This weekend's Republican YouTube address by Sen. Mike Enzi (R-WY) -- one of the three key Republicans negotiating on health care -- was a pretty strong sign that negotiations might not be working out after all. Enzi delivered a thorough speech against the Democrats on health care. And even while he did not use the "death panel" phrase itself, he did make the same underlying argument by warning that people could be denied care because of age or disability:
"The bills would expand comparative effectiveness research that would be used to limit or deny care based on age or disability of patients," said Enzi. "Republican amendments in the HELP Committee would have protected Americans by prohibiting the rationing of their health care. The Democrats showed their true intent by voting every amendment down and leaving these unacceptable provisions in the bill. This intrusion of a Washington bureaucrat in the relationship between a doctor and a patient is not the kind of reform that Americans are seeking."
And remember, this guy is one of the key GOPers with whom the Democrats are working, to try to find common ground.


johnmccsf
August 29, 2009 2:34 PM
Jacob Weisberg
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Docb
August 30, 2009 10:43 AM in reply to johnmccsf
Enzi is another small pop state representative with lots of puff and no substance..Where is the leader in the repub party--all we have is liars and obstructionists...
With the above and the Dem knuckle draggers the president can not win for the people...The protectionists of their own power are afraid to do the peoples work---but they forget 1993-94!
It is possibly that there will be a bloodbath on both sides of the aisle in 2010!
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Walter Mitty
August 29, 2009 2:50 PM
So Enzi and the GOP believe the intrusion of the for-profit insurance industry between a patient and their doctor is a-ok? Would somebody ask these clowns this question already.
They're bought and paid for - they're making an issue of this that is so nonsensical, but the Dems won't call them on this because it would be seen as attacking the insurance industry and their big political donor pockets.
So the big bad government will ration care, but the pure insurance industry will pay whatever is necessary, their profit margins be damned. Insurance industries answer to their share holders, and their sole purpose is to get more money to their share holders, not to those they insure.
It's a damn joke.
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Michael A
August 29, 2009 2:58 PM
No more non-negotiations with these thugs. They are making the dems out to look like fools. Herd the cats and get the 60 votes necessary to push through meaningful reform. For pete's sake the republicans didn't even control the senate in 2001/2002 and they rammed through the king's agenda. How is this possible? I really don't understand.
It was 51/49 after the jeffords switch. And the king was able to ram everything through? It's 60/40 comeon people. Get with the program.
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jdb316
August 29, 2009 3:17 PM in reply to Michael A
It may be 60/40, but a number of those 60 have to answer to otherwise Republican consituencies and may not even be able to be counted on to vote for cloture.
The Dems' best, and perhaps only, hope of getting meaningful reform passed is to somehow get to 50+Biden and ram it through using reconciliation, then hope the same number has enough sense in 5 years to renew it. They're likely not going to get 60 on board for a public option, or at least one with any teeth.
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cwnidog
August 29, 2009 6:03 PM in reply to jdb316
Let's face it - the Dems will never be able to get anything through the Senate until they have 102 votes.
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Noonan
August 30, 2009 1:17 PM in reply to cwnidog
Let's just ask ourselves, What Would Harry Reid Do?
And then go in the opposite direction.
http://www.pufferfishblog.com/
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tpmgary
August 29, 2009 5:11 PM in reply to Michael A
I'm not sure you can say they are making Dems look like fools. What's making Dems look like fools is the lack of their own forceful stalwart response. Barney Frank is the only one I've seen respond with the appropriate tone; "on what planet do you spend most of your time?" I think the Democrats need to come out en masse and assault the illogic of their Republican counterparts head on. Not by email, not by webiste, but on the cable news shows, in every interview, in every sound byte--call out the individual senators by name. Make them eat their words.
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nova voter
August 29, 2009 3:20 PM
they don't have to get on board for a public option. they have to get on board for an up or down.
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nova voter
August 29, 2009 3:21 PM in reply to nova voter
oops, that was supposed to be a reply to jdb316 @ 3:17 p.m.
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Michael A
August 29, 2009 3:28 PM in reply to nova voter
Cosign. That's the point.
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LFC
August 29, 2009 4:18 PM
"The bills would expand comparative effectiveness research...
And if there's anything Republicans are scared to death of, it's science and facts. Those things can be DAMNED inconvenient.
...that would be used to limit or deny care based on age or disability of patients.
And you base that assertion on ... what exactly?
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trblmkr
August 29, 2009 4:50 PM
"The bills would expand comparative effectiveness research that would be used to limit or deny care based on age or disability of patients,"
Insurers limit and deny care to their own policyholders everyday based on....THE DESIRE TO MAKE A PROFIT!
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Rich in NJ
August 29, 2009 4:51 PM
Sick Senators Anonymous has a new member.
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trblmkr
August 29, 2009 4:55 PM
No one is going to stop affluent old folks from buying private 'supplemental' insurance if they want wildly expensive and/or experimental treatments. Most people will be happy with whatever the 'public option' (if we even get one) covers if that means lower premiums through the much greater part of their lives in which they are relatively healthy.
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VictorLaszlo
August 29, 2009 4:59 PM
Enzi: "This intrusion of a Washington bureaucrat in the relationship between a doctor and a patient is not the kind of reform that Americans are seeking."
Dear President Obama,
This is called bad faith. Cut. Them. Loose.
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JimmyBobby
August 29, 2009 5:55 PM
It doesn't matter whether Enzi has a cogent argument or not. He happens not to, but the real point is that he's not speaking as a representative of the voters who put him in office, he's speaking as a representative of the people who supplied the money that allowed him to convince the voters to put him in office. That's the way our system works, but it makes every word out of his mouth totally worthless to anyone but his true employers.
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shooter242
August 29, 2009 7:45 PM
Let's see if I can explain the problem so that even you folks can understand it.
* Essentially, the people whose taxes you want to raise get no benefit from this plan.
* Obama has already stated giving pills, is a cost effective procedure.
* Nobody believes the positive claims about saving money.
* Nobody believes Government will do a better job than what we have now, witness Medicare.
* Essentially Obama failed to make his case to the people who matter most, voters with money.
Any questions?
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nova voter
August 29, 2009 8:41 PM in reply to shooter242
my takeaways/thoughts:
(1) you're a dickhead
(2) saying "the people who matter most, voters with money," confirms takeaway (1)
(3) i really don't give a shit about people who make a shitload of money and who being asked to pay what they were paying before your hero, GWB, cut taxes for them, drastically reducing revenues and driving up our debt and deficit; that said, they WILL get a benefit from health care reform.
(4) "nobody"? really?
(5) you're a dickhead
you asked, so here's a question for you: are you one of "the people who matter most"?
that is, i guess, how much money do you make (and if you file jointly, how much do you and your spouse make together)?
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Matt Jones
August 29, 2009 8:56 PM in reply to shooter242
One question: did your insurer deny your claim for the "greedy douchebag" remedy, or do you just enjoy being that way?
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shooter242
August 29, 2009 9:18 PM in reply to Matt Jones
Greedy isn't wanting to keep more of what one earns, greedy is coveting someone elses earnings for themselves. Kinda like you and junior above.
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Michael A
August 29, 2009 9:31 PM in reply to shooter242
Really? Ever watch scrooge as a child? Nah, doubt it.
By the way, I don't read the prior two posters as coveting someone elses earnings for themselves. They are merely promoting christian values by promoting the helping of needy and less fortunate americans. Not very christian of you.
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acamus
August 29, 2009 9:58 PM in reply to Michael A
No, not very Christian at all. Or Buddhist, or any other spiritual or philosophical belief system that has a foundation of compassion at its core. No What is being espoused is the cold liberatarian I-only-care-about-me beliefe system, that is so hollow that it is unable to even see the issue from an enlightened self-interest point of view (i.e. 60% of bankruptcies come from health care related crises, leading to forclosures that lead to decreased property values and banks on the brink of disaster; the decrease in health care costs that come from people not using the ER as their primary care facility, ) etc etc.) Chances are folks such as this will only come around when they experience a life situation in which the mercy and compassion of the country is their only hope (and even then, they might see it as the exception to the rule).
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shooter242
August 29, 2009 10:07 PM in reply to acamus
Tsk. Those people should have accepted their fate, and gone on to die quietly in order to preserve the family finances. You know, take the Obama pills.
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nova voter
August 30, 2009 11:56 AM in reply to shooter242
are you really so dense that you don't understand this?
http://www.youtube.com/watch?v=xJYvaLS-xOw
or are you just being disingenuous, like the rest of your party? it's probably both, isn't it? have you noticed that the more educated members of your party don't throw this particular line around? why do you suppose that is? there are a lot more questions for you to avoid!!!
i would have thought that, based on your party's new-found concern with waste and deficits and the like (after 8 years of apparently not giving a shit), you'd be rah-rah-rah-ing the idea that we could save some money by perhaps only taking a painkiller to relieve the ankle pain, rather than doing $100,000 worth of unnecessary exploratory leg surgeries and in-patient recovery. you know, because it was JUST A SPRAIN.
i mean, when your toilet is backed up (which it likely is, given how full of shit you are), do you try to plunge it first, or do you call a plumber at $100/hr to come replace all the plumbing in your house? or, when your car gets a flat, do you replace the tire, or put a whole new engine? the former is overkill and the latter is ill-advised. obama is saying that maybe we should just try to plunge the toilet and replace the tire.
this is the problem with the united states, and you can feel free to call me an elitist: roughly 40-50% of its citizens are too stupid and/or disingenuous to get us moving toward the future. these goons are so heavy that the bus can't get rolling under their weight.
okay, now you can once again avoid a dialogue.
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shooter242
August 30, 2009 12:22 PM in reply to nova voter
Dialogue? After repeatedly calling me a "dickhead"?
One of the great things about our country is that I can ignore the rude, crude, and socially unacceptable. That and I would rather respond to those intelligent enough to make a point in a civil manner.
Obviously you don't make the grade.
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nova voter
August 30, 2009 1:11 PM in reply to shooter242
that's what i thought. the listserve email you got yesterday didn't have any pointers on how to actually defend the talking points.
dickhead.
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nova voter
August 29, 2009 9:50 PM in reply to shooter242
thanks for not answering my question(s) above.
here's another one for you to avoid: are you a christian?
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Stroszek
August 29, 2009 9:18 PM in reply to shooter242
*Nobody reads your Freeper copy/paste jobs.
*Nobody cares.
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eric the red
August 29, 2009 8:51 PM
Nice glasses. He either is a white trash prole or he is trying to relate to them. Ugh.
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FreeRider
August 29, 2009 10:36 PM
Since when did Republicans care so much about people having all the healthcare they want?
The same people who railed against Medicaid and Medicare are now upset at the possibility that a 85 year-old woman with terminal cancer might not be able to have laser eye surgery?
Puhleeze! Your compassion and concern are killing me!
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joojooluv
August 30, 2009 8:18 AM
I love to ask him what he would do about his wife's colon cancer if his insurance turned her down for coverage. Oh wait, he has awesome Senate healthcare, so I am sure she will be fine.
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fkaZk0sm0
August 30, 2009 12:01 PM
"The bills would expand comparative effectiveness research that would be used to limit or deny care based on age or disability of patients..."
hopefully this will re-focus everyone's attention back on comparative effectiveness instead of the whole bit about covering end-of-life counseling. although end-of-life counseling/living wills were always entwined in the demagogy, the 'death panel' canard has always been primarily about comparative effectiveness.
sure, the schiavo-fringe was made to get all rabid at the thought of someone being able to forego respirators and feeding tubes but those who spread the fertilizer for the astroturf are worried about comparative effectiveness.
happy to confuse easy marks like our friend shooter here into thinking research into eliminating procedures and treatments and pharmaceuticals that are ineffective (or less effective) somehow means eliminating treatment for old people because it isn't cost effective, the parasitic hucksters who make billions of dollars in our health care system are worried that their snake oil medicine show is gonna get shut down.
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shooter242
August 30, 2009 3:33 PM
Oh you silly naive fool. You actually think an obviously effective treatment like laser eye surgery is going be granted to anyone over 60? How about quintuple bypasses? Why should anyone over 65 rely on the opinion of a bureaucracy rather than their own doctor?
Considering that there is no "official" bill, the speed at which positions on provisions are changed, and promises broken, trusting Democrats is a very bad bet.
If you want to have effectiveness research, be my guest. We may all benefit by it. But there is no way we would accept it as the blueprint for who gets what in a healthcare plan.
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Michael A
August 30, 2009 3:45 PM in reply to shooter242
Uh, people already rely on a criminal bureaucracy the insurance industry. You guys just make this shit up. It really is pathetic.
Arguing with you people is like arguing with my dining room table. What planet do you spend most of your time on by the way?
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fkaZk0sm0
August 31, 2009 1:30 AM in reply to shooter242
right. because we would all much rather stick with profit and ignorance as the blueprint for who gets what. using science as a blueprint is a terrible idea.
you really are an imbecile.
laser eye surgery? COVERED BY MEDICARE. for the treatment of cataracts. (for elective vision correction? not covered by medicare. nor is it covered by most basic health insurance plans.)
quintuple bypass surgery? COVERED BY MEDICARE.
not that comparative effectiveness research necessarily has anything to do with such things.
what the fuck are you talking about?
everyone relies on the opinions of a bureaucracy rather than their own doctor. that's the way the system works NOW for everyone lucky enough to qualify for medicare or afford private health insurance.
the question is, should those opinions be based on the self-interested claims of corporations whose primary motive is turning a profit for shareholders? or will those opinions be based on clinical data collected by doctors and evaluated by doctors?
should we continue to blindly pay more for treatments that are less effective? or should we be concerned with whether or not the treatments we are paying for are the most effective treatments?
the only reason to be opposed to comparative effectiveness research is if you count on wasteful spending (by government and by private insurance companies) to enrich yourself. builders of exponentially more expensive but not actually any better mousestraps have much to be concerned about.
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nova voter
August 31, 2009 6:18 AM in reply to fkaZk0sm0
well, now you went and hurt shooter's feelings. i bet he had a devastating reply, replete with facts and statistics and other useful stuff. but because you hurt his feelings, now he's going to have to take the opportunity afforded to him by the SECOND AMENDMENT TO THE UNITED STATES CONSTITUTION OF INDEPENDENCE DECLARATION PROCLAMATION and refuse to reply substantively.
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shooter242
August 31, 2009 6:44 AM in reply to fkaZk0sm0
And Medicare is going to be cut by how much to pay for a different program? And yes, I would rather deal with a self interested insurance company than pay additional money to an uninterested government agency for treatment.
But like I said, feel free to lobby for effectiveness research. If Democrats can do that well, we might take the next step in your direction. But hand over our fate to the medical equivalent of the DMV? No, thank you.
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midnight rambler
August 31, 2009 3:14 PM in reply to shooter242
A big part of why insurance companies get away with murder (literally) is because they are accountable to no one. They set the rules and no one can challenge them on them. Errors? Pay a few people off and jack up the premiums for everyone else and the problem goes away. When there was a problem of cancer misdiagnoses in the Irish public health system (mostly due to a single doctor), it caused a national scandal and made people change the way things were done. Likewise with the VA hospitals. Shit like that happens all the time with private hospitals here, but do you ever hear about it beyond maybe a mention in a local rag? Nope.
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lexalexander
August 31, 2009 4:09 PM
This issue of comparative effectiveness research is huge. By that I mean that roughly a third of the $2.3 trillion the U.S. spends every year for health care goes to drugs and procedures for which there is little or no evidence that:
-- they work at all; or
-- they work any better than existing, cheaper drugs/procedures.
Not only do we need comparative-effectiveness research to improve treatment, we also need it if we are ever to get a handle on rising health-care costs. Moreover, the taxpayers need not be the only ones to pay for this research; drug manufacturers and others in the industry, along with nonprofits, could be enticed to contribute as well.
More background: http://www.news-record.com/content/2008/08/16/article/some_drugs_are_ineffective_research_finds
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hsr0601
September 1, 2009 6:33 AM
Many reformers recognized roughly 30 percent of all health-care spending in the U.S. -some $700 billion a year- might be wasted on no coordinated preventive care program waiting until people get ill, about 50% of idle world's best practices, a pay for each and every service reimbursement and frequent readmissions, no e-medical record and deaths, crushing litigations and the more profits via the unnecessary, risk-carrying procedures, and the most inefficient paper billing systems imaginable, overpriced pharmaceuticals, bloated insurance companies, incredible medial fraud, exorbitant costs by the tragic ER visits etc.
And with around 50% of top of the line practices sitting around, granted the American people pay around twice the amount of the efficient systems, the result is still well below them, the ratio of waste might be estimated to reach far more than 50% in the U.S.
Today, another innovative, fundamental change in payment system, or patient's outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.
Now that Minnesota spends "20 percent" less per patient than the national average and 31 percent less than in the highest cost state, under a pay for patient's outcome pack, this promising reform could be successful along the way, I believe.
Aside from the already allocated $583 billion and the savings of this reform package, "20%" of $923.5bn (the combined Medicare and Medicaid cost per year, as of July) is around $184.7bn per year and 1.847trillion over the next decade, and this patient-oriented value alone could be sufficient to meet the goal.
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