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progressoid

(50,020 posts)
Tue Feb 5, 2019, 07:17 PM Feb 2019

Top Pelosi Aide Privately Tells Insurance Execs Not to Worry About Dems Pushing "Medicare for All"

Top Nancy Pelosi Aide Privately Tells Insurance Executives Not to Worry About Democrats 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 don’t 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. “We’re 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 Pelosi’s 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
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Top Pelosi Aide Privately Tells Insurance Execs Not to Worry About Dems Pushing "Medicare for All" (Original Post) progressoid Feb 2019 OP
Wtf. Fuzzpope Feb 2019 #1
They provide medicare supplement insurance greymattermom Feb 2019 #2
And the govt will outsource the management of the plan to them also cbdo2007 Feb 2019 #56
70% of Americans support Medicare for all.. CentralMass Feb 2019 #3
That's so the campaign money will still flow toward Dems.... but after 2020, the new President's.... scheming daemons Feb 2019 #4
Sadly most of the members of congress are millionaires. KWR65 Feb 2019 #18
/ This at140 Feb 2019 #28
You just accused Democrats of having this opinion. brooklynite Feb 2019 #53
The Intercept is a source now? Is Glenn Greenwald still involved? Hekate Feb 2019 #5
Edited: Another source. (The source was questionable) CentralMass Feb 2019 #8
Did you take a look at the by-line for that article you're ID'ing as "another source"?... DonViejo Feb 2019 #11
Thank you. I miseed that. CentralMass Feb 2019 #15
You're welcome! eom DonViejo Feb 2019 #17
Thank you Hekate Feb 2019 #47
OFFS. So the game is to give the insurance companies what they want and ignore the voters Autumn Feb 2019 #6
Glenn Greenwald .. check the source n/t Apollyonus Feb 2019 #20
So that automatically makes it a lie? I look forward to Pelosi suing the fuck out of them. Autumn Feb 2019 #24
Please study Medicare and how it operates Apollyonus Feb 2019 #25
I'm on Medicare. I'm well aware of how it works and how the supplementals work. nt Autumn Feb 2019 #26
Good for you !! Apollyonus Feb 2019 #27
I adore Nancy and if this is true it really is too bad for the elected Dems who ran on MFA Autumn Feb 2019 #34
"If this is true" coming from this source why even give it a millisecond to think about it uponit7771 Feb 2019 #36
I saw there was another source and I'm betting there will be others. Autumn Feb 2019 #42
There is another source and it established what I thought about the first one and presented ... uponit7771 Feb 2019 #44
It's $135. 2naSalit Feb 2019 #31
Of course not, just automatically makes it specious and worthy of corroboration uponit7771 Feb 2019 #35
I hope that's not true. Glen Greenwald? jalan48 Feb 2019 #7
Ryan Grim. Autumn Feb 2019 #13
Thanks for the clarification. jalan48 Feb 2019 #19
Without a Dem controlled Senate and a Dem in the WH, she's speaking plain truth; DonViejo Feb 2019 #9
+1 happybird Feb 2019 #40
+2 Tarheel_Dem Feb 2019 #41
The current American Criminal Enterprise Healthcare System can not be financially democratisphere Feb 2019 #10
Whenever I'm privy to a private conversation, gtar100 Feb 2019 #12
When someone runs on something I want and then tells someone else Autumn Feb 2019 #16
Assuming this is not a divisive hit piece. n/t Apollyonus Feb 2019 #22
Correct n/t Apollyonus Feb 2019 #21
fuck putin! stonecutter357 Feb 2019 #14
Insurance companies make tons of money off Medicare and Medicaid Recursion Feb 2019 #23
Yeah that's why they all lobby for Medicare for all and public options. Hassin Bin Sober Feb 2019 #46
They make money off Medicare Advantage plans DeminPennswoods Feb 2019 #48
What advantages do medigap/supplement plans have over Medicare Advantage plans? Zorro Feb 2019 #51
Medicare Adavantage plans are paid a flat fee DeminPennswoods Feb 2019 #58
Yeah, tell 32% of Medicare beneficiaries, including many here, to go back to Hoyt Feb 2019 #52
That too, but I was talking about Part A and Part B Recursion Feb 2019 #57
The Intercept?! obamanut2012 Feb 2019 #29
A 2nd credible related source CentralMass Feb 2019 #30
And when you read the credits you will see that they are citing The Intercept...nt 2naSalit Feb 2019 #32
That's a good article, IMO, better than the one from the Intercept... DonViejo Feb 2019 #33
the "rebuff" needs context ... I'll wait uponit7771 Feb 2019 #38
Sidestepping Medicare for All is on page 6 of slide presentation philly_bob Feb 2019 #37
It could be, the "rebuff" needs context that no one has confirmed. uponit7771 Feb 2019 #39
The real skinny?.. Maxheader Feb 2019 #43
This is such a load of crap. denverbill Feb 2019 #45
The Intercept. LOL...nt SidDithers Feb 2019 #49
And you believe Glen Greenwald because...? Squinch Feb 2019 #50
Where's the part where he tells insurers not to worry about Democrats pushing medicare for all? N/T lapucelle Feb 2019 #54
Where's the part where he said Democrats would be allies to the insurance industry lapucelle Feb 2019 #55
Here's the thing. Farmer-Rick Feb 2019 #59

greymattermom

(5,754 posts)
2. They provide medicare supplement insurance
Tue Feb 5, 2019, 07:20 PM
Feb 2019

and make plenty of money on it. The same will happen when we have medicare for all.

 

scheming daemons

(25,487 posts)
4. That's so the campaign money will still flow toward Dems.... but after 2020, the new President's....
Tue Feb 5, 2019, 07:22 PM
Feb 2019

...platform will be what matters.

KWR65

(1,098 posts)
18. Sadly most of the members of congress are millionaires.
Tue Feb 5, 2019, 07:35 PM
Feb 2019

So they don't care about the middle class or the poor in the long run.

Hekate

(91,013 posts)
5. The Intercept is a source now? Is Glenn Greenwald still involved?
Tue Feb 5, 2019, 07:22 PM
Feb 2019

Just curious if there's another source.

DonViejo

(60,536 posts)
11. Did you take a look at the by-line for that article you're ID'ing as "another source"?...
Tue Feb 5, 2019, 07:29 PM
Feb 2019

Here it is: BY THE INTERCEPT

Autumn

(45,120 posts)
6. OFFS. So the game is to give the insurance companies what they want and ignore the voters
Tue Feb 5, 2019, 07:23 PM
Feb 2019

who want MFA.

Autumn

(45,120 posts)
24. So that automatically makes it a lie? I look forward to Pelosi suing the fuck out of them.
Tue Feb 5, 2019, 07:39 PM
Feb 2019
But I won't hold my breath.
 

Apollyonus

(812 posts)
25. Please study Medicare and how it operates
Tue Feb 5, 2019, 07:42 PM
Feb 2019

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)
34. I adore Nancy and if this is true it really is too bad for the elected Dems who ran on MFA
Tue Feb 5, 2019, 08:07 PM
Feb 2019

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 “It’s All on the Table” while privately telling the insurance executives not to worry about the Democrats pushing “Medicare for All” .

Autumn

(45,120 posts)
42. I saw there was another source and I'm betting there will be others.
Tue Feb 5, 2019, 08:25 PM
Feb 2019

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)
44. There is another source and it established what I thought about the first one and presented ...
Tue Feb 5, 2019, 08:27 PM
Feb 2019

... 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

DonViejo

(60,536 posts)
9. Without a Dem controlled Senate and a Dem in the WH, she's speaking plain truth;
Tue Feb 5, 2019, 07:27 PM
Feb 2019

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.

happybird

(4,671 posts)
40. +1
Tue Feb 5, 2019, 08:18 PM
Feb 2019

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)
10. The current American Criminal Enterprise Healthcare System can not be financially
Tue Feb 5, 2019, 07:27 PM
Feb 2019

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)
12. Whenever I'm privy to a private conversation,
Tue Feb 5, 2019, 07:30 PM
Feb 2019

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)
16. When someone runs on something I want and then tells someone else
Tue Feb 5, 2019, 07:33 PM
Feb 2019

don't worry, we don't really mean what we told the voters, skeptical is the last thing I feel.

DeminPennswoods

(15,295 posts)
48. They make money off Medicare Advantage plans
Tue Feb 5, 2019, 09:05 PM
Feb 2019

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)
51. What advantages do medigap/supplement plans have over Medicare Advantage plans?
Tue Feb 5, 2019, 09:21 PM
Feb 2019

Medicare Advantage plans seem to be more cost-effective to me.

DeminPennswoods

(15,295 posts)
58. Medicare Adavantage plans are paid a flat fee
Tue Feb 5, 2019, 11:27 PM
Feb 2019

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)
52. Yeah, tell 32% of Medicare beneficiaries, including many here, to go back to
Tue Feb 5, 2019, 09:25 PM
Feb 2019

paying another $150 to $200/month for what amounts to supplemental and drug coverage.

DonViejo

(60,536 posts)
33. That's a good article, IMO, better than the one from the Intercept...
Tue Feb 5, 2019, 08:03 PM
Feb 2019

thanks for posting the link to it, CentralMass. Oh, and greetings from Greenfield!

philly_bob

(2,419 posts)
37. Sidestepping Medicare for All is on page 6 of slide presentation
Tue Feb 5, 2019, 08:12 PM
Feb 2019

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.

Maxheader

(4,374 posts)
43. The real skinny?..
Tue Feb 5, 2019, 08:27 PM
Feb 2019

Or more hyperbole?

https://www.cnbc.com/2018/03/22/the-real-reason-medical-care-costs-so-much-more-in-the-us.html

The real difference between the American health care system and systems abroad is pricing.

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)
45. This is such a load of crap.
Tue Feb 5, 2019, 08:35 PM
Feb 2019

“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.

lapucelle

(18,409 posts)
55. Where's the part where he said Democrats would be allies to the insurance industry
Tue Feb 5, 2019, 09:58 PM
Feb 2019

in the fight against single payer?

Farmer-Rick

(10,240 posts)
59. Here's the thing.
Wed Feb 6, 2019, 09:44 AM
Feb 2019

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.

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