TPMDC

Anthem Rate Hikes Just Tip Of Iceberg - Premiums Going Way Up In Six More States

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Health and Human Services Secretary Kathleen Sebelius today will release a new report showing more dramatic health insurance premium increases are proposed in Connecticut, Maine, Michigan, Oregon, Rhode Island and Washington.

Keying off the Obama administration's recent probe into a planned 39 percent rate hike from Anthem Blue Cross in California, Sebelius will detail large increases in six other states and say that given record insurer profits, health care reform has never been more urgent.

At 11:30 a.m. today, Sebelius will release the report, obtained by TPMDC and titled "Insurance Companies Prosper, Families Suffer: Our Broken Health Insurance System."

It finds that Anthem's rate increase (now delayed until May) is "not unique" and that experts say premiums will keep rising.

The report quotes National Association of Insurance Commissioners officials predicting the nation will "see rate increases of 20, 25, 30 percent."

"These massive increases are disturbing examples of the problems that make reforming our health insurance system more important than ever," the report states.

Among its specific findings:

Anthem of Connecticut requested an increase of 24 percent last year, which was rejected by the state.

Anthem in Maine had an 18.5-percent premium increase rejected by the state last year as being "excessive and unfairly discriminatory" - but is now requesting a 23-percent increase this year.

In 2009, Blue Cross/Blue Shield of Michigan requested approval for premium increases of 56 percent for plans sold on the individual market.

Regency Blue Cross Blue Shield of Oregon requested a 20-percent premium increase.
UnitedHealth, Tufts, and Blue Cross requested 13- to 16-percent rate increases in Rhode Island.

And rates for some individual health plans in Washington increased by up to 40 percent until Washington State imposed stiffer premium regulations.

The report finds that "[w]hile rising health care costs is a known problem with our broken health care system, some of the premium increases requested by insurance companies are 5 to 10 times larger than the growth rate in national health expenditures."

It also seizes on an issue the administration has been pushing in recent weeks, saying that while prices went up, so did profits and CEO pay.

"[P]rofits for the ten largest insurance companies increased 250 percent between 2000 and 2009, ten times faster than inflation," the report finds.

More from the report:

Last year, as working families struggled with rising health care costs and a recession, the five largest health insurance companies - WellPoint, UnitedHealth Group, Cigna, Aetna, and Humana - took in combined profits of $12.2 billion, up 56 percent over 2008.

These health insurance companies' profits grew even as nominal GDP decreased by 1 percent over this same time period.

And recent data show that the CEOs of America's five largest insurers were each compensated up to $24 million in 2008.

The report lays out the case for reform and specifically how the bills passed by the House and Senate would demand transparency from insurers so they would need to account for administrative costs and profits as well as justify premium increases.

The Anthem hikes also have allowed Democrats and the administration to start up again with the drumbeat for a plan that includes competition.

Members of House Democratic leadership used Anthem as an example yesterday of why health care reform legislation must be completed.

"The situation in California is Exhibit A that we can expect more of the same if we do nothing," said Rep. Chris Van Hollen (D-MD). "There is no sign of things getting any better."

Rep. Loretta Sanchez (D-CA) said since the news broke about Anthem's proposed 39 percent increases, her constituents approach her daily in Orange County and they tell her to "get this done."

President Obama and White House Press Secretary Robert Gibbs also have cited the increases when talking about the plans to finalize health care legislation at the health care summit next week.

The Energy and Commerce Committee plans hearings for next week and has asked Anthem parent company WellPoint's CEO Angela Braly to testify.

Meanwhile, health care reform activists in New York are planning a march across the Brooklyn Bridge Saturday that would culminate in a rally outside of Anthem's headquarters at Broadway and Liberty streets.

"Americans across the country are uniting to send a message to Washington: forget the special interests and get the job done," the group wrote in a planning email.

Comments (85) | Join the Conversation!

Recommend Recommend (6)

February 18, 2010 8:10 AM   

What is missing from much of this conversation is the crucial role played by State regulators, and why the "let them sell insurance across State lines" argument is such a scam. If insurance companies call sell across State lines, they will all set up in the State with the friendliest regulators, and you will never again read that rate increases were rejected. It is not a way to reduce costs for consumers. It is a way to reduce oversight by Insurance Commissioners.

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February 18, 2010 8:19 AM    in reply to dhonig

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February 18, 2010 9:47 AM    in reply to Moose49

Ezra Klein doesn't impress me. I don't know who anointed him but it was a mistake.

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February 18, 2010 10:23 AM    in reply to Moose49

He has the basics right, but he missed something. The Republican plan for "reform" included defining places like the Northern Mariana Islands (You may have heard of them during some proceedings about a guy named Abramoff.) as "states" for purposes of the deregulation. Want to guess what kind of insurance regulations they have? And the insurance companies would not even have to move their headquarters, just choose which "state" regulations their policies would have to follow.

IOW, an even better deal for the insurance companies than for the credit card companies. And we know how de-regulating the credit card companies has helped American citizens over the last couple of decades.

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February 18, 2010 11:27 AM    in reply to Lok52

JUST ONE MORE REASON WHY WE NEED A PUBLIC OPTION TO COMPETE WITH INSURANCE COMPANIES AND KEEP COSTS DOWN.
AND THE PUBLIC IS IN SUPPORT OF IT AS WELL:
Quinnipiac poll, 14 Jan 2010.

Nationwide sample, conducted 5-11 January 2010, 1,767 registered voters, MOE +/- 2.3%

Question #28. Do you support or oppose giving people the option of being covered by a government health insurance plan that would compete with private plans?
Results:

Support: 59%. Oppose: 35%. DK/NA: 6%.
Democrats: Support 82%. Oppose 12%
Republicans: Support 34%. Oppose 59%.
Independents: Support 61%. Oppose 34%.

Liberals (self-described): Support 85% Oppose 11%
Moderates (self-described): Support 69% Oppose 26%
Conservatives (self-described): Support 35% Oppose 59%

Support fairly evenly spread across all age groups 18-55+ (spread 53%-68%)
Support even more evenly spread across all income groups $100K (spread 57%-62%)
****
Read those numbers again. 69% of MODERATES support a public option. 61% of INDEPENDENTS support it.

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February 18, 2010 9:29 AM    in reply to dhonig

You forget to mention, those regulator friendly states are republican controlled too. Being from Nevada, I know all too well how thick the grease is between the gears that mesh between regulators and insurers.

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February 18, 2010 9:54 AM    in reply to dhonig

Unfortunately, expect to hear the GOP (as certain trolls here have already said) claim this shows the problem is a lack of cross-state competition. It is an easy sell - simple, bumper sticker friendly and appeals to what low intel voters like to think are "American values". The fact it is utterly duplicitous, counterproductive and will harm anyone dumb enough to support it (at least without robust Federal regulation to replace it) is just a bonus as far as the party of Rove/Newt/Limbaugh/Beck are concerned.

Every time they get a chance, the GOP tries to swap tough state regs for weak Federal pre-emption, despite claiming to be the party of "local solutions" and "small government." They tried it to trump California's emissions regulations, succeeded on most employment benefits with ERISA, and Bush used the EPA to weaken protections states had built up under Clinton. This is just more direct than most, since it says we should all live under Kentucky's vision of healthcare rather than even trying to come up with a nominally national plan.

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February 18, 2010 10:43 AM    in reply to dhonig

It's even stupider than that. The regional offices in places with cheaper health care would use it as an excuse to jack their rates through the roof because of the cost differences in more expensive areas. You'd see 50% increases in places like East Tennessee to offset the higher costs in New York or California.

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February 18, 2010 8:16 AM   

My health insurance premiums -- CareFirst BlueCross BlueShield (Maryland), bought on the open market -- increased by 21 percent this year. I guess I should feel "lucky" in comparison.

In one way, I suppose, I am fortunate -- eight years or so ago, Maryland rejected CareFirst's request to convert to for-profit status and be sold to WellPoint. So it's still a non-profit. Though it doesn't always act the part.

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February 18, 2010 9:38 AM    in reply to Moose49

You actually should feel lucky. Carefirst of MD rates are some of the lowest in the country for individual policies.

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February 18, 2010 10:31 AM    in reply to joeinmaryland

Interesting. I'm sure the fact that it's still a non-profit has a lot to do with that.

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February 18, 2010 10:52 AM    in reply to joeinmaryland

Tennessee Blue Cross rates just had a decrease across the board in a new product line. The legislators are fighting the wrong fight here, in my opinion, they are only addressing about 1/3 of the problem. The problem is the lack of hospital cost controls and abuse in the system where the providers are intentionally padding costs to make more money on their end. Nothing like running a battery of tests on people you know it won't help because you don't have anyone scheduled to use the MRI and CT Scan machines that day, but you know they are either medicare or already hit their annual deductible. Or letting medicaid recipients use the emergency room because their child threw up 1 time. I say this because a family member of mine did this 3 times in the last year. She took her son to the ER because he vomited, or he had a cold, 3 times. She took her daughter to get allergy medication. The ER nurse should tell them to go to a clinic, but as it stands they cannot refuse treatment and they don't want to. The ER doctor told her to come back if she needed more medication or had any more problems. Taxpayers paying thousands of dollars to treat colds and upset stomachs, and we're all sitting around trying to figure out how to give a lot more morons the ability to do the same.

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February 18, 2010 11:30 AM    in reply to BrookJolley

Or letting medicaid recipients use the emergency room because their child threw up 1 time. I say this because a family member of mine did this 3 times in the last year. She took her son to the ER because he vomited, or he had a cold, 3 times. She took her daughter to get allergy medication. The ER nurse should tell them to go to a clinic, but as it stands they cannot refuse treatment and they don't want to. The ER doctor told her to come back if she needed more medication or had any more problems. Taxpayers paying thousands of dollars to treat colds and upset stomachs, and we're all sitting around trying to figure out how to give a lot more morons the ability to do the same.

Anecdotes, void of context, and exaggerated to reach a pre-determined conclusion. Way to use those critical thinking skills.

So, you know someone who took a kid to the emergency room for throwing up. Can you give us a little more info? What were the circumstances? I know it sounds crazy, but some people vomit when they have food poisoning. She took her daughter to the emergency room to get allergy medication? What kind of allergy and what was the allergic reaction?

And from that, you've extrapolated "Taxpayers paying thousands of dollars to treat colds and upset stomachs, and we're all sitting around trying to figure out how to give a lot more morons the ability to do the same."

That's your understanding of where the costs need to be controlled? How about people using the emergency room for far more serious conditions when they can't get health insurance, can't afford it, or have been denied coverage? See any problems with that? How about the amount of staffing, office space, and hours involved in health care providers submitting claims to a variety of insurance companies who all use different codes and criteria for acceptance? Might there be a way to contain those costs?

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February 18, 2010 2:28 PM    in reply to chimpale

I, too will not go into the details concerning the lingering deaths of two of my loved-ones. Nor do I have a medical background. I will make one statement concerning the treatments I observed of those who, ultimately died. The entire medical system acts to maximize cash flow. From the emergency room to the hospitals, emergency transportation and repetitive use of high cost technology (often duplicated) to procedures (such as dialysis) on a dying (dead) patient. I could list example after example of obviously needless treatments on my loved-ones. But, who was I to question the professionals?

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February 18, 2010 10:05 AM    in reply to Moose49

Same thing happened in Kansas when Anthem tried to take Blue Cross private about a decade ago.

The effort was blocked by then-Kansas Insurance Commissioner Kathleen Sebelius, who reviewed the evidence and decided privatization would increase premiums without a corresponding benefit to consumers.

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February 18, 2010 12:19 PM    in reply to Moose49

It's probably a 'not for profit' which is different than an non-profit like a charity. Not for profit corporations can still make a profit, it just has to be plowed back into the company. It doesn't mean your rates are going down. Providence in Oregon is a not for profit and rates are going up in tandem with Regence.

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February 18, 2010 3:25 PM    in reply to Powkat

I understand. Too often they do behave like a for-profit corporation, but the difference is they don't have to answer to Wall Street or the demands of investors, and they are supposed to be required, in exchange for the not-for-profit status, to help meet the needs of the communities they serve.

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February 18, 2010 8:40 AM   

It's not just the individual plans that are going up, the company I work for saw a 12% increase in insurance costs and the not for profit that my wife works for, saw a 22% increase. The cost of the insurance and the underlying costs of the actual health care will bankrupt us.

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February 18, 2010 8:50 AM   

In the meantime, our courageous Senators are boldly standing by to see which the way the wind is blowing, and checking with their corporate sponsors for their voting instructions.

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February 18, 2010 8:55 AM   

On the African savannah natives catch monkeys by hollowing out a coconut, placing grain inside the hole then anchoring the nut to the ground. A monkey comes along, reaches into to coconut and grabs the grain with a clenched fist. When the native returns to the site, there is the monkey, clenched fist stuck in the hole, easily captured. All the monkey has to do to escape is release the grain, slip the hand out and run away, but it refuses to give up the prize and thus looses everything. Perhaps by clutching greedily to the 'prize', insurance companies will lose everything also.

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Ray

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February 18, 2010 8:58 AM   

As in the presidential primaries...New Hampshire wants to be first!!!...my wife just recieved a whopping 68% increase in her monthly premium (from $713 to $1198 per month). This is for a "low end plan", $1500 deductible, purchased through a State Small Business association. I have now calculated a 105% increase in our premium costs from 2008 to 2010.

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February 18, 2010 9:02 AM   

It seems that regulation is a driving force in these hikes. The same kind of regulation Feds are proposing.
http://online.wsj.com/article/SB10001424052748704804204575069833643345608.html?mod=rss_opinion_main

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February 18, 2010 9:30 AM    in reply to shooter242

First, any article that calls HCR from the very beginning, ObamaCare, doesn't hold any creditability.

Second, a company that made $2.7 billion in profit cannot justify raising premiums by 39% just because it lost $57 million on a certain section of its business. It's called the cost of doing business.

Third, it is obvious that you, and anyone else who continues to espouse more deregulation as the solution to the health care debacle is nothing more than a corporate apologist.

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February 18, 2010 10:37 AM    in reply to mophan

Group health coverage for COBRA participants is usually more expensive than health coverage for active employees, since usually the employer pays a part of the premium for active employees while COBRA participants generally pay the entire premium themselves. It is ordinarily less expensive, though, than individual health coverage.

link

COBRA isn't some charity program, the enrollee must pay the whole premium with no assistance from any employer.

The Wall Street Journal editors are a bunch of snivelling a-holes, including Stephen Moore (see his 2004 book-'Bullish on Bush, How George Bush's Ownership Society will Strengthen America'), is one of the dumbest people on the planet, perhaps even dumber than our own Chihuahua, yet no less convinced of his own phenomenal wisdom.

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February 18, 2010 9:39 AM    in reply to shooter242

I read it and thought it to be a tad bit snarky. It's easy to cast blame at Obama and the democrats trying to create a workable HCR, but the article never offers an alternative approach... just casting blame and hinting they should have left it alone.

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February 18, 2010 9:41 AM    in reply to shooter242

Wow! The Wall Street Journal advocating de-regulation. I'm shocked. Next, they'll be arguing for tax cuts for the rich. Because tax cuts and de-regulation solve every problem. Of course, they will send you careening into a depression but not to worry: the government will just use the money it collects from middle-class Americans to bail out the Fat Cats. No controls. All reward, no risk. It's a great business model if you happen to be in the top 1% of wealth. For everybody else . . . not so much.

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February 18, 2010 9:57 AM    in reply to shooter242

God, Shooter you just get more and more pathetic. Sure, let the insurance companies take as much profit as they want and provide as little actual care as they want. The market will fix everything! You moron.

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February 18, 2010 11:12 AM    in reply to shooter242

yes, we need less regulation. i love the old favorites.

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February 18, 2010 9:03 AM   

"The report finds that "[w]hile rising health care costs is a known problem with our broken health care system, some of the premium increases requested by insurance companies are 5 to 10 times larger than the growth rate in national health expenditures."

- Yeah, so we will ignore the rising health care costs and just hammer on the insurance! Heckuva change!

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February 18, 2010 9:38 AM    in reply to Lalo35adm

Ummm...well...duh...If your bleeding from multiple wounds, it's always advisable to stop the one that bleeds the most.
Try using that thing between your ears.

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February 18, 2010 10:42 AM    in reply to Lalo35adm

Lalo - bitter Hillary supporter and now an apologist for profit health insurers!

Congress did have policies in the health plan to try to control costs, like paying more for better outcomes for a given diagnosis, instead of piecemeal for procedures.

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February 18, 2010 11:47 AM    in reply to Lalo35adm

Yeah, so we will ignore the rising health care costs and just hammer on the insurance! Heckuva change!

Oh, so you haven't read the bill, yet?

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February 18, 2010 9:08 AM   

The House needs to pass the Senate bill...yesterday.

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February 18, 2010 9:12 AM   

Unbridled capitalism at work.

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February 18, 2010 9:15 AM   

Dems can't just sit on their hands, they need to go on the offensive and pin this on obstructionist Republicans.

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February 18, 2010 9:28 AM   

What the Democrats Are Not Doing About Health Care Reform

Item 1:
 “A mere eight months ago (that would be around June 2009), The New York Times/CBS poll found that 72% of Americans ‘supported a government-administered insurance plan—something like Medicare for those under 65—that would compete for customers with private insurers.’”

Item 2: As of February 2010, the Democratic 'reforms' have mandated premium payments to private sector insurers; assured tax payer subsidies to private sector insurers; stipulated a legal guarantee for insurers to spend only 80 cents of every 100 cents on actual health care while spending 20 cents of every 100 cents on lobbying, 'sympathetic' candidates, CEO bonuses, 'administration' and fighting your claim for treatment; dismissed single payer health care reform; and rejected a 'government option',

Item 3: Other than PhARMA and the insurance industry - those who created the sop for themselves - no one (say 72%) supports this Democratic charade.

Question: Why are voters turning against the Democrats?

Answer: The 'change you can believe in' became the bailout of the failed status quo.

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ibc

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February 18, 2010 9:30 AM   

Too bad the incompetent fucknuts running HCR strategy for the Democrats couldn't manage to make this argument, say, a *year* ago. The ongoing explosion in health care *premiums* for the middle class voter, along with the unsustainable costs borne by their employers has *always* been the way to win this argument.

The vast majority of Americans just "want to keep my insurance the way it is." You know what? Tough shit, that isn't happen. So get on board, or get uninsured.

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February 18, 2010 9:47 AM    in reply to ibc

The one thing really funny about these rate increases are those who got all fired up that they liked their health care and didn't want the government to interfere, which set HCR to the back burner and stalled it's forward progress, are going to feel that swift and hard kick in the ass as they find their beloved health care they cherished so much is going to cost them more than they could ever imagine and afford.

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February 18, 2010 9:59 AM    in reply to ibc

Maybe if the Dems framed this money grab by the Insurance Industry as a "tax hike on middle America" and then compared the private "for profit taxes" they have to pay (premiums) to what they would be paying if we had a Gov. run nonprofit...maybe just maybe more people would get on board. Who wouldn't want to pay less "taxes"? I mean money is money. Call it a virtual tax increase buy the Ins. Co's thoug,h and even the tea baggers could get on board for Gov. non profit insurance.

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February 18, 2010 9:37 AM   

WASHINGTON (AP) -- The number of newly laid-off workers filing applications for unemployment benefits unexpectedly surged last week after having fallen sharply in the previous week. The gain dampened hopes about how quickly the labor market may improve this year.

The Labor Department said Thursday that first-time claims for unemployment benefits rose by 31,000 to a seasonally adjusted 473,000.

The increase followed a drop of 41,000 in the previous week which had raised hopes that the labor market could be improving.
------------------------------------------------------------

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February 18, 2010 12:28 PM    in reply to Silence

Well Archie, why don't you lead us in round of three cheers? Do you realize how transparent you are?

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February 18, 2010 9:37 AM   

Even if they do pass the bill and everyone gets insurance, what's going to force the for-profit companies to actually provide adequate medical care? I agree they need to pass reform, but it's a first step. The insurance companies do nothing but skim money off that would otherwise go to actual health care (i.e. under a single payer system) and take it as profit and compensation. They add no value to the nation at all, they are pure parasite. As long as their profits are protected, America cannot really compete with countries that actually care for their population's (read workforce's) health.

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February 18, 2010 10:20 AM    in reply to Bullsmith

Insurance isn't the answer to HCR reform regardless what the republicans say. Universal HCR is the only solution, but all the democrats are too afraid to take a stand.

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February 18, 2010 9:40 AM   

We ain't seen nothin' yet.

WASHINGTON (AP) -- Wholesale prices shot up at double the expected pace in January, propelled higher by big increases in energy costs. The surprisingly large jump was viewed as a temporary blip and not the start of inflation problems, however.

The Labor Department said Thursday that wholesale prices rose 1.4 percent last month, reflecting higher costs for gasoline and other energy products. Private economists had expected a 0.7 percent increase.

Core inflation at the wholesale level, which excludes energy and food, rose 0.3 percent in January, faster than the 0.1 percent increase economists had predicted.

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February 18, 2010 9:45 AM    in reply to Silence

If unemployment goes back over 10% you can pop the champagne. Rooting for economic misery, that's what the GOP has been reduced to. What a disgrace.

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February 18, 2010 9:53 AM    in reply to wbgonne

Just the messenger.

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February 18, 2010 9:59 AM    in reply to Silence

You are a cheerleader for American suffering and failure. But you're a great American because you're a Republican. Got it.

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February 18, 2010 10:03 AM    in reply to wbgonne

'Hope' doesn't solve any problems.

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February 18, 2010 10:10 AM    in reply to Silence

Trying to solve problems is a start and at least we are trying. What's your side doing? They are too busy trying to destroy the President so he won't succeed rather than helping solve the problem. How do you justify that? It is more important to your party to have Obama fail than to solve problems.

Real nice folks aren't you?

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February 18, 2010 10:22 AM    in reply to lousgirl84

My side? I'm a taxpayer.

The taxpayers did not create these problems. They are the victims. Remove your political blinders and see the truth.


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February 18, 2010 10:35 AM    in reply to Silence

I agree that the taxpayers are the victims. Middle-class taxpayers. Big Business and the UltraRich have done just fine because they've taken over the federal government. Why don't you protest that?

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February 18, 2010 10:53 AM    in reply to Silence

Yes, agree "Tax payers did not create these problems" ...Lack of regulation did!

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February 18, 2010 10:10 AM    in reply to Silence

I call it traitorous. Todays Conservative. Party before country. 24/7...traitor, if you don't love America then leave it.

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February 18, 2010 9:42 AM   

Washington truly deserves to be cleaned out if lawmakers do not see this tragedy and act upon it. Americans will literally die without insurance unless Obama and his friends do something soon.

http://www.sunstateactivist.org/ssablog

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February 18, 2010 9:47 AM   

If a report is released and largely ignored does it even matter?

This report should be a push for a strong public option if not single payer not the watered down bills that the House and Senate eventually passed just to get something done.

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February 18, 2010 10:24 AM    in reply to Walter Mitty

Yes! This is the smoking gun the democrats have needed to push single payer! Now if any of them are awake and listening .....

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February 18, 2010 9:49 AM   

And all the Fox folks could say was how unfortunate that was that the Anthem increases were handing the pro-HCR movement valuable ammunition.

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February 18, 2010 10:27 AM    in reply to jeffgee

Isn't Fox's motto ... if you ignore the obvious we'll act as if it never happened.

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February 18, 2010 9:53 AM   

How stupid can insurance companies be? Just when health care seems to be dead, they revive it.

http://randomthoughtstd.blogspot.com/

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February 18, 2010 10:20 AM    in reply to tduff

How about not stupid at all? They are perhaps doing their best to revive health care reform that mandated that every single one of us had to buy their crappy insurance with no meaningful government competition.

Why is nobody mentioning this? Yes, we are all clinging to the chance for health care reform, even totally awful health care reform that will perhaps be just as bad if not worse than what we have now, because maybe someday down the road we can reform the reform ... but somehow we have all lost the meme that this bill would be a really good thing for the insurance industry.

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February 18, 2010 10:35 AM    in reply to Posture

We all know it is good for the industry and bad for the public...hell, it was made by Congress! But I suspect those congress critters didn't think the industry would be so bold and make such high rates hikes as the HCR bill was being debated. Of course the public knew they would because we're always on the receiving end of their goodwill, which is different that the goodwill congress critters receive. Now those congress critters need to square off with the public and explain why the industry decided to shove hefty rate increases up everybody's rears without the aid of vaseline.

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February 18, 2010 9:56 AM   

The BCBS of Illinois rates for my employer went up 12% at the start of the year. Because my employer can no longer handle these increases, the whole increase was put on the employees. Net increases for us are 40 - 55% in out of pocket premiums. And that was switching to a $2500 per person deductible plan.

In my career working for small businesses I have been involved with many decisions involving health insurance for our employees. In all those years I have never seen the yearly increase in premiums be less than 10%.

Nice racket, if you can get the government to back your piracy.

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February 18, 2010 10:08 AM   

Please, Democrats, put this in real terms. The abstraction of percentages just doesn't hit home with the average consumer. But saying: you will pay $112 more per month on insurance does.

Part of the reason the health care debate has gone squirrelly is that the Democrats speak in confusing policy jargon, whereas the Republicans talk like plain folks (even if they're spewing half-truths.)

Democrats need to learn, as Josh Marshall has often said, that people outside the Beltway don't care about statistics, percentages, and policy nuance. What they care about is bottom lines.

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February 18, 2010 10:17 AM   

The legislation pending in Congress does little to control costs. Even if both insurance is mandatory and their is "tort reform" (a dubious costs saver at best) the costs of drugs and the paperwork and manpower needed to process claims will keep rising. I do not believe there is a single politician with the right measures of intelligence, eloquence, and guts that can make the case for real cost cutting.

Oh, and people have to take responsibility for their own health. While some people may be overweight due to reactions from their drugs, and others too poor to but healthy foods (they are expensive!) many more are not. I am acquainted far too well with an 80 year old man who despite 30 years of warnings from his doctors has overeaten and underexercised himself into diabetes, heart disease, kidney failure and lost his hip. Theses self-inflicted problems have cost Medicare, which we pay for with our tax dollars, over $500,000,00 this past year in heart valve and hip replacements, a pacemaker and a defibrilater, a scooter, oxygen tanks and associated hardware. Put aside the snark folks— what do you do about cases like these?

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February 18, 2010 10:36 AM    in reply to Harry Truman

Totally. I know this family of construction workers who have lost three digits between them, and made countless E.R. visits from on-the-jobsite injuries, to which I say, "Get a new profession! Your choice of dangerous health-care sucking job shows your lack of personal responsibility!" What do we do about cases like these?

Snark intended. While it would be nice to instill a sense of personal responsibility into the American persona, that is a separate debate, and I always get a little worried when people decide to tie someone's lifestyle choices into a debate about what basic rights to health care we all deserve regardless of how fat, old and black-lunged we are.

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February 18, 2010 10:22 AM   

And note that a lot of the healthcare insurers are cutting jobs as their enrollment numbers go down. They are getting record profits just through these premium increases, which they can put thru because there is no real competition.

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February 18, 2010 10:23 AM   

I work for a small technology company in NJ. Due to our small size we're very aware of the effects of health care costs to our employer and (of course) to ourselves. Last week we were notified that Horizon Blue Cross Blue Shield of New Jersey will be increasing our premiums by 31%. This is thievery, pure and simple and I suspect it's far more widespread than we know. This will eventually take down the economy and the middle class with it.

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February 18, 2010 10:38 AM    in reply to njlib

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February 18, 2010 10:28 AM   

Our health care system is not fixable nor tweakable. The rest of our national peers provide universal care for 8% to 11% of GDP. We are at 16% going on 24% (and even higher. Plus as a wonderful bonus, we allow people to go bankrupt, stay trapped in jobs, be locked out of insurance, and even die for lack of health care.) I am a lifelong small businessman, so I have no problem with the profit motive, competition, and a free marketplace. But I ask you, where is the competition going to come from that is will bring our costs in line with the rest of industrialized world and also provide universal coverage. Seriously, answer the question…what’s going to come along and knock us back to something reasonable, like say, 10% of GDP. Can you think of anything? Didn’t think so. Well, here’s my answer… Lucky for us, that wheel has already been invented. Argue with 8% - Great Britain has the lowest health costs with their Nation Health Service. Give me a choice, I’ll go with that 8%. Duh. So give me that choice!!! If you want to pay 16%, go right ahead, but don’t force me to pay 16% because of your unwavering faith in the “marketplace”. Those of you trying to prop-up 16% are thieves – you are stealing money out of my pocket to support your ideology. It comes down to this - the profit motive is inappropriate as the primary motivator in health care, especially in a business environment where nothing less than mega-profits will do. In the real world, businesses avoid competing on price, and work very hard to never let buyers compare apples to apples - and there is no better marketplace for this than the complex world of health care, insurance and hospitalization. Have you tried shopping for a health services lately? I have, and let me tell you, it is not a normal marketplace in any form or fashion. There is seldom an opportunity to ever even choose based on price or quality of goods/services, etc. Throw into this mix the insurance industry, who’s basic modus operandi is slight-of-hand and skim & skam, and you have this wonderful situation we are in right now.

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February 18, 2010 1:00 PM    in reply to twanger

Thanks Twanger. You're spot on! It infuriates me to no end when I hear pols and ideologues use small business owners as props, completely ignoring their pragmatism.

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February 18, 2010 10:30 AM   

Democrats should be screaming this message incessantly and at the top of their lungs. The "tax increases" that opponents to health care reform claimed would come from enacting reform have come to pass in the guise of increased insured premiums. Except without reform, costs will never come under control and the federal deficit will grow exponentially. And corporate earnings will surge with decreased risk to thse companies with decreasing numbers of insured.

Insurance companies are too greedy to even wait until the 2010 mid-term elections have passed to implement these premium increases. The passivity of Congressional leaders is stunning. These increases should be put forth as evidence of the deceit in HCR opponents' arguments.

I am incredibly tired of the inability of Congressional Democrats to frame the debate so that the public demands reform. If these increases do not inspire these representatives to frame opponents to HCR as insurance company props, then these Democrats are unworthy of reelection. What more would it take to inspire passionate pushback against obscene corporate profits at the expense of the health and welfare of our citizenry?

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February 18, 2010 10:39 AM    in reply to toughguy

The insurance companies have a great deal to gain by Harry's HCR bill. Very lucrative deals have been negotiated.

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February 18, 2010 10:45 AM    in reply to Silence

They gain much more if nothing is done. That said, the Senate bill must be improved by adding a public option. Sixteen Dem Senators and counting.

http://whipcongress.com/?source=bp

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February 18, 2010 11:29 AM    in reply to wbgonne

The crooks in DC are going to force 300 million people to buy an overpriced, substandard insurance product.

Why wouldn't the insurance companies aid in herding the sheep to the slaughterhouse?

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February 18, 2010 10:46 AM   

The only way republicans are going to stop fighting HCR will be if their constituents back home get these rate hikes and realize they're going to loose a lot of their disposable income. That means less money for gas, home heating and electricity, entertainment, vacations and so forth. Seems the only way to get them to come to our side is for them to personally experience the problem first hand.

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February 18, 2010 11:16 AM   

All of the states mentioned in this article, except California and Washington state, have Insurance Commissioners that are political appointments, not elected officials. Georgia's current GOP Governor Perdue has launched a campaign to amend the state Constitution to make the Insurance Commissioner a political appointment. Performance wise, I wonder if the political appointees differ in their approach to dealing with these outrageous hikes by insurance companies when compared to their elected counterparts? You can find out if your state has an appointed or elected Insurance Commissioner here.

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February 18, 2010 11:18 AM   

Somebody needs to explain to Axelrod that he, and the Hoax, are fighting with the American people and not the Republicans.

Why do they keep arguing and fighting with the American people? Fighting, disrespecting and spinning the voters is just making people madder. I think its clear what the response is.

Its time to move on, Ax. Its over. Tell the health insurance companies they over played their hand and that you and the Hoax and the Deadfish blew it for them. No one cares how much they raise their rates at this time because they fear you, Deadfish, Timmy Tax Cheat and the Hoax more... (a terrible position to be in. Terrible.)

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February 18, 2010 11:52 AM   

If HCR had passed and been signed into law by Obama, the Republicans would be screaming that made premiums go up 40%

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February 18, 2010 12:07 PM   

I live in Washington State and my Regence premium went up 37%. If stiffer regulations meant that my premium only went up 37% instead of 40%, then my state needs a new definition for "stiffer regulation." Rep. Grayson is correct when he refers to "dying quickly" as being the new goal for the status quo of health care. I recently spent less than 24 hours in the hospital for OBSERVATION ONLY with nothing more than one ultra sound and blood panels and the bill was slightly less than $10,000. If the trend continues, people across this country will willingly choose dying at home instead of bankrupting their families. Those that still claim America is the greatest country on earth haven't been outside of America.

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February 18, 2010 1:08 PM   

It seems that regulation is a driving force in these hikes. The same kind of regulation Feds are proposing.
http://online.wsj.com/article/SB10001424052748704804204575069833643345608.html?mod=rss_opinion_main

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February 18, 2010 5:56 PM   

So there really are 'Death Panels.' It's just that they meet in corporate board rooms. Where is all the phony right-wing outrage now? Thousands will lose their health insurance and die.

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des

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February 18, 2010 6:40 PM   

Far be it from me to beam rays of sunshine on anyone's parade, but to me these rate hikes look more as if they were being done as insurance should the "Health Care Reform Summit" next Thursday actually, you know, provide some reforms.
From what I have seen, and especially NOT seen, in the news recently, I wonder if Mr. Emmanuel hasn't received new marching orders: Secure the base! If the Democratic base; which includes, but is not limited to progressives, doesn't start seeing something worthwhile coming out of DC, there will H*ll to pay in November and that has finally started to sink in.
I, personally, would not be surprised to find that the WH plan (as yet to be unveiled) won't be more liberal than the Senate bill since ANY legislation dealing with any part of HC is going to have be done through reconciliation. The use of reconciliation alone will enable a much more liberal bill, which already has enough support in the House, to pass the Senate. And a more liberal bill will certainly help demoralized Democratic supporters.

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February 18, 2010 7:44 PM   

Not sure why Colorado did not make to the list. My premiums from Anthem Blue Cross went up 35% for 2010. Questioning the poor souls who man the phones seemed futile. And since there is no real alternative to Anthem, I did something marginally less futile and called my Senators and Representive, if only to get our state on the list.

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February 18, 2010 10:07 PM   

Through my company, my children and I were enrolled with BCBS of IA for 5 years. We were informed in Dec. that rates would increase by 31% in 2010 and to offset premium increases we would be placed on a high-deductible plan ($5,000 employee responsibility). I had suspected that insurance companies were raising rates in an attempt to offset the impact of the Public Option, which was pending at the time.

Mind you, all of this was just after I received a $350.00 (deductible) bill stemming from a trip by my son to the ER. None of us had ever been to the ER (or hospitalized or had major surgery) in 5 years. I was already sacrificing in many areas to be able to afford the premiums and the prospect of paying monthly premiums + $5,000 out of pocket before actually benefitting from insurance or being insured, yet afraid to seek medical treatment and incur such out of pocket expenses, was not feasible. I dropped the insurance, enrolled my kids in Medicaid and I'm wingin' it this year.

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June 12, 2010 2:14 PM   

"The report finds that "[w]hile rising health care costs is a known problem with our broken health care system, some of the premium increases requested by insurance companies are 5 to 10 times larger than the growth rate in national health expenditures."

- Yeah, so we will ignore the rising health care costs and just hammer on the insurance! Heckuva change!

m65 kamagra

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