’t address the escalating cost of medical care and what he calls “tangential challenges such as increased waits for primary care doctors.” Small businesses are still seeing double-digit premium increases, and individuals are struggling to pay theirs. And it’s far from clear that the state’s medical-industrial complex will agree on proposed solutions to the cost problem, such as global payments—one inclusive payment to docs and hospitals that’s supposed to replace the expensive fee-for-service model. The stakeholders are raising the predictable red flags. The president of the Massachusetts Medical Society argues that global payments could present obstacles to primary care docs who serve poor people. The president of the health plan trade group says the burden should be placed on doctors not insurers.
Today, a new study on medical bankruptcies attacks the skimpy policies that Massachusetts residents must buy if they want to fit the premium into their family budget. A study published in the American Journal of Medicine by researchers Steffie Woolhandler, David Himmelstein, and Deborah Thorne found that bankruptcies resulting from high medical costs persist in Massachusetts because the insurance policies people are mandated to buy don’t always cover their expenses. The researchers report that the least expensive individual coverage available to a fifty-six-year-old person in Boston carries a premium of $5,616, a deductible of $2,000, and covers only eighty percent of the next $15,000 of covered services. Consumers might face a similar problem under federal law.
Campaign coverage is in the early stages, so there’s a lot of time for the media to figure out new ways to keep a critical eye on the candidates. Their audiences might even take them more seriously if they could raise the bar.
Didn't I hear Romney once say that he sent the Helath Care bill to the legislature, they changed it and sent it to him for signature, he vetoed it, they passed it over his veto? If so, why is Romney responsible for the mess the legislature designed lHeallth Care law created?
#1 Posted by Ed Haynes, CJR on Tue 8 Mar 2011 at 07:54 PM
Romney did not veto the bill. He signed it in a big photo-op moment with Ted Kennedy standing by his side - you know, as in bi-partisan. Newsweek ran a huge story on this in its political section - the 13th wonder of the world (or whatever number) - health care crisis in MA solved. I was interviewed and published in that story as was my friend, Ron. Neither of us could afford the "affordable" plans the MA gov't decided we could afford, and we were totally ticked off by this gov't-sanctioned coercion and collusion as were many Bay Staters.
Romney told legislators if a bill was not signed into law by a certain date, MA would lose a large part of its federal Medicaid funding - the exact $ escapes me. The fed's deal for MA to keep its funding was: there must be a plan for all residents to be insured with state-approved coverage. That was the carrot and start of this far-reaching scheme.
And, this is how he got it rammed thru in MA. Residents were kept in the dark. It was an emergency. There was no time to ask the people. We got postcards in the mail: Avoid Tax Penalty and some words about a new law. People were pissed, but outcry was censored & ignored by all MA nationals because all eyes were on MA. Failings that began in year one and continue to the present were/are covered up/glossed over.
Here is part of the MA law's title (Chapter 58) . . . therefore it is hereby declared to be an emergency law, necessary for the immediate preservation of the public health.
There were three bills - House, Senate and governor's. These went to the Joint Committee and came out as one final bill. They weren't that dissimilar so no excuses there, Romney. One of the bills took away people's driver's licenses if they weren't insured. Another did something just as idiotic, and another had the tax penalty enforced by the MA Dept. of Revenue as income tax evasion if not paid in full, on time.
The Mittster obsfucates, provides disingenuous responses or just doesn't tell it like it is. (They all do this - some more than others.) I've heard him in several recent interviews and have no idea what he said, and I know the MA insurance law inside and out as well as the adverse effects this scheme has had on the very people it was supposed to help.
There are a lot of details about Obamacare that people should be made aware of, but, unfortunately, they will not find out until 2014 and 2015 because the representatives of the American people aren't going to tell them. Residents of MA could advise fellow Americans how regressive and oppressive this scheme is, and how it doesn't provide access to affordable care for all. It's a veritable Byzantine sinkhole - mud upon mud upon mud - but Beacon Hill and Gov. Patrick just keep trying to prop it up cuz this isn't a time for it to go belly up - not with Obamacare on fast forward.
Trudy's article mentions the bankruptcies. Wait'll people find out what's offered at the Exchange. Fasten seatbelts. Meanwhile, the lower income segment of the population will be dumped into expanded Medicaid. You do not want to be in this mediocre-to-poor insurance plan which most office-based practitioners refuse. It also has a federally-required estate recovery program for those who use benefits at age 55 and up meaning you just got a mandated collateral loan.
". . . Romney now argues that Massachusetts had its own peculiar problems that the state tried to address. Don’t quite know how uninsured people were unique to Massachusetts, but okay."
re the excerpt above: Love this, Trudy! Too bad someone hasn't asked him to describe those peculiar problems. Maybe MSM will get smart one of these days.
"An AP story noted that Romney said “some things worked; some things didn’t,” but the reporter didn’t delve into the what-didn’t-work stuff."
re the excerpt above: Reminds me when Brian Williams interviewed two MA Connector staff (Connector = Exchange) a few y
#2 Posted by Dianne, CJR on Wed 9 Mar 2011 at 10:28 PM
We all know about Rudy Giuliani's long-held views on abortion, gay rights, and gun control. His lead in Republican polls has prompted articles about the turmoil into which he's thrown the Party for months.
Lifecell wrinkle Cream
#3 Posted by amberkv, CJR on Wed 9 Mar 2011 at 11:45 PM
The "skimpy" policies that Massachusetts residents "must buy"?
You've hit the nail on the head. The free market is the solution.
Here in Virginia, my family has a $7 million catastrophic health insurance plan. It provides a $7500 deductible and once-a-year no-charge physicals.
After the $7500 deductible it pays 100% of everything.
Cost?
$213 per month. (it went up $30 after Obamacare)
So I pay for routine stuff out of pocket. Last year I spent $545 on doctors' visits for all of us.
Less than $3000 per year for medical expenses, total.
The most I'll ever pay is $7500 a year and I won't go bankrupt unless I incur more than $7 million in health care expenses, and if I have $7 million in medical expenses, a bankruptcy filing will be the least of my problems.
See? Problem handled.
#4 Posted by padikiller, CJR on Thu 10 Mar 2011 at 12:22 AM
Re PadKiller's "free market" solution.
Wait a minute. Did I miss something in your math? You have a $7,500 catastrophic deductible in VA but to get that "great" policy you pay $213 a month or $2,556 per year and STILL have out of pocket costs for "routine" stuff (define "routine" you know that's an expanding definition) which cost you another $545.
But the most you'll spend is $7,500?
Huh?
Calculations under worst case senario: $2,556 plus $545 PLUS another $7,500 deductible so the most you'd pay last year would have been over $10,600 ($2,556 + $545 + $7,500).
Under universal single-payer health care (aka expanded and improved medicare for all), you'd pay one-tenth of that and have expanded coverage including dental, vision, long-term care, Rx, etc. Does your $10,600 out of pocket cost INCLUDE those items?
Didn't think so.
Over $10,000 a year (and climbing) and you think the free market solved your health care problems? If you earn $50K a year, you're spending one fifth of your income on medical costs.
That free market sucks.
#5 Posted by CALynn, CJR on Thu 10 Mar 2011 at 06:13 AM
I should have written that the most I can spend in any one year is a little more than $10,000.
But this is MY choice (in the free market). I choose this plan (in the free market) because my family is in generally good health and I generally have low costs. I haven't spent more than a $1000 in doctor's bills in any single year, so my total cost for medical care for my family is less than $4000 a year. I could have chosen (in the free market) to limit the maximum out of pocket I'd pay by increasing the annual premium.
Choice is a wonderful thing. Thanks, free market!
You can go to Sam's Club and choose (in the free market) a plan with a $5000 deductible or whatever deductible you choose (in the free market).
Health care isn't cheap, but it's a hell of lot cheaper in the free market than it is with the government running the show. If you think trading the money you'd spend on private health insurance (in the free market) for the money you pay in taxes will result in any net savings, I think you need to rethink your position.
#6 Posted by padikiller, CJR on Thu 10 Mar 2011 at 09:25 AM
You truthfully couldn't design a worse scheme than the MA plan, which forces everyone into an overly expensive, highly fragmented wealth extraction / disease management system. Sure, lots of MA residents have insurance that they can't afford to use, and the cost just keeps rising, but RomneyCare really hasn't solved any problems. As a Massachusetts resident, I can't wait to be an albatross around this waffle's neck between now and 2012
#7 Posted by Ron, CJR on Thu 10 Mar 2011 at 07:47 PM
Padikiller --
Have I got bad news for you. When Obamacare starts in 2014, you won't be allowed to keep that catastrophic plan you love so much. You will be required to have gov't approved coverage or you will be penalized as though you had no insurance at all. Actually, insurer's may not be allowed to sell policies that do not meet the gov't approved coverage.
That's how it works in MA - if your coverage does not meet the minimum gov't approved requirements (Connector Gold Seal of Approval), you are penalized through the state income tax dept. as though you had no insurance at all.
How do they know? Because you have to attach a 1099-HC filled out by your employer to your tax return. An employer must offer no less than the gov't approved coverage and must prove to the state that it is being offered. It's called Minimum Creditable Coverage (MCC) in case you'd care to Google this and read what employer's are required to do as well as self-employed sole proprietors and everyone else inbetween.
The tax dept. has a Bureau of Investigations that comes after you if you aren't in compliance, and if you do not respond to ALL questions on the Schedule HC that is part of the income tax return which asks if you have a religious belief that keeps you from receiving medical care followed by: Have you received medical care in the past year.
The religious question is none of their freaking business, but they think it is. If you have this belief but check off that you have rec'd care in the past year, then you are penalized. No epiphanies allowed. Tell it to the judge.
Obamacare is the same only the IRS will be the dataminer and enforcer of the penalty which is enforced as income tax evasion with all the bells and whistles.
Living in MA for the past four years is like living under the Gestapo.
So enjoy your plan while you can. It's almost over.
And, mark my words, single payer is the only way to go. It's not gov't run and it would cover you from womb to tomb including dentist, eye, RX and all other medical care. France has one of the best systems along with Japan and Thailand. America ranks #37 on the list and is the only country in which people go bankrupt from getting sick. Canada's system is also good. I speak with Canadians frequently, and have yet to hear any of these folks say they don't like their health care plan. They love it, and they pity us. They don't have long waits any moreso than we do. And I also know people who have actually been treated for cancer in Canada and are still here to talk about it.
So believe the Republican lies if you want. That's your problem. Sure, there are issues here and there but not like what we have here where care is denied, coverage is rescinded, and insurer's investigate if you had a runny nose when you were an infant and call this a pre-existing condition so they can drop you when your care costs interfere with their bottomline. That's the free market you love so much.
#8 Posted by dianne, CJR on Fri 11 Mar 2011 at 12:22 AM
The Canadian system is great... Until you get sick, that is.
The average wait time for an MRI in Ontario is more than 100 days.
The premier of Quebec and the leading Liberal MP both hightailed to the U.S. for cancer treatment. Calgary, a huge city, sends complicated multiple pregnancy cases to a small town hospital in Montana because the hospital in Calgary can't handle them.
Single payer health insurance does a good job of making sure that everyone has expensive, crappy health care.
You are partially right about my future with Obamacare... As things stand, in 2014, I'm screwed by Obamacare... But I'm not too worried about it.
I will be able to keep my catastrophic plan, but it looks like I will be forced to pay the penalty if the Supreme Court upholds the constitutionality of the individual mandate. But this ain't happening, in my estimation. Given the flagrant unconstitutionality of the law, the current makeup of the court and the fact that Obama has done everything he can to taunt it, Obamacare is almost certainly DOA when it gets there on appeal (which will be soon).
I predict that the SCOTUS will toss the whole thing out - the individual mandate is clearly unconstitutional and the morons who passed the 2000 page law (without bothering to actually read it) failed to realize that the bill doesn't contain a parachute provision - or a severability clause that provides that a court ruling that part of the law is unconstitutional will not void the entire law. Without this provision, if any one part of the law is found to be unconstitutional, the whole thing gets tossed.
Two courts have already ruled that the individual mandate is unconstitutional. I have read these opinions and find their reasoning sound and irrefutable.
So I think we'll eventually be spared the Obamination..
#9 Posted by padikiller, CJR on Fri 11 Mar 2011 at 06:37 AM
Universal health Care is so great that the George W. Bush administration - when writing the Iraqi Constitution - included it for all Iraqi citizens. Even George knew it was better than our patchquilt of insurance compan denial/costly/inefficient/bulky sytem of sick care - hey but its PROFITABLE!! Free market is a uphrenism for "gauging the consumer". Kind of along the lines of "peacekeeping" which we know is simply the process of bombing the crap out of people in other lands.
#10 Posted by CALynn, CJR on Fri 11 Mar 2011 at 07:04 AM
padikiller,
you say: The Canadian system is great... Until you get sick, that is.
The American system isn't even great to begin with, and when you do get sick, it gets worse. Either you policy is rescinded because the insurance digs around in your past and finds out you had a runny nose once when you were 8 years old, and, bingo, you had a pre-existing condition you didn't let them know about.
And that's just for starters.
I was in France for nearly seven years. The health care system there is one of the best. My friends are French, and they aren't complaining either. My cousin is British and says the system here is barbaric. Great word for it. I know people who live in Canada and wouldn't trade their system for a minute. They get the care they need.
So stop repeating your tired mantras and open your mind, educate yourself about single-payer and stop listening to Hannity, Bill O'Reilly and Glenn Beck.
I hope you enjoy paying a penalty while you keep your castastrophic plan which may not cover you should you or a member of your family get seriously injured or sick. The goal of insurance companies in America is how happy their shareholders are and how much higher can the CEO's salaries and bonuses get.
As for the mandate going away - don't count on it - it may or may not. Other courts have ruled it constitutional, so none of us know what will happen. Depends who pays who the most money to make it stay or go away.
That's how it works in America in case you haven't noticed.
#11 Posted by dianne, CJR on Sun 13 Mar 2011 at 08:51 PM
Yeah....
America sucks.. France is great...
Those frenchies have it going on, health-wise....
Except for the massive debt thing... And the skyrocketing cost thing (bringing with it the "pass on the cost to the patient" thing)....
And except for the fact that French doctors make about a third of the salary of U.S. doctors (largely due to the free educations they receive and the limited malpractice liability they enjoy).
You know what makes cancer drugs? A profit motive.
You w know what makes artificial hearts? A profit motive.
You know what makes ANY technological innovation? A profit motive.
PERIOD.
Tossing the government into the equation is a great way to transfer wealth. It's a great way to standardize a dependency or an expectancy of the delivery of goods or services. It's an effective (though grossly inefficient) way to ration scant resources and to define a "fair" distribution of labor and goods.
But the government can't (or won't even when it can) make a new cancer drug in any reasonable time or withing any reasonable cost structure.. Or a heart valve. Or a new antibiotic. Or any other new good or service.
It just ain't happening.
Sure, in France, for the moment, you may be able to get a French doctor to prescribe the latest and greatest American-made anti-cancer drug, and, for the moment, the French government will swipe the credit card to pay for it....
But this temporary fiscal insanity proves what, exactly?...
Sarkozy dealt (in part) with France's looming healthcare meltdown and the loonies hit the streets, as they always do.
The problem with socialism, is, as Margaret Thatcher so succinctly noted, that eventually you run out of other people's money to spend on yourself.
Then what?
#12 Posted by padikiller, CJR on Mon 14 Mar 2011 at 12:21 AM