Showing posts with label Health Care Reform. Show all posts
Showing posts with label Health Care Reform. Show all posts

Wednesday, September 16, 2009

"Pulling it Together": Simple Arithmetic

The subject title comes from one of the just released Kaiser Family Foundation survey of employers titled Employer Health Benefits 2009 Annual Survey

This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information. The survey continued to document the prevalence of high-deductible health plans associated with a savings option and included new questions on health risk assessments. The 2009 survey included 3,188 randomly selected public and private firms with three or more employees (2,054 of which responded to the full survey and 1,134 of which responded to an additional question about offering coverage). Researchers at the Kaiser Family Foundation, the National Opinion Research Center at the University of Chicago, and Health Research & Educational Trust designed and analyzed the survey.


There's a whole host of links to the survey at the above link in mostly pdf format.

The Kaiser Family Foundation and the Health Research & Educational Trust have conducted this annual survey since 1999. The archives of the Employer Health Benefits Survey include these surveys and a small business supplement of the 1998 survey conducted by the Foundation.


The subject title comes from this report, Simple Arithmetic of the survey written by Drew Altman, PH. D., President and CEO of the Kaiser Family Foundation.

In it he starts out with this "Two numbers jumped off the pages."

The first number was the average cost of a family health insurance policy in 2009: $13,375. To put that number in context, if you are an employer, you can hire an employee at the minimum wage for about $15,000 per year. If you are a consumer, you can rent an average two-bedroom apartment nationwide for $11,136 per year (though it is quite a bit more here in Menlo Park, California where our Foundation is based). You can also buy a new Chevy Aveo for $12,000, and it gets 35 miles per gallon on the highway.

The other result that jumped off the page was the stark contrast between increases in health insurance premiums and overall inflation in the general economy. Premiums went up 5% and prices overall fell 0.7% (mainly driven by a big drop-off in energy prices).


He calls the rise in premiums moderate but adds this "Still, over the last ten years premiums have increased by 131%, while wages have grown 38% and inflation has grown 28%.", he then takes it to the "simple math".

They have another page on what reform would mean titled Matching Health Benefit Packages to Health Needs: Key Issues To Consider In Health Reform

Three reports and a video collectively examine the range of health care needs and costs that people face today against the backdrop of the scope of health coverage that may be available to them under health reform.

Children and Health Care Reform: Assuring Coverage That Meets Their Health Care Needs and Individuals With Special Needs and Health Reform: Adequacy of Health Insurance Coverage examine the needs of children and adults, respectively, focusing on those with low-to-moderate incomes and multiple health challenges. They find that even under a benefit package more generous than most offered in the private insurance market, individuals and families can face significant gaps in coverage and large out-of-pocket costs, especially if they have serious health conditions.

Oral Histories: Report from a Dental Fair for Uninsured Adults, and a companion video of the same title, profile patients attending a dental fair in rural Virginia to highlight the impact on adults of lack of coverage for oral health services.


I'm not going to pretend I'm some sort of analyst on the subject, but there is a lot of common sense that can be brought into this long running debate as one AFL/CIO speaker said yesterday at their convention shortly after President Obama spoke: "We've been fighting for reform for so long that if health reform was a person, it would be eligible for Medicare!"

But looking at some of the above survey one sees that it may be off somewhat, not taking into consideration, probably because of the rapidity of the collapse of the economy, or maybe doing so but using conservative figures in guessing what may be the reality. Like the wage rise given, wages have been falling backwards, I'm seeing this as time goes on just in my industry construction, starting wages have dropped and the top wages were already stagnant for the past decade plus. This has been the trend in most industries and businesses.

There's also the costs of lobbying and financing opposition by those opposed to any reform or an extremely milked down reform package as pointed out by this front page Daily Kos diary yesterday, but you could just search out the figures in reports, even though not highly reported, to follow the numbers, and I think these are even conservatively low, as there's one whole cable, supposedly, news station that reports almost 24/7 just what the opposition to reform want reported, bringing in absolutely no new ideas nor reform packages. This was also seen in the past weekends so called "teaparty" in Washington DC, the interviews and posters had extremely little to nothing to do with Health Care Reform debate, though we already know some don't have a clue as to what 'debate' even means, they just yell out "Lier" in the peoples house even! Where will the daily estimated costs,$700 thousand a day, to kill or marginalize the health care reform, come from, the same place the $700k is coming from, the premiums those with insurance are paying and if they can push regulation back or marginalize that, as it has been over the past decade, the rates will rise even faster then the Kaiser Family Foundation conservatively is measuring, much faster!! Gotta keep them executive compensation and company perks, all write offs, in the syle they've become accustomed to!! Premiums have already started rising, even as employee's are getting laid off.

After This Survey

You'll probably be seeing a number of reports, maybe, like this one:

Health premiums rose nearly 5 times faster than income

Texan families paid 91.6 percent more for insurance this decade as earnings rose 19.7 percent.


Maybe!!

And any of these figures are based on previous wage income!

In closing, Rachel had another good discussion last night that I'll include, it touches a number of issues:

Saturday, September 05, 2009

Essay on Health Care Reform

September 4, 2009
A Bill Moyers essay on health care reform.



Articles from the Essay
Josh Marshall's article

Henry Giroux's article


Bill Moyers Journal

BILL MOYERS: The editors of THE ECONOMIST magazine say America's health care debate has become a touch delirious, with people accusing each other of being evil-mongers, dealers in death, and un-American.

Well, that's charitable.

I would say it's more deranged than delirious, and definitely not un-American.

Those crackpots on the right praying for Obama to die and be sent to hell — they're the warp and woof of home-grown nuttiness. So is the creature from the Second Amendment who showed up at the President's rally armed to the teeth. He's certainly one of us. Red, white, and blue kooks are as American as apple pie and conspiracy theories..............Rest Here

Thursday, August 27, 2009

Veterans "Death Book"? Not!! {UpDated}

As brought to you by their "Dear Leader" of their Political Cult:

Today Rush Limbaugh used Ted Kennedy’s death to keep pushing the “death book” tale, that claim being spread on the right that Obama’s veteran’s agency is distributing manuals urging veterans to hurry up and die.


And the followers of, strong on "National Defense" meme's, "Support the Troops" symbols and the cheerleaders of "Wars of Choice" as they show that support for those of us who actually serve:



And what do us brothers of 'Nam think:

Veterans Group Blasts Right Wingers Pushing “Death Book” Claim As “Cruel” To Veterans

That’s unsightly enough on its own. But it turns out Rush’s broadside comes a day after the Vietnam Veterans of America, a national advocacy group, defended the manual and strongly denounced “death book” claims as “hysteria” and as “cruel” to veterans themselves.

“This booklet was developed with guidance from clerics, and it addresses options most of us and our loved ones will have to sort through as we live our final years,” the group said in a little-noticed statement that was sent my way. “To play politics with veterans’ end-of-life choices is not only irresponsible politically, but it is cruel.”...........


Vietnam Veterans of America (VVA)

IMMEDIATE RELEASE

Press Release

August 25, 2009

No. 09-027

Contact:
Mokie Porter
301-585-4000, Ext. 146

Health Care Reform Hysteria:
‘Death Book’ Scare Tactics Inexcusable


(Washington, D.C.) – “Health care reform is a legitimate topic for discussion and debate,” said John Rowan, National President of Vietnam Veterans of America (VVA), “but it is outrageous for some partisans to politicize the debate by targeting veterans with blatant scare tactics.

“The issue du jour is the so-called Death Book for veterans,” Rowan said. In an op-ed in the Wall Street Journal, the person who headed the office of faith-based initiatives for the Bush White House attacked ‘Your Life, Your Choices,’ a 52-page booklet of end-of-life options to be considered by veterans and their families that has been given out by the VA as per federal law. This booklet, developed in 1997 when Bill Clinton was President, was given to veterans and their families, if requested, under a directive in 2007 from President Bush. It was updated last month, under President Obama.

“This booklet was developed with guidance from clerics,” Rowan said, “and it addresses options most of us and our loved ones will have to sort through as we live our final years. To play politics with veterans’ end-of-life choices is not only irresponsible politically, but it is cruel. We agree with Congressman Joe Sestak, a retired Navy Admiral, who is outraged at the ‘Death Book’ charges and has called them ‘inexcusable.’

“It is our hope that sane minds reject fear-mongering, and that veterans recognize these scare tactics for what they are,” Rowan said.
-- 30 --

Vietnam Veterans of America (VVA) is the nation's only congressionally chartered veterans service organization dedicated to the needs of Vietnam-era veterans and their families. VVA's founding principle is “Never again will one generation of veterans abandon another.”


Controversy prompts Sestak to criticize Specter

That would seem to bolster Sestak’s assertion today that Specter has over-reacted to Towey’s assertions.

“As a Veteran, I read with deep concern an editorial entitled ‘The Death Book for Veterans,’ which accuses the Department of Veterans Affairs (VA) of deliberately sending Veterans a ‘hurry-up-and-die message’ with a pamphlet on living wills and end-of-life care,” Sestak said.

“Anyone may criticize — and, indeed, suggest improvements to the pamphlet — but to seriously allege that an honest effort by the VA that sincerely helps families plan for the most difficult emotional experience of their lives is a ‘death book’ is counter to the public’s and Veterans’ interest,” Sestak said.............


UpDate:

Veterans DEMAND Apology!!!

Veterans Demand Apology from GOP and FOX for Lies About VA

August 27, 2009 - The claim that the Department of Veterans Affairs (VA) has a manual encouraging veterans to "commit suicide," made by Republican National Committee Chairman Michael Steele, is an asinine assertion with no basis in fact.

Steele made the charge two days ago (August 25th) on FOX News. Steele's egregious comments are an outrageous slander against VA designed to create an atmosphere of mistrust and fear among the millions of our veterans who rely on the VA for medical care. Veterans demand an apology from Steele and FOX News.

"Let me be absolutely clear, Steele lied. There is no VA manual encouraging veterans to commit suicide," said Paul Sullivan, the executive director of VCS, a non-profit based in Washington, DC providing advocacy for veterans, especially veterans with mental health conditions.

Here is the full text of Steele's comments:..........