Showing posts with label national health care. Show all posts
Showing posts with label national health care. Show all posts

Tuesday, August 4, 2009

Town Hall mobs suggest "It can happen here" / Leaked memo discloses aggressive anti-intellectual strategy for disruption

Mobs have converged on Congressmen in different states this summer. Of course these mobs are not members of a fascist party bent on engaging in pogroms. Yet, they have eerie parallels to fascist mobs. They are aggressive, they oppose intellectual debate, they follow a strategy that seeks to squash civic discussion and dialogue on public health reform, specifically, the Democrats' "public option" plan. They make demogogic arguments based on lies, distortions, and not even half-truths.

The buzz word that brings up these mobs in web searches and on the radio is "Town Hall".
This is not a spontaneous popular group. As Rachel Maddow indicates in the video at the right of this page, corporate lobbyists are behind these disruption campaigns.

And in leaked memos indicate, right-wing agitation groups set out a deliberate anti-dmocratic strategy, aimed at squashing honest discussion. I quote at length from the origin site at mydd.com
The story in the Austin American-Statesman:

Back in Central Texas while Congress is on a month-long recess, Congressman Lloyd Doggett faced an angry reception at a town hall meeting at an Austin Randalls store yesterday.

Doggett, D-Austin, spoke at the Randalls at Brodie and Slaughter lanes on Saturday. A video of the event on YouTube shows many in the crowd showed up with signs denouncing President Obama's proposed health care plan.

Witnesses say that when Doggett was asked if he would support the plan even if he found his constituents opposed it, Doggett said he would still support the plan. From there, the crowd began chanting "Just Say No," and overwhelmed the congressman as he moved through the crowd and into the parking lot.

"The folks there thought their voices weren't being heard," said Kathy Acosta, a Bastrop resident who attended the meeting at Randalls and another one later that day in her hometown. "They were angry, but they were respectful. There wasn't any violence."


Doggett, D-Austin, spoke at the Randalls at Brodie and Slaughter lanes on Saturday. A video of the event on YouTube shows many in the crowd showed up with signs denouncing President Obama's proposed health care plan.

Witnesses say that when Doggett was asked if he would support the plan even if he found his constituents opposed it, Doggett said he would still support the plan. From there, the crowd began chanting "Just Say No," and overwhelmed the congressman as he moved through the crowd and into the parking lot.

"The folks there thought their voices weren't being heard," said Kathy Acosta, a Bastrop resident who attended the meeting at Randalls and another one later that day in her hometown. "They were angry, but they were respectful. There wasn't any violence."


No violence? Well, isn't that a relief? Conservatives sure do have an odd definition of what constitutes respectful behaviour. Nor is the above an isolated incident. In a town hall held back in June in his Long Island district, Politico reported that right-wing protesters surrounded Congressman Tim Bishop, Democrat of New York exhibiting such foul-mouth, abusive and threatening behaviour that police officers had to escort the beleaguered Congressman to his car for safety.



After that June 22 event held in Setauket, New York, in which protesters dominated the meeting by shouting criticisms at the Democratic Congressman for his positions on energy policy, health care and the bailout of the auto industry, Congressman has chosen to temporarily suspend holding town hall meetings even though he has held over a hundred since first being elected to Congress in 2002.

"I had felt they would be pointless," said Congressman Bishop adding that "there is no point in meeting with my constituents and [to] listen to them and have them listen to you if what is basically an unruly mob prevents you from having an intelligent conversation."

More from the Politico story:

At a health care town hall event in Syracuse, N.Y., earlier this month, police were called in to restore order, and at least one heckler was taken away by local police. Close to 100 sign-carrying protesters greeted Rep. Allen Boyd (D-Fla.) at a late June community college small-business development forum in Panama City, Fla. Last week, Danville, Va., anti-tax tea party activists claimed they were "refused an opportunity" to ask Rep. Thomas Perriello (D-Va.) a question at a town hall event and instructed by a plainclothes police officer to leave the property after they attempted to hold up protest signs.

The targets in most cases are House Democrats, who over the past few months have tackled controversial legislation including a $787 billion economic stimulus package, a landmark energy proposal and an overhaul of the nation's health care system.

Democrats, acknowledging the increasing unruliness of the town-hall-style events, say the hot-button issues they are taking on have a lot to do with it.

"I think it's just the fact that we are dealing with some of the most important public policy issues in a generation," said Rep. Bruce Braley (D-Iowa), who was confronted by a protester angry about his position on health care reform at a town hall event several weeks ago.

"I think in general what is going on is we are tackling issues that have been ignored for a long time, and I think that is disruptive to a lot of people," said Bishop, a four-term congressman. "We are trying, one by one, to deal with a set of issues that can't be ignored, and I think that's unsettling to a lot of people."

Freshman Rep. Dan Maffei (D-N.Y.), whose event at a Syracuse middle school was disrupted, said that he still planned to hold additional town halls but that he was also thinking about other options.

"I think you've got to communicate through a variety of different ways. You should do the telephone town hall meetings. You should do the town hall meetings. You should do the smaller group meetings," said Maffei. "It's important to do things in a variety of ways, so you don't have one mode of communication."

"You're going to have people of varying views, and in this case, you've got the two extremes who were the most vocal," Maffei said of the flare-up at his July 12 event.


The targets in most cases are House Democrats, who over the past few months have tackled controversial legislation including a $787 billion economic stimulus package, a landmark energy proposal and an overhaul of the nation's health care system.

Democrats, acknowledging the increasing unruliness of the town-hall-style events, say the hot-button issues they are taking on have a lot to do with it.

"I think it's just the fact that we are dealing with some of the most important public policy issues in a generation," said Rep. Bruce Braley (D-Iowa), who was confronted by a protester angry about his position on health care reform at a town hall event several weeks ago.

"I think in general what is going on is we are tackling issues that have been ignored for a long time, and I think that is disruptive to a lot of people," said Bishop, a four-term congressman. "We are trying, one by one, to deal with a set of issues that can't be ignored, and I think that's unsettling to a lot of people."

Freshman Rep. Dan Maffei (D-N.Y.), whose event at a Syracuse middle school was disrupted, said that he still planned to hold additional town halls but that he was also thinking about other options.

"I think you've got to communicate through a variety of different ways. You should do the telephone town hall meetings. You should do the town hall meetings. You should do the smaller group meetings," said Maffei. "It's important to do things in a variety of ways, so you don't have one mode of communication."

"You're going to have people of varying views, and in this case, you've got the two extremes who were the most vocal," Maffei said of the flare-up at his July 12 event.

These disruptions, these unholy poisoning of our national conservative, are the latest tactics of the conservative tea party that aims to impose a tyranny of the minority. From Think Progress:
This growing phenomenon is often marked by violence and absurdity. Recently, right-wing demonstrators hung Rep. Frank Kratovil (D-MD) in effigy outside of his office. Missing from the reporting of these stories is the fact that much of these protests are coordinated by public relations firms and lobbyists who have a stake in opposing President Obama’s reforms. The lobbyist-run groups Americans for Prosperity and FreedomWorks, which orchestrated the anti-Obama tea parties earlier this year, are now pursuing an aggressive strategy to create an image of mass public opposition to health care and clean energy reform. A leaked memo from Bob MacGuffie, a volunteer with the FreedomWorks website Tea Party Patriots, details how members should be infiltrating town halls and harassing Democratic members of Congress:
– Artificially Inflate Your Numbers: “Spread out in the hall and try to be in the front half. The objective is to put the Rep on the defensive with your questions and follow-up. The Rep should be made to feel that a majority, and if not, a significant portion of at least the audience, opposes the socialist agenda of Washington.”

– Be Disruptive Early And Often: “You need to rock-the-boat early in the Rep’s presentation, Watch for an opportunity to yell out and challenge the Rep’s statements early.”

– Try To “Rattle Him,” Not Have An Intelligent Debate: “The goal is to rattle him, get him off his prepared script and agenda. If he says something outrageous, stand up and shout out and sit right back down. Look for these opportunities before he even takes questions.”
The memo above also resembles the talking points being distributed by FreedomWorks for pushing an anti-health reform assault all summer. Patients United, a front group maintained by Americans for Prosperity, is currently busing people all over the country for more protests against Democratic members. Rep. Pete Sessions (R-TX), chairman of the NRCC, has endorsed the strategy, telling the Politico the days of civil town halls are now “over.” Meanwhile, AHIP, the trade group and lobbying juggernaut representing the health insurance industry is sending staffers to monitor town halls and other right-wing front groups are stepping up their ad campaign to smear reform efforts. The strategy for defeating reform — recently outlined by an influential lobbyist to the Hill newspaper as “delay” then “kill” — is becoming apparent. By delaying a vote until after the August recess, lobbyists are now seizing upon recess town halls as opportunities to ambush lawmakers and fool them into believing there is wide opposition to reform.
It should come as no surprise that FreedomWorks is chaired by former House Majority Leader Dick Armey. That FreedomWorks is involved with Tea Party Patriots dispels any notion that these are some sort of citizen activist grassroots organizations. These groups and these disruptions are orchestrated by the leadership of the Republican Party and it is time to expose them and their tactics of mob rule.

Monday, July 13, 2009

NY Times poll: Americans DO WANT government-run health care program; overview of national health care programs

A front page June 21, 2009 "New York Times" story by Kevin Sack and Marjorie Connelly, "Poll Finds Wide Support for Idea Of Government-Run Health Plan" reports that "The poll found that most Americans would be willing to pay higher taxes so everyone could have health insurance and that they said the government could do a better job of holding down health-care costs than the private sector."
"85 percent of respondents said the health care system needed to be fundamentally changed or completely rebuilt."
Inside this "Times" issue, on page 20, appears a chart with more results from the survey. 72 percent of respondents, said "favor" to this question: "Would you favor or oppose the government's offering everyone a government administered health insurance plan like Medicare that would compete with private health insurance plans?"

65 percent of respondents answered, "Providing for the uninsured," to the question, "Which is a more serious problem right now: keeping health care costs down or providing health insurance for Americans who do not have any?" 26 percent answered, "Keeping costs down."

The leading source of family bankruptcy in the United States is out-of-pocket costs for health emergencies. Every 30 seconds in the United States someone files for bankruptcy in the aftermath of a serious health problem. Increasing percentages of Americans are uninsured --despite being employed. Employers often devise schemes, such as hiring people only part-time, so as to prevent employees from qualifying for health care. The United States spends six times more per capita on the administration of the health care system than its peer Western European nations.

Some thing is wrong with this system.

* * *

The media and far too many politicians invoke the same argument against health care, often citing only the British health care program. Yet, they ignore the fact that every other industrialized country (European or comparable Asian country, e.g., Japan or South Korea) has a national health care plan.
Indeed, some developing countries have national health care systems, see this wikipedia article citing the systems in Colombia and Ghana.
The British system is unique in that the doctors are employees of the national government. This is not the only possible path to a national health care system.

See the wikipedia article, "Health care system," at the section on "health care by country." In particular, see the section on France. France has a mix of public and private health care. Most doctors are in private practices; there are public and private hospitals. The nation's social security system has organizations that fund public and private health care providers. As the article states, "It generally refunds patients 70% of most health care costs, and 100% in case of costly or long-term ailments." The World Health Organization in a 2000 study of health care internationally, rated France's national health system as being the best system. (See this WHO report, "World Health Organization Assesses the World's Health Systems.")
"The World Health Organization has carried out the first ever analysis of the world's health systems. Using five performance indicators to measure health systems in 191 member states, it finds that France provides the best overall health care followed among major countries by Italy, Spain, Oman, Austria and Japan. . . . . In Europe, health systems in Mediterranean countries such as France, Italy and Spain are rated higher than others in the continent."

The American system is a failure by the financial fairness measure. The WHO report described the issue thusly,
Fairness of financial contribution: When WHO measured the fairness of financial contribution to health systems, countries lined up differently. The measurement is based on the fraction of a household's capacity to spend (income minus food expenditure) that goes on health care (including tax payments, social insurance, private insurance and out of pocket payments). Colombia was the top-rated country in this category, followed by Luxembourg, Belgium, Djibouti, Denmark, Ireland, Germany, Norway, Japan and Finland.

And note the following WHO comparison of a few North American systems, and the United States' place in this comparison:
In North America, Canada rates as the country with the fairest mechanism for health system finance – ranked at 17-19, while the United States is at 54-55. Cuba is the highest among Latin American and Caribbean nations at 23-25


Interested in greater detail from the WHO health care system study?:
"Copies of the Report can be ordered from bookorders@who.ch."

We cannot afford national health care? Looks like we already cannot afford the system we currently have. Compare the health care costs; and note the costs for the United States.
"In 2005, France spent 11.2% of GDP on health care, or US$3,926 per capita. Of that, approximately 80% was government expenditure."
"In 2005, Italy spent 8.9% of GDP on health care, or US$2,714 per capita. Of that, approximately 76% was government expenditure."
"In 2005, the Netherlands spent 9.2% of GDP on health care, or US$3,560 per capita. Of that, approximately 65% was government expenditure."
"In 2005, Sweden spent 9.2% of GDP on health care, or US$3,727 per capita. Of that, approximately 82% was government expenditure."
"In 2005, the United States spent 15.2% of GDP on health care, or US$6,347 per capita. Of that, approximately 45% was government expenditure."
(These data are from the wikipedia article, "Health care system," retrieved July 13, 2009.)