New Spin on Health Care Reform

Let me start this piece by saying that health care reform is needed. There is simply no way it is acceptable that our per capita spending is first amongst industrialized countries, yet our results are 37th amongst the same group. Moreover, the rate of increase in costs is daunting.

That said, the latest spin is that not passing health care is worse for Democrats than passing something, anything. Given the precarious state of our economy, I find that contention patently absurd. The two disparate bills generated by the House and Senate are fraught with problems. What the bills do display in abundance is the problems with our Congress and their lack of connection with body politic. Much has been made of the deal to get Senator Mary Landrieu to buy off on cloture. That seedy deal is normal Washington politics, headline benefit with little to nothing accomplished.

The fact is the Democrats are no where near a deal on health care and the Republicans have decided to take their toys and go home. This is not to say a deal won't get done, but the abomination that will emerge if it gets done, will be ever more frightening. The Republicans seem to be hoping this happens so they can hoist the Democrats on their own petard in the '10 elections. The lack of leadership is frightening, and the complete abdication of leadership from the White House is nothing short of shocking.

The spin that something no matter how fetid and obese is better than nothing at all is obscene. Our legislature cannot effectively legislate. Moreover, the Administration pitiful silence is deafening. Do they simply not get it, not understand what their jobs are?

First Winter Storm on Its Way

Well the lovely November we've enjoyed thus far are about to end. The news stations are in breathy tones, although it looks like we are more likely to get mostly rain, of course the storm track could change. The weather outlook appears to track closely the rough ground that lays in front of the Administration. The jobs numbers are abysmal, much worse than the headline number of 10.2%, that number has been cooked up by administration's interested in happy talk regarding the US economy for almost 20 years. Health care is a mess and nothing is likely to happen before the new year. Cap and trade is even more of a disaster. Afghan policy remains in limbo, although that may change soon.

What is the administration to do? Although it's patently unclear how much impact any devised plan will have, they better quickly move toward creating jobs. While the effect of any change won't likely happen anytime soon, the failure to do something is clearly the road to folly. Because of its unwillingness to prioritize the economy, I think 2010 will be an unmitigated disaster for Democrats. The administration fell in love with their own press and decided to press long-held legislative priorities, irrespective of the scope of the problems they were walking into. But how, how could they have been so oblivious to the nature of the challenges facing the country. Simple answer, hubris, the same disease that infests the D.C. political class. UGH!

House Democrats Believe Passage of Health Care Will Help Them in 2010

Self deception is dangerous and the level of self deception among Democrats, particularly the leadership is profound. How they can even make such a claim is evidence that sanity has no place in D.C. The health care debate combined with the unemployment rate and the perilous state of the US economy create dark ominous clouds over the heads of Congressional representatives recently elected. Sure it'll have little impact on the House leadership because they're in safe districts. The impact on many of their colleagues promises to be severe. It astounds me that the leadership is so tone deaf to what's going on in the real world.

Obama to Endorse House Healthcare Bill Today

The President according to reports plans to endorse the House healthcare bill today, so what does that mean. Firstly, I must confess to largely ignoring the House bill as a Pelosi build disaster area, but not the WH. The WH initially had expressed so much enthusiasm with the Senate's machinations around healthcare, so why the sea change?

I'm frankly not sure. Is this a desperate last second throw to the end zone? If I were pressed to render a judgment I guess that I'd have to say that it is. Let's digress, no substantive bill will pass Congress without the complicity of the Senate, yet the House bill has absolutely no chance of passing the Senate. So why does the Administration decide to weigh in at this moment.

I'm a little lost, is this Administration, which so capably managed the Presidential campaign, unable to recognize the minefield that they have stumbled into? Does anyone above the age of 25 really believe that any plan that our federal government enacts can actually bend the cost curve. Please, put aside all the crazy talk surrounding this debate.

Health care is 16-17% of our economy albeit with poor results relative to the world (i.e., child mortality, neo-natal care etc.). Put aside that our critical care medicine is without peer, that is where our competitive advantage lies. The level of medical costs is clearly detrimental to the overall economy, but can the government cure it. My 46 years on this planet leave me with a jaundiced view. Maybe it could happen and it certainly is worthy of Congressional and Presidential attention, but the House bill is a train wreck.

We're going to save $50 billion on fraud and abuse in Medicare. If so, why are we waiting to pass a bill to realize that savings. That mere proposal of the foregoing shows its insanity. The House bill is a testimony to bureaucracy not to added efficiency, how does the Administration feel that this represents our best answer to a clearly vexing problem. I am disappointed that the President's advisers have apparently told him that this is the best he can hope for. I don't pretend to know the answer, but I'm confident that the House bill ain't it.