aging hippie chick

aging hippie chick
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Horticultural Goddess
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Aging, yet immature, hippie chick. Married, musical, compulsively creative and scattered. Still trying to make sense out of life via Buddhism, composting, etc.

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Salon.com
SEPTEMBER 9, 2009 12:58PM

Health Care Reform: follow the money

Rate: 10 Flag
Think about this:  William W. McGuire, the CEO of United Health Group, a giant among giants in the health insurance industry, made $297 million over the last 5 years, an average of $59 million a year (source: Forbes; website http://www.forbes.com/lists).  Primary care physicians average about $149,000 a year.  

Let's break that down into manageable numbers.  Daily income for the physician, whose job it is to heal the sick: about $408.  Daily income for the CEO, whose job it is to ensure that his company makes a profit: about $16,273.  (How does one SPEND sixteen thousand dollars a day, while holding down a job?)

Our system of for-profit healthcare insurers and pharmaceutical companies is fundamentally flawed.  Despite all the goozly TV ads, these companies' mission is profit, not service.  To continue to exist, they have to provide a profit to their shareholders; this "need" for profit is in direct conflict with the stated mission to provide the best health care to the insured.  AND, to continue to reap such unreasonable profits, they need to prevent competition in the form of a public health insurance option.  This they are attempting in several ways: by generous donations to legislators whose cooperation they hope to purchase, and through preposterous rumors they hope the American public is too dumb to question.  We shall see.

I'm especially amused by the latest scare tactic: rumors of "death panels" (a completely false claim, not surprisingly).  No death panel could be as efficient as the current army of Big Insurance employees whose job it is to find loopholes in coverage, i.e. to figure out how to not provide what their customers have paid for.  

Consider the case of Robin Batin, a 59 year old nurse diagnosed in 2008 with an aggressive form of breast cancer, and scheduled for an immediate double mastectomy.  Days before her surgery was due, Blue Cross/Blue Shield rescinded her coverage based on a review of her medical records that showed "dermatitis" (an inflammation of the skin, or acne, in her case).  They contended that this was early cancer and, thus, a pre-existing condition that invalidated her insurance.  They refused to pay, and she waited months for the surgery, by which time the tumor had doubled in size.  This practice, known as "recission", is widespread; it guarantees hefty profits for the companies benefitting from the suffering of those they "serve".  

United Health Group's profits more than doubled in the second quarter of 2009.  Their website lists revenue for 2008 at $81 billion.  What's wrong with this picture?

Don't be fooled by the arguments against a public option in health care reform.  It is not "socialism".  Medicare is one version of public insurance that is highly efficient, with (by conservative estimates) less than 1/3 the administrative costs of private insurance. Other "socialized" programs include: public schools, libraries, postal delivery, roads, water, building inspection, fire and police protection.  It only makes sense for us to pool our resources to purchase necessary services.  A public option, pooling resources while cutting waste, is the only approach that makes sense. 

Nor is a public option a death knell for private insurance.  Witness bottled water, Fed Ex, UPS, bookstores.  Private insurance companies that provide a good product at a good price should do just fine.  Those that provide $16,000 a day to their CEO's might need to worry. . .

Follow the money.  It's obvious who stands to gain from obstructing real reform: the for-profit health care industry, and legislators the industry is bribing to act against the interests of the people they claim to represent. The most outspoken anti-reform legislators are also recipients of millions in campaign donations from Big Health.  More than coincidence? 

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Comments

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I really like the stats you provided on the income for a primary care physician versus an insurance company CEO. Something is very definitely wrong with THAT picture.
Yeah. Pretty mind-boggling, eh? I'd need staff to help me spend that much money. . . AHC
Life for lobbyists should become a lot more difficult - after all, these are the people who facilitate the movement of money to our legislators. They need to become an endangered species one way or another. There is a bounty on wolves...
Why can't we have a public accounting of campaign funds?!
Yes!! It infuriates me when there's concern about raising the minimum wage based on the hardship for employers/business etc. What about a maximum wage, and the hardship it creates for people who can't even afford to get sick??
nobody loves insurance companies, but nobody will stand up for the people: "i'm mad as hell, and i'm not voting for any politician that won't give citizen initiative to the people."

"democracy doesn't work" i've heard often. it saves having to stir yourself. but what you've got doesn't work, and it will go on not working until you put 'by the people' with 'of the people' and 'for the people.'

until then, you've got the government you deserve.
$16K per day while holding down a job...I love your take on this. I'm trying to be optimistic but I'm getting sickened by the dishonesty in washington. I'm also worried that a mandate for insurance without a public option gives a green light to insurance companies to charge whatever they want. Their job is to make a profit. If the mandate is there and no alternative, their job is going to be to use the insurance mandate to increase their profit margins. That's in their charters as publicly traded entities.

It sickens me. Ironically.
Well done! Keep at it........

Rated!
"The most outspoken anti-reform legislators are also recipients of millions in campaign donations from Big Health." Yes, exactly. The only solution is campaign finance reform, which has been thwarted by the Supreme Court many times. I'm afraid nothing short of a Constitutional amendment will achieve it. Excellent post!
All of the intelligent comments have already been made, so I'll just say excellent post. You have told the sad truth.