Health Care Reform Needs an Action Hero

By Amy Goodman

Imagine the scene. America 2009. Eighteen thousand people have died in one year, an average of almost 50 a day. Who’s taking them out? What’s killing them?

To investigate, President Barack Obama might be tempted to call on Jack Bauer, the fictional rogue intelligence agent from the hit TV series “24,” who invariably employs torture and a host of other illegal tactics to help the president fight terrorism. But terrorism is not the culprit here:

It’s lack of adequate health care. So maybe the president’s solution isn’t Jack Bauer, but rather the actor who plays him.

The star of “24” is played by Kiefer Sutherland, whose family has very deep connections to health care reform—in Canada. Sutherland is the grandson of the late Tommy Douglas, the pioneering Canadian politician who is credited with creating the modern Canadian health care system. As a youth, Tommy Douglas almost lost his ailing leg. His family could not afford treatment, but a doctor treated him for free, provided his medical students could observe. As an adult, Douglas saw the impact of widespread poverty caused by the Great Depression. Trained as a minister, he had a popular oratorical style.

He moved into politics, joining the Co-operative Commonwealth Federation party. After several years in Parliament, he led the CCF’s decisive victory in the province of Saskatchewan, ushering in the first social democratic government in North America.

Douglas became premier of Saskatchewan, and pioneered a number of progressive policies there, including the expansion of public utilities, unionization and public auto insurance. But Douglas’ biggest battle, for which he is best remembered, is the creation of universal health insurance, called Medicare. It passed in Saskatchewan in 1962, guaranteeing hospital care for all residents. Doctors there staged a 23-day strike, supported by the U.S.-based American Medical Association. Despite industry opposition, the Saskatchewan Medicare program was so successful and popular that it was adopted throughout Canada. While Tommy Douglas was fighting for health insurance in Canada, a similar battle was raging in the U.S., resulting in the passage of Medicare and Medicaid, giving guaranteed, single-payer health care to senior citizens and the poor.

Rush Limbaugh, Fox News Channel’s Glenn Beck and insurance-industry-funded groups are encouraging people to disrupt town hall meetings with members of Congress. A number of the confrontations have become violent, or at least threatening. Outside President Obama’s Portsmouth, N.H., event, a protester with a pistol strapped to his thigh drew further attention with a sign that read, “It is time to water the tree of Liberty.” Thomas Jefferson’s complete quote, not included on the sign, continues, “... with the blood of tyrants and patriots.” Limbaugh says “24” is one of his favorite shows. He has even visited the set. Rush should learn from the real-life actor who plays his hero, Jack. Limbaugh and his cohorts may find truth not as satisfying as fiction.

In 2004, a Canadian Broadcasting Corp. poll named Tommy Douglas “The Greatest Canadian.” At a protest in 2000 against efforts to roll back the Medicare system in the province of Alberta, Kiefer Sutherland defended Canada’s public, single-payer system:

“Private health care does not work. America is trying to change their system. It’s too expensive to get comprehensive medical care in the U.S. Why on earth are we going to follow their system here? I consider it a humanitarian issue. This is an issue about what is right and wrong, what is decent and what is not.”

Maybe Jack Bauer can save the day.

Denis Moynihan contributed research to this column.

Amy Goodman is the host of “Democracy Now!” a daily international TV/radio news hour airing on more than 750 stations in North America. She is the co-author of “Standing Up to the Madness: Ordinary Heroes in Extraordinary Times,” recently released in paperback.

http://www.truthdig.com/report/item/20090811_health_care_reform_needs_an_action_hero/

Obama Moves to Reclaim the Debate on Health Care

By SHERYL GAY STOLBERG and JEFF ZELENY

WASHINGTON — President Obama tried on Wednesday to rally public support for overhauling the nation’s health care system and said for the first time that he would be willing to help pay for the plan by raising income taxes on families earning more than $1 million a year.

“If I see a proposal that is primarily funded through taxing middle-class families, I’m going to be opposed to that,” Mr. Obama said in a prime-time news conference in the East Room of the White House. A surcharge on the highest-income Americans, under consideration in the House, “meets my principle,” he said.

On a day when the leader of fiscally conservative Democrats said a deal was a long way off and House Speaker Nancy Pelosi insisted that she had the votes to push a bill through, Mr. Obama used the news conference to take his message over the heads of lawmakers and straight to the public. Conceding that “folks are skeptical,” he sought to convince Americans that overhauling the nation’s health care system would benefit them and strengthen the economy.

“If somebody told you that there is a plan out there that is guaranteed to double your health-care costs over the next 10 years,” he said, “that’s guaranteed to result in more Americans losing their health care, and that is by far the biggest contributor to our federal deficit, I think most people would be opposed to that,”

“That’s what we have right now,” he said. “So if we don’t change, we can’t expect a different result.”

While Mr. Obama declared, “it’s my job, I’m the president,” he did not use the appearance at the White House to make any fresh demands on Congress, which is struggling to meet his timetable for both chambers to pass legislation before members break for August recess. Mr. Obama did not repeat that demand Wednesday night.

Instead, he sounded cerebral as he delved into policy specifics for nearly an hour and tried to link them to the concerns of ordinary Americans.

As he sought to reassure the public that a new health care system would be an improvement, he also acknowledged that there would be changes that could be unsettling, a point that is often raised by critics of overhauling the health care system.

“Can I guarantee that there are going to be no changes in the health-care delivery system? No,” Mr. Obama said. “The whole point of this is to try to encourage changes that work for the American people and make them healthier.”

Health legislation is Mr. Obama’s highest legislative priority, and his success or failure could shape the rest of his presidency. But while he is under increasing pressure from leading Democrats to delve more deeply into the negotiations by taking positions on specific policy issues, he largely resisted doing so Wednesday night.

But the president did weigh in how the government might pay for the plan.

In addition to saying he would be open to taxing those households earning more than $1 million — a scaled-back version of an earlier proposal that would have imposed a surcharge on households earning $350,000 or more — he signaled that he was also receptive to another idea under consideration in the Senate: taxing employer-provided health benefits, as long as the tax did not fall on the middle class.

On Capitol Hill, Ms. Pelosi said Democrats remained on track to reach a deal on major health care legislation. But she acknowledged that the process had slowed in response to concerns among conservative Democrats about the cost of the bill, and that some House Democrats were reluctant to embrace the income surtax on high-earners without knowing whether the Senate would go along.

Indeed, even as Ms. Pelosi insisted that Congress was closer than ever to achieving a comprehensive overhaul of the nation’s health care system, leaders of the Blue Dogs, a conservative faction of Democrats, said a deal was still a long way off. Asked if the House Energy and Commerce Committee could resume work on the bill by late Thursday, as House leaders hoped, Representative Charlie Melancon, a Blue Dog from Louisiana, said: “No way.”

A senior Democratic aide on Capitol Hill said party leaders now believed it was essential for Mr. Obama to be more specific about what he wanted in a health care bill — and not just exhort Congress to pass one.

“The president needs to step in more forcefully and start making some decisions,” said the aide, speaking on condition of anonymity because he did not want to be publicly identified as criticizing Mr. Obama. “Everyone appreciates the fact that Obama has devoted so much time to health care. The bully pulpit is powerful. But in view of the deadlines Congress has missed, we would like to hear more from the president about what he wants in this bill.”

While he faces pressures from fellow Democrats, Mr. Obama is also fending off attacks from Republicans who sense an opportunity to knock him off his stride by arguing that the health care bill, estimated as costing more than $1 trillion over the next decade, will not slow or reduce the growth of health spending.

The White House has been in a running debate this week with Senator Jim DeMint, Republican of South Carolina, who predicted that health legislation would prove to be Mr. Obama’s “Waterloo moment” and would break the president. To that, Mr. Obama said: “This isn’t about me. I have great health insurance, and so does every member of Congress.”

In his opening remarks Wednesday night, Mr. Obama said he was aware that many Americans are asking, “What’s in this for me?” But he also tried to appeal to the nation’s conscience, casting the issue as a matter of urgency to families who are losing their life savings trying to pay for medical care and to businesses burdened by trying to provide coverage to their employees.

Asked what the rush was to meet his August deadline for passage of House and Senate bills, Mr. Obama replied: “I’m rushed because I get letters every day from families that are being clobbered by health care costs. They ask me, ‘Can you help?’ ”

In fact, there is another reason Mr. Obama is rushed: he knows time is not on his side. The more Congress delays passage of a health bill, the more time his Republican opponents will have to marshal their opposition and kill it.

“If you don’t set deadlines in this town, things don’t happen,” Mr. Obama said. “The default position is inertia.”

David M. Herszenhorn and Robert Pear contributed reporting.

http://www.nytimes.com/2009/07/23/us/politics/23obama.html?ref=todayspaper

Health Insurance Whistle-Blower Knows Where the Bodies Are Buried

By Amy Goodman

Wendell Potter is the health insurance industry’s worst nightmare. He’s a whistle-blower. Potter, the former chief spokesperson for insurance giant CIGNA, recently testified before Congress, “I saw how they confuse their customers and dump the sick—all so they can satisfy their Wall Street investors.”

Potter was deeply involved in CIGNA and industrywide strategies for maintaining their profitable grip on U.S. health care. He told me: “The thing they fear most is a single-payer plan. They fear even the public insurance option being proposed; they’ll pull out all the stops they can to defeat that to try to scare people into thinking that embracing a public health insurance option would lead down the slippery slope toward socialism ... putting a government bureaucrat between you and your doctor. They’ve used those talking points for years, and they’ve always worked.”

In 2007, CIGNA denied a California teenager, Nataline Sarkisyan, coverage for a liver transplant. Her family went to the media. The California Nurses Association joined in. Under mounting pressure, CIGNA finally granted coverage for the procedure. But it was too late. Two hours later, Nataline died.

While visiting family in Tennessee, Potter stopped at a “medical expedition” in Wise, Va. People drove hours for free care from temporary clinics set up in animal stalls at the local fairground. Potter told me that weeks later, flying on a CIGNA corporate jet with the CEO: “I realized that someone’s premiums were helping me to travel that way ... paying for my lunch on gold-trimmed china. I thought about those men and women I had seen in Wise County ... not having any idea [how] insurance executives lived.” He decided he couldn’t be an industry PR hack anymore.

Insurance executives and their Wall Street investors are addicted to massive profits and double-digit annual rate increases. To squeeze more profit, Potter says, if a person makes a major claim for coverage, the insurer will often scrutinize the person’s original application, looking for any error that would allow it to cancel the policy. Likewise, if a small company’s employees make too many claims, the insurer, Potter says, “very likely will jack up the rates so much that your employer has no alternative but to leave you and your co-workers without insurance.”

This week, as the House and Senate introduce their health care bills, Potter warns, “One thing to remember is that the health insurance industry has been anticipating this debate on health care for many years ... they’ve been positioning themselves to get very close to influential members of Congress in both parties.” Montana Sen. Max Baucus chairs the Senate Finance Committee, key for health care reform. Potter went on, “[T]he insurance industry, the pharmaceutical industry and others in health care have donated ... millions of dollars to his campaigns over the past few years. But aside from money, it’s relationships that count ... the insurance industry has hired scores and scores of lobbyists, many of whom have worked for members of Congress, and some who are former members of Congress.”

The insurance industry and other health care interests are lobbying hard against a government-sponsored, nonprofit, public health insurance option, and are spending, according to The Washington Post, up to $1.4 million per day to sway Congress and public opinion.

Don’t be fooled. Profit-driven insurance claim denials actually kill people, and Wendell Potter knows where the bodies are buried. His whistle-blowing may be just what’s needed to dump what’s sick in our health care system.

Denis Moynihan contributed research to this column.

Amy Goodman is the host of “Democracy Now!,” a daily international TV/radio news hour airing on more than 750 stations in North America. She is the co-author of “Standing Up to the Madness: Ordinary Heroes in Extraordinary Times,” recently released in paperback.

http://www.truthdig.com/report/print/20090714_health-insurance_whistle_blower_knows_where_the_bodies_are_buried/