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Yawn. We heard Obamacare got challenged. Some make it out to be the end of good times…

When ABC News crossed that subject, I was skeptical. Were they only going to mention this newest decision, and make no mention of the other challenges where a Federal Court DID rule on it’s Constitutionality?

Ok, they surprised me. They did.

So what do we have? Two courts declaring this bill  fits within the framework of the Constitution. One, declaring it does not…

But wait a minute…

If  U.S. District Judge Henry E. Hudson, a George W. Bush appointee (and part-owner of a Republican campaign-consulting firm that fought the health-care overhaul legislation), has ruled the individual mandate unconstitutional. So why are reform advocates so unexpectedly pleased?

Did I just say Judge Hudson was a part owner of a Republican Consulting Firm that fought the health care overhaul?

So let me get this straight… You take someone appointed to his post by Conservatives, who is heavily invested in a firm that makes a profit on deriding Health Care legislation, who since 2003, according to his own disclosures, has earned between $32,000 and $108,000 in dividends from his shares in the firm (federal rules only require judges to report ranges of income), and he can only find one tiny part of this bill to make issue? And even he rules that everything else in this bill is fine?

Well, that sort of proves the positive merits of this bill, now doesn’t it? If the only judge Republicans and Conservatives can find to strike down this bill, is someone who himself actually earns a lot of money drumming up anti-Healthcare sentiment, isn’t that judge being placed in a self- serving interest? Shouldn’t’ he have recused himself from the bench?

It’s like praising the plantation owner who strikes down a bill to free the slaves… “Yeah! Slavery can now continue. It’s Constitutionality Has Been Upheld!”

(A sentiment which actually happened during an unfortunate period of our history.)

The danger up to today,  was that, in striking down the individual mandate, the court would also strike down the rest of the bill. That’s exactly what the plaintiff had asked Hudson to do. But the judge pointedly refused, noting: “The Court will sever only Section 1501 [the individual mandate] and directly-dependent provisions which make specific reference to 1501.”

Oh no! What sections make directly-dependent provision to 1501!

Go to the text of the health-care law and run a search for “1501.” It appears exactly twice in the bill: In the table of contents and in the title of the section. There do not appear to be other sections that make “specific reference” to the provision, even if you could argue that they are “directly dependent” on the provision. The attachment of the “specific reference” language appears to sharply limit the scope of the court’s action.

Ironically Conservatives are going to challenge his ruling because  “it is not conservative enough”.   Some Delawareans are cheering that on.
But my question to them is this:  if a Conservative himself who rakes in  money off consulting others on how to defeat Health Care, who himself is involved with a firm instrumental in launching Sarah Palin’s PAC and part owner of a firm to whom Ken Cuccinelli,( the Virginia attorney general who filed the lawsuit that Hudson ruled in favor of today)  paid Campaign Solutions $9,000 for services rendered in 2009 and 2010,….. if such a Conservative can only find this tiny clause that doesn’t pass muster, how can you expect anyone less conservative to do better?  Especially when other courts across the land are countering this “special interest” judge by saying the Commerce clause trumps the Conservative cause everytime?

To sum up:  The most conservative judge on the American bench, says the Health Care plan can go forward ( no injunction was placed) .   🙂  And he stands to profit greatly from that statement, in spite of himself.

The  headlines should read:  Conservative Judge Upholds Obama Care: Only  1501 Must Be Adjusted...  A 1501 that was upheld in other courts! Obviously it’s fate falls into the hands of Justice Kennedy now.

But wasn’t 1501 crafted against the original Clinton Healthcare Bill by the Republicans Bob Dole, Orrin Hatch, and Charles Grassley? 

“Requires each citizen or lawful permanent resident to be covered under a qualified health plan or equivalent health care program by January 1, 2005.”

  And later on, wasn’t it the centerpiece of the much touted Gov. Mitt Romney’s health-reform plan in Massachusetts,

“We insist that everybody who drives a car has insurance,” Romney said in an interview. “And cars are a lot less expensive than people.

and then again, wasn’t it included in the Wyden-Bennett bill, which many Republicans signed on to?

(It was only when the individual mandate appeared in President Obama’s legislation that it became so polarizing on the right. You might remember that Obama’s 2008 campaign plan omitted it, and he frequently attacked Hillary Clinton for endorsing it in her proposal).

The individual mandate struck down by conservatives, was originally  created by conservatives who realized that it was the only way to get universal coverage into the private market. Otherwise, insurers turn away the sick, public anger rises, and, eventually, you get some kind of government-run, single-payer system, much as they did in Europe, and much as we have with Medicare.

If Republicans succeed in taking it off the table, they may sign the death warrant for private insurers in America.

Proving once and for all, that the single payer system is the only way to go.

An economic argument was made during the 19th Century that continued the practice of slavery until it was eventually settled by war. There were good arguments that said slavery needed to continue to maintain the economic health of this new nation…

Those who voted to continue that practice… were on the wrong side of history.

Likewise, during your very lifetime, arguments were made not to enfranchise descendants of slaves with laws protecting their Constitutional rights… Economic arguments again were made that helping the bottom tier of our population would bankrupt this nation, and cause required governmental intervention in schools and other institutions to enforce the Civil Rights Act… Those who opposed the Civil Rights Act, ….. were on the wrong side of history.

During your tenure in Congress, a funding bill was brought to Congress under the Clinton Administration that increased the rates of taxes… It passed the Senate by the one vote of the Vice President… As a result, our nation saw it budget balanced for the first time in anyone’s lifetime. The greatest economic boom in our lifetimes occurred as as result of that bill.

Those who opposed it, were on the wrong side of history…

Your own party, voted to do away with that tax increase, and move this nation to deficit spending once again. It was passed by the one vote of the Vice President, and subsequent economic decline, destroyed our nation… All those savings from no taxes, were wiped out by deregulated hedge funds. Today WE are all worse off.

Those who supported the Bush tax cuts, were on the wrong side of history….

Mike Castle, you are up for a tight election.

No insurance companies will vote for you; only real human beings, all who are subject to health insurance are allowed to cast a vote. A no vote against this bill, as you can plainly see from outside the beltway, does nothing to outlaw pre-existing conditions, does nothing to prevent the dropping of patients who become too expensive, does nothing to limit the changing of rates and reimbursements with no warning.

You are in a tight spot..Mike Castle. You have to choose between today and tomorrow. The question of how you vote, will determine how you will be remembered, by your family, your friends, you acquaintances.

Your vote today may make you tomorrow’s Judas? (That is actually a fitting metaphor.) Do you wish to be seen as a temporary hero, held up by the corporate insurance establishment for doing the “right” thing, then lambasted for as long as your name has life? Or will you choose to pierce through a brief spat of negativity from people who don’t matter much, and have thy name inspire millions for years to come…

What side of history, Mike Castle, will you choose to be on?

Judas actions were predetermined. Your’s do not have to be… You are treading the same line as he. Everything you have done up to this point, will be eclipsed by how you vote today.

Do you take the buzzer shot? …… Or pass?

Estimated Impact of the Senate Version of Health Care Reform

Estimated Impact of the Senate Version of Health Care Reform

A couple of exciting trends:

Medicare costs drop.
Medicaid and CHIP increase
State’s Portion of Medicaid and CHIP increase
Out of Pocket Decreases
Employer Sponsored Insurance Decreases: our products are more competitive overseas.
Other Private Health Insurance Drops
Percent of GDP devoted to Health Care climbs 0.1%.
34,000,000 more Americans are insured.

Bottom line:

34,000,000 additional Americans receive insurance at a marginal increase of 0.1%.

Democrats win where Republicans failed.

As of this writing there is still 20 minutes to go.

My take.

It was good the Republicans insisted on having this. They were shown up to be well meaning citizens concerned with the future of health care profits. There is no denying it anymore… The tapes are in.

It was good that Obama chose to be the moderator. He definitely is the best president of this century. I could not help but think of George Washington moderating between Alexander Hamilton and Thomas Jefferson. Today we saw a real leader in action… Not someone who happened to grab a megaphone during a time of sorrow. Most impressive was his grasp of the issue. He responded to Republican posturing with facts against which they could not argue back.

The Democrats have really tried to be bipartisan and that has produce a good bill. This bill is necessary to help seniors, to help small businesses, to help every American making less than 100,000 a year, to help America compete with cheaper government run health care systems utilized by our prime competitors. It helps everyone but insurance executives… That is fair in my book because they voted for the losing side..

Defining moment: When one Republican congressman was arguing for switching to health cost withholding plans, Obama retorted if it was indeed so good, why ddidn’t he give up the Federal Employee coverage he had now and go for it… The Congressperson’s face became crimson…. If it wasn’t good enough for him at $174,000 a year, how would it be good enough for someone making $40,000?

Most disgusting moment. CNN’s coverage diverted away as soon as Stenny Hoyer began speaking to discuss around their high priced round table, just how strong Lamar Alexander had come out fighting… So obviously a set up… I switched to CSpan. Never again CNN…..

This is kind of embarrassing for me.. I even quoted this quote in another story and completely missed the irony of Mitch McConnell’s remarks.. Yeah, I’ll admit. I missed this.

Republicans get away with issuing the following two press releases within a single 24 hour span:

Sunday: “Cutting Medicare is not what Americans want.”

Monday: “Expanding Medicare a plan for financial ruin.”

Unfortunately we are so used to hearing slogans entering in one ear and exiting out the other that we fail at first to pick up these are exact contradicktites 🙂  of each other…

But this is a dynamic that’s most prevalent when the Republicans discuss Medicare. It really flummoxes them. After all, they despise socialized medicine. They despise single-payer health insurance. They despise government-run health care. They voted against the formation of Medicare during the high water mark of LBJ’s Great Society. They ultimately would love to privatize (or drown in a bathtub) the whole thing and be done with it.

Yet at the same time, 55 Republican members of Congress are on Medicare. Congressman Weiner wrote up a list that includes Mitch McConnell. I could be wrong, but I also think proxy-Republican and anti-government-run-insurance drama queen Joe Lieberman, at 67 years old, receives Medicare.

And they will stand up and say they are against government involvement in the health of individual Americans… while being on the dole themselves…

What they are absolutely clear about, is that they are unequivocally against giving average Americans even a tiniest break, that of the public option, when it comes to health care…….

We know that Senator Carper is not supportive of the public option….

I don’t know if he knows this or not.. but here is what our health care plan does without a public option attached.

The Reform plan forces insurance companies to cover everyone. That means a lot more money coming into their coffers… It also means more people asking for some type of re compensation… Currently those not receiving insurance because of their high risk factor do not play into insurance companies profits. If this legislation passes, they will…

That means insurance companies will have to deny coverage more often.. “sorry, I know you need this operation to live, but we just can’t afford to cover it right now…”

So you will have insurance. You will be allowed a preexisting condition. You will pay your premiums on time. and when you need it… you will be denied coverage…. It is the conservative’s death panels in boardroom suits….

There is no clause in either the Senate or House version of the bill that prohibits insurance companies from denying coverage to protect their profits… And under our current system of private companies competing in the market place… there really is no legitimate way to say: you must cover everything….

In 2007 Cigna killed a girl because it refused to pay for a liver transplant. CIGNA noted that it had no financial stake in the decision to authorize the transplant because it merely administers the insurance plan of the parent’s employer and that plan would not bear the cost of such an operation.

Every American who is insured by his employer, is subject to the same treatment… If your employer opted out for certain procedures, then you have no coverage. And you have no way of finding out until you need medical attention..

There are not enough votes to close this loop hole that allows insurers to dodge paying for medical coverage, if and when it might impact their profits for that quarter… They can deny coverage, post a higher return, collect their bonus, and blame it on the employer who bought the plan to cover his employees…

To close the loophole there needs to be language that states an insurance provider cannot deny a medical claim for any reason. Such blatant language is simply in neither plan.

But, there is something better. Insurers who have to compete against the public option, will lose income if they refuse coverage, whereas the public entity covers it… Since someone else out there is providing that benefit, to keep any customers at all, private insures will feel economic pressure to copy that best practice.

Without the public option, people will be left to die.. If we expand the roles of insurance companies to cover absolutely everyone, then even more and more will be left to die… We mandate coverage; but do not protect those mandated.

So, mandates without a public option, and with no protections against denial of treatment, will be doubly cruel. Because people will be forced to buy into a program that won’t give them the health care they need. Such a system effectively would be telling them that their lives don’t matter, but their money does.

Health Care Reform, is not reform without the public option. Period.

Blast his ass….

* Wilmington
301 North Walnut Street
Suite 102L-1
Wilmington, DE 19801
Phone: (302) 573-6291
Fax: (302) 573-6434

* Dover
500 W. Loockerman St.
Suite 470
Dover, DE 19904
Phone: (302) 674-3308
Fax: (302) 674-5464

* Georgetown
12 The Circle
Georgetown, DE 19947
Phone: (302) 856-7690
Fax: (302) 856-3001

For questions, comments, or problems call him today…

Across the globe three trends can be seen as working….There are three requirements needed to fix Health Care….

Requirement 1

insurance must be bought by everybody; insurance cannot be allowed to make a profit on basic care.

Requirement 2

everybody is required to  buy insurance; the government subsidizes the premiums for the poor.

Requirement 3

All doctors and hospitals must agree and then use a standard set of fixed prices….

So of course we are being fed a bunch of lies about health care; the headwater of all mistruths being the top echelons of the Health Insurance industry….

So where does one find truth?

That is an easy answer. One looks at reality…

Let’s take a look at other nations and see what works and what doesn’t…. Below are some examples…

We’ll start with McDowell’s favorite: The Netherlands…The Netherlands has introduced a new system of health care insurance based on risk equalization through a risk equalization pool. In this way, a compulsory insurance package is available to all citizens at affordable cost without the need for the insured to be assessed for risk by the insurance company. Furthermore, health insurers are now willing to take on high risk individuals because they receive compensation for the higher risks. This is the suggested model for the US. Those with time to watch video with English subtitles, here is a link here…

Moving on… Russia: Following the collapse of the Soviet Union, Russia embarked on a series of reforms intending to deliver better health care by compulsory medical insurance with privately owned providers taking the role of the former state run institutions. According to the OECD none of this worked out (PDF) as planned and the reforms had in many respects made the system worse.

Taiwan: Taiwan changed its health care system in 1995 to a National Health Insurance model similar to the US Medicare system for seniors. As a result, the 40% of Taiwanese people who had previously been uninsured are now covered. It is said to deliver universal coverage with free choice of doctors and hospitals and no waiting lists. Polls in 2005 are reported to have shown that 72.5% of Taiwanese are happy with the system, and when they are unhappy, it’s with the cost of premiums (equivalent to less than US$20 a month). National Health Insurance or NHI premiums is similar to that of social security contributions in the US. Employers and the self-employed are legally bound to pay them. Unlike funds raised via US social security taxes, which can be borrowed in the interim to fund military and other spending, the NHI is a pay-as-you-go system. The aim is for the premium income to pay costs, but there is also a tobacco tax surcharge that goes to the NHI.

Germany:  Germany has Europe’s oldest system, with origins dating back to Otto von Bismarck‘s Social legislation, which included the Health Insurance Bill of 1883, Accident Insurance Bill of 1884, and Old Age and Disability Insurance Bill of 1889. As mandatory health insurance, these bills originally applied only to low-income workers and certain government employees; their coverage, and that of subsequent legislation gradually expanded to cover virtually the entire population. All salaried employees must have a public health insurance. Only public officers, self-employed people and employees with a gross income above ca. 50000 EU (adjusted yearly) may join the private system. There are two separate systems of health insurance: public health insurance and private insurance. Both systems struggle with the increasing cost of medical treatment and the changing demography. About 87.5% of the persons with health insurance are members of the public system, while 12.5% are covered by private insurance (as of 2006).

Great Britain…Health care was reformed in 1948 with the creation of the National Health Service or NHS. It was originally established as part of a wider reform of social services and funded by a system of National Insurance, though receipt of health care was never contingent upon making contributions towards the National Insurance Fund. Private health care was not abolished but had to compete with the NHS. About 15% of all spending on health in the UK is still privately funded but this includes the patient contributions towards NHS provided prescription drugs, so private sector health care in the UK is quite small. As part of a wider reform of social provision it was originally thought that the focus would be as much about the prevention of ill-health as it was about curing disease. The NHS for example would distribute baby formula milk fortified with vitamins and minerals in an effort to improve the health of children born in the post war years as well as other supplements such as cod liver oil and malt. Many of the common childhood diseases such as measles, mumps, and chicken pox were mostly eradicated with a national program of vaccinations. The Blair government retained elements of competition and even extended it, allowing private health care providers to bid for NHS work. Some treatment and diagnostic centers are now run by private enterprise and funded under contract. However, the extent of this privatization of NHS work is still very very small, though remains controversial. The administration committed more money to the NHS raising it to almost the same level of funding as the European average and as a result, there has been a large expansion and modernization program and waiting times are now much more acceptable than they once were.

Switzerland… The very year insurance lobbiests defeated the Clinton health reform plan, another nation, more conservative than the US, after taking a national referendum, took on the health care industry and won. In a nation housing most of European Insurance companies and headquartering most of Europe’s pharmaceutical industries, a nation whose health care system resembled identically to what the US has now,… health care reform was began… Those opponents against healthcare reform, are now in favor. It works so well…

The Swiss are required to purchase basic health insurance, which covers a range of treatments detailed in the Federal Act. It is therefore the same throughout the country and avoids double standards in healthcare. Insurers are required to offer this basic insurance to everyone, regardless of age or medical condition. They may not make a profit off this basic insurance, but can on supplemental plans. The insured pays the insurance premium for the basic plan up to 8% of their personal income. If a premium is higher than this, then the government gives the insured a cash subsidy to pay for any additional premium..

Across the globe three trends can be seen as working….There are three requirements needed to fix Health Care….

Requirement 1

insurance must be bought by everybody;  insurance cannot make a profit on basic care.

Requirement 2

everybody is required and must buys insurance;  the  government  pays the premiums for the poor.

Requirement 3

All doctors and hospitals must agree and use a standard set of fixed prices….

Some say Americans don’t have the will to stomach these changes…   Well, if truth be known, we are a lot more familiar with these concepts than we let on…

Every military American veteran uses a health system modeled on  Britain’s NHS.

If you are a senior, you are using the Taiwanese model.

If you are a working and gainfully employed, you use the German model.

If you are poor,  you use the model found in impoverished third world nations….

So across the globe one thing is perfectly clear. Even the most capitalist countries don’t trust the care of their own bodies, to a totally free market system of health care… They all impose controls to prevent a free market system from taking off. Only here in America, do we have a health care system based on the free market model, that took off and left America behind… The only thing with teeth in the current bill which tames the free marketeers, is the public option. That is the absolute truth about health care.

I thought it would be an interesting exercise to pour over this weekends news and pull out any blatant falsehoods being offered to anyone with a microphone, by the outdated, obsolete, and obstinate Republican Party… Some Democrats comments showed up as well.

Republicans objected because, according to Sen. Michael Enzi, R-Wyo., they were not given time to review the specific language of the proposals beforehand.

Wrong! They were given 48 more hours than Democrats ever received when Republican controlled both houses.

Senate Minority Leader Mitch McConnell, R-Ky., said Democrats are “intent on passing this health care bill that the American people oppose.

Wrong! The only people opposing this plan are insurance executives… They amount to 0.006% of the population… That means that 99.994% of America supports updating Health Care to a better plan….

H.R. Congressman Bob Latta, says #3962 will cost taxpayers over $1.3 trillion dollars over the next ten years, including $729.5 billion in new taxes on small businesses, penalties assessed to individuals who cannot afford health coverage, and penalties assessed to employers who cannot afford to provide coverage that meet federal bureaucrats’ standards.

Wrong! It will not cost taxpayers a penny. It will save America $500 billion dollars over what Americans would have spent on health care without this reform… American CAN NOT AFFORD TO WASTE another $500 Billion that we currently overpay for taking care of our bodies….

H.R. 3962 creates a government-run insurance program that could cause as many as 114 million Americans to lose their current coverage.

Under the insurance plans that passed the House and now under debate in the Senate, almost all Americans will receive health care coverage at a cost far less than they are paying now, and will have more conditions covered than they currently do… Under this plan NO AMERICAN WILL LOSE THEIR COVERAGE. But it would be nice if all Republicans did so they would understand just what the rest of America as lived through since 2000.


The government-run insurance plan will be administered by a newly-created Health Care Commissioner and a “Health Benefits Advisory Committee” who will have the ultimate say in your health care decisions- NOT you or even your doctors .”

Wrong! Instead of those Insurance executives primarily worried about whether to buy their 8th or 9th beach front house property, you and your doctor WILL MAKE the appropriate decision regarding your healthcare… The whole purpose of this bill is to bring back the power to doctors and patients regarding their own healthcare, and to take that determination entirely away from the insurance executives who have royally screwed up the once great United States health care system since the year 2000.

. As Congress moves forward with the larger comprehensive health care debate, we should consider the benefits and flexibility of state-based reform.”

Wrong! This plan is only in place to give Health Insurance Companies the ability to keep the monopolies they have in state… The only way to bust those monopolies that steal roughly $500 billion of our national inheritance, is to establish a national plan that drops costs 50% over what state’s could ever offer… Do you want to pay 50% more and get 50% less? Insurance Executives and Republicans want you to pay more so they can buy that extra house….

This Health Care Bill will put the American people and our Children and their Children in bad DEBT!!!

This Health Care Bill saves America money. When you go into debt sometimes you have to work to get more money. The rich have money… Tax them like we used to, (they prospered then) and we won’t go into debt…. Tax them fairly, and all will be well…

Oops… looks like I found my quota on just one site.

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As the health care debate goes forward in the Senate, it would be appropriate to reevaluate everything again.

We don’t have time for that.

Here is what we do know.. Insurance Companies take a big bite out of U.S. Commerce. Medical costs take a big bite out of our economy. Only inclusion of the public option will have any affect on changing America for the better.

The public option will create more jobs.

The public option will increase discretionary spending.

The public option will increase medical coverage to almost all citizens.

The public option will lower the national debt.

The public option will increase the healthiness of America’s citizens.

The public option will put downward pressure on prices.

The public option will decrease medical overbilling and fraud.

The public option will decrease amounts of time spent in doctors offices.

The public option will increase the amount of time doctors spend with patients, and decrease the amounts of time they have to quibble with insurance desk jockeys.

The public option will finally give every American a choice, so long denied them, on where they can get their healthcare, and how much they have to be taken for … to get it… Freedom of choice… what could be more Republican than that…… Americans should have a choice… Shame on those politicians and legislators who are so beholden to insurance companies that they are imposing limits on our right to choose… Shame.