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Shuler and McIntyre help delay health care bill in House

The Blue Dog Coalition of Democrats sent this letter to U.S. House leaders expressing dissatisfaction with current proposals for health reform. Heath Shuler and Mike McIntyre both signed on to the letter.

What exactly concerns the Blue Dogs is unclear. Health reform is expensive and they don’t like that. They want more delivery system reforms without specifying what they would change besides “value-based purchasing” and “the value index.” They like small businesses. The want a “strong rural package.” They want bipartisanship.

These obstructionists are going to have to get clearer about what they want to see in the final bill. Overhauling a broken health care system is going to be expensive — not much we can do about that. And the more delivery system reforms we attempt the more we will have to shell out in up-front costs.

Everyone knows we need payment reform — that’s why the House wants to pilot new models like the Accountable Care Organization. Aggressive payment reform is a bit dangerous until we understand what works. I’m assuming that the small business and rural package lines were thrown in for show.

Everyone would like bipartisanship. But Republicans are staking their future electoral success on the failure of health reform. That means they are going to oppose darn near every proposal floated by Democrats. Democrats can’t just stand by and let Republicans scuttle the health care bill in the name of bipartisanship.

I think the real sticking point is that Blue Dogs don’t want a real public option. I hope their constituents will let them know why a public option is important.

9 Comments

  1. Louie

    July 10, 2009 at 1:07 pm

    the main payment reform that is needed is to put hospitals on global budgets just like the provinces do in Canada.

  2. Louie

    July 10, 2009 at 1:33 pm

    according to Legistorm, Heath doesnt have any current investments in the for-profit medical sector to cloud his thinking like Kay Hagan and Brad Miller (holds GSK stock) do.

  3. Adam Linker

    July 10, 2009 at 1:55 pm

    I don’t think Shuler is conflicted; I think he’s confused.

    And while Brad Miller might have a conflict, I’m sure he’ll be on the right side of health reform.

  4. jacksmith

    July 10, 2009 at 4:11 pm

    AMERICA’S NATIONAL HEALTHCARE EMERGENCY!

    It’s official. America and the World are now in a GLOBAL PANDEMIC. A World EPIDEMIC with potential catastrophic consequences for ALL of the American people. The first PANDEMIC in 41 years. And WE THE PEOPLE OF THE UNITED STATES will have to face this PANDEMIC with the 37th worst quality of healthcare in the developed World.

    STAND READY AMERICA TO SEIZE CONTROL OF YOUR NATIONAL HEALTHCARE SYSTEM.

    We spend over twice as much of our GDP on healthcare as any other country in the World. And Individual American spend about ten times as much out of pocket on healthcare as any other people in the World. All because of GREED! And the PRIVATE FOR PROFIT healthcare system in America.

    And while all this is going on, some members of congress seem mostly concern about how to protect the corporate PROFITS! of our GREED DRIVEN, PRIVATE FOR PROFIT NATIONAL DISGRACE. A PRIVATE FOR PROFIT DISGRACE that is in fact, totally valueless to the public health. And a detriment to national security, public safety, and the public health.

    Progressive democrats the Tri-Caucus and others should stand firm in their demand for a robust government-run public option for all Americans, with all of the minimum requirements progressive democrats demanded. If congress can not pass a robust public option with at least 51 votes and all robust minimum requirements, congress should immediately move to scrap healthcare reform and request that President Obama declare a state of NATIONAL HEALTHCARE EMERGENCY! Seizing and replacing all PRIVATE FOR PROFIT health insurance plans with the immediate implementation of National Healthcare for all Americans under the provisions of HR676 (A Single-payer National Healthcare Plan For All).

    Coverage can begin immediately through our current medicare system. With immediate expansion through recruitment of displaced workers from the canceled private sector insurance industry. Funding can also begin immediately by substitution of payroll deductions for private insurance plans with payroll deductions for the national healthcare plan. This is what the vast majority of the American people want. And this is what all objective experts unanimously agree would be the best, and most cost effective for the American people and our economy.

    In Mexico on average people who received medical care for A-H1N1 (Swine Flu) with in 3 days survived. People who did not receive medical care until 7 days or more died. This has been the same results in the US. But 50 million Americans don’t even have any healthcare coverage. And at least 200 million of you with insurance could not get in to see your private insurance plans doctors in 2 or 3 days, even if your life depended on it. WHICH IT DOES!

    If President Obama has to declare a NATIONAL STATE OF EMERGENCY to rescue the American people from our healthcare crisis, he will need all the sustained support you can give him. STICK WITH HIM! He’s doing a brilliant job.

    THIS IS THE BIG ONE!

    THE BATTLE OF GOOD Vs EVIL!

    Join the fight.

    Contact congress and your representatives NOW! AND SPREAD THE WORD!

    God Bless You

    Jacksmith – WORKING CLASS

  5. bluejean

    July 10, 2009 at 5:25 pm

    Obama has to take on what is in essence health care reform’s Axis Of Evil:

    http://www.mikemalloy.com/board/viewtopic.php?t=63680

    They’ve declared war on health care reform. The President has to fight back.

    -

  6. johnnyb

    July 11, 2009 at 7:42 am

    You people are delusional. Health Insurance does not cost very much money. I pay around $85 dollars a month, and have a high deductible ($5,000) which I keep in a savings account.

    If the government takes over healthcare, I am afraid this will give the government an interest in individual lifestyle choice. Look what they are doing to smokers! Next its going to be the fat people, and what about bicyclists, sky divers or other people who enjoy high risk activities. What about men who have sex with other men or people who enjoy a drink?

    Nationalized Healthcare is a huge threat to individual liberty, and I would much rather just spend the $85 dollars a month and keep my freedom, rather than have the government telling me how I should live my life.

  7. Betty Church

    July 16, 2009 at 8:55 pm

    Heath Shuler is more than likely afraid an effective health program would eliminate or make illegal his efforts with the Frankenfood Biotech industry he has vigerously supported.

  8. Captain Quagmire

    July 19, 2009 at 7:44 am

    What about those darn trial lawyers who drive up medical costs as well? Seems like Obama never mentions those people who also need to reform the medical lawsuit system. Let’s not forget that at least half of the 50 Million uninsured can afford it, but are too irresponsible or cheap to buy it. Kind of like flood insurance.

  9. jbj

    July 29, 2009 at 4:08 pm

    I would like to know if ANYONE HAS READ THE HEALTH BILL THAT PRESIDENT OBAMA WANTS PASSED?? NO ONE READ THE STIMULUS PACKAGE BEFORE IT WAS PASSED,NOR DID ANYONE LOOK AT THE FEDREAL BUDGET BEFORE IT WAS PASSED. HOWEVER, THE THOSE ON CAPITAL HILL WERE ABLE TO GET THEIR PORK PACKAGES INTO THE BILLS. WHEN DO YOU THINK, “WE THE PEOPLE” AND NOT THE POLITICIANS AND POLITICAL PARTIES HAVE A SAY IN WHAT HAPPENS IN GOVERNMENT??? THE ANSWER IS NEVER, UNLESS WE START REMOVING THESE FOLKS AND PUTTING IN PEOPLE THAT WILL REPRESENT “WE THE PEOPLE”.