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Thursday, August 20, 2009

33

The Last of the Hot Summer Town Halls: How We've All Been Fooled By The Health Care Debate

Patients First

A few days earlier, the "Patients First" "Hands Off My Health Care" bus was here. Its visits demonstrated one part of our nation's problems: despite a turnout of maybe 15, the "Patients First" state spokesperson, Tom Brusegaard, was given 60 seconds of TV time on the nightly news and 500 (legitimized) words in the Grand Forks Herald. Neither report mentioned the Alabama-plated bus was funded by corporate lobby group Americans for Prosperity.

Despite what should be an easy drive for reform, things are grim. The administration did itself no favors naming it the "public option." Name it "The American Option"-that would force opponents to write "We're against the American Option." Further showing he doesn't (or doesn't want to) understand part of the core problem, Obama's "reality check" website features Melody Barnes, the President's director of the Domestic Policy Council. Melody knows the facts on the "death panel" myth. And the fact is that like Obama she is black. And then there's Pelosi.

I arrived at the Mayville event later than planned. Thanks to Obama, I was "stimulus-ed" into one slow lane on Highway 29. It was like 150 degrees outside. A field was literally on fire.

HOT

I tried to arrive early. Nan Swift told me this was the best way to get a seat. Nan works for FreedomWorks, an organization not behind the disruptive "grass roots" protests. Nan also sent an August Action Kit for protesters. The kit doesn't miss an opportunity to indoctrinate: "Cap and Trade" legislation is "Cap and Tax;" "Healthcare reform" is "Government Take-Over of Health Care." No chance to use "socialized" is overlooked. The group even has a useful "Obamacare translator."

I heard these exact terms repeated during Dorgan's town halls. So while it's untrue that corporate, lobby-driven organizations like FreedomWorks (and Operation Embarrass Your Congressman) are astroturfing the events, they are astroturfing the brains of those attending the events. Ironically, as anyone who has ever lived in a true heavily-socialized nation like Soviet Russia, China or Cuba will attest, "FreedomWorks" is the most Communist sounding name imaginable.

North Dakota trivia break: Before he became a Texas congressman and the senior policy adviser for law firm DLA Piper (which just coincidentally took $1.3 million in pharma money at the same time his FreedomWorks organization started "grass rooting" tea parties), human colostomy bag Dick Armey grew up right here in rural Cando, ND!

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33 Comments / Post A Comment

HiredGoons
HiredGoons (#603)

Pleats are morally suspect, yes.

DorothyMantooth

This was really, really good, Abe.

KenWheaton
KenWheaton (#401)

Another good piece. Liked it so much I even Tweeted it. Though as it's missing the usual shouting points, I don't know that the shouting shouters to my right or left will get past page one.

Now, would you please buy my new line of t-shirts. On the front, they read "Ken Wheaton: One-Man Death Panel" On the back, they read, "I'm the Decider."

For a small fee, the shirt can be customized with your name.

Abe Sauer
Abe Sauer (#148)

I already have a marine corps "kill em all - let god sort em out" one so... I'm at my quota for death message wearables. sorry.

KenWheaton
KenWheaton (#401)

Pfft. The Marines. Like they know from death.

superannuated_grad_student

Offtopic trivia, but that original quote wasn't from a Marine; it was a 13th century Papal emissary explaining why all 20,000 of the Christian men, women, and children of the town of Beziers needed to be butchered (because a few of them were the wrong kind of Christian).

Later promoted to Archbishop!

http://en.wikipedia.org/wiki/Arnold_Amalricus

Abe Sauer
Abe Sauer (#148)

That is very cool to know. It is just one variation on a theme of shirts. There is a AF base here and the "Peace through superior firepower" one is popular. "when it absolutely, positively, has to be destroyed overnight" is another. "gun don;t kill people. Marines do." also popular.

SarahHeartburn

Shoot me, please. I've said this time and again on Gawker, Jez, Wordsmoker, Buttercup, The NY Times, Salon,Slate, your grandmother's sideboard....oh hell.

If America's reputation wasn't already eroded/rotted/clotted with slime mold/cracked by stress fracture....etc...etc...after 8 years of Bush...what do you think the world thinks of you now? People too stupid to take take of themselves. People literally too stupid to understand that maybe wiping their asses and washing their hands after they shit might be a good idea. People who will be keeling over coughing blood in subway-crowded ER's as the flu gets them in a way in shouldn't have, had the right precaution been taken.

I had something funny to say. But I can't now. 'Night.

Rod T
Rod T (#33)

Maybe the left spends too much time online and not enough time "doing things"?

ecgroom
ecgroom (#570)

I Tweeted it before you! ;)

mattymatt
mattymatt (#495)

Oh I was pleased to discover that this article continues after the first page -- I was reading the RSS feed and it just cuts off at "death panels." You might want to consider putting an indication in the RSS feed that the post continues at such-and-such URL.

zidaane
zidaane (#373)

Excellent again. Charles Kuralt with attitude.

cdnpoof
cdnpoof (#233)

I really liked that. I can't say that I have much hope for u poor bastards. It is just so fundamentally bizarre that you don't have a national health system that I can't even wrap my head around it.

I am mighty suspicious of this canadian that went south for health care he couldnt get here. If he cant get it here then its gonna cost shitloads in the states. Was this a rich guy? Cuz rich people (around the world) are always travelling for health care. Farah went to germany (germany!) for god's sake.

Allz i know iz: canadians dont like to pay for healthcare and if we do decide to do it we can do it here. We actually have private clinics. So take that FreedomWorks. Makes u wonder why this canadian didnt just go to a private clinic or hospital here.

Harumph.

KenWheaton
KenWheaton (#401)

Our laws regarding Botox are much more lax!

HiredGoons
HiredGoons (#603)

My theory: the Candaian went to Mexico.

valet of the dolls

This is so good, I feel kind of bad about pointing out that it's 'by AND large', not 'by IN large'.
But what's good for Robert Gibbs is good for Abram Sauer.

Abe Sauer
Abe Sauer (#148)

Oh god. Yes. Can I claim that's how they really say it here BECAUSE IT'S TRUE. How embarrassing. I'm turning on the Editor Choire Bat-signal now.

Ron Obvious
Ron Obvious (#351)

"I think we will look back in 10 years and say we should not have done this, but we did because we forgot the lessons of the past.” Your naivete is touching, Senator.

Flashman
Flashman (#418)

Yup, these reports from ND keep getting better and better. I really appreciate the obvious respect you have for all of these people, even the crazies.

North Dakota has a strange place in my heart, as I was thrown in jail there for 3 days (Montrail County Courthouse in Raymond); it is the last bit of US soil I set foot on, and unless I apply for a waiver it will be the last. I was driving home for Christmas 1997 and intending to take a shortcut from Sask. down to Ontario. The border guards found an old baggie with some weed *dust* in it, and that was it. The funny thing was, they were totally fucking me over for life but were just so *nice* about it. A surreal experience - strip search, cold shower, orange jumpsuit, the works.
Jail was really just damn boring, but the food was good - homecooked by the old ladies who watched over us at night. And the only reason it was 3 days was because they wouldn't let me call my bank in Montreal to raise my daily withdrawal limit, so I had to be taken 3 times to the *one* ATM in town, at a gas station on the edge of town, in my orange jumpsuit and prison flipflops, to take out money for my $1300 fine, 100 dollars at a time. Then, finally, once I'd paid it off they took me back up to the border, wherupon I drove 36 hours NONSTOP over Lake Superior to make it back to the family home in time for Christmas Day - got there at 3AM on the 25th.
Such a sad, bleak and empty place, but yeah, good people.

Abe Sauer
Abe Sauer (#148)

Polite, yes. "Good?" Not all. And weed. Lord. ND hs the highest rate of binge and teen drinking and the highest DUI rates in the US but you even mention weed and... People react like it's crack. A recent frisbee golf event used a "420" joke in its promotion and when the locals were told what that meant they went ape. sigh.

Abe Sauer
Abe Sauer (#148)

BTW: to prove my point. here is, no joke, a story from today's local paper. it's #1 on the most rread list:

"Police recovered a lone marijuana plant this morning along the Red River in south Grand Forks.

"It's really just one plant, not like a major grow or anything," Sgt. Dwight Love said. Officers responded around 8 a.m. after receiving a call that someone had found the plant in a pot by the river near the lift station on the east end of Desiree Drive. Love did not provide any other details. Police are investigating, but Love wasn't optimistic about solving the case.

"We really don't have much," he said.

Mindpowered
Mindpowered (#948)

There's a potted pot plant joke in there.

Flashman
Flashman (#418)

Yeah - I was even mentioned on the local TV news the next night, along with some kids from Florida who were also busted the same day, on the way back down south from Vancouver.
I still have nightmares from time to time involving accidentally (getting on the wrong train, or being on a plane that's diverted) winding up at a US border crossing. Jail in ND was I guess as pleasant as it could be, but feeling so tiny, powerless and humiliated sure sticks with you.

KarenUhOh
KarenUhOh (#19)

Christ. Allow me to let you folks in on a secret:

The insurance industry is the ultimate and only winner of any health care policy that does not run all or part of itself through the government. And even with government involvement, the insurance industry wins.

Let me ask you: do you trust the insurance industry more than the government? Yeah? You DO? When was the last time you voted for anyone in the insurance industry?

Every last ounce and inch of this is abject silliness. All bullshit. Health care is fucked up because there are too many people, too many sick people, not enough resources, too high costs, too much demand for the services of professionals who charge ridiculous sums for their work.

Do they deserve these ridic sums? Probably. It's impossible work. Do malpractice suits drive up costs? Sure. But not nearly as much as you're led to believe.

This is a problem based on too many fucking people fighting for too few fucking resources. No amount of jimmy-jammy with the "health care system" and "cost" is going to solve or save it. None.

Christ. You don't need death panels. The market will handle that.

And, as for "paying for 'it'"? That's pretty darn American Way.

BoHan
BoHan (#29)

Karen, I don't have the background in MalMed that you do, but I would question a shortage of resources. I think what you mean to say is that there is a shortage of resources that will voluntarily work within the current cost structure to provide the services that are needed most. And that is what insurance reform should address. Anedoctally, I do not want to ever meet another ex-nurse shilling as a pharmaceutical sales rep when he or she should be working the trauma unit at the County Hostpital, and on my 20 mile drive to drive every day, I do not want to see another billboard for liposuction, bariatric surgery, expensive heart disease treatments that can be paid for only by millionaires, cosmetic dentistry, or snoring issues. There may be a shortage of general care, but it has been created by the insurance industry driving medical professionals out of the treatment areas where they can do the most good.

KarenUhOh
KarenUhOh (#19)

I agree with this assessment. Accords with my experience.

Abe Sauer
Abe Sauer (#148)

I agree too. But there is a true shortage of resources in some ways. For example, rural clinics are striving to stay open and serving areas that are hundreds of miles from a true trauma center. Women drive 150 miles for an OB visit or prenatal care. To he tune of thousands of $ many rural hospitals fly in "locums," or docs that will do ER work for a week or so at a time. There will always be some kind of shortage because as an economic "system" there is no end to the "need."

brent_cox
brent_cox (#40)

Take the posterboard slogans from the Shouty Weepy Angry Righteous People at the Town Hall/Howard Beale Parties and strike "government" and insert "insurance industry". Like, "Do you want the insurance industry making decisions over your health care?" or "No way I'm letting the insurance industry accessing my bank account!" Or just take out "insurance industry" and insert "unimaginably scary thing" and hope it's Happy Hour.

ToWi
ToWi (#1,057)

excellent story

Abe Sauer
Abe Sauer (#148)

I know it's going into the weekend but I wanted to add an addendum here:

Regardless if any of this sickly nation gets healthcare, one group that loves all this right/left socialism "Freedom!" hullaballoo is the crooked regional operators whose corruption largely goes unchecked because everyone's too concerned with the paranoid fantasy of whether or not we'll be the Soviet Union tomorrow. A perfect local example is former North Dakota Insurance commissioner Jim Poolman. In 2007 Poolman resigned to go private after, according to the Washington Post, taking thousands in contributions from an insurance industry PAC just before, coincidentally, pushing "the coalition's efforts to... alter long-standing prescriptions for how much money insurers must keep in reserve -- a crucial variable that can influence their profits." Not surprisingly these changes would leave the insurance policy holders in a weaker position when filing claims. Of course, this WaPo story came out in June 2009, two years too late. The national legislation Poolman helped push is still being shepherded toward passage by many other similar regional insurance commissions and such. Of course, because local papers are devoting reporters and inches to "Health Care Town Hall Mobs!" these guys are robbing the unwatched hen house.

I linked to two things in this piece that I cannot recommend highly enough. One is the Biz Week piece demonstrating the nuts and bolts of EXACTLY how United Health and similar groups have insured they win either way and the Atlantic piece from a guy who lost his father laying out a consumer-based approach and how our divorce from ever seeing bills is so important.
http://www.businessweek.com/magazine/content/09_33/b4143034820260.htm
http://www.theatlantic.com/doc/200909/health-care

Print them out and read them on the beach over the weekend and cry yourself to sleep.

joeclark
joeclark (#651)

Again: We don’t do paginated articles in the modern Web. Find another way not to earn money.

Bittersweet
Bittersweet (#765)

Excellent article, Abe. I always enjoy reading your stuff. Even though it taxes my brain to have to turn pages online. *whimper*

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