Detail, east Portland photo, courtesy Miles Hochstein / Portland Ground.



For old times' sake
The bojack bumper sticker -- only $1.50!

To order, click here.







Excellent tunes -- free! And on your browser right now. Just click on Radio Bojack!






E-mail us here.

About

This page contains a single entry from the blog posted on August 17, 2009 3:58 PM. The previous post in this blog was One guy got it right. The next post in this blog is Will it go 'round in circles?. Many more can be found on the main index page or by looking through the archives.

Archives

Links

Law and Taxation
How Appealing
TaxProf Blog
Mauled Again
Tax Appellate Blog
A Taxing Matter
TaxVox
Tax.com
Josh Marquis
Native America, Discovered and Conquered
The Yin Blog
Ernie the Attorney
Conglomerate
Above the Law
The Volokh Conspiracy
Going Concern
Bag and Baggage
Wealth Strategies Journal
Jim Hamilton's World of Securities Regulation
myCorporateResource.com
World of Work
The Faculty Lounge
Lowering the Bar
OrCon Law

Hap'nin' Guys
Tony Pierce
Parkway Rest Stop
Utterly Boring.com
Along the Gradyent
Dwight Jaynes
Bob Borden
Dingleberry Gazette
The Red Electric
Iced Borscht
Jeremy Blachman
Dean's Rhetorical Flourish
Straight White Guy
HinesSight
Onfocus
Jalpuna
Beerdrinker.org
As Time Goes By
Dave Wagner
Jeff Selis
Alas, a Blog
Scott Hendison
Sansego
The View Through the Windshield
Appliance Blog
The Bleat

Hap'nin' Gals
My Whim is Law
Lelo in Nopo
Attorney at Large
Linda Kruschke
The Non-Consumer Advocate
10 Steps to Finding Your Happy Place
A Pig of Success
Attorney at Large
Margaret and Helen
Kimberlee Jaynes
Cornelia Seigneur
Mireio
And Sew It Goes
Mile 73
Rainy Day Thoughts
That Black Girl
Posie Gets Cozy
{AE}
Cat Eyes
Rhi in Pink
Althouse
GirlHacker
Ragwaters, Bitters, and Blue Ruin
Frytopia
Rose City Journal
Type Like the Wind

Portland and Oregon
Isaac Laquedem
StumptownBlogger
Rantings of a [Censored] Bus Driver
Jeff Mapes
Vintage Portland
The Portlander
South Waterfront
Amanda Fritz
O City Hall Reporters
Guilty Carnivore
Old Town by Larry Norton
The Alaunt
Bend Blogs
Lost Oregon
Cafe Unknown
Tin Zeroes
David's Oregon Picayune
Mark Nelsen's Weather Blog
Travel Oregon Blog
Portland Daily Photo
Portland Building Ads
Portland Food and Drink.com
Dave Knows Portland
Idaho's Portugal
Alameda Old House History
MLK in Motion
LoveSalem

Retired from Blogging
Various Observations...
The Daily E-Mail
Saving James
Portland Freelancer
Furious Nads (b!X)
Izzle Pfaff
The Grich
Kevin Allman
AboutItAll - Oregon
Lost in the Details
Worldwide Pablo
Tales from the Stump
Whitman Boys
Misterblue
Two Pennies
This Stony Planet
1221 SW 4th
Twisty
I am a Fish
Here Today
What If...?
Superinky Fixations
Pinktalk
Mellow-Drama
The Rural Bus Route
Another Blogger
Mikeyman's Computer Treehouse
Rosenblog
Portland Housing Blog

Wonderfully Wacky
Dave Barry
Borowitz Report
Blort
Stuff White People Like
Worst of the Web

Valuable Time-Wasters
My Gallery of Jacks
Litterbox, On the Prowl
Litterbox, Bag of Bones
Litterbox, Scratch
Maukie
Ride That Donkey
Singin' Horses
Rally Monkey
Simon Swears
Strong Bad's E-mail

Oregon News
KGW-TV
The Oregonian
Portland Tribune
KOIN
Willamette Week
KATU
The Sentinel
Southeast Examiner
Northwest Examiner
Sellwood Bee
Mid-County Memo
Vancouver Voice
Eugene Register-Guard
OPB
Topix.net - Portland
Salem Statesman-Journal
Oregon Capitol News
Portland Business Journal
Daily Journal of Commerce
Oregon Business
KPTV
Portland Info Net
McMinnville News Register
Lake Oswego Review
The Daily Astorian
Bend Bulletin
Corvallis Gazette-Times
Roseburg News-Review
Medford Mail-Tribune
Ashland Daily Tidings
Newport News-Times
Albany Democrat-Herald
The Eugene Weekly
Portland IndyMedia
The Columbian

Music-Related
The Beatles
Bruce Springsteen
Seal
Sting
Joni Mitchell
Ella Fitzgerald
Steve Earle
Joe Ely
Stevie Wonder
Lou Rawls

E-mail, Feeds, 'n' Stuff

Monday, August 17, 2009

Just fade away

The co-ops envisioned by some backers would be nonprofit, member-owned groups that would assemble networks of health care providers and negotiate payment rates with them. The government would provide up to $6 billion to get them started.
That $6 billion will go straight into the pockets of insurance company executives, and maybe insurance company shareholders, and the co-op policies will be too expensive for anyone to afford.

This may be what Gatsby Wyden wants, but it isn't worth bothering with. If it's the best we can do, let's go work on something else. Like starting to make some long-overdue decisions about the tax code, for example. I'm sure Ron has a nice "centrist" approach to that, too. We should give him a call at the luxury box at Yankee Stadium and see what he thinks.

Comments (10)

Ive heard if the Co-Ops don't get enough enrollee's, they will need further funding from the government and or cause premiums to rise to make up for the shortcoming in revenue vs claims...

Why not have Medicare for all who want to buy into it... or for those 50 an older to begin with, then expand it... its a system that's already in place and has worked well for generations..

Of course there are abuses in any system, but the Medicare program worked well for prior generations..

The Medicare compensations rates to doctors and hospitals would have to be revised as Ive heard they are still based on figures when the program was initiated in the 60s...Some states pay better re-imbursement Medicare rates than others, so a more equitable payment system would need to be part of any new legislation..


What's not being addressed with the current free market system, is the ability of the insurance agencies to pick and choose what they will pay, thus leaving the insured often times with a large bill even though the insured thought they were covered.. that "of covered benefit" clause is an easy out for the insurance companies to ensure the least amount of coverage is provided and usually with little to no recourse by the insured.. this problem needs to remedied in whatever products are finally agreed upon....


and forget about the 2013 begin date.. people need assurance of affordable healthcare now...

As Joni Mitchell sang, "That was just a dream some of us had."

Of course, if I were going to be realisitic, I'd have to resort to sarcasm and say "change,... my ass!" .. this healthcare debate was settled long before this summer..... and not in favor of the American people...

Maybe we should start looking at how the people in the depression era sought healthcare... I hear butchers were known to provide bone setting services when people would break an arm or a leg, since they understood anatomy the best...

The co-ops strike me as someone's concept of "if people think health insurance companies suck so bad let them run their own". It might be educational, but is otherwise irrelevant.

Co-ops are one step better to local control. I recently heard a piece on the radio of a successful co-op in Minnesota. Among the things it allows for...

- a locally elected board
- annual member meetings (akin to shareholder meetings)
- a real grievance procedure for claims that are denied

Not to trumpet republi-conomics, but won't the establishment of more co-ops (insurance providers) increase competition and bring down consumer prices?

I wish I knew the answer, but before completely writing off health care reform as a loss, I think it's worth better understanding it. Most people don't even know what a "co-op" is.

For more info on co-ops:
A SUPPORTIVE PIECE POSTED ON THE DAILY KOS, AS OF 8/11/09
http://www.dailykos.com/story/2009/8/11/765390/-Meanwhile,-outside-the-healthcare-bigtop

LETTER FROM NATIONAL CO-OP BUSINESS ASSOCIATION TO SEN. ROCKEFELLER RESPONDING TO 11 OF HIS QUESTIONS:
http://www.ncba.coop/pdf/PublicPolicy/Senator%20Rockefeller%20Correspondence.pdf

Finally, for you cyber-cynics, I'm just a regular guy, no puppet for the co-op movement. To prove it, I live near the Laurelwood, which was recently featuring a Double Oregon Hefeweizen.

How can a Co-Op compete with the deep pockets of a large corporation... Don't Co-Op's have to absorb losses as well as gains.. since the pay off of an insurance product deducts from the bottom line, not adds, how can a Co-Op that gets an unusually high amount of "high level of care" insured succeed?...It could easily put a Co-Op in bankruptcy... then what?

I think ultimately the goal is to get social programs under the state govt and out of the federal mandate... I also think this administration knows what the ideal goal is and its not what the people want, its what the multi-national corporations want...

Isn't it odd how the politicians who have the majority just don't want to listen to the what a majority have said they want? If you want to look at how corrupted our political system is, look at our former Senate Majority leaders (Daschle) ties to the insurance industry as well as his wifes...I thought the democratic party was supposed to be more aligned with labor (thats most of the people) and the republicans with business leaders?

If you examine how this Co-op operates at www.reformwascoelectric.com you will never, ever want to belong to a Co-op.

Aren't credit unions sort of co-ops? They're relationship to the commercial banking industry has been given as an example that the health insurance cooperatives could follow.

Expanding Medicare as the public option seems a no-brainer. The infrastructure in negotiating and paying claims is already in place. The anti-fraud unit needs to be beefed up regardless.
If however, we are going to reinvent the wheel with a Co-op, the only way it will compete and lower premiums is to be a single, nationwide entity without a profit motive.
Besides political considerations, the question is if Medicare were expanded - with a higher premium than the $96.00 per mo. currently paid by seniors, to cover those under age 65, (say 2-3 hundred bucks monthly) would it cost less to get up and running than the 6 billion proposed to set up a Co-op?
As far as start-up time, Medicare could offer a policy for the rest of us, at a reasonable premium, with it's existing claims infrastructure expanded, much more quickly than a Co-op could become functional. Why doesn't Congress get behind this "no-brainer" solution? Politics as usual.

Should we treat food, housing, transportation and entertainment like we do medical services? We could legislate an employer mandate to deduct X dollars from worker's pay and deliver it to someone else to manage, arguably for the benefit of workers.

Alternatively, should a worker be free to say I'll take my pay, all of my pay, in cash so I can spend it as I damn well please? Every employer mandate would be treated as just an increase in the minimum wage.

The cost of delivery of health care (including insurance) can and will easily expand to accommodate any amount of cash thrown at it. A 60 dollar doctor visit to get a prescription for a 4 dollar set of pills can instantly grow to 80 dollars for a 4 dollar set of pills.

The higher inflation rate for all things medical-related is strongly correlated to the schemes to compel folks to spend their own money on things medical-related. If labor itself is not rewarding enough to perpetuate the inflationary spiral then the health care delivery lobbyists must turn to demanding direct transfers from government; tapping into the government taxing power itself.

If workers, including public employees, are free to go skiing with pay that would otherwise be dedicated to the medical lobby then prices for medical services will fall. Proof? (Sort of.) If every worker were required to contribute to a skiing fund even if they did not use it themselves what would happen to the price to go skiing? It would go up, of course. And the typical legislative response to the need to ski, given the higher prices, would be to intensify the distortions that brought about the high prices in the first place, in a fit of ignorance-slash-corruption.

Legislative authorization to privately form a coop exists so as to avoid running afoul of anti-trust laws. A coop does not need a hand out, it only needs an exemption from anti-trust liability relative to government and private insurers/purchasers.
See notes on Capper-Volstead Act of 1922.
http://www.rurdev.usda.gov/rbs/pub/cir59.pdf

Do you think that the State of Oregon (or subdivisions thereof) would let employees use their health care contribution to go skiing instead or to voluntarily join some private medical service purchasing coop?

Would a purchasing coop be able to demand a 10 percent discount or even a 24 percent discount for its member's purchases, as discussed in the McKenzie-Willamette Hospital v. Peacehealth bundling price discrimination case?
http://www.techlawjournal.com/courts/2007/mckenzie_peacehealth/20070904.pdf
I would think that a private medical purchasing coop, including voluntary participation by government workers, should be able to get at least as high a discount as would a "government" purchaser, thus removing any need or requirement that the government itself be the sole purchaser for the arguable benefit of the worker.

The key question as far as I am concerned is that an individual remain free to reject all offers of participation in health-related schemes, be they corporate sponsored or government sponsored or involve any coop. None-of-the-above must be an option. I'll take my pay in cash and I will associate with whom I choose.


Sponsors


As a lawyer/blogger, I get
to be a member of:

In Vino Veritas

Chloe, Pinot Grigio, Valdadige 2013
Edmunds St. John, Bone-Jolly Gamay Noir 2013
Kirkland, Pinot Grigio, Friuli 2013
St. Francis, Red Splash 2011
Rodney Strong, Canernet, Alexander Valley 2011
Erath, Pinot Blanc 2013
Taylor Fladgate, Porto 2007
Portuga, Rose 2013
Domaine Digioia-Royer, Chambolle-Musigny, Vielles Vignes Les Premieres 2008
Locations, F Red Blend
El Perro Verde, Rueda 2013
Chateau Ste. Michelle, Indian Wells Red 2
If You See Kay, Red 2011
Turnbull, Old Bull Red 2010
Cherry Tart, Cherry Pie Pinot Noir 2012
Trader Joe's Grand Reserve Cabernet, Oakville 2012
Benton Lane, Pinot Gris 2012
Campo Viejo, Rioja, Reserva 2008
Haden Fig, Pinot Noir 2012
Pendulum Red 2011
Vina Real, Plata, Crianza Rioja 2009
Edmunds St. John, Bone/Jolly, Gamay Noir Rose 2013
Bookwalter, Subplot No. 26
Ayna, Tempranillo 2011
Pete's Mountain, Pinot Noir, Haley's Block 2010
Apaltagua, Reserva Camenere 2012
Lugana, San Benedetto 2012
Argyle Brut 2007
Wildewood Pinot Gris 2012
Anciano, Tempranillo Reserva 2007
Santa Rita, Reserva Cabernet 2009
Casone, Toscana 2008
Fonseca Porto, Bin No. 27
Louis Jadot, Pouilly-Fuissé 2011
Trader Joe's, Grower's Reserve Pinot Noir 2012
Zenato, Lugana San Benedetto 2012
Vintjs, Cabernet 2010
14 Hands, Hot to Trot White 2012
Rainstorm, Oregon Pinot Gris 2012
Silver Palm, North Coast Cabernet 2011
Andrew Rich, Gewurtztraminer 2008
Rodney Strong, Charlotte's Home Sauvignon Blanc 2012
Canoe Ridge, Pinot Gris, Expedition 2012
Edmunds St. John, Bone-Jolly Gamay Noir Rose 2012
Dark Horse, Big Red Blend No. 01A
Elk Cove, Pinot Noir Rose 2012
Fletcher, Shiraz 2010
Picollo, Gavi 2011
Domaine Eugene Carrel, Jongieux 2012
Eyrie, Pinot Blanc 2010
Atticus, Pinot Noir 2010
Walter Scott, Pinot Noir, Holstein 2011
Shingleback, Cabernet, Davey Estate 2010
Coppola, Sofia Rose 2012
Joel Gott, 851 Cabernet 2010
Pol Roget Reserve Sparkling Wine
Mount Eden Chardonnay, Santa Cruz Mountains 2009
Rombauer Chardonnay, Napa Valley 2011
Beringer, Chardonnay, Napa Reserve 2011
Kim Crawford, Sauvignon Blanc 2011
Schloss Vollrads, Spaetlese Rheingau 2010
Belle Glos, Pinot Noir, Clark & Telephone 2010
WillaKenzie, Pinot Noir, Estate Cuvee 2010
Blackbird Vineyards, Arise, Red 2010
Chauteau de Beaucastel, Chateauneuf-du-Pape 2005
Northstar, Merlot 2008
Feather, Cabernet 2007
Silver Oak, Cabernet, Alexander Valley 2002
Silver Oak, Cabernet, Napa Valley 2002
Trader Joe's, Chardonnay, Grower's Reserve 2012
Silver Palm, Cabernet, North Coast 2010
Shingleback, Cabernet, Davey Estate 2010
E. Guigal, Cotes du Rhone 2009
Santa Margherita, Pinot Grigio 2011
Alamos, Cabernet 2011
Cousino Macul, Cabernet, Anitguas Reservas 2009
Dreaming Tree Cabernet 2010
1967, Toscana 2009
Charamba, Douro 2008
Horse Heaven Hills, Cabernet 2010
Lorelle, Horse Heaven Hills Pinot Grigio 2011
Avignonesi, Montepulciano 2004
Lorelle, Willamette Valley Pinot Noir 2011
Villa Antinori, Toscana 2007
Mercedes Eguren, Cabernet Sauvignon 2009
Lorelle, Columbia Valley Cabernet 2011
Purple Moon, Merlot 2011
Purple Moon, Chardonnnay 2011
Horse Heaven Hills, Cabernet 2010
Lorelle, Horse Heaven Hills Pinot Grigio 2011
Avignonesi, Montepulciano 2004
Lorelle, Willamette Valley Pinot Noir 2011
Villa Antinori, Toscana 2007
Mercedes Eguren, Cabernet Sauvignon 2009
Lorelle, Columbia Valley Cabernet 2011
Purple Moon, Merlot 2011
Purple Moon, Chardonnnay 2011
Abacela, Vintner's Blend No. 12
Opula Red Blend 2010
Liberte, Pinot Noir 2010
Chateau Ste. Michelle, Indian Wells Red Blend 2010
Woodbridge, Chardonnay 2011
King Estate, Pinot Noir 2011
Famille Perrin, Cotes du Rhone Villages 2010
Columbia Crest, Les Chevaux Red 2010
14 Hands, Hot to Trot White Blend

The Occasional Book

Saul Bellow - Mister Sammler's Planet
Phil Stanford - White House Call Girl
John Kaplan & Jon R. Waltz - The Trial of Jack Ruby
Kent Haruf - Eventide
David Halberstam - Summer of '49
Norman Mailer - The Naked and the Dead
Maria Dermoȗt - The Ten Thousand Things
William Faulkner - As I Lay Dying
Markus Zusak - The Book Thief
Christopher Buckley - Thank You for Smoking
William Shakespeare - Othello
Joseph Conrad - Heart of Darkness
Bill Bryson - A Short History of Nearly Everything
Cheryl Strayed - Tiny Beautiful Things
Sara Varon - Bake Sale
Stephen King - 11/22/63
Paul Goldstein - Errors and Omissions
Mark Twain - A Connecticut Yankee in King Arthur's Court
Steve Martin - Born Standing Up: A Comic's Life
Beverly Cleary - A Girl from Yamhill, a Memoir
Kent Haruf - Plainsong
Hope Larson - A Wrinkle in Time, the Graphic Novel
Rudyard Kipling - Kim
Peter Ames Carlin - Bruce
Fran Cannon Slayton - When the Whistle Blows
Neil Young - Waging Heavy Peace
Mark Bego - Aretha Franklin, the Queen of Soul (2012 ed.)
Jenny Lawson - Let's Pretend This Never Happened
J.D. Salinger - Franny and Zooey
Charles Dickens - A Christmas Carol
Timothy Egan - The Big Burn
Deborah Eisenberg - Transactions in a Foreign Currency
Kurt Vonnegut Jr. - Slaughterhouse Five
Kathryn Lance - Pandora's Genes
Cheryl Strayed - Wild
Fyodor Dostoyevsky - The Brothers Karamazov
Jack London - The House of Pride, and Other Tales of Hawaii
Jack Walker - The Extraordinary Rendition of Vincent Dellamaria
Colum McCann - Let the Great World Spin
Niccolò Machiavelli - The Prince
Harper Lee - To Kill a Mockingbird
Emma McLaughlin & Nicola Kraus - The Nanny Diaries
Brian Selznick - The Invention of Hugo Cabret
Sharon Creech - Walk Two Moons
Keith Richards - Life
F. Sionil Jose - Dusk
Natalie Babbitt - Tuck Everlasting
Justin Halpern - S#*t My Dad Says
Mark Herrmann - The Curmudgeon's Guide to Practicing Law
Barry Glassner - The Gospel of Food
Phil Stanford - The Peyton-Allan Files
Jesse Katz - The Opposite Field
Evelyn Waugh - Brideshead Revisited
J.K. Rowling - Harry Potter and the Sorcerer's Stone
David Sedaris - Holidays on Ice
Donald Miller - A Million Miles in a Thousand Years
Mitch Albom - Have a Little Faith
C.S. Lewis - The Magician's Nephew
F. Scott Fitzgerald - The Great Gatsby
William Shakespeare - A Midsummer Night's Dream
Ivan Doig - Bucking the Sun
Penda Diakité - I Lost My Tooth in Africa
Grace Lin - The Year of the Rat
Oscar Hijuelos - Mr. Ives' Christmas
Madeline L'Engle - A Wrinkle in Time
Steven Hart - The Last Three Miles
David Sedaris - Me Talk Pretty One Day
Karen Armstrong - The Spiral Staircase
Charles Larson - The Portland Murders
Adrian Wojnarowski - The Miracle of St. Anthony
William H. Colby - Long Goodbye
Steven D. Stark - Meet the Beatles
Phil Stanford - Portland Confidential
Rick Moody - Garden State
Jonathan Schwartz - All in Good Time
David Sedaris - Dress Your Family in Corduroy and Denim
Anthony Holden - Big Deal
Robert J. Spitzer - The Spirit of Leadership
James McManus - Positively Fifth Street
Jeff Noon - Vurt

Road Work

Miles run year to date: 345
At this date last year: 211
Total run in 2013: 257
In 2012: 129
In 2011: 113
In 2010: 125
In 2009: 67
In 2008: 28
In 2007: 113
In 2006: 100
In 2005: 149
In 2004: 204
In 2003: 269


Clicky Web Analytics