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Outrage over Baucus' Individual Health Insurance Mandate

September 17th, 2009 @ 9:53 am

4 Comments

Categories: BNET, Workplace, economy

Tags: Health Insurance, Health Care, Max Baucus, Benefits, Healthcare, Vertical Industries, Insurance, Healthcare Reform, Payroll Solutions, Human Resources

I’ve never bought many of the arguments against healthcare reform which rely on an irrational fear of the Big Bad Government, since the feds already “run” healthcare in many ways.

Nonetheless, over the last few months we’ve all heard about “death panels” and “rationed care” (it is already rationed in America — by wealth) and a “Washington takeover” and an exploding deficit. The message is clear from conservatives: Don’t jam Uncle Sam into the “Doctor-Patient relationship.”

So why no real outrage, until now, from the Right over an individual health insurance mandate?

It’s a key part of Senator Max Baucus’ new plan but it’s an old idea with some support from the GOP’s establishment (Exhibit A: Massachusetts’ “RomneyCare”;. Exhibit B: Bill Frist who says its “about the only way”). Baucus has been openly pushing the idea since at least last November, when he was charged with crafting an initial plan for the then-President-elect.  For the record, on the campaign trail, it was Hillary Clinton, not Obama, who supported the individual mandate.

It wasn’t a popular idea in November and it is causing an outrage now.  And for good reason: the federal government is going to force you to send your money to a private enterprise (or a new co-op sometime in the future).  There’s also that prickly problem that the individual mandate is probably not even Constitutional.

But for now, score one huge victory for the health insurance industry.

Stefan Deeran consults environmental advocacy groups and businesses on their sustainability strategies and communications plans. He also publishes the online newsmagazine the Exception.
 
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  •  
    1

    Laurennew

    09/17/09 | Report as spam

    RE: Outrage over Baucus' Individual Health Insurance Mandate

    I'd have to agree that fear of government control isn't really a point that would merit opposition of the plan. The government is simply doing what it needs to do, protecting the citizens when private companies and other health care options fail to.

    This video touches on this point and many others.
    http://www.newsy.com/videos/on_an_island_for_health_care_reform

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    2

    michelina0037

    09/18/09 | Report as spam

    RE: Outrage over Baucus' Individual Health Insurance Mandate

    I actually wouldn't mind a mandate if their were a public plan that increased competition. But coops or exchanges won't do that, according to CBO.

    Which is why I was upset when I read that many large corporations (eg, GE, AT&T, Nike, etc) have come out publicly in favor of this specific bill. As has the US Chamber of Commerce.

    Then again, Max Baucus' former chief of staff became a lobbyist for GE this past year. Revolving door wins again.

  •  
    3

    chris_marschner

    09/18/09 | Report as spam

    RE: Outrage over Baucus' Individual Health Insurance Mandate

    In response to Stefan and Laurennew's POV. I disagree that the outrage is unfounded. Stefan's point the health care is rationed by wealth. Healthcare is rationed by the ability/willingness to pay principal. State and Federal intervention provides a safety net to the most vulnerable Americans. Now the issue is to protect everyone whather they want it or not. The Baucus plan now has fines for those who do not insure themselves. What's next - jail for failure to pay the fine. The same concept was challenged by both sides when Hillary Clinton developed a plan. I also dispute Laureennew's comment that the government should protect citizens when a market based solution is not a viable choice for everyone. If, according to the current argument for the mandated enrollment were true, such that if all the healthy were enrolled then the costs of services would be distributed across a broader pool and thus the premiums for all could be lowered, then we do not need a public option we only need a mandate to force the uninsured to buy insurance and subsidies for those who cannot afford to pay the basic premium. No one has ever explained to me what portion of a person's pay should be expected to be used to provide insurance of any type. If we begin to mandate that people must buy certain goods and services what else will they demand as a right and what we have to provide? Another question is how to find enough suppliers to meet the demands of the newly insured. How will we deal with moral hazard issues should we be forced to pay for someone wounded who was a participant in a gun battle over drugs or an overdose. What about people that chronically drink and drive and then get hurt in an accident. Should we stop kids from playing for fear that they may get hurt? Who pays those bills? The insured and taxpayers do.

    Regardles of where you see yourself on the issue of healthcare an argument can be made that the criticism should be viewed in context of other policies put into place within the last year. Billions to banks to protect a financial system that was undermined by the creation of default credit swaps to protect real estate securities that would not have been needed had it not been for federal policies to expand home ownership among those that could not afford them. Then, billions more to acquire control over GM when the firm's management acquiesed to labor which forced legacy costs to be incorporated into the price of vehicles making the price of those vehicles less attractive than foreign brands manufactured in the US. Now the federal government wants to ensure that everyone can seek medical advice and services without having to consider what they would have to exchange or do without to obtain those services. This is not outrage over health care its outrage over bigger government to protect people who do not take adequate precautions to protect themselves. To advance their arguments those of us with a different POV are riduled as nuts, racists, the uneducated and other demeaning words.
    I would expect that the prestigous Harvard University would understand that basic economic principals of opportunity cost or spillover costs. It is easy to give away other people's resources. I will support the Obama health care initiative when the Ivy League schools which educated the management of these private insurers will grant admission to their schools without any consideration as to how the applicant will pay for it. Lets see you advance the argument that a 100% government provided free ride to Harvard would elevate the public welfare. How will those that are currently paying for their education feel about that?
    If the issue is to protect against the economic ruin of a citizen as a result of a catastrophic illness I could be swayed to support a public option policy that kicks in when the estimated hospitalization cost would exceed the annual salary of the affected individual. Such a plan would not pay for running to the emergency room with every little sniffle.

  •  
    4

    begilmore@...

    09/20/09 | Report as spam

    RE: Outrage over Baucus' Individual Health Insurance Mandate

    If we use, symbolically, the "gun to the head" descriptor, we have the following:

    You can hold a gun to my head to force me to pay taxes because that is the nature of living in a "commonwealth" with all its attendant "commons."

    But you cannot hold a gun to my head to force me into a contractual relationship with a private enterprise. (In this case, we also know that part of this money is recycled back into the pockets of politicians who continue to write legislation with these benefactors in mind. In other words, if I do not REFUSE to the terms of this mandate, I am agreeing to pay extortion money in a racketeering operation.

    Unfortunately, as someone who has always worked in the healthcare field, I am obligated to refuse the ultimatum and recognize my newfound status as a "criminal." I would be agreeing to fundamentally compromise the core principles of the Hippocratic school of medicine and oath, which are incompatible with a for-profit system that takes no such oath; indeed, its "mission" is the exact OPPOSITE of the Hippocratic model. You can have the Hippocratic School of Medicine or you can have a for-profit primary healthcare insurance system. But you cannot have BOTH. This has become crystal clear to me now that the gauntlet has been thrown down.

    I REPEAT: You can hold a gun to my head to force me to pay taxes to establish a true national healthcare system that will finally be able to compete with our competitors in the developed world. You CANNOT hold a gun to my head to force me into a private contract without violating the Constitution, common decency, and common sense.





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