Obama’s “Pep Talk”

President Barack Obama journeyed to Capitol Hill for a rare Sunday visit as the Senate pushed through the weekend on health care reform. The president spent more than 40 minutes rallying the Senate Democratic caucus, underlining to them the importance of passing a bill not only to the economy, but to the 2010 elections and “the election after that and ten years down the road, 20 years, 30 years,” Senate Finance Committee Chairman Max Baucus told reporters after the meeting.

While Obama was in the meeting, Senate Minority Leader Mitch McConnell and Senator John McCain held a press conference just a few feet away from the Democrats’ caucus room. “I don’t like to refer back to the last campaign – for obvious reasons – all the time, but, are the CSPAN cameras here? Why aren’t you in the room?” McCain said, referring to Obama’s campaign promise that health care negotiations would take place in front of C-SPAN cameras.

When asked, as he emerged from the meeting, Obama refuted the point. “That wasn’t a negotiation, that was a pep talk,” he said with a smile, before adding, “They’re doing a great job. They’re going to get it done.” The President was accompanied by Vice President Joe Biden (who stayed behind to hang with his former colleagues in the Senate cloak room for nearly an hour after Obama lefT), top political adviser David Axelrod and deputy White House Chief of Staff Jim Messina (who met earlier in the day with Senators Max Baucus and Chris Dodd, the chairmen whose drafts Reid married to produce a final bill). Obama didn’t mention specific issues such as the public plan or abortion, but did pledge to work with the Senate “in any meaningful way he can” to get health care done, according to Senate Majority Leader Harry Reid.

“The President thanked members of the Senate for their hard work so far and encouraged them to continue forward on this historic oppertunity to provide stability and security for those who have insurance, affordable coverage for those who don’t and bring down the costs of health care for families, small businesses and the government,” Bill Burton, deputy White House spokesman, said in a statement. The President’s visit came at Reid’s invitation and he was greeted with applause by the caucus. Obama cautioned his fellow Dems that failure to pass legislation could have dire consequences. Said Senator Joe Lieberman, a Connecticut Independent who caucuses with the Democrats, Obama described the $800+ billion legislation as “the most significant social legislation in decades. So don’t lose it.”

Senators that were in the room said his speech was more serious than Obama let on. “It was much more than a pep talk,” said Senator Jay Rockefeller, a West Virginia Democrat. “It was a call to arms, a call to destiny.”

Having received their dose of inspiration, after the President left the Senate slogged through two more amendments of the dozens, if not hundreds, pending and Reid said they will tackle one of the bill’s most contentious issue – abortion – with a Stupak-like amendment from Senator Ben Nelson, a Nebraska Democrat, tomorrow. “There are still a few things we have to work out in the bill and those issues are being narrowed as we speak,” Reid told reporters. “We’re working toward a consensus. We’re not there yet.”

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Related Topics: Barack Obama, caucus, Democratic Party, health care reform, Senate, Barack Obama, Democratic Party, Harry Reid, Health Care, Joe Biden, Republican Party, Senate, White House
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  • trifecta55

    I can simply not believe (no, well I can) reporters allowing the GOP to do the mistreated step children routine. You KNOW what they did in their 12 years in power in congress.
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  • freeinpa

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  • Paul-no not that one

    Watching Sen McCain try to stay relevant by moaning about everything to his base, I mean Beltway media, is to watch a diminished man late in his career.

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    How idle and childish can a senator get?
    (And still get paid for it!)

  • tstar3

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  • http://acaper.wordpress.com acaper

    As the wife of a cardiologist, I am downright worried.

    My husband spent years training and now, just as he is going to begin his practice and recuperate the earnings he sacrificed becoming an invasive cardiologist, Obama’s administration has decided to impact our future and fund their healthcare reform on the backs of healthcare practitioners. Here is the kicker. I voted for Obama, and I believe in reform, but what I see happening before me is not what I envisioned. What happened to ending the war in Iraq? The savings from that act alone would fund this overhaul. The result of the 26% cuts in medicare reimbursement (between now and 2012), along with those that will surely come with healthcare reform will be ruinous to cardiology. There is already a serious deficit in cardiology care within the country. People, we have to wake up and try to stop this before the cascade of events plays out. What will be next?

    I am very disappointed that the funding is coming out of the doctor’s pockets. We already pay a boat-load of taxes. When I think about the years of hard work, the call, the long hours, the holidays spent away from family, the countless sacrifices that most people don’t understand, I just shake my head. Sadly, most people think that doctors make too much money. Consider this: my husband didn’t start making a decent salary until he was 36 years old! It took him 10 years total to become an interventional cardiologist (med school, internship, residency, general fellowship and interventional fellowship). If you include undergrad, he spent 14 years learning to save lives.

    I don’t think the politicians understand what a doctor goes through to specialize. While I applaud the effort to balance things for the primary care provider, I can’t ignore that a cardiologist spends an additional seven years training to do what he does. Who would these policy-makers want working on their heart? Who do you want working on yours?

    We should all be very, very worried friends. Bad things are coming our way, and I am sick that I helped swing the country in this direction. I trusted Obama to make smart decisions. I hoped that he would cut government waste. Instead he is behaving like previous politicians. He will fund his program on the backs of hard-working physicians who truly deserve to be paid a premium for the intense stress and pressure under which they practice.

    My husband stands in a cath lab all day wearing lead, exposing himself to radiation. In his late thirties, his back is already bad, his shoulder is shot, his knees hurt, and he will need to retire early. What will happen to our family?

  • captainnoble

    My husband stands in a cath lab all day wearing lead, exposing himself to radiation. In his late thirties, his back is already bad, his shoulder is shot, his knees hurt, and he will need to retire early. What will happen to our family?

    Really? I mean, did you read what you just wrote? Seriously. Your husband is making more money in a year right now than most people make in five or six. I’m sure he’s got debt, but I’m also pretty sure, crazy as it sounds, that if you manage your money well, you’ll be all right. Really.

    So, please quit whining about your rich husband’s fortunes and consider those who aren’t as fortunate. Tis the season.

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  • http://acaper.wordpress.com acaper

    I did, and I hoped that my post would be met with empathy. I am not the enemy here. I am merely advocating a more intelligent way to reform. How would you react if you were suddenly faced with a government mandated decrease in your salary of 26%?

  • http://acaper.wordpress.com acaper

    I did, and I hoped that my post would be met with empathy. I am not the enemy here. I am merely advocating a more intelligent way to reform. How would you react if you were suddenly faced with a government mandated decrease in your salary of 26%?

  • captainnoble

    How would you react if you were suddenly faced with a government mandated decrease in your salary of 26%?

    Except that’s not accurate. Medicare may makeup a majority of hospital/physician reimbursement, but it is not all of it. The current plans being debated are also not tying any of the public option reimbursement rates to Medicare rates meaning they will probably be higher. And, frankly, if I was making a lot of money and I was ordered to take a cut in order to help people who weren’t making as much as me, I would be perfectly okay with that.

  • http://acaper.wordpress.com acaper

    Mr. Captainnoble,

    I hope you are right, but I fear there are many difficult changes to face. I want nothing more than to solve this national problem, but even if I was not married to a doctor, I would not want to make them finance the plan.

    The information below is coming from the American College of Cardiology. The medicaid cuts are already approved. Starting in 2010,

    SPECT Myocardial Perfusion Imaging (78452) – 36 percent cut
    Transthoracic echo with spectral and color flow Doppler (93306)–10 percent cut
    Coronary Stent (92980) – 4 percent cut
    EKG (93000 )– 5 percent cut
    Level 4 established patient office visit (99214) — 7 percent increase

    The impact on individual cardiovascular practices is causing many practices to take drastic measures according to a recent survey:

    60 percent of private practice cardiology plans staff layoffs
    46 percent of private practice cardiology plans to eliminate service lines
    17 percent of private practice cardiology will stop accepting Medicare
    39 percent are considering integration into a hospital system

    Several other policies implemented in the final rule also contribute to the payment cuts to cardiology:

    Bundled codes for myocardial perfusion/SPECT imaging: In 2010 myocardial perfusion imaging/SPECT studies including wall motion and ejection fraction will now be reported with a single code. CMS decided to substantially reduce the payment for myocardial perfusion imaging as part of this rule by reducing both the physician work value and the practice expense value. Because there is a new code for the service, CMS is not applying the four-year transition of the practice expense cuts and instead is using the fully implemented value. The result is a 36 percent cut in payment for 2010. This change alone accounts for more than one-third of the projected payment cut to cardiology. Read an overview of these new codes that includes tips on how to work with health plans in the transition.

    Consultations: Payments for consultations provided in office and hospital settings are eliminated under the final rule. The RVUs assigned to these codes will be redistributed to office and hospital visits, and services now billed as consultations will be billed as hospital or office visits. This will reduce payments to varying degrees for consultation services.

    Malpractice: CMS has chosen to update the malpractice RVUs with data from a new survey of specialty-level malpractice premiums. In addition, CMS has proposed a new method for determining malpractice RVUs for technical component services. The proposed new malpractice RVUs would reduce overall cardiology payments by 1 percent; however, the impact is much greater for imaging services already being cut through other policy changes.

    Equipment utilization: CMS is implementing a new policy that assumes that all diagnostic equipment with an acquisition cost greater than $1 million is used 90 percent of the time an office is open, thus driving down the practice expense RVUs for services using that equipment. Cardiac MR and cardiac CT services will be subject to payments set based on this utilization assumption. (this means that physicians are REWARDED for using their testing machines less. If you need a test, a doctor will lose money. How is that good medicine? These changes are being undertaken to create a dramatic paradigm shift within the US. Obama wants people to prevent illness and live healthy lifestyles. I agree!! In a perfect world, we wouldn’t need cardiologists. If my husband never had to drive tot he hospital int he middle of the night to save a dying heart attack victim, I would breath a sigh of relief. But how long will it take to instill such changes?)

    Please, don’t be fooled into thinking this is the right solution. Your health is on the line. There will be a mass exodus out of cardiology and oncology. These are fields already underserved. Don’t take your doctors for granted. It’s all I am asking.

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  • palininatowel

    I think I saw this exact same tale in a lobbyist organization TV ad…

  • palininatowel

    acaper,
    .
    If you’re not working for a lobbying organization, I’ll eat my hat.
    .
    Of late, I’ve been wearing a stylish bowler, and I believe I will be continuing to wear it for some time to come.

  • http://acaper.wordpress.com acaper

    I’m kind of flattered that you think I am a lobbyist. I just have an undergraduate degree in English, so I know how to write and research.

    Check it out for yourself – http://www.acc.org. It’t the american college of cardiology’s website.

    And please, keep your hat. It’s cold outside. :)

    I promise you and on all things sacred to me, I am not a lobbyist. I am just a noisy, worried person who is kind of freaked out by the changes that could affect my family.

    I am not against helping people or against reform. I just don’t think it’s being done fairly.

  • sevenoaks07

    Ms Caper: Your anxiety is noted. Your husband is a doctor so I assume you don’t have the cost of your own care as an issue. There are millions of people without health insurance; and several hundred thousands who have had to resort to bankruptcy. As always, individual cases are tough, but there are more jobless among the workers just now and your problem is, relatively, less of a concern to the average American. Doctors are not part of the underclass.

  • kbanginmotown

    The fantastic cardiac surgeon who repaired my heart valve a few years back makes (made) $450K/year.
    .
    I couldn’t begin to imagine how he could make ends meet on $333K. I feel for you, acaper.
    .
    And, all-in-all, the experience was quite a deal. The catastrophic coverage we had at the time left us with $18K in out-of-pocket expenses which was a useful way to help us prioritize our discretionary expenditures – car repairs, music lessons, summer vacations – who need ‘em?
    .
    And why would I want the “change” Obama is proposing either?…
    .
    My heart defect is likely congenital, so each of my children can look forward to a hefty surgery and bill when they are in their mid-40s (provided they’re not denied coverage because they have a genetically pre-existing condition – in which case bankruptcy is their next option).
    .
    Heck, by that time, they’ll be eligible for Medicaid.
    .
    Change…who needs it?

  • hellslittlestangel

    I saw her husband standing on a street corner with a sign that read, “Will perform open-heart surgery for food.”
    So sad.

  • http://acaper.wordpress.com acaper

    I appreciate your class in the above reply, and I have a feeling that my post has made a lot of people angry, but I fear that they aren’t really reading what I am saying. Doctors should not be the target of this anger. Most get into medicine because they have a strong drive to help people.

    In order to continually attract the best and brightest to the field, the government should make it easier to practice instead of harder.

    You don’t like my message, but I am speaking an inevitable truth. Talented graduates will avoid this field and choose finance, business and other industries where salaries are untethered.

    In my opinion, investment bankers, who received billions in bail-out funds should see their salaries cut instead of my hardworking husband who saves lives everyday.

    I am consistently said that I am a proponent of healthcare reform. I VOTED for Obama. So did my husband. We knew that we would see a decrease in his salary while paying more taxes, and we were prepared to do so for the greater good.

    The multiple cuts that are taking place are coming from the wrong place – this is the gist of my message.

    And while I understand that doctors are not part of the underclass, we do very much empathize with current issues facing it.

  • http://acaper.wordpress.com acaper

    I see that my post has made a lot of people angry, but I fear that they aren’t really reading what I am saying.

    Doctors should not be the target of your anger and frustration. Honestly, they are trying to survive withina greedy, flawed system. I get that.

    Most get into medicine because they have a strong drive to help people. In order to continually attract the best and brightest to the field, the government should make it easier to practice instead of harder. You don’t like my message, but I am speaking an inevitable truth. Talented graduates will avoid this field and choose finance, business and other industries where salaries are untethered. In my opinion, investment bankers, who received billions in bail-out funds should see their salaries cut instead of my hardworking husband who saves lives everyday. I have consistently said that I am a proponent of healthcare reform throughout these exchanges, and yet i am still met with anger vitriol.

    I VOTED for Obama. So did my husband. We knew that we would see a decrease in his salary while paying more taxes, and we were prepared to do so for the greater good. The multiple cuts that are taking place are coming from the wrong place.

    You are angry at my husband and I? For what reason? You think that I have something you don’t? You think my husband is overpaid? You are wrong. The truth – like it or not — is that it is very difficult to be a physician. It takes years of training and a high level of stamina, intelligence, and skill.

    To hellslittlest angel, you should be truly ashamed to mock those who do stand on the street for help.

    I VOTED for Obama. So did my husband. We knew that we would see a decrease in his salary while paying more taxes, and we were prepared to do so for the greater good. The multiple cuts that are taking place are coming from the wrong place – this is the gist of my message.

  • http://acaper.wordpress.com acaper

    Finally, I urge all of you to look beyond what you think we have….my husband is not paid the salary of your cardiac surgeon.

    What are you getting at, really. How much do you think that surgeon is worth? How much is the surgeon worth who will correct the valve problem in your children? Would you pay him or her, $70,000 and pay off the nearly $250,000 accumulated in debt?

    Would you let the surgeon make $100,000 a year? Or would you choose the surgeon who is getting the best salary because they are the best doctor? Like in other fields, the best and brightest command a higher salary. It is a general rule of the free market.

    Are you proposing that physicians become government employees who take a flat salary and serve as cogs in bureaucratic wheels?

    What about the people who made career choices that didn’t include being government workers? Should they be forced into this model or should the focus of the reform be targeted on insurance companies? Perhaps your anger should be directed there. The profits they make are exorbitant. Oh but wait, with all of those billions, they are lobbying Washington fiercely and winning. Our president and his administation is in their pockets.

    If being a cardiac surgeon (or even an internist) is easy and the sacrifices minimal, why don’t you go to school and become a doctor yourself?

    Your vitriol is directed at the wrong place. When this legislation passes, and multiple fields of medicine suffer, and the next generation of people of left with subpar care, we will look back and wish that we changed healthcare in a constructive, effective way.

    Sadly, it will be too late.

  • http://acaper.wordpress.com acaper

    I see that my post has made a lot of people angry, but I fear that they aren’t really reading what I am saying.

    Doctors should not be the target of your anger and frustration. Honestly, they are trying to survive withina greedy, flawed system. I get that.

    Most get into medicine because they have a strong drive to help people. In order to continually attract the best and brightest to the field, the government should make it easier to practice instead of harder. You don’t like my message, but I am speaking an inevitable truth. Talented graduates will avoid this field and choose finance, business and other industries where salaries are untethered. In my opinion, investment bankers, who received billions in bail-out funds should see their salaries cut instead of my hardworking husband who saves lives everyday. I have consistently said that I am a proponent of healthcare reform throughout these exchanges, and yet i am still met with anger vitriol.

    I VOTED for Obama. So did my husband. We knew that we would see a decrease in his salary while paying more taxes, and we were prepared to do so for the greater good. The multiple cuts that are taking place are coming from the wrong place.

    You are angry at my husband and I? For what reason? You think that I have something you don’t? You think my husband is overpaid? You are wrong. The truth – like it or not — is that it is very difficult to be a physician. It takes years of training and a high level of stamina, intelligence, and skill.

    To hellslittlest angel, you should be truly ashamed to mock those who do stand on the street for help.

    I VOTED for Obama. So did my husband. We knew that we would see a decrease in his salary while paying more taxes, and we were prepared to do so for the greater good. The multiple cuts that are taking place are coming from the wrong place – this is the gist of my message

  • homerhk

    acaper, I don’t think the issue is whether or not you voted for Obama or not; it’s whether or not the critique you are making has any merit.

    The fact is, in general (and I’m not necessarily talking about your personal situation since I couldn’t possibly comment) doctors are significantly better paid in the US than almost anywhere in the world. A quick look at this table posted by Ezra Klein makes that clear http://voices.washingtonpost.com/ezra-klein/2009/12/why_health-care_reform_cant_co.html.

    Your posts have all been a little bit inconsistent. You can’t say that people enter the medical profession because they want to help people and save lives on the one hand and then immediately go on to saying that if the cuts you say will be implemented are made than talented graduates will simply go into finance etc.

    Your post that your husband doesn’t make the figure quoted by another poster is similarly confused – presumably if that is the case, the bright lights of banking etc would be beckoning for “talented graduatees” already.

    Finally, the cuts that you list in post 11.1 all seem to me to relate to certain tests done by the hospital and not, for example, your husband travelling to the hospital in the middle of the night or other surgical procedures – I could be wrong there but my medical knowledge is quite basic.

    Could you provide a link to where you get your statistics – I looked at the acc website but couldn’t find the study you talked about.

    It also, by the way, seemed as though the ACC was on balance for the reform bill currently in the Senate _ although I could be wrong about that.

  • sevenoaks07

    Ms Caper: I have three doctors in my family and I know first hand the pressures they face, the debts that have to be paid off and the ever present threat of legal action for “malpractice”. They often do things with lawsuits in mind.

    We turn to our doctors and nurses in a way we do not turn to others; so I am cognisant of their value to us. We need to find ways to allow doctors to deliver health care at a reasonable cost to us and at a remuneration that is both fair and recognises their excellence and sacrifice.

    Best wishes to you both.

  • homerhk

    oh and by the way, are you really paying more taxes? Don’t recall that there has been any tax increases made since January 2009 (save for cigarettes I guess)

  • http://acaper.wordpress.com acaper

    homerhk – my husband is well paid, but surgeons make more than cardiologists. (does that clarify what I meant?)

    With everything that is going on, I think my better half laments his choice some days. He wants to do the right thing by patients, but he is frustrated. The rationale is this: “I could make the same amount or more if I had gone into investment banking. I am smart enough to do it. Instead, I did something that I thought could help change people’s lives while I secured my financial future, helped me live the American Dream, and maximized my innate earning potential because God blessed me with brains. The government is punishing me for making a career choice that helps others.”

  • kbanginmotown

    @palininatowel: I’ve put my knit ski cap on and still think I’m safe.
    .
    @HLA: LOL.
    .
    Q@swamp: Sock-puppet, or new flavor of QH?
    .
    (It’s not Thursday, so let’s have fun with this today…)

  • http://acaper.wordpress.com acaper

    The tax increases are proposed and coming. And we certainly won’t see any cuts. Granted, the greater cuts are proposed for people making $ 1 mil or more (which we certainly are not).

  • sacredh

    I have a very good relationship with my family doctor. I live in a very nice house. He lives in a mansion that looks like a mini-castle. It even has a turret. He and his wife both drive new luxury cars. It’s great that he’s doing so well. I wish him the best. The last time my wife was in the hospital there were several doctor’s that came into her room, glanced at her chart for possibly 15-20 seconds and then left. The printouts on her bill listed them as consultants. They all got a couple of hundred dollars for less time than it takes me to take a leak.

    I ran into one consultant in the hallway less than an hour after he was in her room and asked him a question about my wife. He was clueless. His stop was obviously nothing more than a way to pad his paycheck. Healthcare reform has to involve actual reform. We’re being ripped off royally. I’ll start caring about them and their finances when they start caring about mine.

  • http://acaper.wordpress.com acaper

    sacredh, i feel you. For real. but not all doctors are greedy bastards. most aren’t. We don’t live in a mansion. I drive a used car and my husband has a toyota.

    some day, someone you love will need help from a doctor, and the doctor won’t be there to help.

    good luck with that.

  • captainnoble

    So, the primary reason your husband chose the field he did is money. Helping people is secondary to that. Got it.

  • sacredh

    acaper: It wasn’t an isolated incident by any stretch of the imagination. Last year at this time I had serious doubts that my wife would be here for Christmas this this year. My wife has recovered and is cancer free. She did receive good care. There were also many doctors and specialists that did nothing but briefly glance at her charts and walk away. She was seriously ill for over a year. I believe many of the consultations were nothing more than “You consult me and I’ll consult you” with no consultations taking place at all. They were the medical version of drive-bys.
    .
    I spent a good deal of time in her room and on many occassions a doctor would come in, pick up her chart and be out the door in seconds. We had no idea who they were. They made no notations or even bothered to ask a question. They never met with us, never changed medications or doses or actually did anything other than bill my insurance and us. I’m grateful beyond words that my wife is OK. I’m also furious that both us and my insurance provider were treated like free ATMs.

  • http://acaper.wordpress.com acaper

    cnoble – if that is the only message that you are getting out of everything that I said here in every post, then I am doomed (and very ineloquent), you are doomed. The society is doomed.

    What are your motivations for working?

    Good to luck to everyone. This is going to play out in a ruinous way. We will all be effected negatively, and your healthcare will be worse than today…..mark my word. Remember this moment in time when you still had a chance. You still had time to see all the sides, to open your mind and your heart and your reason to shape a policy in way that was fair and just.

    If the angry masses want to pay physicians a pittance, ok. The tides will sway these cuts our way, and we will have to adjust. But the repercussion will be far-reaching, dramatic, and irreversible for a long time.

    You still had time to make a difference.

  • homerhk

    acaper, i am confused – are you going to suffer tax increases because your husband’s salary is too large or is the salary too low and therefore no tax increases.

    The greater cuts are definitely not going to those earning more than $1 million.

    I live in the UK where they are about to institute a 50% tax increase on salaries over £150,000 (about $230K). I work in a law firm and it will affect me and many of my colleagues. No-one, I repeat, no-one has bitched to me about the increase since they know that it is necessary given the recession – one person said to me that if you are rich enough to care, you’re rich enough to pay – true words indeed.

    While your husband may not earn the salary of top surgeons or other doctors, it is extremely rich (geddit?) to complain about a doctor’s salary whatever it is in times where approximately 17% of your fellow citizens are un or under-employed.

    One area where I do have sympathy is that studying to be a doctor costs an awful lot in the US. Here in the UK it is free (basically) but then consultant doctors working for the NHS make about £80k a year, a far cry from doctor’s salaries in the US.

  • captainnoble

    You make your husband out to be an altruist, but you keep harping on the money. You can’t have it both ways. If you think the only people bearing the burden under the bill currently under consideration are physicians, you need to do some rereading. Alternately, ask some knowledgeable people who have. Also, I would ask you why other countries do not pay their docs as much, yet many of them are getting better care under a number (not all) of indicators? Do doctors deserve to earn a lot of money? Well, yeah, they do. Does that mean US docs should get paid a lot more than docs in other countries? Probably not. See this for more info about how out of whack we are compared to the rest of the world. http://tinyurl.com/ybsj57r

  • 53_3

    too smart for QH, I’m afraid…

  • 53_3

    acaper:
    .
    I have a few questions.
    .
    Can you tell us what you’d like to see? It is not at all clear what you think the solution should be.
    .
    Despite claims to the contrary, most of us here are not interested in economic warfare, but the majority of us have sentiments similar to what homerhk has alluded to in 18.1.
    .
    Do you think you could elaborate more clearly? Why specifically did you vote for Obama? Do you think the current system is good enough? Did you expect Obama to put us on a single payer system? Do you want a public option? If not, why not?
    .
    I can understand that there are things in the current HCR bill that could impact you and your husband negatively, but some of us, indeed, many of us, realize we might pay down the road, in the form of tax increases in one form or another to pay for it.
    .
    There are other specific aspects that I think might impact even us, who make around $50,000 a year, but they are not the same as those that conservative posters claim.
    .
    Could you be more specific?

  • http://2thirdsrocks.wordpress.com 2thirdsrocks

    The mistake you made acaper, was uttering a negative concerning B.O the Great. Anything you say after that, however factual it may be, is rendered irrelevant on these blogs. Never, ever speak a word against the all omnipotent B. Hussein.

  • http://2thirdsrocks.wordpress.com 2thirdsrocks

    Your second mistake acaper: being naieve enough to think you could find civility among dimwitted, entitlement minded liberals.

  • http://acaper.wordpress.com acaper

    homerhk lives in the UK under an entirely different government. Suggestions to compare US physicians salaries to those living in Sweden and Japan are insulting. I don’t live in Sweden. I live the United States – which has operated as a republic since its inception.

    I do not want to live in a socialist country. If you do, please leave. There are planty of socialist countries in existence.

    My hopes were these:

    healthcare reform would regulate insurance companies and demand coverage for pre-exisitng conditions. all people sould be eligible for insurance.

    this would be paid for by eliminating waste in other areas of government, billions of dollars a year are wasted:

    $3.8 million for the Old Tiger Stadium Conservancy in Detroit
    •$1.9 million for the Pleasure Beach water taxi service in Connecticut;
    •$1.8 million for swine odor and manure management research in Ames, Iowa;
    •$380,000 for a recreation and fairgrounds area in Kotzebue, Alaska;
    •$143,000 for the Greater New Haven Labor History Association in Connecticut;
    •$95,000 for the Canton Symphony Orchestra Association in Ohio; and
    •$71,000 for Dance Theater Etcetera in Brooklyn for its Tolerance through Arts initiative.

    for $4.5 million in wood utilization research in 10 states by 19 senators and 10 representatives

    Representative Howard Berman (D-Calif.) for $200,000 for a tattoo removal program.
    Senate Majority Leader Harry Reid (D-Nev.) for $143,000 for the Las Vegas Museum of Natural History.

    The list goes on and on. I’d also like to see the Iraq war ended. Those dollars could be redirected as incentives to companies who hire and insure employees.

    And why am I defending myself to you? What do you want? Just free health insurance for everyone? Should my husband just work for free. Why don’t we just give up all of our hopes and dreams so that people on this blog can have FREE HEALTHCARE.

  • http://acaper.wordpress.com acaper

    2thirds – thanks for the support. I am honestly appalled that fellow American citizens honestly believe that it is ok to fund this reform on the backs of the very people who care for them at their sickest and most vulnerable. It has been a long, lonely day for this worried wife.

    The rude, insensitive, cutting remarks are a harsh slap in the face. Every time my husband jumps up at 3:30 am, races to the hospital, and saves a dying person’s life, I will feel sadness that his efforts go unappreciated by a public who, frankly, are acting like jealous, spoiled 8th graders.

    I want everyone on this blog to imagine this:

    Close your eyes. One evening, you feel pain in your jaw and your shoulder. You shake it off. As the night progresses, crushing pain replaces discomfort and you become short of breath. You are suffering from a heart attack.

    You get to the hospital via ambulance. In today’s medical world, a highly trained cardiologist rushes you to the cath lab, takes images of your heart, and uses a catheter to place a stent in your Left Anterior Descending artery (referred to as the widow-maker). Life giving drugs, carefully calibrated will flow through your veins to dissolve smaller clots, keeping you from developing an embolism which would lead to a stroke or PE.

    You live to see another day with your family. Without immediate intervention, your artery will clot off, your heart will go into atrial fibrilation without oxygen. Your heart tissue will die because of oxygen starvation and the very organ that pumps life-giving blood through your body will become necrotic. You will die in minutes.

    As follow-up care, your cardiologist orders an echocardiogram of your heart to insure that it is working properly and that your stent has not reoccluded (which could kill you).

    This physician assumes a huge resposibility for your life. Your doctor carries the burden of delivering bad news to your family. Your doctor worries when you are not compliant with your medications. Your doctor cannot make a mistake. If he does, you will die. He/She will get sued and lose a medical license.

    What price would you demand if you worked in an environment where a mistake would lead to death? What would you expect in reimbursement under that pressure?

    In tomorrow’s version of this story, you may or may not have the best trained physician. You may or may not be approved for the tests. You may end up with a primary care physician who has studied the cardiovascular system in med school and learned about treating heart attacks during an emergency room rotation during intership and residency. A cardiologist has spent three to five years honing skills to keep you alive.

    You people don’t think my husband is entitled to his due earning – you sicken me. You disgrace our country.

    Get into med school and slug it out in this travesty.

    Once you’ve walked in these shoes, call me. Until then, leave your ridiculous, myopic quips about “will perform open heart surgery for food” at the door. Educate yourselves and stop wanting everything handed to you.

    The thing that saddens me most, you will read this response and feel smug, happy that we will have less. You think it will make your lives better. What selfishness.

    This reform should have been funded through intelligent government cuts and careful fiscal management. Go slap some high fives and say, “ha, we’ve got those rich basterds now. They won’t be able to drive their audis to work anymore.”

    I hope it helps you sleep at night to feel that smug satisfaction.

  • http://acaper.wordpress.com acaper

    53_3

    I greatly appreciate the civility of your reply, and I understand that we are not the only ones shouldering this burden. My parents make around $50K a year, and they are worried about the ramifications too.

    We all want an answer that equates to arrival at the greater good.

    My only point is that it should be done in a constructive way. Earlier, I listed a post to answer some of your questions. In short, I’d like to see huge amounts of waste eliminated before my husband’s or ANYONE’s salary get dinged.

    That belief should be one we can all support.

  • fhmadvocat

    acaper,

    I can sympathize with you, but the truth is our country is going broke because we are paying for medical procedures which do not make us healthier or improve our lives. When you look at the rising costs of doing medicine in this country, how are we supposed to pay for it?

    I can understand where you are coming from. My mother was a neurologist. I have a number of doctors in my family. I know it is not all the doctors’ fault. The government and the insurance companies create so much paperwork that 30% of our medical costs go strictly to administration. Malpractice insurance companies have doctors’ by the balls. While malpractice claims have been going down, the malpractice premiums have been skyrocketing. Why? Because the insurance companies have lost bundles in the stock market collapses and are balancing their books on the backs of doctors. So what is the problem?

    We have too many specialists and not enough primary care physicians. This is not to pick on your husband, because, with the baby boomers aging, we will need more specialists like him, but overall, we have too many specialists.

    There is a reason doctors become specialists. Given the loans, (which include both undergraduate and medical school) the mal practice insurance and everything else, it makes sense for a doctor to become a specialist.

    However, let me say what the real problem is. First of all, I am a lawyer, so what I say applies to lawyers as much, if not more, than doctors. Doctors use to be professionals and being professionals carries with it a lot of responsibility. Now we see doctors becoming businessmen and businesswomen, which is a very bad thing. Like lawyers, doctors don’t produce anything, In most cases, when you need a doctor (or a lawyer) it is not for something good. But doctors (and lawyers) are a necessity for the functioning of society. The minute doctors (and lawyers) stop being professionals and become business people, they (we) become parasites to the country in an economic sense.

    However, as hard as your husband has worked, everyone involved is going to have to take it on the chin. As far as President Obama, he is more focused on the insurance industry, so I don’t think he has let you guys down.

  • http://acaper.wordpress.com acaper

    fhmadvocat – agree, agree. Thanks for the insight. I expected to take it on the chin….just not a full body beating. ;)

  • captainnoble

    Hmmmm…a quick total of the items on your list there comes to…just over $13 million. Do you honestly think you can come up with $1 trillion in wasteful expenditures?

    I’m as against waste as anyone, but trimming the fat is not going to pay for healthcare reform.

  • http://2thirdsrocks.wordpress.com 2thirdsrocks

    Acaper, I see this as a crisis unlike anything so far that our country has ever faced here in modern times. I’m far removed from the medical profession, but I suspect that you and your husband have invested your whole lives into it. I daresay your husband has no choice but to continue in this line of work, judging by his young age, I’d be willing to bet he has not come near making back everything he has so far put into it. And I’m not just speaking monetarily. At the other end of the spectrum, are those who have spent their whole lives honing their skills, building their “empires” as these liberal bufoons like to say, and with the extreme expense and pressure this legislation will put on them, I have no doubt that many of them will just say enough’s enough, and retire. Many have already. But people are still going to require medical attention. Our remaining physicians will be stretched beyond their limits. I forsee emergency rooms crowded beyond their capacity, which tells me that somewhere somebody will have to be shoved aside. How can it be any other way? When we wind up with a shortage of qualified physicians and specialists, yet the patients keep coming, what happens next? When it’s all said and done the medical profession is just that, a profession. A business. No different than the construction business, or any other. When you remove free market concepts, you remove competition. Competition always generates better quality, and more bang for the buck. All that is about to be done away with, and not just in the medical business, but all business. Like you I am very worried.

  • http://acaper.wordpress.com acaper

    captainnoble – dude – don’t be trite, i listed a few quick examples.

  • captainnoble

    But you didn’t answer the question. Do you think there are $1 trillion to be found in wasteful spending?

  • http://2thirdsrocks.wordpress.com 2thirdsrocks

    …glanced at the chart for 15-20 seconds and left.
    .
    Sounds like roughly the same amount of time our representatives have spent glossing over the 2,000 page healthcare bill.

  • http://swampland.blogs.time.com/2009/12/07/its-election-time-again/ Massachusetts Heads to the Polls to Pick Candidates for Kennedy’s Senate Seat – Swampland – TIME.com

    [...] Stupak-like abortion language in it. Though this amendment is unlikely to pass the Senate today – Ben Nelson's got an amendment on the floor – it could be included in the final version of the health care reform [...]

  • 53_3

    Well acuper, I’m someone who really doesn’t care about socialist this or communist that. Most of that kind of talk is really just empty rhetoric coming from the far right. That commentary, I’m sorry to say, is really not appropriate, and at best, totally irrelevant. Perhaps slip in something about his middle name?
    .
    I’ve also noted that you have completely ignored the rampant corruption that accompanies any totally free market. Are you slipping in TPs now? I haven’t seen any GOP transgression on the list. What gives?
    .
    You may get dinged, and I may get dinged by taxes, but taxes aren’t going to kill me or my wife, and while my taxes might go up,
    .
    I’m entirely happy to get dinged because my employer will no longer have to worry about health care, which comes to about $5 per hour per employee as a disadvantage when competing with the rest of the world. I’m willing to pay the price and I personally want single payer, but I know that at least for now, it won’t happen.
    .
    I’m beginning to really question just what the motivation is here…

  • 53_3

    acuper:
    .
    That last line is really what it’s all about, isn’t it? You are thinking that the poor get a free ride and that health care is a privilege, not a right? Right?

  • 53_3

    acuper:
    .
    As for losing doctors, I’m pretty sure that won’t happen. We had an initiative here in Washington about three years ago concerning capping malpractice suits and premiums and it failed.
    .
    One of the biggerst TPs was that doctors would flee the state if it failed.
    .
    They didn’t.
    .
    Are you soft pedaling fear here?

  • 53_3

    acuper:
    .
    I also think that captiannoble has a question that should be answered, too. It’s a key portion of the argument underpinning your solution and if it cannot truly be adequately answered, then your solution may not even be a viable one.

  • 53_3

    “Why don’t we just give up all of our hopes and dreams so that people on this blog can have FREE HEALTHCARE.”
    .
    Let me ask you this, acuper:
    .
    To preface, there is a very large possibility that as meager as even these reforms are, I may be forced into a choice between homelessness and my wife’s health, and possibly her life. This is not an exaggeration, as one of my brothers-in-law had pneumonia that nearly killed him. He lost his job, and his insurance, and because he made too much money ($15 / hour!), medicaid gave him a whopping spend down that bankrupted him.
    .
    So, to the question:
    .
    What I describe is common. I’ve seen it many times in my 55 years. Do you honestly think your difficulties can trump cases like this? Should we sacrifice our livelihoods, our nest eggs, and possibly, our lives because you would be so inconvenienced?
    .
    Waiting for an answer…

  • sacredh

    It seems to me that the only people actually willing to take a hit financially by paying higher taxes are those of us that can least afford it. I make less than 70k a year. Raise my f’n taxes so that those making less can have health care.

  • 53_3

    Hear, hear!
    pounding my tankard on the wooden table
    .
    acuper’s a ringer.
    .
    For a reasonable right winger. Know what told me?
    .
    The all caps came out…

  • sacredh

    53_3: I’m not a goody two shoes by any stretch of the imagination. Most people have more religion in their little finger than I’ve got in my whole body, but I’m a firm believer in helping out those that are less fortunate. I don’t think the world owes me a living. I think I need to justify my life and my existence to the world. Giving someone a helping hand isn’t a burden, it’s a way to be able to sleep at night. Those who would praise the glory of their god and then turn their backs on their fellow men aren’t Christians in my book, they’re parasites. (I can be pretty damned self-righteous for an atheist)

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