Current Affairs

Things You Didn’t Know Were in The Health Care Bill, Part 1: A Calorie Law

Posted in Current Affairs, Health Insurance, Health Reform, Nutrition on March 23rd, 2010 by Healthcare Outsider – 1 Comment

Hidden somewhere in folds of the health bill passed today is a measure which requires most restaurants and fast food chains to prominently display the calorie content of their menu items. To date, Seattle, New York City, and the state of California have imposed similar laws, with mixed results. Now that we’re all going to be covered by the new health care policy, who cares what we eat? [AP]

While we’re on the subject, why stop at calories? There are four other ingredients in food which are costing the health system billions of dollars…

-Michael B. Sauter

Obama Signs Bill, Communism Ensues

Posted in Current Affairs, Health Insurance, Health Reform on March 23rd, 2010 by Healthcare Outsider – 4 Comments

Against what appeared at times to be overwhelming odds, president Obama signed the health care bill today. Conservative lawmakers have immediately begun their campaign to repeal the bill before dissatisfied Americans realize that improving health care coverage and regulating private insurance will not, contrary to conventional wisdom, singlehandedly destroy America.

Michelle Bachmann has proposed a formal measure to repeal the infant bill, and Attorneys General in 14 states have filed suit, claiming the portion of the bill which mandates that most Americans have insurance is unconstitutionally coercive. This seems like a reasonable use of their time. Reuters has more.

-Michael B. Sauter

Seeking To Improve Public Image, Pfizer and GSK Offer Vaccines to Third World For Cheap

Posted in Current Affairs, Pharma on March 23rd, 2010 by Healthcare Outsider – 2 Comments

It’s not often that Pfizer or GlaxoSmithKline – two of the largest pharmaceutical companies in the world – make the news for something other than a scandal these days, but that’s exactly what happened last week when the drugmakers announced a 10-year deal to sell a large shipment of pneumococcal vaccine (fights pneumonia and meningitis) to developing nations at a dramatically cheaper price than consumers in the first world are paying. The price for the drugs normally run from $54-$110 (depending on the dosage) and are being offered at a range of $3.50 – $7.

Could this be a sign of a more magnanimous pharma industry? Perhaps drug makers will begin offering the desperately-needed AIDS cocktails at a reduced price. No one should hold their breath on this. [Reuters]

-Michael B. Sauter

Read The Healthcare Bill: Be A Congressman For A Day

Posted in Current Affairs, Health Insurance, Health Reform on March 19th, 2010 by Healthcare Outsider – Be the first to comment

In honor of the upcoming vote in the senate on Sunday, Healthcare Outsider would like to give you, the laypolicymaker, a better understanding of what the reconciliation bill looks like.

By the way, unless you want to truly appreciate why our congressmen are so violently cranky, we recommend that you don’t read the entire thing in one sitting. You can check it out after the jump.

-Michael B. Sauter

Health Reform Bill: This Is It. No, Really, We Promise.

Posted in Current Affairs, Health Reform on March 18th, 2010 by Healthcare Outsider – Be the first to comment

After a series of deadlines, setbacks, votes, procedural loopholes, and violent town hall meetings (remember those?) congress appears to be on the brink of either passing or failing the health care bill. Once and for all. Really, they mean it this time.

After netting two more yes votes from on-the-fence democrats in the form of Dennis Kucinich and anti-abortion moderate Dale Kildee, the train of reform seems to be finally about to reach the point of no return – an up or down vote which will either solidify the bill as a piece of legistation or end debate on it for at least another election cycle. Lawmakers expect the vote to come some time Sunday afternoon. Most Americans are, rightly so, skeptical the vote will ever take place. Most believe that something is bound to come up – either Nancy Pelosi will have a flat tire or Mitch McConnell will come down with the flu – postponing the conclusion of this hellish descent into political madness for another several months.

-Michael B. Sauter

Congress: “Health Care Will Cost… We Don’t Know… $930 Billion?”

Posted in Current Affairs, Health Insurance, Health Reform on March 18th, 2010 by Healthcare Outsider – 1 Comment

The Congressional Budget Office has thrown its hat into the ring of speculation and estimated how much health care reform might very well cost.  After nearly a month of writing random numbers on slips of paper and picking them out of a bag, the CBO has decided the total cost of the health care reform package will be $930 billion over the next ten years. After picking out the next set of numbers completely in absence of data or evidence, the office has conjectured that the bill will actually serve to reduce the deficit by $1.3 trillion over that same period.

This report is only the latest in what seem to be totally arbitrary divinations as to what health care might actually cost us over the next decate. Depending on whether you ask republicans or democrats, the reform bill will either reduce the deficit significantly by cutting inefficiencies in the system… or it will cost us out firstborn child, our national security, and our fleeting edge over the communists. Even independent groups have suggested that pending legislation will either cost us $200 billion, $850 billion, it might save us $1.3 trillion, or final expenditures might end up somewhere in between any of these. Considering how drastically these figures coming from supposedly respectable groups differ from one another, we might as well assume they have been taking turns blindfolding one another and throwing darts at numbered balloons. Who pays these people? [Washington Post]

-Michael B. Sauter

Train That is Health Care Reform Speeding Toward Cliff of Rejection Just a Little Faster

Posted in Current Affairs, Health Insurance, Health Reform on March 4th, 2010 by Healthcare Outsider – 2 Comments

One of the last scenes in “Back to the Future III” finds Marty McFly (played by recent olympic hero Michael J. Fox) speeding on a runaway train, heading towards a cliff at breakneck speed. Marty and his scientist friend “the doc” are throwing special logs packed with jet fuel onto the fire with the hope that the train will make it to 88 miles per hour –  sending it to a time when the bridge is complete – before they reach the end of the rails and crash  into the ravine as a spectacular fireball.

I bring up this classic moment in one of the best trilogies in film to give you an idea of where health care reform is right now. Here’s an analogy key: the train is the health care bill, Obama is Marty McFly, and the cliff? The cliff would be the inevitable final vote in the congress. Obama has just tossed another jet fuel log into the fire, and the day of the make-or-break vote seems to be drawing ever nearer. There is one major difference here between the train in the movie and health reform: no matter how quickly the bill moves to the vote, it will never pass (nor will it time-travel to a date where it has a shot of doing so.)

The Obama administration and the House Democrats have ramped up their efforts to bring the proposed reform bill to vote by using a tactic called “reconciliation.” This would allow them to make some minor changes in the original bill (using proposals from the health summit last week) and pass it with a simple majority, instead of the now-impossible 60 votes required to circumvent a Republican filibuster. Obama is even including some ideas the conservatives have been harping on since day one, including increased tort reform efforts and better oversight on medicare and medicaid waste. Maybe the president can’t travel through time, but it sounds like he might just have shortened the gap enough to make the jump across.

Of course, nothing is ever easy, especially when you’re talking about the United States Congress. There is a  major downside to this reconciliation tactic: because it entails taking an approved bill and adding minor components, certain unpopular measures in the original senate language cannot be changed. The most notable of these immutables is an unpopular leniency towards federally-reimbursed abortion coverage, which even some middle-of-the-road democrats (who voted in favor of the house bill last time) said would force them to oppose the bill, no matter what else is in it. Also, key Republicans are saying that Obama’s attempts to appease their party by including these last-minute conservative measures won’t be nearly enough to salvage what they have repeatedly called a fundamentally flawed piece of legislation.

So, is Obama losing his mind by throwing another log into the fire, pushing the bill to a certain fireworks display of a demise just a little faster? At this point, every day the bill languishes on the table is another day Obama’s approval ratings drop in the wake of this ugly debate. Perhaps Obama is wise to just want to get it over with as soon as possible and move on with other (equally-doomed) initiatives. Besides, when the train inevitably goes over that bridge and the American media is there to gawk at it, it should at least be extremely entertaining. [Reuters]

-Michael B. Sauter

Health Care Summit: The Aftermath

Posted in Current Affairs, Health Reform, Uncategorized on March 2nd, 2010 by Healthcare Outsider – 1 Comment

HCO knows many of you are still holding your breath while the political dust settled before passing judgement about the bipartisan health care summit last week. Did the Democrats win? Did the Republicans win? Did the  win? The Atlantic Wire has a nice collection of opinions on how things went. which, in aggregate, prove string theory. (because all things apparently happened at once)

If we were to guess, based on our national history of health care legislation, and summits in general, everyone probably lost.

-Michael B. Sauter

Consumer Watchdog Sues California’s Biggest Health Insurance Company For Being a Health Insurance Company

Posted in Current Affairs, Health Insurance, Health Reform on March 2nd, 2010 by Healthcare Outsider – Be the first to comment

Anthem Blue Cross, California’s largest health insurer, is being sued by Consumer Watchdog for what it claims are manipulative premium rate hikes, unfair treatment of existing customers, and just a complete disregard for human decency. The group cites proposed premium increases by up to 39% in some cases to be an intentional effort to drive existing customers into weaker plans. The apparent problem the Californians have with what seems to be a completely reasonable business practice is that they claim older customers and those with preexisting conditions who have been making payments for years are being forced into plans that they’ll still pay through the nose for, but will no longer cover them for anything that is actually a health risk. They might be able to get their tonsils out for cheap, but will they get help with their chemotherapy treatments? Probably not.

While the case won’t be heard for some time, we expect it to be thrown out on the grounds that most health insurance plans work like that anyway. [Reuters]

-Michael B. Sauter

Obama’s Compromise Proposal the Final Nail in the Coffin

Posted in Current Affairs, Health Reform on February 22nd, 2010 by Healthcare Outsider – Be the first to comment

Because he never really liked the idea of health reform in the first place, Obama has decided to ruin any possibility of it ever happening by bringing what is more or less the Senate version of the bill to his summit on Thursday. His version, which is intended to be a compromise between the houses’ proposals, doesn’t appear to make any of the compromises that even some moderate democrats in congress asked for. Stay tuned on Thursday for inevitably hyperbolic conservatives calling the proposal the worst thing to happen to post-colonial America. Expect Democrats to weep silently. This should be interesting. [WSJ]

-Michael B. Sauter