
When it comes to healthcare, our esteemed senior Senator Ron Wyden is sounding more and more like a Republican every day. Is that the same Ron Wyden who voted against the Iraq war authorization and who refused to support a funding bill without a time frame for withdrawal?
On Friday, Wyden signed onto a letter
along with five other "centrist" Democrats -- including "Independent-I-mean-Republican" Joe Lieberman urging the president and other Congressional leaders to "slow down" on healthcare reform. Such an important task is moving too fast, they say.
In an
article today on Huffington Post, Obama chief budget guru Peter Orszag says Republicans' attempts to slow down healthcare reform is an effort to kill the plan altogether. Could this be because the healthcare industrial complex is spending
$1.4 million per day on lobbying, having hired 350 former government staffers including lawmakers such as former Democratic House Speaker Richard Gephardt? See which current Senators received the most
healthcare lobby contributions here. According to
OpenSecrets.org, Wyden has received more than $50,000 from Blue Cross Blue Shield in this current election cycle.
Wyden insists he wants to slow down for a day or two, not months or years. But really, the impetus here is that key provisions in Wyden's own plan -- The Healthy Americans Act -- are being blocked.
For one thing, Wyden does not support a federal public health plan option, that is, unless he absolutely has to. This, despite the fact that
multiple recent polls showed vast support, roughly 70 percent -- for such an idea. But of course the media latched on to the one
Rasmussen poll in recent days that showed waning support for the public option, clearly an outlier. Let alone another
CBS/New York Times poll reported yesterday corroborated again the more than 70 percent figure.
Instead Wyden wants to rely on private insurers with a trigger for state-based public options, viewed as a weak alternative in the eyes of most reformers. Wyden also supports taxing employer-sponsored health plans, which isn't a bad idea as long as we have a protective individual health plan market, which we currently do not. The best idea and proudest moment for Democrats so far this year is a proposal by the House to raise taxes on the rich for healthcare.
The most infuriating position Wyden has taken recently is one again that echoes the Republican playbook when he told the
Washington Post a few weeks ago that "people don't want the government in the driver's seat . . . They don't want the decisions (about their treatment) made in Capitol hearing rooms with a bunch of legislators in dark suits."
Do we instead want to continue having an insurance executive making those decisions behind closed doors without any recourse? I don't think so Mr. Wyden.
In the same interview, Wyden makes the case for bipartisan support. I just don't get this either. Where were Republicans looking for bipartisan support when they passed so many infuriating policies over the past eight years?
To be sure, any plan likely to pass Congress will include landmark reforms such as an end to individual rejections based on pre-existing conditions, but whether Democrats will establish a system where health insurance charges are based on income and not health status or age is still up in the air.
So far the plan has focused entirely on how to pay for a program to expand coverage. The
Congressional Budget Office report was correct in their analysis that the plans do virtually nothing to control costs. Paying for prevention, chronic disease management and electronic health records, no matter how many times Obama claims it,
just isn't enough.
The same was found of Massachusetts reform plan, now operational for several years, that even though it covered virtually everyone, people were still
paying an arm and a leg. As I've said all along, what good is universal coverage if we don't control costs? That said, pessimistic journalists shouldn't be so quick to pound nails in the coffin of health reform.
One way to control costs would be to take on entrepreneurial doctors by ending the loopholes in physician self referral and anti-kickback laws, which I wrote about
last week at Miller-McCune.com.At the same time, Congress should order insurers and Medicare to stop paying for individual procedures, called fee-for-service and device a plan that pays fixed costs based on enrollment.