General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsTop Pelosi Aide Privately Tells Insurance Execs Not to Worry About Dems Pushing "Medicare for All"
Less than a month after Democrats many of them running on Medicare for All won back control of the House of Representatives in November, the top health policy aide to then-prospective House Speaker Nancy Pelosi met with Blue Cross Blue Shield executives and assured them that party leadership had strong reservations about single-payer health care and was more focused on lowering drug prices, according to sources familiar with the meeting.
Pelosi adviser Wendell Primus detailed five objections to Medicare for All and said that Democrats would be allies to the insurance industry in the fight against single-payer health care. Primus pitched the insurers on supporting Democrats on efforts to shrink drug prices, specifically by backing a number of measures that the pharmaceutical lobby is opposing.
Primus, in a slide presentation obtained by The Intercept, criticized single payer on the basis of cost (Monies are needed for other priorities), opposition (Stakeholders are against; Creates winners and losers), and implementation challenges. We have recreated the slides for source protection purposes.
Democrats, Primus said, are united around the concept of universal coverage, but see strengthening the Affordable Care Act as the means to that end. He made his presentation to the Blue Cross executives on December 4. We dont discuss private meetings, if there was such a meeting, said a BCBS spokesperson. Primus said that he did not discuss any kind of deal with the insurers. Henry Connelly, a spokesperson for Pelosi, said that the assessment of single payer was not related to any dealmaking with the industry. Were not going to barter lower prescription drug costs for inaction in the rest of the health care industry. The presentation was a broad look at the health care environment and some of House Democrats legislative priorities over the next two years in a period of GOP control of the Senate and White House, Connelly said.
...
Primus concluded his presentation with a bullet point that summarized Pelosis mission on health care: Lower your health care costs and prescription drug prices." The your refers to insurers,
more...https://theintercept.com/2019/02/05/nancy-pelosi-medicare-for-all/?fbclid=IwAR2t7rzqdi_SZ1UdA6N6m5HA3dvkaB3ukhGfxVBKfM18c5s6R-Ni_Efjsko
Fuzzpope
(602 posts)greymattermom
(5,754 posts)and make plenty of money on it. The same will happen when we have medicare for all.
cbdo2007
(9,213 posts)They do that now too so they
CentralMass
(15,265 posts)scheming daemons
(25,487 posts)...platform will be what matters.
KWR65
(1,098 posts)So they don't care about the middle class or the poor in the long run.
brooklynite
(94,984 posts)Care to revise and extend?
Hekate
(91,013 posts)Just curious if there's another source.
CentralMass
(15,265 posts)DonViejo
(60,536 posts)Here it is: BY THE INTERCEPT
CentralMass
(15,265 posts)DonViejo
(60,536 posts)Hekate
(91,013 posts)Autumn
(45,120 posts)who want MFA.
Apollyonus
(812 posts)Autumn
(45,120 posts)Apollyonus
(812 posts)It provides basic in-patient services under Part A
It provides basic outpatient services under Part B which has to be paid for by the insured at about $102-114 per month.
Naturally, it doesn't cover all and so people have to get supplemental health coverage from guess who? Insurance Companies. This is not mandatory but most people pay for it to lower their costs.
It still works out cheaper for people but one cannot get rid of health insurance companies with MFA.
Autumn
(45,120 posts)Apollyonus
(812 posts)Autumn
(45,120 posts)and won because the people want it. It makes them and her look bad when she said publicly that she is open to Medicare for All and Its All on the Table while privately telling the insurance executives not to worry about the Democrats pushing Medicare for All .
uponit7771
(90,371 posts)Autumn
(45,120 posts)Yeah I'm going to think about it and I'm going to pay close attention until Nancy herself says it a lie and Wendell Primus, her health care policy adviser never did any such thing. When names are named and power point presentations are leaked the odds of that being made up rat fuckery is damn near none.
If she's saying privately to the executives not to worry about Dems pushing for MFA after saying publicly she was open to it and it was on the table it makes her look bad, and the Dems who ran on MFA. Not to mention the voters who want it and were under the impression that leadership and the Dems that they voted for were going to fight for it. A large majority of Americans, 70 percent, now support Medicare-for-all.
https://www.documentcloud.org/documents/5724245-Health-Powerpoint-Final.html#document/p1
uponit7771
(90,371 posts)... a less biased report.
Bottom line this needs context because we don't know if this was presented as pro con or against for
Without that context I'll wait
2naSalit
(86,951 posts)a month for me, just got my notice last month.
uponit7771
(90,371 posts)jalan48
(13,912 posts)jalan48
(13,912 posts)DonViejo
(60,536 posts)it won't be brought up until that time. The House is going to have other things to deal with very shortly, e.g., the Mueller Report and Congressional investigations into all the Trump atrocities as well as possibly, impeachment. OTOH, this article is from the Intercept, I've been under the impression the Intercept is considered to be slightly lower than whale doo-doo by DU'ers.
There's no point in the House spending valuable time passing progressive proposals that will just die a swift death as soon as they hit the Senate.
It's not time yet.
But, it will be in a few years from now.
democratisphere
(17,235 posts)supported and sustained with the current wall street model. The Single Payer Medicare model is the only way forward and it will happen sooner or later.
gtar100
(4,192 posts)it ain't so private and somebody probably has a purpose for making it public. Likely not to my benefit. In other words, I remain skeptical.
Autumn
(45,120 posts)don't worry, we don't really mean what we told the voters, skeptical is the last thing I feel.
Apollyonus
(812 posts)Apollyonus
(812 posts)stonecutter357
(12,698 posts)Recursion
(56,582 posts)I'd tell them not to worry too
Hassin Bin Sober
(26,360 posts)Get real.
DeminPennswoods
(15,295 posts)not so much basic medicare. Personally, Dems should start with eliminating Medicare Advantage plans and have private insurance plans be medi-gap/supplement only.
Zorro
(15,756 posts)Medicare Advantage plans seem to be more cost-effective to me.
DeminPennswoods
(15,295 posts)per subscriber. It incentivizes them to enroll healthier people and cut more costly enrollees so they make more money.
Here's a link to this week's New Yorker magazine story about it and the whistleblower who exposed it: https://www.newyorker.com/magazine/2019/02/04/the-personal-toll-of-whistle-blowing
The difference between medicare advantage and medicare supplement is this:
In medicare advantage plans, the insurer is the first party payer. Then they bill medicare for reimbursement.
In medicare supplements/medi-gap plans, medicare is the first party payer and the insurer pays the balance.
A good example is co-pays. Under medicare advantage, you have a co-pay that you pay regardless - even if medicare reimbursement covers the entire cost of dr visit, procedure etc. Under medicare supplement, if medicare pays the entire cost, you have no co-pay even if the insurer lists one.
Recently switched from advantage to supplement and the supplement is cheaper and better.
Hoyt
(54,770 posts)paying another $150 to $200/month for what amounts to supplemental and drug coverage.
Recursion
(56,582 posts)Hugely profitable for the provisioners.
obamanut2012
(26,184 posts)CentralMass
(15,265 posts)2naSalit
(86,951 posts)DonViejo
(60,536 posts)thanks for posting the link to it, CentralMass. Oh, and greetings from Greenfield!
uponit7771
(90,371 posts)philly_bob
(2,419 posts)Seems genuine. Don't think it's Republican divisive ratf*cking.
Of course, message was tailored for insurance company audience and we should see what Pelosi says.
But I am concerned.
uponit7771
(90,371 posts)Maxheader
(4,374 posts)Or more hyperbole?
https://www.cnbc.com/2018/03/22/the-real-reason-medical-care-costs-so-much-more-in-the-us.html
Specialists, nurses and primary care doctors all earn significantly more in the U.S. compared to other countries. General physicians in America made an average of $218,173 in 2016, the report notes, which was double the average of generalists in the other countries, where pay ranged from $86,607 in Sweden to $154,126 in Germany.
Administrative costs, meanwhile, accounted for 8 percent of total national health expenditures in the U.S. For the other countries, they ranged from 1 percent to 3 percent. Health care professionals in America also reported a higher level of administrative burden. A survey showed that a significant portion of doctors call the time they lose to issues surrounding insurance claims and reporting clinical data a major problem.
As for the drug market, the U.S. spent $1,443 per capita on pharmaceuticals. The average pharmaceutical spending of all 11 countries came to $749 per capita. Switzerland followed closest behind the U.S. at $939.
denverbill
(11,489 posts)Cost -Cost to who dufus? It's ultimately much less expensive overall than the current system. The fact that taxes will increase will be more than offset by the savings to business, individuals, and health care providers.
Creates winners and losers- The current system doesn't? The winners in single payer are virtually everyone who will be insured by it. The losers will be insurance companies.
Stakeholders are against - This assumes, or course, that the people being insured are not stakeholders, which they most definitely are.
Monies are needed for other priorities - Name a higher priority than giving everyone health care.
Implementation challenges - Phase it in, one year at a time. Keep lowering the age to participate. Easy.
SidDithers
(44,228 posts)Sid
Squinch
(51,087 posts)lapucelle
(18,409 posts)lapucelle
(18,409 posts)in the fight against single payer?
Farmer-Rick
(10,240 posts)Even if there was this double speak meeting, that went down exactly as Glenn Greenwald spins it, do you think we have a chance in hell of ever getting RepubliCONS to provide health care for all Americans?
This story comes off just like those Russian Troll stories back in 2016. They are trying to divide and conquer .....again.