Health Care Bill Helps Trial Lawyers

Jazz Shaw points out that the House health care reform bill not only fails to meaningfully address tort reform but also makes it less likely that caps will be placed on claims for non-economic damages as many advocate. The bill provides for incentives for states to consider tort reform–as long as they don’t limit attorney fees or place a cap on damages. While conservatives greatly exaggerate the impact of malpractice on health care costs, this is still a cause of unnecessarily wasted money and those serious about reducing health care costs should address this problem.

This provides one example of why it is difficult to get anything done in this country. On one side we have the Republicans who are in the pocket of the insurance industry and will fight any reform, while on the other side the Democrats are unwilling to cross the trial lawyers (as well as being influenced to some degree by the insurance industry).

This is also why I continue to consider myself an independent as opposed to a Democrat despite voting exclusively for Democrats the last several years other than in local elections where everyone is a Republican. While I have a far greater degree for contempt for the GOP since it has been taken over by the extreme right and and has lost touch with reality, voting for the opposing party in a two-party system is not the same as totally embracing them.

Shock Over Televised Breast Exam

Conservatives sure have a hang up about breasts. Other conservative blogs have joined in expressing shock over the above video. I’m sure that appearing on MSNBC added to the conservative protest. The next time a woman demonstrates a breast exam on MSNBC she better be wearing a burka.

White House Releases Visitor Logs

Another sign of increased transparency: The White House has released visitor logs of those visiting the White House earlier in the year before  White House Voluntary Disclosure Policy on visitors took effect. Now right wingers can go through the records to see which radicals and Communists Obama is currently palling around with.

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Opponents of Health Care Reform Are Child Killers

Sure the headline is sensationalistic to attract attention in RSS readers and provide a good line for Twitter, but a stronger case for this can be made for this compared to many claims coming from the right. A report published today from Johns Hopkins looks at the effect of lack of health care coverage on child deaths:

Lack of adequate health care may have contributed to the deaths of some 17,000 US children over the past two decades, according to a study released by the Johns Hopkins Children’s Center.

The research, to be published Friday in the Journal of Public Health, was compiled from more than 23 million hospital records from 37 states between 1988 and 2005.

The study concluded that children without health insurance are far more likely to succumb to their illnesses than those with medical coverage.

“If you are a child without insurance, if you’re seriously ill and end up in the hospital, you are 60 percent more likely to die than the sick child in the next town who has insurance,” said Fizan Abdullah, lead writer of the study and a pediatric surgeon at Hopkins.

With some seven million children in the United States currently uninsured, the problem needed addressing immediately, the report said.

Is this really the type of country which conservatives believe we should be?

Reports Already Starting on the War on Christmas

I wish that Fox would at least wait until after Halloween before whining about the imaginary War on Christmas.

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Obama Ending HIV Travel Ban

Different people had different expectations as to what Obama would do after being elected, resulting in differing views of him from the left at present. He has been criticized for not yet being successful on the big issues. I feel this criticism is premature considering how close he is to passing  health care reform after so many other presidents have failed at this. I see the big advantages of Obama’s election to be no longer having an incompetent president who has harmed the country in so many ways. Not having a president who repeatedly does bad things is a major positive step.

Obama certainly deserves some credit, even if the amount is not certain, for the economy being in much better shape than most predicted at this time a year ago. Obama also deserves credit for a number of changes which are not top headline news. Since elected Obama has eliminated the ban on federal spending for embryonic stem cell research. He has ended the global gag rule which restricted reproductive rights internationally. He is ending the federal raids on medicinal marijuana. Another achievement came today as Obama announced the end of the HIV travel ban. Andrew Sullivan has posted his remarks:

A couple of years ago Michelle and I were in Africa and we tried to combat the stigma when we were in Kenya by taking a public HIV/AIDS test.  And I’m proud to announce today we’re about to take another step towards ending that stigma.

Twenty-two years ago, in a decision rooted in fear rather than fact, the United States instituted a travel ban on entry into the country for people living with HIV/AIDS.  Now, we talk about reducing the stigma of this disease — yet we’ve treated a visitor living with it as a threat.  We lead the world when it comes to helping stem the AIDS pandemic — yet we are one of only a dozen countries that still bar people from HIV from entering our own country.If we want to be the global leader in combating HIV/AIDS, we need to act like it.

And that’s why, on Monday my administration will publish a final rule that eliminates the travel ban effective just after the New Year.  Congress and President Bush began this process last year, and they ought to be commended for it.  We are finishing the job.  It’s a step that will encourage people to get tested and get treatment, it’s a step that will keep families together, and it’s a step that will save lives.

Interpretation of this is comparable to the question of whether the glass is half full or half empty. Obama has not brought about marriage equality, and there are many other areas where he has not done everything I might desire. That doesn’t change the fact that little by little we are seeing significant accomplishments in the first year of his presidency alone.

Update: The Washington Post has some history on the development of this ban and its elimination:

The regulations are the final procedural step in ending the ban, and will be published Monday in the Federal Register, to be followed by the standard 60-day waiting period prior to implementation.

A ban on travel and immigration to the U.S. by individuals with HIV, the virus that causes AIDS, was first established by the Reagan-era U.S. Public Health Service and then given further support when Sen. Jesse Helms (R-N.C.) added HIV to the travel-exclusion list in a move that was ultimately passed unanimously by the Senate in 1987.

A 1990-1991 effort to overturn the regulatory ban failed in the face of outcry and lobbying from conservative groups and bureaucratic turf disputes. The ban was upheld in 1993 when Congress added it to U.S. immigration laws.

The Senate finally voted to overturn the ban as part of approving legislation reauthorizing funding for the President’s Emergency Plan for AIDS Relief, or PEPFAR, in 2008, and President Bush signed it into law on July 30 of that year. Sen. John Kerry (D-Mass.) and then-Sen. Gordon H. Smith (R-Ore.) led the process in the Senate.

Another Poll This Week Shows Republican Support At New Low

Many Republican sites are showing an overly-optimistic and selective reading of recent polls. There certainly are potential dangers for Obama and the Democrats after months of the right hitting them with false claims about policies such as health care reform. That does not mean that there is any support for the Republicans to return to power. First Read provides this reality check from the latest NBC News/Wall Street Journal poll:

Put simply, the GOP’s brand is still a mess. According to the poll, just 25% have a positive opinion of the party (compared with 42% for the Dem Party), which ties the GOP’s low-water mark in the survey and which is a worse score than it ever had during the Bush presidency. (Honest question: Can the party still blame Bush for their problems if their numbers have gotten lower since he left the scene?) In addition, only 23% approve of the way in which congressional Republicans have handled health care (compared with 43% for Obama). And looking ahead to the 2010 midterms, 46% prefer a Democratic-controlled Congress, versus 38% who want a GOP-controlled Congress. Last month, Dems held a 43%-40% advantage. Also, don’t miss this: Despite being out of office and (relatively) out of the news, Sarah Palin’s fav/unfav in our poll has dropped from 32%-43% in July to 27%-46% now. In fact, her numbers now are nearly identical to Nancy Pelosi’s (26%-42%). By the way, both Palin and Pelosi are more popular than the Republican Party.

While any dissastisfaction with Obama does not provide helpful news for the Republicans, it is notable that, “nearly half of respondents (46%) support building an independent political party to compete with the Democrats and Republicans.”

As I discussed earlier in the week, in noting that Public Policy Polling also shows the Republicans at new lows, if post historical trends continue the Republicans should pick up some seats in the off year elections next year. The Republicans are showing greater intensity,  even if their numbers are lower, and are likely to turn out in greater numbers, especially with Obama not on the ballot. Many Democrats are also faced with defending districts which historically have been in Republican hands. Between this and an overall anti-incumbent sentiment, I would expect some to be unable to hold on to newly won Democratic seats.

GDP Up For First Time In A Year

Just in from CNN: “Economy grows for first time in a year, with GDP rising 3.5 percent in third quarter.”

Quote of the Day

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Does anyone know if Glenn Beck is single?”

–From Sue Sylvester’s Facebook Page

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Government And Financing Health Care Coverage

A couple of weeks ago I discussed The Free Market Case For The Public Option. Andrew Sullivan picks up this topic, citing Hayek:

I keep coming back to Hayek on this – because government-sponsored health insurance is not government-run healthcare. Maybe it’s my British roots that make this so clear to me (if the British Tories proposed a universal health insurance scheme, with care provided by private doctors, nurses and hospitals, it would rightly be regarded as a major shift to the right.) Here’s Hayek’s discussion of why this is not heresy for libertarians and conservatives of the old school:

“Nor is there any reason why the state should not assist the individuals in providing for those common hazards of life against which, because of their uncertainty, few individuals can make adequate provision.

“Where, as in the case of sickness and accident, neither the desire to avoid such calamities nor the efforts to overcome their consequences are as a rule weakened by the provision of assistance – where, in short, we deal with genuinely insurable risks – the case for the state’s helping to organize a comprehensive system of social insurance is very strong… Wherever communal action can mitigate disasters against which the individual can neither attempt to guard himself nor make the provision for the consequences, such communal action should undoubtedly be taken,” – The Road To Serfdom (Chapter 9).”

Demanding and helping people insure themselves in a context where emergency care is already guaranteed is not socialism. It’s prudence.

One problem is that many people in the conservative and libertarian movements equate freedom with absence of government. As a general rule this might frequently work, but this logic often leads to fallacious results. We might be more free living on an isolated island without any government as opposed to living on Manhattan, but this type of change is not a sensible goal for most libertarians.

Other than for the most extreme, even most libertarians grant some role for government. There are some things which are just better handled by government than by the market. This includes police protection and national defense. Similarly most of the industrialized world has found that financing (but not necessarily delivery) of health care is either best handled by government, or at least requires considerable government involvement.

A situation in which insurance companies can collect premiums and then deny care when needed, as well as having a society in which tens of millions are uninsured or under insured, is not a more free society in any meaningful sense. Conservatives and libertarians who denounce any attempts at remedying the problem as “socialism” are both ignorant of the actual definition of socialism and have substituted blind fanaticism for a reasoned consideration of the role of government in society.

“The Plan” Will Only Be Of Interest To Hard Core Battlestar Galactica Fans

plan_3501

We kept hearing through out the years that Battlestar Galactica was on that the Cylons had a plan. The television movie of The Plan was released on DVD and Blu-Ray yesterday. The Plan includes many scenes from the series and largely feels like a clip show but in one way it reminded me of the original series. Remember when the original Cylons always missed and nothing went right for them after the original attack? The Plan was much like this.

airlock

The Plan centers around Dean Stockwell’s character, John Cavil (Number One), and to a lesser extent around Tricia Helfer’s character, Number Six.  It begins and ends with the Cavil who was on Galactica and the one who had been on Caprica being thrown out the air lock after being discovered to by Cylons. Caprica-Cavil is questioning whether killing off the humans was a good idea while Galactica-Cavil is revealed in flashbacks to be obsessed with finishing off the remaining humans.

caprica

The original plan was to kill all humans in the attack. The movie shows the events of the first two seasons from the perspective of the Cylons. For the most part we are seeing things we already saw but some details are filled in. For example, we found that when Caprica-Six told Baltar she had a meeting just before the destruction of Caprica her meeting was with Cavil.  While most might see the near extermination of all humans as a success, Cavil had expected all to be killed and his plan was now to finish the job.

return

Another aspect of his original plan was to have the final five killed after living among the humans with Cavil expecting them to learn their lesson and realize how horrible humanity is after they are resurrected. Instead they both remained alive and they continued to like the flawed humans.

teal

During the first two seasons there were a number of attacks on the fleet. Seeing them from the Cylon perspective does provide some additional, but hardly essential, information. Cavil chastised a Five for being easily recognizable with all models looking virtually the same. The Five responded by arguing, “His jacket was burgundy. This is teal.” Cavil gave him something new to wear–a suicide vest, leading to a scene seen on the television show.

prostitute six

There were multiple attempts to kill of the survivors but, like with the Cylons of the original series, their attempts inevitably failed. The main reason for the failure, however, is one which the original Cylons would not be affected by. In scene later in the movie, another version of Six taunts Cavil for the failures and argues that this was because of love. Caprica Six loved Baltar and her attempt to discredit him failed. Boomer failed to kill Adama because of her love for him. Leoban failed to kill Starbuck because of his obsession for her. Simon, or Number Four, was involved in a plot to destroy a ship which was new to the movie. It failed because of his love for his human family.

bar

The movie would only be of interest to hard core fans of the show. Many of the events would be totally incomprehensible without having seen them during the regular series. As a stand alone movie it is a failure, lacking a coherent story line of its own. It is a partial success as a clip show, but this year Joss Whedon raised the bar for clip shows with Epitaph One.  Whedon’s clip episode of Dollhouse, also only available so far on DVD, went beyond the original series and gave it additional meaning. The Plan just fills in a few minor gaps. So much more could have been done to expand upon what occurred in the series.

shower

Just as with the release of the pilot of Caprica on DVD, The Plan contains scenes which cannot appear on television. The scenes with Tricia Helfer playing a prostitute version of Number Six unfortunately are tame enough to air. Early in the movie, after meeting Caprica-Six, Cavil is next seen with Ellen Tigh in a topless bar, where even the bar tender is shown topless. When fleeing after Number Six tried to discredit Baltar there is a totally pointless scene in which they cut through a shower. Even as a scene of gratitude nudity, it did not hold up to the shower scene in Starship Troopers.

Fans of the show will want to see the movie but those who have not watched the entire series would be better off watching the series first. While I was anxious to see this as soon as available as opposed to waiting until it airs, in retrospect there was nothing I couldn’t have waited for. I have not yet checked out any of the special features of the DVD. I did view portions of the Blu Ray version on both 720 and 1080 resolutions and there was a noticeable improvement with the full HD in some scenes, giving an advantage of watching the on Blu Ray as opposed to waiting until it is broadcast.

Ebooks vs. Physical Books

I still intend to post a review of my ebook reader as previously promised, but this afternoon I’m giving a higher priority to a post on The Plan. (Next step is to see if their are already good pictures posted on line versus going back and taking some screen grabs off my copy).

Upon getting home there was a box from Amazon which gives a clue as to my feeling on ebooks compared to physical books. While out of town I started reading Breaking The Spell: Religion as a Natural Phenomenon by Daniel C. Dennett. It was great to have this on my reader (along with hundreds of other books)while traveling, and after returning home I continued to read the ebook copy. However I also placed an order for the physician copy from Amazon last week (sticking with their slower economy shipping since I could read the ebook version while waiting). Given a choice, I’ll still read the physical book while at home, but will take the ebook reader when I go out of town in November. As long as I’m at home, I prefer the sensation of physically holding the book. It is far easier to skim through the book to see how it is organized, and to check out the notes in the back, with the physical copy. I also like to see how far I’m into the book and how much is left.

I know I’m not a typical consumer, but at least in my case this gives one possible answer to the question of whether books will face the same problem as music now that they are digitalized and easily shared. I’m certain that to  certain degree it will, but there is a difference between music and books. For many people, an iPod is their preferred way to listen to music and there is no advantage to having a physical CD. Books still provide benefits beyond having the text on an ebook reader. I not only ordered the book I am in the midst of reading but I also ordered two of the same author’s other books: Darwin’s Dangerous Idea and Freedom Evolves. In my case, at least, having a digital copy of a book led to more book sales.

Now, if nothing else comes up, I can get to work on The Plan.

The Plan (Review to Come)

I’m starting to get a number of search engine hits for The Plan (the Battlestar Galactica movie). I’ve seen it and will hopefully have time to post a review this afternoon.

Polls On The Public Option

Ed Brayton and Jed Lewiston mock Sean Hannity’s inane criticism of polls showing support for the public option. Showing the fallacies in Sean Hannity’s logic is always a very easy way to write a blog post.

Obviously Hannity’s objections aren’t worth considering. On the actual topic of polling the public option, results typically show a majority in support but the results vary widely. Part of this is because, as I’ve pointed out in recent posts, there are a variety of ideas which are lumped together under the public option and we don’t yet know which will pass Congress (assuming any form of public option passes the Senate).

Most people have no clue as to the specifics and the wording of a poll influences the results considerably. If you ask about whether people should be offered the choice of a public option (stressing choice) or compare it to Medicare, people are more likely to support it. There was some talk about rebranding the public option as Medicare for Everyone last week but some are now backing away from that idea.

On the other hand support will poll lower among those who believe the fallacies spread by the right, such as that the public option is a back door method of bringing about “socialized medicine,” or that it will be funded by taxpayers as opposed to those who voluntarily choose the option. (On the other hand, there are some to the left of the Democratic Party who are upset with the currently proposed public option because it doesn’t go far enough to be able to eventually evolve into a single payer plan).

I’ve also noted a couple of ironies in the past when considering the opponents of the public option. Conservatives who most complain that the cost of health care is too expensive, or that we cannot afford universal health care, are the ones who are most likely to oppose the public option which would help to keep down taxes.

It is also ironic that conservatives, who speak the most about the free market system (unfortunately in a religious manner which frequently replaces any real understanding of economics in the real world) show so little faith in the private sector that they believe that insurance companies could not compete with a government option. This is especially absurd considering the lengths that the Democrats went through in the hopes of receiving support from the insurance industry to propose legislation which will be highly profitable for the industry. While absurd it is not surprising as the opponents of health care reform from the right generally have no understanding of what is actually being proposed and therefore have no basis by which to judge the effects of heath care reform.

Robust Public Option Might Not Pass House

Lately there has been a lot of consideration of the public option in the Senate, but the type of public option which the House will pass also remains unknown. With the House only needing a simple majority to pass a bill it is probable that there will be some type of public option. Greg Sargent reports that there does not appear to be enough votes at present for the more robust option favored by many liberals which would pay at Medicare rates plus five percent:

The House Dem leadership has conducted its preliminary whip count and has tallied up less than 200 likely Yes votes in support of a health care reform bill with a robust public option, well short of the 218 needed for passage, according to an internal whip count document I’ve obtained.

The document — compiled by the office of House leader James Clyburn — was distributed privately at a meeting between Clyburn and House progressives today where the fate of the public option was the subject of some contentious debate, with liberals demanding that House leaders push harder to win over votes.

Clyburn spokesperson Kristie Greco would only say: “We currently do not have the votes for a robust public option.”

More information was given on where the vote now stands:

The document shows that 47 House Dems are committed No votes, and eight are Leaning No, for a total of 55. That means of 256 House Dems, just under 200 remain, and a dozen of those are listed as undecided. The bill needs 218 votes for passage.

It remains a great irony of the health care debate that the more conservative members of Congress, who claim to be most concerned about the cost of health care, are the ones who are fighting the most against aspects of health care reform, such as a robust public option, which would bring about lower costs.

While the debate over the public option in the House now appears to have come down to whether reimbursement is tied to Medicare rates, I remain disappointed that the public option as now discussed does not contain provisions to replace Medicaid. This was an idea proposed for the public option in in the past.

Actually I’m open to a variety of ways to do this, but if we are to truly aim for universal health care coverage we should work towards eliminating the status quo of many being left in a program which does not provide adequate care. I would be happy if Medicaid patients were placed in the public option, or if they were given subsidies to allow them to purchase private insurance on the insurance exchanges. I would even accept the Republican proposal to give them vouchers, provided the vouchers were large enough to allow them to actually purchase private insurance.