On Thu, Sep 2, 2010 at 4:02 AM, Jerry Barnes <critic...@gmail.com> wrote:
>
> "At this point I have to question your intelligence Jerry."
>
> Judah, I get it.  I'm stupid because I don't agree with you.

I apologized for this statement in a different email, fyi. It was
wrong of me to say that.

>
> Judah, you got me.  I should have said pathway.  When the insurance
> companies go bankrupt, single payer will be implemented.  I wasn't
> specific.  This has been admitted to by Obama's cronies.
>
> Judah, tt's hard for us stupid people to remember everything.  It would be
> nice if the smart people like you would help me piece these things together.

Ah, right. Please go check the earnings statements for health
insurance companies and tell me which ones are going bankrupt.

> "Then came the so-called Public Option or"Medicare for all". In yet another
> nod to the Republicans and corporate-owned Dems (hi Blanche Lincoln!) that
> was taken off the table."
>
> Judah, if you bankrupt the insurance companies, it will come.

See above. Perhaps you are unaware that the new law just hand
delivered 10s of millions of new customers to the insurance companies.
Oh no! New customers will bankrupt them! Run for the hills!

> "Not only did governmental control of health care not happen, governmental
> control of health insurance didn't happen and not even a government backed
> plan was allowed to compete with private insurance."
>
> Judah, it's not happened yet.  There would have been violence in the street
> if it would have happened in one fell swoop.  The takeover is in incremental
> steps. Things are phased in.

Might want to adjust the tinfoil cap there Jerry, you're sounding like
quite the conspiratorialist.

> "We instituted a Republican sponsored Individual Mandate and took every
> progressive backed plan to bring down costs (the Public Option reduced the
> deficit, remember?) off the table."
>
> Judah, I love the "We" there.  It explains a lot for us stupid people.

We, you know, the Congress that belongs to you and I? Our country?

> "Yeah, fucking socialism Jerry."
>
> Judah, if it walks like duck, quacks like a duck, and looks like a duck,
> stupid people are bound to think it's a duck.

Stupid people will think it is whatever other people tell them to
think it is apparently.

> Judah, just as an aside, when health care deform gets rolling and everyone
> has insurance, what will happen?  Specifically, there aren't enough doctors
> now when a lot of people don't even use the doctor because of a lack of
> insurance.  When everyone has insurance, will usage go up?  All those little
> sniffles and coughs that people used to ignore won't be ignored.  When this
> happens, who's going to administer the extra health services.  If there are
> enough doctors, and everyone gets care for anything they choose, how does
> one control the flow?  Hmmm.  So people, especially us stupid people, say
> that rationing would be implemented.
>
> Judah, maybe you can get together with your "We" group and find me some good
> answers on that.  Maybe use Mass. to see how well it's working.

It's a big problem and one of the reasons I strongly disliked the way
that "health reform" came down. It was health insurance reform and
didn't address even that part very well. I said that repeatedly during
the year plus that we talked about it here. The best thing about the
bill that was passed is that *something* got done. There are a couple
wins here and there (and a lot of bad stuff) but more than anything
else I am happy that Congress actually tackled some sort of
health-related reform even if it was a horrible process and ended up
with a really weak outcome.

Honestly, the things passed that are most likely to influence actual
health care delivery are in the American Recovery and Reinvestment
Act, not in the health insurance reform law. That law focused on
quality metrics and incentives, modernization of healthcare IT, etc.
I would have preferred a stronger focus on that sort of reform and
additionally addressing physician training, malpractice reform, and
working on switching from a "fee for service" model to a quality of
care/outcome model.

I understand why they focused on health insurance and providing closer
to universal coverage. I'm not happy with the decision and even less
happy with the outcome as I said during the whole debate. But I'm glad
that something got done because the direction things were going was
hellish. It is just a first step though and there is a whole lot more
to 

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