Health Care Reform
Nonprofit coops versus government insurance
Curious what other people think of this new proposal to drop the government insurance plan and replace it with nonprofit coops? My first reaction to reading about it in this article is that it actually seems like a better idea because it's a more bottom up than top down approach.
Insurance and Pharmaceutical Contributions to Democrats
Interesting editorial giving details of some of the amounts of money and lobbying that's been done on behalf of the insurance companies and pharamceuticals to democrats.
Soda Tax
The problem being considered his how to fund healthcare in the U.S.:
"The debate over health care reform has run smack into a brick wall of economic reality. There's just not enough money to pay for all the disease in America, it seems, and now lawmakers are desperately searching for new sources that might bridge the financial gaps. Their latest scheme involves taxing sodas with a three-cent tax to raise an extra $24 billion over the next four years."
The rationale for taxing soda:
"At first, taxing soda might seem like a good idea. Sodas, after all, promote diabetes, obesity, bone loss and many other costly health conditions. It only stands to reason that people who drink soda should pay a little more towards a national health care plan."
The point Mike makes that I think we should consider:
"But there are problems with this idea of a soda tax. For starters, it's a highly regressive tax that ultimately gets paid mostly by low-income, low-education people (the kind of people who drink a lot of soda). It's a tax, in other words, on those who can least afford it."
What he proposes:
"...if the U.S. government is going to use taxes to modify consumer behavior, it would seem prudent to first end the government subsidies on sugar that have existed since World War II. Why are we still using taxpayer dollars to lower the price of sugar when refined white sugar contributes so much to our nation's health problems?"
And this made me realize that this idea of taxing soda is just another way for corporations to shift the risk and ultimate cost of selling a product that makes the end consumer unhealthy. We pay for it first with our tax dollars in subsidies, and this tax is a double-whammy proposal to tax it upon sale as well... then we also pay for it in our healthcare cost when this crap makes us unhealthy.
"Slapping new "sin taxes" on consumer products as a way to shape consumer behavior while raising money is a seductively attractive idea if you're a bureaucrat with an itchy trigger finger. It seems (at first, at least) economically and morally sound: Make the people who cause the problem pay more for fixing it. It all seems so simple: Let cigarette taxes pay for health care. Let soda taxes help fight obesity. Let alcohol taxes pay for alcohol addiction recovery centers. But in the real world, it never quite works that way: Money gets stolen away for other uses, rarely going to the intended beneficiary. Meanwhile, the taxes end up hurting those consumers who can least afford it."
There are many choices being made in this consumption chain. While it's true the consumer bears the ultimate responsibility for their own choices, and they should educate themselves about the things they consume. The industry that promotes these products should take responsibility for the knowledge that they have.
There's a socio-economic gap in America. There is a reason that the poorest people in our nation drink soda instead of orange juice. In some homes the difference between $1 and $3 is a whole lot of money when considering your grocery bill.
Now, I don't propose that we should have a law against sugar, but if sugar becomes more costly to use because the government stops subsidizing it - corporations will find other alternatives, perhaps healthier alternatives. Consumers won't be able to afford it and perhaps they'll find healthier alternatives. Remove the artificial market so that we're not shifting the costs of the production and consumption of sugar on down the line. Corporations would have to pay the true cost of what they're marketing.
Shifting the tax burden
The way we pay for care
Rescission
I heard excerpts from the Congressional investigation of the insurance policy of rescinding coverage after a person is diagnosed with a serious and expensive illness on the NPR program "This American Life" on Sunday. The stories are outrageous. One woman with invasive breast cancer had her policy cancelled immediately before she was scheduled for surgery. It took months for her to get the surgery covered, by which time the tumor had doubled in size. The only good thing that I could take out of this report was that it shocked congress people on both sides of the aisle and that it seems clear that congress will act to make this policy illegal. The attitudes of the insurance representatives show why health care can not be run under a corporate model.
Here's a link to "This American Life"--this program is called "Fine Print." On the podcast, this particular story is about 2/3 of the way through the program. It's available to download currently--I don't know how long they stay archived.
This is an NPR story on the same subject.

Illustrating the effects of not passing health care reform
This editorial details some of the consequences for an individual patient in the current health care system--in this case, after having built up a relationship with a therapist, a teen age patient is dropped because her insurance won't cover the treatment.
Many will sink with healthcare ship