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Susan Estrich: The Ills of Federal Health Plan
The stimulus program must really be succeeding in Washington, D.C. Government is hiring; people are working. In fact, if news reports are to be believed, they’re working night and day. So maybe there’s some sleep deprivation thrown in for good measure. And don’t forget the legendary heat and humidity that made service in the nation’s Capitol hazardous before the advent of air conditioning.

What other explanation could there be for my friends in Congress and the administration thinking that what the country wants them to do right now is raise taxes and spend a trillion dollars to overhaul health care, much less to push it through in a month in a 1,000-page bill being rewritten every day?
In California, where I live, unemployment is in double digits and climbing, and the state has been issuing IOUs for weeks. I’m blessed, and I’m not complaining.
But not a day goes by that someone doesn’t call me, desperate for help in finding a job. And it’s never been harder to help. For all intents and purposes, unless you have some very special skill to sell, there are simply no jobs. You want to wait tables or make coffee drinks? Good luck. Get in line.
The idea that somehow you’re going to tax the “rich” enough to pay for quality health care for every American who doesn’t have it, can’t afford it or stands to lose it, not to mention for all of the undocumented aliens who receive it for free now and presumably will continue to in Obama health land, is almost laughable. It’s one of those things candidates say in campaigns, ignoring the fact that it doesn’t add up. But in a bill that might pass? Add a 5 percent surtax on every small business in the country that makes $250,000 or more? This is going to create jobs? What am I missing?
The nonpartisan Congressional Budget Office came out with a report last week concluding that the bill being written by House Democrats would increase the deficit and weaken the already weak economy. Duh.
No one is explaining to people how the big changes in the bill will affect people who have insurance now, which happens to be the overwhelming majority of all Americans (and an even higher percentage of all voters).
Will our premiums and deductibles go up or down? Will our doctors and hospitals be better or worse off? It is simply not credible to tell me that if I like my insurance now, nothing will change. If you turn the health care delivery system on its head and start regulating, mandating and controlling the terms, don’t tell me it won’t change things.
Changing the tax treatment of insurance benefits changes who gets them and who pays for them. “Controlling costs” means what? Does my doctor have to see more patients? Get more approvals before ordering tests? Order less expensive tests? I don’t know a single person who is willing to sacrifice, or even risk, their health care right now to an uncertain plan that they don’t begin to understand — except folks in D.C.
I went to my doctor recently and suspect I had an experience that’s being repeated in doctor’s offices across the country. My doctor told me how worried she is about the plan. Actually, it was much stronger than “worried.”
She wasn’t a big fan of HillaryCare, but from her reading, it was a carefully drafted and thought-out program compared with what’s being discussed now. She’s convinced that if the administration succeeds, the ripple effect will cost Democrats the House in 2010 and her patients’ their access to high quality, affordable care.
I reassured her that the Democrats would never be that foolish. I hope. Maybe it’s time for Congress to get out of Washington. They’ll get an earful when they do.
— Best-selling author Susan Estrich is the Robert Kingsley Professor of Law and Political Science at the USC Law Center and was campaign manager for 1988 Democratic presidential nominee Michael Dukakis. Click here to contact her.
Comments
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» on 07.20.09 @ 09:26 PM
Whoa, Suzi-Q. More Californians ought to do as you did and give the rest of the country a fair warning “you’re next”. This is a mighty big ponzi scheme and you are right there is not enough limo driving rich white liberals to tax to pay for it. All you big-government-is-the-answer folks out there really ought to take a good look at how the Europeans pay for theirs, on the backs of immigrants, while running soaring deficits. Is their system better than ours? Of course it is, everyone is covered, yes everyone. That doesn’t mean everyone is covered like you are today, just covered. Need to see a doctor about that lump? Get in line, there’s a six month wait. Oops, so sorry that lump turned out to be cancer and now you’re dead. Oh BTW your up for that scan now. Sue has it right, they are trying hard to push this crap through faster than anyone can read it. They don’t care what it does to the economy, they don’t care if it works, they just want to say “see now we’re just like all our dear socialist friends in Europe”, who BTW are saying under their breath, “idiot Americans, can’t they see what a mess this is over here?”
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» on 07.21.09 @ 09:11 AM
Obama and his- Boxer-kennedy-Reed—socialism agenda will fail—These people are nuts, and seen by the world as weak leaders.
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» on 07.21.09 @ 10:38 AM
I guess I don’t understand the tunnel vision so many people have in relation to this issue.
What is wrong with covering everyone’s BASIC healthcare? You want better? Buy a health plan that gives you more, but in the meantime, as human beings, we should all have our basic needs met, ESPECIALLY in this country.
Personally, I am tired of the me, my, mine attitude we’ve developed as a country. It’s time we give back. It’s time we help our fellow HUman and give them a leg up.
Yes, some will take what we offer without a second thought, but those people are RARE. Most people, and it’s been proven too many times to cite, will pay it forward.
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» on 07.21.09 @ 10:44 AM
Thank you Susan. You are ceasing your “Obama can do no wrong” ideology. As you are affiliated with a university mindset, I understood you as another out of touch bureaucrat which saddened me.
Your realization about what is going on regarding healthcare sounds business-like and there is thinking involved. Bless you dear. Your independent abilities and enormous talent are ascending into reality once again. An authentic philosophy based on true facts is much more interesting than mindless following of any politician.
Sincerely
Trudy
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» on 07.21.09 @ 10:57 AM
Susan seems right. I know she’s usually left, but have respected her over the years for her common sense and less than blind following of any politcal party. She actually thinks and disagrees when the need arises. Maybe she can get the legislative types to actually read every word in every bill they pass. Her only incorrect comment is “except the folks in DC”....referencing that they actually understand the plan. I doubt even one of them fully gets it, let alone has read it.
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» on 07.21.09 @ 11:03 AM
Hey, Michele Malkin couldn’t have said it better!
Who’s paying you to write this right-wing-talking-points tripe, Susan?
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» on 07.21.09 @ 11:26 AM
Estrich makes strong points about the political challenge of passing genuine health insurance and catastrophic health reform on the federal level.
The same factions that have blocked it since Hubert Humphrey’s time (50 years ago) are still at it: big insurers, the AMA, big Pharma. They spend as lavishly as any other group of lobbies in Washington, and twist arms as ruthlessly as the NRA when they feel threatened.
With that acknowledged, Estrich never gets to the core of the problem.
Americans spend MORE on health and medicine than any other nation on earth. Yet
our rates for childhood health and overall life expectancy, are way DOWN the list of
nations.
Thus, some people and companies are doing very well with the current system, while tens of millions are doing much worse.
Consider the fully allocated costs to our national economy (not to mention the fabric
of families) of chronic or catastrophic health emergencies from lack of insurance, of preventative medicine and nutrition training, of early intervention for treatable illnesses.
Suddenly, you see this thing which his negligible in Estrich’s eyes zoom up to TRILLIONS of dollars annually. You see socio-economic, ethnic, gender, racial
inequalities as profound as in Martin Luther King’s day. You see these forces erode
the foundation of our national economy. Suddenly, it doe matter.
Has Estrich ever had to sit by, helpless, watching a loved one perish a miserable death, fighting to get insurance coverage to pay bills, the way Obama did when his
mom was terminally ill? If that day ever comes, Estrich may change her tune.
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» on 07.21.09 @ 02:58 PM
I think this is the first time I have entirely agreed with Susan.
I also agree with AN50. The French think we are crazy. I was also talking with some people from Sweden and Finland.
They say the way they do it is with extremly high taxes and only citizens get the free medical care and they still have to wait so they pay to go to private doctors. They do not understand how we think we can give it to Illegal Aliens.
For some strange reason, these crazy people pushing all this crap on us without the opportunity to read it, feel the need to give it away to non-tax paying illegal aliens.
What the heck are they thinking?
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» on 07.21.09 @ 05:25 PM
Susan forgot to mention that Congress has exempted them selves from this wonder plan but it is OK for everyone else outside of the Beltway. So you know what they think of it.
And I thought that this was about saving money! All I know is that taxes are going up on everyone to pay for this monster.
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