What could The New York Times have been thinking when it fronted a piece the other day serving up some personal tidbits about two major health care lobbyists—Billy Tauzin for the pharmaceutical manufacturers and Karen Ignagni for the insurance companies. Was it a health care celebrity piece a la People, or just another horse-race story?
Whatever it was supposed to be, the story didn’t help people understand its apparent thesis—that these two star lobbyists are working overtime to prevent their pact with the Obama administration from unraveling. Readers of these posts may recall that Obama made a deal with the hospitals, doctors, drug companies, and insurers to produce cost savings that could be used to help the uninsured buy health insurance.
The drug makers agreed to sell brand name drugs at a discount to those stuck in Medicare’s so-called donut hole (where really sick seniors now have no government-provided drug coverage). In return, the administration agreed to some big concessions. It would oppose importing cheaper drugs from other countries; it would oppose negotiations for lower drug prices under Medicare; it would oppose shifting payment for infusion drugs now administered at home under Medicare Part B to Part D, which means drug companies would continue to get paid more. The House bill, it seems, calls for Medicare price negotiations, so no wonder Tauzin is on the march.
For their part, insurers agreed to accept all comers in the individual market—yes, even those near death—as long as all Americans had to buy insurance, thus bringing in enough healthy souls whose premiums would offset the expenses incurred by those who are sick. To reel in enough healthy folks, the penalties for not getting insurance must be stiff. That presents a dilemma for members of Congress. If they make the penalties too tough, the voters might take their revenge in the next election.
The print version of the Times story did not discuss exactly what deal Tauzin was trying to keep intact, a point I would argue is rather important. An online version linked to a previous Times story that reported on the administration’s secret deal with the drug makers, noting that the president had moved away from ideas like government price negotiations and importing cheaper drugs from Canada, which he supported during the campaign. But in places where the unlinked Times story ran, like the Pittsburgh Post-Gazette, readers were none the wiser.
The puff and fluff from the Times glossed over the insurers’ grand bargain. It simply reported that they would take people with preexisting conditions, end lifetime caps on coverage, and simplify record keeping. No mention of the caveats here—the fact they can still discriminate against older people by charging them a lot more than younger people; or that there are ways insurers can weasel out of the promised unlimited lifetime coverage.
Instead, we got personality, and lots of it. Meet the wily “swamp fox” Billy Tauzin, “who relishes his image as a rascal, a charmer and a Cajun raconteur.” Learn how the daughter of a Rhode Island fireman rose from working class beginnings to become the nation’s top insurance lobbyist and who, by the way, is considered a “phony” by some. Understand that the “two association chiefs have a kind of trust-but-verify relationship.” And don’t forget how much they are paid.
The Times trotted out a cliché that editors should long ago have buried—the word “eye-popping,” used to describe monumental stats of all kinds. This time, the paper of record used it to portray the salaries earned by Tauzin and Ignagni—more than $2 million in his case; $1.6 million in hers. “Eye-popping,” said the Times, even by the “standards of K Street,” which raises another question: How many readers know that K Street is shorthand for the Washington lobbying crowd?
At the risk of being guilty myself, how about some eye-popping reporting? In this story, there wasn’t much.
Meh. I read the piece and found it invigorating. Here were two of the most important faces behind the tons of statistics and negotiations. I could picture a self-important Southerner and a disingenuous, deceptively mild woman -- and the piece made these descriptions clear -- earning huge salaries to push their profitable agendas at the expense of the common good. This wasn't a nuts-and-bolts piece (criticize those for their shortcomings and lack of clarity, and they are indeed guilty most of the time), it was exactly what you imply they are: a profile. Any intelligent reader could smell the phoniness of these sharks. It helped me feel the issue, like taking crayons to a page in a coloring book, without being shrill.
I don't disagree with the criticism of the cliche and the jargon, and the piece could have benefited from more statistical context. But "personality, and lots of it," was exactly the point, and not a worthless one. And that's what the New York Times was thinking.
#1 Posted by Roger Schulman, CJR on Fri 30 Oct 2009 at 12:49 PM
What a mess. I have to say, when I read this story a few days ago, I could see the problem. The day that the government forces people to try to buy insurance that almost nobody can afford, thats the day people realize that its all been a sham.
People will stop buying anythinh nonessential and the whole economy will collapse
Ikegami's point was that it seems like they feel that they are being asked to insure the very sick, without the profitable others to balance them out. Well, think about how the American people feel, being asked to support them without the quality healthcare we need and without the protection from obscene costs that we purchase insurance for. Its been getting rapidly worse, and there's no way out as long as we drink their Kool Aid.
No, FlavorAide. Gotcha. Neither one sees the forest for the trees. Americans need to step back and see that this is really a crisis, one which politicians, in their way, are trying to sugar coat. The truth is, we need to ditch the insurance system before it destroys America. And the politicians addicted as they are to the big money (private citizens dont have that kind of money any more) can't say no. This is really in my eyes, the biggest challenge we've faced since the Second World War. Its basically a bigger one, I think in terms of the changes we have to embrace, than the Cold War. It has global implications, because its rooted in the end of the industrial era as we know it and the beginning of a post-industrial era. Whether that era is one of plenty or of war, really, is up to us. Nobody is forcing our hand, and there are no easy answers that don't displease somebody.
Nobody wants to face the larger issues so they are trying every possible combination of deck chairs on that Titanic except for the one that works.
Sure, if they allow healthy folks the exit hatch (after all, without that big risk pool made up of everybody its going to be a huge amount of money!) of paying a fine and remaining uninsured, those healthy will opt out, leaving only the sick, and the whole system will collapse sooner.
Yup. Actually, I think that even with lots of healthy, the system as Obama and Schumer and Baucus have set it up will fail very quickly. Is that by design? One has to wonder.
I think that might be a blessing in disguise, You, Trudy, showed us what is happening in Massachusetts, with out cost control or outside funding, its collapsing under the costs.
They wont face the task, but they have to. We're in limbo, waiting, all of us, UNTIL we can MOVE ON to the next chapter in this story. Lets accept absolutely no delays, no triggers, and especially, no more lies. Make it happen, if its destined to fail, make it fail, FAST. Don't let them "keep us hangin-on". like the song goes. Thats what they desperately want to do, stringing us along with their lying sweet talk.
Then, and only then, we can move on to the next chapter. The one where the new politicians clean up the mess.
#2 Posted by Charles, CJR on Sat 31 Oct 2009 at 04:45 PM
I didn't know what K Street meant.... :)
#3 Posted by Shuka, CJR on Fri 6 Nov 2009 at 06:42 PM