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Rockefeller Whacks Conrad For Criticizing Medicare Buy-In: 'I'm Tired Of Hearing About That From Him'

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Sen. Kent Conrad (D-ND) is one of the first senators to publicly criticize a Medicare buy-in proposal offered by Sen. Jay Rockefeller (D-WV), telling reporters today that he opposes plans that use Medicare levels of reimbursement, which he's long said would harm hospitals in North Dakota.

Conrad says he needs answers: "If you expand medicare, what kind of a risk pool is that going to be? How is that going to affect the Medicare risk pool? What's that going to do to rates, what's that going to do to medicare solvency?" he asked rhetorically. "We don't have answers to those questions."

Rockefeller didn't take too kindly to this.

"I'm really very tired of hearing about that from him," an exasperated Rockefeller told reporters. "And it's always about North Dakota, and it's never about any other part of the country. And I thought, you know, that's what we're trying to do--we're trying to do the best thing for the country as a whole."

Ouch! We'll try to get more clarity on how far Conrad's opposition stretches. The key question in all of this, after all, is whether the compromise that comes out of the negotiating sessions between liberal and conservative Democrats can garner 60 votes. A Medicare buy-in would allow some people under the age of 65 to purchase their insurance through Medicare, which would likely charge much lower premiums than the private market.

Check out the latest updates on the Senate reform debate with the TPM Health Care Wire.

Comments (99) | Join the Conversation!

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December 7, 2009 5:27 PM   

"And it's always about North Dakota..."


How dare Kent Conrad put the needs of his constituents who elected him first? Quick, somebody better invoke the generic concept of "history" or Ted Kennedy or compare Conrad to Preston Brooks.

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December 7, 2009 5:40 PM    in reply to masanf

Actually if Kent Conrad doesn't want and extension of Medicare at affordable rates for his constituents then he really doesn't have their best interests in mind. He's still thinking about the interests of the Insurance corporations. No one needs to invoke Teddy Kennedy or Preston Brooks to see that.

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December 7, 2009 5:54 PM    in reply to artgurrl

Yes. It's important to keep in mind that this isn't about the people of North Dakota -- it's about the hospitals of North Dakota.

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December 7, 2009 5:55 PM    in reply to artgurrl

You missed Conrad's whole point. How does he know what the rates will be? He was asking about the details to determine if it is beneficial to his state, the state that voted against Obama by a huge margin. You people may find this hard to believe, but there are huge swaths of the country that don't agree with your conception of what is good for them.

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December 7, 2009 6:05 PM    in reply to masanf

"You people"?

Nice tell.

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December 7, 2009 6:31 PM    in reply to CT Voter

Yeah, you got me.

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December 7, 2009 6:06 PM    in reply to masanf

And maybe you missed this portion?

which he's long said would harm hospitals in North Dakota.

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December 7, 2009 6:46 PM    in reply to CT Voter

Who the hell do you think provides the care? Sometimes I wonder if those (are you going to tell me the use of those is a tell too) on this site think they can win a debate by appearing to be the most shrill in their denunciations of businesses, the very fuc*ing businesses that will be expected to provide the care. Hospitals can't exist on talk of love and unicorns. It takes money and bankrupting them is problematic, whether you want to admit it or not.

It is hilarious that anyone thinks they are pulling out some trump card by using the word hospital derisively. Maybe the left should start calling it Big Hospital. Perhaps then you can get more people to demonize them.

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December 7, 2009 7:08 PM    in reply to masanf

Who provides the care? Minnesota. Where do you think really sick North Dakotans go for healthcare anyway.

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December 7, 2009 8:29 PM    in reply to bluebell

Good point.

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December 7, 2009 9:55 PM    in reply to bluebell

or they try to go a few hours north to Winnipeg

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SBG

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December 8, 2009 9:36 AM    in reply to bluebell

Heh. I lived in ND for 36 years, but was born in Minnesota, because that's where the nearest hospital was.

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December 7, 2009 7:41 PM    in reply to masanf

masanf,

I wonder if they're "for profit" hospitals.

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December 8, 2009 11:32 AM    in reply to masanf

Asshole: the hospitals are where the Medicare/Medicaid fraud and waste occur: it is committed by DOCTORS in the name of "defenseive medicine". Conrad wants to protect the hospitals -- and to hell with the MAJORITY of his constituents.

And they're probably private for-profit hospitals on top of that.

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December 7, 2009 7:50 PM    in reply to CT Voter

CT

I wonder if he meant the "for profit" hospitals.

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December 7, 2009 6:07 PM    in reply to masanf

Then I'm sure you think Snowe, Collins & Lieberman should vote for healthcare since those states voted for Obama by a large margin, right?

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December 7, 2009 6:37 PM    in reply to FreeRider

Sure, we can go that route. Does that mean Begich, Byrd, Rockefeller, McCaskill, Baucus, Tester, Landrieu, Pryor, Lincoln, Conrad, Dorgan, Johnson and perhaps others I forget to mention will be potential candidates to filibuster this bill?

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December 8, 2009 7:17 AM    in reply to masanf

like the rest of the republican party, you're conflating procedural votes with substantive votes.

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December 8, 2009 11:35 AM    in reply to FreeRider

If you're going to pretend to represent the interests of the constituents, while attacking others as falsely believing they can represent the intersts of the constituents, then you'll have to overcome the overwhelming support of those constituents for a

PUBLIC OPTION.

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December 7, 2009 6:43 PM    in reply to masanf

About 25-27%. Not so much

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December 7, 2009 6:49 PM    in reply to lousgirl84

27% is not a lot? You are kidding right? McCain lost by 7%, and some on the left act like it is the greatest landslide in electoral history.

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December 7, 2009 6:55 PM    in reply to masanf

George Bush won by about 1% and called it a mandate.

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December 7, 2009 10:00 PM    in reply to CEOsMustGo

Insta win comment

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December 7, 2009 7:59 PM    in reply to masanf

"...there are huge swaths of the country that don't agree with your conception of what is good for them. "

Which is completely irrelevant. Learn about how representative government works just for starters. Focus on the "majority rules" portion. Sheesh, what amazing ignorance of how a democratic republic functions.

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December 8, 2009 6:50 AM    in reply to masanf

"there are huge swaths of the country that don't agree with your conception of what is good for them."

Only if you claim that Fox News viewers constitute a geographic "swath."

Otherwise, not so much.

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December 8, 2009 11:26 AM    in reply to masanf

I don't see Conrad -- or the Republican party -- coming up with ANY alternative health insurance reform. THAT'S why his questions are rhetorical: (1) he doesn't have the answers, and (2) he isn't going to make any effort to find the answers.

Neither is the Republican party. And YOU provide no answers -- only defense of OVERT BULLSHIT.

He's simply doing that which the Republican party does when anything other than corporate welfare is the focus: say

"NO!"

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December 7, 2009 6:23 PM    in reply to masanf

I'm sorry, when did Hospital Suffrage pass?

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December 7, 2009 6:39 PM    in reply to Dorn76

Yeah, how could anyone think reimbursement rates for doctors and hospitals, you know the people and entities providing the health care, have anything meaningful to do with debate. That crazy Conrad.

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December 8, 2009 12:04 AM    in reply to masanf

So it's about "the hospitals" and not the insurance companies?

Are you sure?

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December 8, 2009 11:38 AM    in reply to Rick

First he defended the constituents. Now he defends the hospitals -- the minority. And he's also for "tort reform" in behalf of that minority and against the majority that is the constituents.

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December 7, 2009 6:42 PM    in reply to masanf

You mean the best interests of the insurance company!!!

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December 7, 2009 8:11 PM    in reply to masanf

why doesnt Conrad support the opt out Public Option and he can get his North Dakota out and give everyone else the chance to have real healthcare reform?

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December 8, 2009 9:15 AM    in reply to masanf

Since you obviously slept through Congresscritter Decryption 101 and threw away your notes after the final, here's page 1 of the codebook.

"I support this bill because it benefits the people of my state" = "I'm bringing home some bacon."

"I oppose this provision because it adversely affects the people of my state" = "I oppose this because it adversely affects the interests of my largest campaign contributors."

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December 8, 2009 11:29 AM    in reply to masanf

You're one of those who bitches about what is in the health care reform bill that DOESN'T EXIST.

If you've anything relevant to contribute -- even if criticism -- that's based on reality and facts, go right ahead. Otherwise shut the fuck up: keep your Republican party horseshit talking points pollution to yourself.

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December 7, 2009 5:35 PM   

Why is Conrad against medicare?

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mcc

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December 7, 2009 5:40 PM    in reply to Maritza

Now that the Republicans have decided they like Medicare, he's probably the only one in Congress who's against it...

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December 7, 2009 5:56 PM    in reply to Maritza

Nowhere does he say he is against Medicare. You may as well have asked why he is againt sunshine, lollipops and rainbows everywhere.

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December 8, 2009 11:40 AM    in reply to masanf

Of course he's against Medicare -- when it helps his constituents. He's for it when it enriches the hospitals and doctors against the interests of the taxpayers nationally.

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December 7, 2009 6:06 PM    in reply to Maritza

Because Medicare reembursement rates are unsustainably low in tiny rural states with large numbers of elderly people like North Dakota.

Unlike Lieberman, whose wife is a health insurance lobbyist, Conrad is trying to represent the interests of his constituents. Don't forget that wnen a hospital goes out of business in ND there might not be another in 50 miles. People die.

Conrad's concerns deserve serious answers, not snark.

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December 7, 2009 6:32 PM    in reply to ronbyers

What about the people in ND with no insurance at all? Are they not his constituents?

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December 7, 2009 6:40 PM    in reply to Dorn76

And where exactly would they receive care? The hospitals that no longer exist when they are bankrupted?

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December 7, 2009 8:28 PM    in reply to masanf

yeah, because the only alternative to a for-profit hospital concerned only with protecting its obscene profits is nothing at all. Well, I'm sure nothing else crossed your narrow little mind.

I'd say that you're a completely braindead moron, but you're doing a good job at proving that all by yourself with all of your spam postings.

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December 8, 2009 12:52 AM    in reply to human

Obviously you have never lived in rural America. The big for profit hospitals control the big markets. The hospitals in small towns are often not-for-profit. Even those that aren't don't make a profit very often.

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December 7, 2009 7:50 PM    in reply to ronbyers

So if the rates are low due to large numbers of elderly people, should expanding the pool to a younger, healthier population be good for it? That's what it sounds like to me.

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December 8, 2009 11:43 AM    in reply to ronbyers

Then why are his questions rhetorical, instead of being answered by him? Because he's a Republican; when the focus is other than corporate welfare the answer is always "NO!"

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December 7, 2009 5:44 PM   

There are actually elements of the healthcare bill (either Senate or House) that address Conrad's non-stop crying about Medicare In North Dakota. It's an easy fix. And while Conrad would sorta, kinda, maybe like to fix it, he also doesn't want to lose it as a reason to vote against things that would hurt Bug Health.

John

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December 7, 2009 6:41 PM    in reply to tosh

Yeah, it is so easy it has been a problem for ages, which is why Conrad is bringing it up, again, now.

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December 8, 2009 11:46 AM    in reply to masanf

Substantiate that it has been a problem for ages.

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December 7, 2009 5:59 PM   

Medicare pays better rates than any other country pays for the same services. Unfortunately that's still much less than insurance companies pay and far less than what health providers want.

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December 7, 2009 7:18 PM    in reply to Steve Garrett

Because our whole system - be it treatment or incomes of doctors - far excedes other countries.

It's rarely brought up, but for decades the AMA has essentially dictated the number of medical admissions. In order to keep the "doctor market" as non competitive as possible.

We need to change this and also consider allowing more foreign doctors, especially primary care physicians, into the country. It's been done in every European country at some point in time.

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December 7, 2009 8:44 PM    in reply to Steve Garrett

This may not hold true for the whole country but in my area, Medicare pays more for physical therapy than private insurance companies. It's not much more but it's more. That was a surprise to me.

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December 7, 2009 9:02 PM    in reply to Andreams

My cousin, who married a doctor, runs his office, and has no peer for cupidity, was heard to compare medicare reimbursement rates favorably with managed care (this was during the Clinton years, so perhaps it was a more generous medicare..?)

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December 7, 2009 6:15 PM   

Kent Conrad. Shut the fuck up.

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December 7, 2009 6:21 PM   

Congressmen are supposed to make sure their state's/district's interests get considered, not block what's good for the whole county. There are bunch of them who should get that sort of dressing down. All the upper Midwest congressmen want Medicare rate disparity addressed, but as a resident of one of those states, to block reform without it would be reprehensible.

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December 7, 2009 6:53 PM   

It is pointless debating most of the people on this site because the majority here simply refuse to believe that anyone can have good faith reasons to oppose this bill. It wouldn't matter how legitimate the reason or the motive, the response would always be the same "it is because of the insurance companies". It makes any sort of meaningful debate near-impossible.

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December 7, 2009 7:21 PM    in reply to masanf

So why are you here?

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December 7, 2009 7:51 PM    in reply to masanf

It is pointless debating most of the people on this site
So you keep saying, yet somehow you're always one of the first commenters on every article, and make up about 1/3 of the total posts.

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December 7, 2009 8:16 PM    in reply to masanf

Pointless? Perhaps you should debate the merits of the "For Profit" Health Insurance industry that so blatantly & ruthlessly profiteers off the pain, suffering & misery of Americans?

What are your "good faith reasons" for advocating the existence of these bloodsucking parasites? A paycheck?

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December 7, 2009 8:30 PM    in reply to LoHon

probably stock in Aetna. What scum.

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December 7, 2009 8:41 PM    in reply to masanf

Buncha latte sippin', Volvo drivin', birkenstock wearin' dirty fucking hippies, right?

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December 7, 2009 8:48 PM    in reply to masanf

you start showing where your party has good faith options and alternative policies. You don't, they don't, so this is what happens.

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December 7, 2009 9:35 PM    in reply to DickTater

his party's 'good faith' is an entirely faith-based concept.

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slb

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December 7, 2009 8:53 PM    in reply to masanf

There is a difference between simply opposing the bill and refusing to allow anyone to even vote on it. If Kent Conrad wants to vote against the bill, fine, let him vote against it. But why should he and his cohorts refuse to allow anybody else to vote for it?

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December 7, 2009 10:56 PM    in reply to masanf

MasonF is a filth. The guy's only arguments are that nobody here can have a real discussion. I guess that makes you a fulfiller of your own prophecy. I've seen you troll every single article making the same arguments and coming to the same conclusion. Go off to the Drudge report.

And for a substantive argument, I've heard many many doctors come out in support of this bill. Additionally many of them prefer to work with medicare over the insurance companies because they pay quicker and don't protest as much as the insurance companies..

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December 8, 2009 6:54 AM    in reply to masanf

"anyone can have good faith reasons to oppose this bill."

So when can we expect you to actually *present* some good faith reasons to oppose the bill, Cowboy?

So far, you've only presented alarmism, lies, innuendo and made-up bullspit.

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December 8, 2009 9:52 AM    in reply to masanf

Sorry, bud, but the people who represent you wiped their asses with our willingness to attribute good faith to anyone on the your side of this debate and flushed it down the crapper a long time ago. We're done with good faith.

Yeah, it's a crude statement deliberately intended to convey the crudity of their statements and tactics.

The leading figures in what I assume is your party have steadfastly refused to debate this thing on the merits since about fifteen minutes after Obama was inauguarated. Instead, they've compared us to Hitler and Mengele and Stalin. They've fanned the flames of the patent falsehood that we're trying to insure illegal immigrants with the tax dollars of hard working white people. They've flatly called us socialists and communists and nazis. They've ceaselessly peddled the vilest falsehoods no matter how many times they're authoratatively debunked, like the yammering about "death panels" and how giving billions of taxpayer dollars to private health insurance companies is "socialism" and a "government takeover" of health care. They've pissed off our allies by fabricating the most outrageous lies about the healthcare systems of Britian, France and Canada (all of which are very different from each other) and then lied again and said what Congress is trying to do is exactly the same as the made-up socialist dystopia they falsely say exists in those three countries.

And then there's the numbers racket whereby they simply pull a number out of their ass and wave it around as the true cost of this bill without the slighest mooring in conventional reality.

And to to top it all off, after fifty years of vociferous opposition and endless efforts to kill it, they've now proclaimed themselves its protector. When we seek to apply cost control measures that they've advocated consistently for years, they oppose them. When we seek to apply cost controls that were part of John Fucking McCain's stump speech during the campaign, he attacks us for them on his regular appearances on the Sunday shows.

This hasn't just been the broadcast loudmouth parasites that have infested your party's brain and the wannabe's like Palin doing this. It's been people like who are supposed to matter, who are supposed to be the grown-ups. People like McCain, Grassley, McConnell, Hatch, and, yeah, the real new mainstram of the party embodied by people like DeMint, Bachmann, Joe Wilson and John Kyl.

We started out hoping for a meaningful debate on this issue. We preserved the private insurance industry in our plans in no small part to mollify your side. Over the dark warnings and predictions of his own base, Obama repeatedly reached out to your side to try to achieve some kind of consensus. Over the strong protests of the left, he endorsed the endless series of compromises that Max Baucus made to your side in an effort to get Republican buy-in and participation, and every time he did it, Grassley and Snowe and Enzi, under threat of sanction by the Republican leadership, moved the goalposts on him and then called up their buddies in the press to tell some more lies about death panels and government takeovers the grand Democrat plan to destroy America in general. When your side demanded more time, we gave it to them, despite those of us urgently warning that their objective was to stir up a bunch of people up into a dangerous frenzy with lying and fearmongering.

So don't come whining to us about how hateful liberals refuse to treat you like you're debating in good faith. Your side is the one that lobbed all the poison gas shells into the debate. If we finally decided there was no alternative but to put on our gas masks, march across good faith's rotting corpse and impose a victor's peace upon you at bayonet-point, your own leaders are the ones to blame. Take your grievances to them in November.

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December 8, 2009 11:55 AM    in reply to The Commenter Formerly Known as NCSteve

Ditto. And beautifully said.

The Republican party wouldn't recognize good faith if "God" "Himself" rubbed their faces in it.

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December 8, 2009 11:48 AM    in reply to masanf

Then show us you know how to go away.

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December 8, 2009 3:54 PM    in reply to masanf

For me, there is no debate on healthcare reform. I'm an insurance agent and have to call clients continuously about their small business renewal rates. Every year, the premiums increase an average of 26% for our clients. We check other carriers and can find no relief because all the rates are basically the same. There is no reason for rates to increase at that rate. According to the carriers, the provider reimbursement increase is 12% and the rest is misc.

Businesses are dropping coverage for their employees. They just can't afford it.

I'm for single payer, public option, or anything else that will bring relief. No one with a heart could sit back and watch so many people lose their coverage and not want to help.

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December 7, 2009 7:16 PM   

I'm now at the point where I believe we need a BIll that addresses major abuses, contains tight regulation (such as the "profit" margin on a dollar of premiums) and invites considerations of
cost containment within the area of treatment itself. If there is no PO, so be it.

Then, it won't take all that long (relatively speaking in the history of health care reform attempts in this country) to realize that while the Bill does some good things, it doesn't slow down the rise in costs or, as they say, begin to "bend the curve". That will also demonstrate clearly that the Republicans en masse opposition to single payer (among other things) - and the DINOS - was dead wrong.

Thus opening the door wider for the kinds of real sweeping changes that health care costs will, within a decade hopefully, be evident to most Americans, and permit a discussion of single payer that will fall on many more receptive ears.

But if we end up now with nothing, then we're not only back to 1993, we're worse off.

So, if real reform takes steps - at least two, then I'm willing to go that route.

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December 7, 2009 7:51 PM   

How much money do you think these hospitals in North Dakota lose because of uninsured people coming to the emergency room when they are sick? It's highly inefficient and wastes the hospitals man-power and time (i.e., costs money), then the uninsured can't pay their ridiculous medical bills, so the hospitals aren't reimbursed at all. How is insuring more people a bad thing? Don't the hospitals stand to make more money from insured people?

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December 7, 2009 11:18 PM    in reply to SS247

Yes, but they want to make more money.

The fact of the matter is that we pay service providers more than double any other developed country... and we get less care. While insurers need to be slapped for their reprehensible practices, the real source of the cost problem is hospitals.

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December 8, 2009 11:25 AM    in reply to SS247

If only 1 in 10 actually pay their emergency room bill they still probably make a nice profit. When my son had a bike wreck earlier this year I took him to the ER. After sitting in the waiting room for two hours he was finally brought back in for a little over an hour where we briefly saw a doctor, a nurse cleaned him up and he got a CT scan. Most of the time was spent just laying there under observation. Two week later I get a bill for almost 4 thousand dollars. There was also a separate imaging charge and a another charge to read the images. He received no medication or special monitoring of any kind. So the 4 grand was for the time in the room and about 20 minutes total of doctors and nurses time.

Fortunately for me I have health insurance so the final bill only cost me about $700 out of pocket. In any other country it wouldn't have cost that much before insurance.

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December 7, 2009 7:51 PM   

If this even gets to be an amendment, I will faint, let alone an amendment that passes.

Since when does Congress (esp the Senate) do anything that will benefit regular citizens? My god Madge, you'd think this was a democracy or something.

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December 7, 2009 8:12 PM   

Conrad sucks.

This may seem like bringing home the bacon but its more like douchebag willfull ignorance in order to maintain some form of the status quo for his 'special interests' The Blues and the device/care folks like Davita. This is not good governance. And thats why he sucks. He doesn't want real reform. see Digby:

http://digbysblog.blogspot.com/2009/09/stooge-d-nd-by-dday-sherrod-brown-sez.html

"...For all of Conrad's talk about "uniquely American systems" and "not fitting the culture," what Conrad wants is a full-on handout for providers in his state. He wants the Medicare reimbursements to go higher for North Dakota. There's probably a point where they get high enough that he can tolerate the government intrusion. He's essentially calling for a bribe.

And mind you, this is the deficit hawk chair of the Budget Committee, whose entire goal in health care reform is to "bend the cost curve." Now, raising reimbursement rates for rural areas would, of course, INCREASE HEALTH CARE COSTS across the system. But Conrad thinks it's terribly unfair to his doctors to get less than urban hospitals to treat the same illnesses. Has anyone asked Conrad about the cost of living in North Dakota as opposed to New York City?

Then, Conrad whines about that damn House of Representatives where "membership is determined by population," as if the majority should be allowed to rule or something!

Conrad, of course, is also protecting his boomer baby idea of co-ops, which he pulled out of thin air after meeting with the CEO of UnitedHealth Group. Blue Cross of North Dakota, which covers 90% of the market in Conrad's home state, would qualify as a non-profit to be a co-op and receive millions in seed money. Again, payouts are the goal here. Klein asks Conrad why the co-ops in the Finance Committee bill are so weak, leading to this incredible exchange:

I was also struck when I read the chairman's mark that the co-op option seemed shackled. It couldn't sell to large employers. It couldn't set payment rates. The co-ops are not public. But they were being prevented from competing with insurers on a level playing field. It seemed like private insurers were being protected from competition.

I think there are things I would like to see that would make certain co-ops be given the full ability to compete that others are.

So you would like to see those restrictions lifted.

I would.

Why are they there?

Because that came out of the Group of Six discussions.

I have no words.

OK, I have a couple. The Group of Six discussions FELL APART, and yet the useless co-op plan, which Conrad admits he does not like, still comes out of the language from those meetings. Why? I'd have to guess that Conrad doesn't care that the co-ops won't work, as long as Blue Cross of North Dakota gets their seed money.

This guy is CENTRAL TO HEALTH CARE REFORM.

Weep for America."

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December 7, 2009 8:20 PM    in reply to traunch

Here's a guide for those last few graphs which are from a Q&A between Conrad and Ezra Klein (the original distinguished the two speakers by alternating bold format:

Ezra-
I was also struck when I read the chairman's mark that the co-op option seemed shackled. It couldn't sell to large employers. It couldn't set payment rates. The co-ops are not public. But they were being prevented from competing with insurers on a level playing field. It seemed like private insurers were being protected from competition.

Conrad-
I think there are things I would like to see that would make certain co-ops be given the full ability to compete that others are.

Ezra-
So you would like to see those restrictions lifted.

Conrad-
I would.

Ezra-
Why are they there?

Conrad-
Because that came out of the Group of Six discussions.

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December 7, 2009 8:38 PM    in reply to traunch

, INCREASE HEALTH CARE COSTS

He is not alone. It turns out that *Blue Dogs are more flexible about spending tax dollars than their critics have given them credit for, providing the dollars flow righteously.

*Arguably the headline that doomed front page cafe posts...

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December 7, 2009 9:13 PM    in reply to jollyroger

Indeed. They hide behind their constituents....must be a word for that behaviour.

Also,
thanks for the link to Josh's TPMCafe' talk. I was wondering what was going on. Keep posting man.

peace

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December 7, 2009 10:31 PM    in reply to traunch

talk

It's a little inside baseball, but it's fun. I remember back in the day when Josh and OReilly were tusseling over the tpm meme...Some say Prez reads (surely not the cafe, but maybe breezes thru.)

It was fun to be on the front page from time to time...

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December 7, 2009 8:13 PM   

It's like Spiderman written by Oscar Wilde high on Absinthe and at a super slow speed and without the cool costumes and overt heterosexuality...kinda.

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December 7, 2009 8:21 PM   

Well, Kent, pardon me for not getting out my violin, but according to The Commonwealth Fund, North Dakota is ranked ninth in the country for health care quality. There's bigger fish to fry.

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December 7, 2009 8:23 PM   

what kind of a risk pool is that going to be?

What a douchebag!

The same pool as medicare, only ten or fifteen years healthier, you imbecile.

And it can only redound to the ultimate saving of costs (let alone lives, you freshwater imitation of a democrat) to intervene earlier in what, after all, will become medicare's problem soon enouigh, shit for brains!

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December 7, 2009 10:06 PM    in reply to jollyroger

"freshwater imitation of a democrat" hmmm, good one.

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December 7, 2009 10:36 PM    in reply to jo3wang

Well, "flyover" (which is really the same concept) gets you the "snob jacket"

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December 7, 2009 9:00 PM   

I would love for Medicare to be available to me in a few years. Turning 48 this year, and 50-55 works great for me.

Silly question, my wife is only 46 and I have 2 teenage daughters. If I were to sign up for Medicare, would they be eligible through me?

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December 7, 2009 9:06 PM    in reply to Flori-DUH

not if it mirrors current medicare (which I guess would be the model since it maintains the administrative cost savings of a uinitery system)

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December 7, 2009 9:17 PM   

Kent Conrad is a stupid, bitter, evil nerd. Yes, it's come down to name calling. I hate this guy.

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December 7, 2009 9:56 PM   

My wife paid into Medicare for her entire working life. So have I. She started on Medicare nine months ago, and it has been a godsend: way better than the awful high-deductible Blue Cross plans we gave up years ago -- no insurance in the interim, and us in our 60s -- and$96 deducted from her Social Security.

I think every American has the right to Medicare. There could be a sliding buy-in rate, depending on how much you'd already put in, so that by age 65, it would be the same for all. The sheer size of such an expanded Medicare would give it pricing clout. Even for the young, it would probably be the cheapest thing around.

Including people from 55 up would be a tremendous first step. That's just the time when a lot of people find they're in a crisis, health- or job-wise, and this would do so much good. That's why I don't understand why we're even arguing abou this: it would help so many people. It could change the national mood. It would make a real difference.

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December 8, 2009 2:18 AM    in reply to TaosJohn

You're right, it would change the mood immediately, especially if it were implemented quickly. Medicare was implemented 11 months after passage, this could be done even sooner.

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December 7, 2009 10:11 PM   

It's strange Conrad acts like this. North Dakota is no ruby-red teabag state; it went for McCain by 8 points, only about 27,000 votes. North Dakota is also one of the most socialist states in the nation, as seen by their very popular public bank, public grain elevator and mill, and scores of Depression-era anti-corportation laws. The attitude toward healthcare would probably be similar to Minnesota or north of the border in Manitoba where the Canadian system is immensely popular.

Conrad must know this, and I don't want to call him a shill for insurance companies or for-profit hospitals, but there's no reasons for his actions

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December 7, 2009 10:12 PM   

I was wondering if it would be possible for states to put Medicaid on the "exchange". Charge premiums and copays comparable to the other insurances and the new members would be self-sustaining without additional revenue burden. I've been thinking that maybe strengthening and improving Medicaid and Medicare is more important than a weak public option.

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December 8, 2009 12:28 AM   

Kent Conrad is an ass! There is absolutely no reason to determine one fee schedule for all services and procedures. If there are other circumstances that apply let there be an additional fee paid each month or each year or for each outcome that covers this so-far unidentified expense. However, let us first identify the expense, the cause, the justification for having the cost borne by the federal government, and the evidence supporting both its existence and its magnitude. Furthermore, let the data be collected and presented each year to justify the continuation of the outlay.

If we do it this way, we have our universal fee schedule AND a mechanism for assessing possible, special circumstances without confusing the issues or letting anyone play games the way Conrad does.

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December 8, 2009 1:59 AM   

They're fighting over a corpse. This is not "Health Care Reform".

http://www.cspan.org/Watch/Media/2009/11/25/HP/A/26584/Single+Payer+Activists+News+Conference.aspx

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December 8, 2009 2:10 AM   

@masanf I come here for the love, unicorns, sunshine, lollipops and rainbows. I like the United States better now. I hope it becomes more and more like this. I think one of the few things the government should do, before it educates anyone, before it builds any highways, before it wages wars in far off lands, is to take care of everyone's health. The life part of life, liberty and the pursuit of happiness. I think Reagan was a twat, too. It's the big picture. Not the details of which bozo senator said what, or manufacturing something to complain about. We are taking over the country you and your friends fucked so hard for so long. You broke it. You can't have it back. But we appreciate your attempts at humor.

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December 8, 2009 7:45 AM   

Here's what I thought would be a good compromise all along originally based on income ut it sounds etter ased on age. Pay Dr's more based on age of medicare patient, some examples..
Age 65 same as ever rates
Patients 60-65 pay Docs Medicare +5%
Patients 55-60 pay Docs +10%
Patients 50-55 pay Docs +15%
Patients under 40 +20%

Everybody in the country without access to insurance can buy in to Medicare. Younger patients, with less risk, premiums whose normally lower rates would rise with the higher payment rates, as they get older their rates would remain more or less stable as risk rises, payment rates fall.

This way Conrad and those worried about Dr./Hospital payment rates can get some back.

Low income folks can get subsidies. or discounts.

What do you think?

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December 8, 2009 7:59 AM    in reply to njlib

CORRECTIONS:
the "b" button on my keyboard sometimes doesn't work, you may have to add them
Meant to say "Patients under 50 + 20%" but now that I think about it, the scale can keep going further to "Patients under 40 +30%" If Medicare payment rates are that low, why not?
I could elaborate on how this could be done in a Medicare for all nationwide plan but this would work for now.

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December 8, 2009 8:04 AM    in reply to njlib

And your Co-pay should be the same as your Dr's pay rate,
ex. if your doc gets Medicare +10%, your Co-pay is $10

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December 8, 2009 8:55 AM   

If Kent Conrad wants to work for North Dakotans only, he should run for governor of North Dakota. If he wants to hold office at the federal level, he should do what is best for the country as a whole. Conrad's obligation is to do the right thing, not to do whatever he thinks a majority of North Dakotans want -- especially when a majority of North Dakotans don't know what the hell they're talking about, which is often.

The fact is that a real universal health care system like that of the U.K., Canada or France would be better for everyone, Republican or not. It is a senator's job to understand that and act on it, not to be willfully ignorant and a coward just because his or her state is full of idiots.

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December 8, 2009 9:02 AM   

@masanf.
There could not be more said than you that you said already. True devloped/rich countries think of it first.
And under-educated (ignorant) country folk will not see what's good for him/her or their family.
They will just believe that Jesus will save them like my mother blindly believed in distant Poland back in 60's under commies. Commies knew very well that brain washed and undereducated + drunk (booze was cheap and available while food was rationed on so called "kartki" and very long lines) population won't be to hard to lead by nose and so it was until Lech Walesa came in and although just a worker in shipyard and with elementary education he knew in his heart that this business of dictatorship is wrong and sick for people of Poland.
I am so sad to see that today I am facing the same regime in different hat turning quickly to exactly what I left.
Poland has the democracy with freedoms that were held down to us in our Constitution by our forefathers. What we really have here and now????. Greedy Congressman and More Greedy Senators like Liberman and the one above. They don't give dandy about you and me, about North Dakota. They think one thing, let me get as much as I can form my wife, children and most of all so it looks legally through "my wealthy sponsors" so at least it looks legal (unlike that stupid senator from NY who got caught)so the stupid folk from rural America will NEVER interfere with the wealth of my CLASS.
Their statements are made public in elated PR way so, the folk will think:"oh that's my congressman or senator, wow they are alive and well and they work for me". The rest for those of us who strive for betterment of our country and EVERY countrymen the truth is written on the wall.
Too bad that too many blinded by hate (in the name of Jesus) prefer to just FIGHT the blue and the red and hell, for the sake of fight-the "WHATEVER"

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