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The Wrath of Emmanuel

by Helen Sun Aug 9th, 2009 at 04:17:52 PM EST

So, we always knew Rahm Emmanuel wasn't exactly the most progressive person on the plant. After all, the trashing of the blogosphere's favourite, Howard Dean, had RE's grubby fingers all over it. Kos has time and again detailed the perfidy of this man, especially during his time at the DCCC. He supports the wrong people; the republican-lite people, the Liebermans and the Blue Dogs.  

And god forbid he ever be seen to be defending something that's popular with the voters but regarded by the media as suspiciously liberal. In Washington he is an Operator, one of a small and very elite group of people who make things happen, that's why Obama chose him for his Chief of Staff. However there is a price to be paid for having a creature of the Beltway as you Cof C, he measures his effectiveness not in what is good for america, but in impressing his peers by getting something onto first base. But is a man who'd prefer a bunt over a home run ultimately good for Democratic voters.


There has always been an element of doubt that the blogos might be wrong, that there might be a plan and higher purpose in what he does. That, cunningly disguised and extraordinarily well hidden, there might be an ideology, a caring a wanting to do the right thing in thereMaybe all of these seemingly tactical mistakes were merely staging posts on a wiser agenda.
But no. All he cares about is being 14-0 on the Hill. He doesn't seem to give a rat's arse what health bill goes through. Just so long as he can count it as a notch on his bedpost.

Aside from just getting Bush out, Obama was elected to do two things. Get the hell out of useless wars and sort out healthcare. Outside of DC, nobody cares what else he does, he can save the economy, deliver gas at $1 gallon, but if he doesn't deliver either of these two, his administration will have failed.

We know that Obama has no intention of leaving Afghanistan to the extent that even though there's progress on winding down hostilities in Iraq, there will be no peace dividend.And on healthcare Rahm doesn't get that it's not just the activists who want a public option and they don't want it just to screw over the insurance companies. The US public want a public option and they want it because unless they're wealthy on John McCain terms, their health plan ain't worth the paper it's written on.

And if Rahm ain't onside with what Americans need, they're unlikely to get it. Really. If Rahm isn't working for you, he's working against you. And on this, he's working for the Blue Dogs and Blue Cross. And dKos and FDL can say what they like. The healthcare america voted for ain't happening.

I think it's time to deliver the threats on primaries. Every Dem who votes against the public option has to be primaried. Any dem who is up against a Republican has to be for the public option. Hell, if somebody says they won't take health insurance campaign funds that shoudl be their banner headline.

If Rahm wants an fight, and it really sounds like he has utter contempt for anyone who actually wants this "Change" thing, then I guess it's time for the progs to bring a gun to the fight. Right now, if it's them or Rahm; then Rahm's winning : Hands down.

Display:
... insurance companies nervous enough to take the high risk tactic of riling up unpredictable Tea Baggers and using them to disrupt Democratic Town Hall meetings ... we would know they had already won and there was nothing coming to the floor that threatened their bottom line.

And if we do not see Rahm Emmanual pissed off at the Progressive Caucus, they would clearly be failing at doing their job of winning whatever the hell it is that is threatening the bottom line of the health insurance companies.


I've been accused of being a Marxist, yet while Harpo's my favourite, it's Groucho I'm always quoting. Odd, that.

by BruceMcF (agila61 at netscape dot net) on Sun Aug 9th, 2009 at 09:20:01 PM EST
Call me naive, but I still think the Public Option could pass...of course, that means I trust that the middle/left to use its large numbers to demand its inclusion when it comes to final negotiations. We will find out soon enough...

"Once in awhile we get shown the light, in the strangest of places, if we look at it right" - Hunter/Garcia
by whataboutbob on Mon Aug 10th, 2009 at 04:29:37 AM EST
[ Parent ]
Sure, it could pass. But it might not. And for Rahm, that's the problem. So he'll kill it before it gets to a vote because if he goes for what America needs he runs the possibility he might lose. However, if he goes with something that Blue Cross Dogs like, he guarantees a win. And Rahm will not tolerate the possibility of being a loser. This is not about quality healthcare for America, it's all about Rahm and his preening self-regard.

keep to the Fen Causeway
by Helen (lareinagal at yahoo dot co dot uk) on Mon Aug 10th, 2009 at 06:13:26 AM EST
[ Parent ]
OTOH, no matter how much they give to the "D" Republicans, the "R" Republicans will not vote for it. So the bill is defeated without the Progressive Caucus votes.


I've been accused of being a Marxist, yet while Harpo's my favourite, it's Groucho I'm always quoting. Odd, that.
by BruceMcF (agila61 at netscape dot net) on Mon Aug 10th, 2009 at 09:54:27 AM EST
[ Parent ]
... but if you lower the bar from "a bill that delivers XYZ", to "a bill that passed so we can say we passed a bill", the odds of "getting a bill passed" go up substantially.

In the end, if there is no bill passed, the Congressmen most likely to go down to defeat as a result are the "Blue Dogs", in leaning Republican districts, where "failure to deliver" can easily see independents switching their support or just staying home in a midterm election.

And as long as the Senate passes SOMETHING, and the House passes a bill with a strong public option, its on the table in Conference, and what comes out of Conference "only" has to get 50 votes plus Biden.

The only way to stand up against the hardball tactics of the Congressmen trying to do everything they can to water down the bill up front so they can vote for "the President's Bill" without actually voting for the bill the President is asking for ... is to draw a line in the sand that tells the "Blue Dogs", vote for a bill with a strong public option and take the heat for that, or else see the bill go down in flames and take the more serious heat for that.


I've been accused of being a Marxist, yet while Harpo's my favourite, it's Groucho I'm always quoting. Odd, that.

by BruceMcF (agila61 at netscape dot net) on Mon Aug 10th, 2009 at 09:52:21 AM EST
[ Parent ]
TitleII, Subtitle B --Public Health Insurance Option, Sec.221-226, Subtitle C, Individual Affordability Credits, Sec.241-246. That's it; that is the federal insurance plan proposal, the most salient feature of which is not "essential benefits" or prohibition of certain coverage exclusions but determination of premium revenue market size and value.

Highlights

SEC. 221. ESTABLISHMENT AND ADMINISTRATION OF A PUBLIC HEALTH INSURANCE OPTION AS AN EXCHANGE-QUALIFIED HEALTH BENEFITS PLAN....
             (3) PROVISION OF BENEFIT LEVELS- The public health insurance option--

                  (A) shall offer basic, enhanced, and premium plans; and

                  (B) may offer premium-plus plans....

(g) Access to Federal Courts- The provisions of Medicare (and related provisions of title II of the Social Security Act) relating to access of Medicare beneficiaries to Federal courts for the enforcement of rights under Medicare, including with respect to amounts in controversy, shall apply to the public health insurance option and individuals enrolled under such option under this title in the same manner as such provisions apply to Medicare and Medicare beneficiaries....

SEC. 222. PREMIUMS AND FINANCING.
             (2) START-UP FUNDING-

                  (A) IN GENERAL- In order to provide for the establishment of the public health insurance option there is hereby appropriated to the Secretary, out of any funds in the Treasury not otherwise appropriated, $2,000,000,000. In order to provide for initial claims reserves before the collection of premiums, there is hereby appropriated to the Secretary, out of any funds in the Treasury not otherwise appropriated, such sums as necessary to cover 90 days worth of claims reserves based on projected enrollment....

                  (B) AMORTIZATION OF START-UP FUNDING- The Secretary shall provide for the repayment of the startup funding provided under subparagraph (A) to the Treasury in an amortized manner over the 10-year period beginning with Y1....

SEC. 223. PAYMENT RATES FOR ITEMS AND SERVICES.[capitation, i.e. constraints on earnings of medical services holding companies owned or referred to by PPO, HMO insurer firms, regardless of variance among "Exchange-participating" and non-"Exchange-participating" plans' benefit coverages]...

                         (A) IN GENERAL- Except as provided in subparagraph (B) and subsection (b)(1), during Y1, Y2, and Y3, the Secretary shall base the payment rates under this section for services and providers described in paragraph (1) on the payment rates for similar services and providers under parts A and B of Medicare.

                  (B) EXCEPTIONS-

                        (i) Practitioners' SERVICES- Payment rates for practitioners' services otherwise established under the fee schedule under section 1848 of the Social Security Act shall be applied without regard to the provisions under subsection (f) of such section and the update under subsection (d)(4) under such section for a year as applied under this paragraph shall be not less than 1 percent....

SEC. 242. AFFORDABLE CREDIT ELIGIBLE INDIVIDUAL.

      (a) Definition-

            (1) IN GENERAL- For purposes of this division, the term `affordable credit eligible individual' means, subject to subsection (b), an individual who is lawfully present in a State in the United States (other than as a nonimmigrant described in a subparagraph (excluding subparagraphs (K), (T), (U), and (V)) of section 101(a)(15) of the Immigration and Nationality Act)--

                  (A) who is enrolled under an Exchange-participating health benefits plan and is not enrolled under such plan as an employee (or dependent of an employee) through an employer qualified health benefits plan that meets the requirements of section 312;

                  (B) with family income below 400 percent of the Federal poverty level for a family of the size involved;

USD 0 - 185,160 (Alaska, 8 person HH)


and

                  (C) who is not a Medicaid eligible individual, other than an individual described in section 202(d)(3) or an individual during a transition period under section 202(d)(4)(B)(ii)....

SEC. 243. AFFORDABLE PREMIUM CREDIT...
-------------------------------------------------------

The initial premium percentage is-- The final premium percentage is-- The actuarial value percentage is--

-------------------------------------------------------

133% through 150%                                1.5%                                3%           97%

150% through 200%                                  3%                                5%            93%

200% through 250%                                  5%                                7%             85%

250% through 300%                                  7%                                9%             78%

300% through 350%                                  9%                               10%             72%

350% through 400%                                 10%                               11%             70%

-------------------------------------------------------

This story isn't about who is uninsured. It's not benefit quality. It's not benefit costs or the "affordability" of premiums. And it sure as shit isn't about brow-beating "teabaggers" and "single-payer" protesters.

It's always who collects the premiums. The MIC will avoid market share loss like plague; the business is already lucrative excluding uninsureds and stands to capture guaranteed revenue in fed payments for 40M+ uninsured. If Congress cuts eligibility to say 200% poverty level, "public option" will pass with the rest of the package --which is distinguished for defining health care "reform" entirely in terms of finacial coercion.

Diversity is the key to economic and political evolution.

by Cat on Tue Aug 11th, 2009 at 11:36:26 AM EST
[ Parent ]
Stop it, Bruce, all this clearly means that this country is turning fascist, not that the insurance companies are scared of a leftward move in the US. Self-defeatism is the only acceptable course.

[excuse me while I go tear my hair out]

you are the media you consume.

by MillMan (millguy at gmail) on Mon Aug 10th, 2009 at 11:36:46 AM EST
[ Parent ]
Obama was elected to do two things. Get the hell out of useless wars

And now he's allowed conservatives to take the high ground on that make him own the useless wars...

En un viejo país ineficiente, algo así como España entre dos guerras civiles, poseer una casa y poca hacienda y memoria ninguna. -- Gil de Biedma

by Migeru (migeru at eurotrib dot com) on Wed Sep 2nd, 2009 at 03:33:12 PM EST


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