Framing Health Care Reform

TIME’s Sophia Yan has a dispatch from the frontlines of the PR war underway in the health care reform debate.

It’s now or never for health care reform and all interested parties know it — including Health Care for America Now, a grassroots reform advocacy group. In the past year, HCAN has urged Americans to come forward with stories about how they’ve been hurt by insurance companies, bringing real life voices to the debate. The group even helped unveil Wendell Potter, the former CIGNA vice president-turned-whistleblower. Calling the industry “spinmeisters,” Potter said this morning – in a call with reporters – “Those companies are accountable first and foremost to their shareholders and they’ll promise to take anything it takes to please [them].”

But like every other special interest group, HCAN has a big stake in this. And in these final days, the group is making a renewed push to paint the health insurance industry as a heartless machine purely motivated by profits.

An HCAN report released this morning presents the argument that rapidly rising health insurance premiums are uncalled for and unjustified – and the ones impacted are sick Americans. Strong statistics back up this point – the report notes that, in the past 10 years, premiums for families on employer-provided health plans increased 97 percent, while premiums for individuals increased 90 percent. While the insurance industry has partly blamed rising medical inflation for these increases, the report shows that premium increases have far outpaced medical costs, which have gone up 39 percent during the same period.

What’s most outrageous, HCAN says, is that premiums are being hiked to pad profits, not pay for more medical care. “In 1993, 95 percent of premiums went to medical costs, but by 2007, that number dropped to 85%, a huge decrease,” HCAN’s national campaign manager Richard Kirsch said this morning one the call with reporters. “From 2000 to 2008, the ten largest for-profit health insurers paid their CEOs a total of $691 million,” Kirsch said.

But in its report, HCAN doesn’t really address another counter-argument from America’s Health Insurance Plans, which represents the insurance industry. “Health insurance premiums are increasing in the individual market because of soaring medical costs and because younger and healthier people are dropping their coverage due to the economy,” reads a statement released two weeks ago. When young healthy people forgo insurance in a recession, the overall coverage group that’s left is “sicker,” and more expensive to insure.When I asked HCAN to respond to this, the group stuck to its overall message of premiums rather than addressing the skewed coverage pool, saying that rising premiums made it difficult for younger people, often in lower-paying jobs, to purchase insurance.

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  • stuartzechman

    Kate Pickert:
    .
    Will you please ask Sophia Yan to write a conclusion to this He Said-She Said, so that the reader knows which set of competing claims is closer to the truth?
    .
    Will you please ask her “Are these premium increases over the last decade a result of industry profit-taking and executive compensation, or are they the result of medical inflation and recent economic trends? Which answer is more correct?
    .
    Thanks in advance for not leaving your readers more informed about the parties’ claims, yet less informed about the issue than when they began to read Ms. Yan’s piece, Kate Pickert.

  • kevin

    I second that request.

  • afguy

    How about BOTH being true at differing times over the past 10 years, Stu?

  • http://firstfarmandweatherreport.blogspot.com/ maxwelldog

    Oddly enough, I have my Health Care Package all lined up.
    PowerBall.
    Sometimes I diversify with the Hoosier Lotto, but, Health Care and Security for Retirement!
    Yee Haaa!
    .
    Oh, sure. I know…I know…
    I have little or no chance of winning.
    195 million to one.

    But then, that’s better odds than trying to guess who’s going to win what when…
    I mean, guys are ready to bet on the election outcomes
    based on? ………
    Or the upcoming voting on HCR based on? …….
    Polls?
    Opinions?
    HA!
    1-5-10-25-29….36!
    (heck no, I’m not greedy! I’ll share…)
    (the number, that is.)

  • stuartzechman

    How about the pro reporter writing about “from the frontlines of the PR war” making it clear to us collateral damage (readers), afguy?

  • afguy

    Hey, it’s dangerous duty, Stu… you never know when you might get hit by fragments from a #2 pencil (or injured in the hand-to-hand fighting over the last Danish)…
    .
    I’m going to put a yellow ribbon around my mail box to help keep Sophie safe…

  • http://patricksartor.wordpress.com patricksartor

    Coverage like this makes this so obvious that passing healthcare is so vital.
    Who wants to give away money to people making in the range of $62 Million a year every time we sneeze – literally!
    These facts scream for the public option.
    I can’t understand any opposition to this from anybody except those millionaires and their investors.

    Can anybody think of a reason why not to pass health care with the public option knowing these facts.

    Afguy, I won’t get much work done today if I really debate you, but, with these facts above, can you imagine any reason to oppose this just as random debate?

  • afguy

    patrick,
    .
    I’ve been screaming “public option” from the first. Best “anti-vulture” measure I can think of.
    .
    No argument from me on this. I’ll probably never get to use it, but for the kids.

  • stuartzechman

    The House’s miniature toy-public option shouldn’t be in the bill, unless you want to have an example of failure that American conservatives can use to discredit liberalism.

  • afguy

    Correct, Stu… that “trigger” crap is for the birds… for “show” only. A gun with no firing pin.

  • stuartzechman

    I’m going to put a yellow ribbon around my mail box to help keep Sophie safe
    .
    LOL

  • http://patricksartor.wordpress.com patricksartor

    I guess that I will get some work done today instead of a long debate since we are all on the same page.
    Maybe I should grow up and use learn time management better and debate when I do not have things to get done.

  • square1

    Wow, Sophia Yan really knows how to hold the special interests’ feet to the fire. You know, those “special interests” that are non-profits, plan to make nothing from HCR legislation, and are advocating for the interests of 100% of the population. Those “special interests” Sophia Yan sinks her feet into like a pitbull.

    The other special interests? The ones who are fighting for the interests of a tiny fraction of the population — their shareholders at best, but more accurately senior executives and board members? The ones who are legally obligated to maximize profits, and get mad when people point it out? The ones who are trying to blame rising premiums on the young, healthy, and income-challenged who have the temerity to forgo health insurance during a recession? She will stenographically report their spin and pretend that the consumer advocates have ignored their arguments.

    I guess we know where Yan is embedded in the “pr war”.

  • deconstructiva

    afguy, I wonder if Amy baked the treats today. KT once said she’s a great cook.

  • afguy

    Hope so, decon, esp. if there’s a little “something else” in the brownies…
    .
    ‘Course, we might never get around to asking any questions… or care what the answers were if we got any.

  • afguy

    I guess we know where Yan is embedded in the “pr war”.
    .
    square1,
    .
    I’m using all of my considerable willpower to keep from starting a sacredh-style “pun war” over THAT last line…
    .
    Almost like waving a red hankie in front of a bull…

  • 3xfire3

    I third that request.
    As the old saying goes “figures don’t lie but liars use figures”
    We need the info to peal the onion a few layers and find out what is true and what is PR.

  • afguy

    3x,
    .
    They’re politicians. If their lips are moving, there’s probably SOME lying going on… and definitely over/under-exaggeration.

  • stuartzechman

    Kate Pickert:
    .
    Reiterating sqr1′s commentary, I wonder if you might ask Sophia Yan something else, if you wouldn’t mind terribly.
    .
    When Ms. Yan writes


    But like every other special interest group, HCAN has a big stake in this.

    , could you please ask her to spell out for readers what exactly that “big stake” is?
    .
    What “big stake” of HCAN’s is riding on the successful passage of the Senate bill? What specifically is their investment in this legislation? Whose interests do they represent?
    .
    Thanks in advance for asking Ms. Yan to help out us poor, ill-informed readers, many of whom aren’t necessarily familiar with HCAN or “every other special interest group” having identical stakes in this iteration of health care reform, Kate Pickert.

  • lcky9

    it’s the they the result of medical inflation due to the increased cost of private rooms with cable and internet for everyone.. as well as all the so called new drug which are just the old drugs with an extra ingredient added or subtracted and under a new patent.. after all the hospital investors need to make money too you know..as well as the drug companies profits.. how else could their lobbyist afford to bribe our politicians..

  • towandavt

    Oh yes, that is exactly it. The vultures are lining up for the sliver lining of their pockets. What I find so interesting here is that the key parties – health care provers aka hospitals – are now in the sights of the insurance industry. Only in Amurica will we think that the casino gamblers deserve more of the healthcare dollars than the people and organizations that actually deliver healthcare! Here’s a novel idea: pay for the health care, get the gamblers out of the picture.

  • dollared

    Wow, SZ, you are so much more gentle than I would be.

    Kate: Perhaps you or Sophia could explain which of the executives or shareholders of Health Care for America Now who will receive multimillion dollar bonuses (deducted from HCAN’s income taxes and paid out of the health insurance premiums paid by ordinary working Americans) if Congress passes health care reform?

    Wow! None? Really? So on the one side you have AHIP, a huge lobbying firm paid literally tens of millions of dollars by the insurance companies, which are fighting to preserve their ability to make a profit by denying health care to American citizens, and whose executives are paying AHIP in order to make sure that they personally can skim another $691 million in personal compensation at the expense of everyone else.

    And on the other side we have a large group of American citizens who paid out their pockets to support a group that is trying to re-regulate the insurance industry to put a stop to this self-dealing.

    That is a story of two “special interest groups?” Do you see how it might be deeply cynical and misleading to call a citizens’ group a “special interest group,” and a collection of corporations and paid lobbyists “just the same kind of special interest group?”

    Hmmmmm… I guess we know who’s winning the PR war.

  • dollared

    And what’s more, Sophia doesn’t even demonstrate that she understands the basics of health care reform:

    For example, HCAN is presenting clear data showing insurance company premiums are rising faster than actual costs, widening profit margins in a recession.

    AHIP’s response: that healthier people are not being insured, forcing the insurance companies to charge more to a smaller, sicker population

    That is the best argument of all for the Democrat’s plan! The exact point of the plan is to bring everyone into the insurance pool by using incentives and subsidies. What AHIP is saying is that the Democrat’s plan will work, and it should lower premiums for everyone.

    But that flew right by…..

  • 3xfire3

    afguy, Post 1.9
    This is a first. We actually agree on something.
    My biggest priblem with politicians and the media in general is they continually take a statement out of context to use to support their particular views.
    This makes their statement a lie. I think we all deserve better than that from politicians and the media.

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