A Transparency Reality Check
David Axelrod, senior adviser to President Obama, emailed me yesterday (along with perhaps several million others) to tell me about a new effort on Whitehouse.gov to dispel “rumors and scare tactics” from people opposing even more government regulation of the health sector. I think the opponents of expanded regulation have the better arguments on the merits.
I was struck, though, by the effort that has gone into creating an entirely new section of Whitehouse.gov for a “Health Insurance Reform Reality Check,” complete with fancy graphics and videos. (I have modified one of those graphics to illustrate this post. Fun!) Meanwhile, the White House still hasn’t brought itself to do something that President Obama promised on the campaign trail: post bills online for five days before signing them.
Since I last updated the chart, President Obama has signed seven more bills. None of them were posted online for five days, though two were held at the White House for that long before they got the president’s signature.
It’s the president’s prerogative to use Whitehouse.gov for PR, of course. The site and the PR on it would have more legitimacy, though, if it were also a basic resource for information about the legislative business the president conducts — as he promised.
Because the White House has established no uniform location for posting bills, there’s always a chance that I missed postings. I welcome corrections.
In my search for posted bills I did find this blog post, which says “The President believes that a piece of legislation as important as the Recovery Act must be implemented with an unprecedented degree of transparency.” But as you can see below, he denied the public a chance to review the Recovery Act as he promised, making it Public Law 111-5 within a day of its presentment.
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Filed under: Government and Politics; Telecom, Internet & Information Policy
Market Bets that ObamaCare Won’t Cut Costs
According to Don Johnson of The Health Care Blog:
Speculators seem to be betting that a watered down health insurance reform bill won’t hurt health insurers, hospitals, drug makers or medical device and supply manufacturers.
Stocks for almost all of these health sectors and for exchange trade funds that track health stock indexes turned higher last week.
In other words, those with real money at stake don’t believe that health reform will hurt the firms that make a living off of America’s highly inefficient health sector — President Obama’s assurances notwithstanding.
Johnson provides seven possible explanations for this development, including:
3. If the very liberal Coastal Democrats who lead Congress and most of the five committees drafting health insurance legislation want to get the support of Democrats from Western, Midwestern and Southern states, they’ll have to up Medicare payments to providers in those states. This is bullish for hospital chains, which operate mostly in the fly-over states…
6. Proposals to tax millionaires to pay for covering the uninsured and increasing benefits for others are in trouble, if not dead on arrival. The economy’s in no shape to be stalled by tax hikes, and there appear to be enough Democrats opposed to the tax to stop it.
7. While the so-called Blue Dog Democrats are stalling health insurance reform for economic and ideological reasons, the Congressional Black Caucus has made it clear that it won’t support a bill that the Blue Dogs will support. Throw in the opposition by anti-abortionists who don’t want the legislation to use taxpayers money to pay for abortions, and you have a pretty complex political problem for President Obama, Sen. Majority Leader Harry Reid (D-NV) and Speaker Nancy Pelosi (D-CA). While the Speaker claimed Sunday that she has the votes to pass health insurance reform, few believe her.
“Fascinating ‘Outside-of-the-Box’ Thinking on Health Insurance Reform”
At Reason Online, Ronald Bailey reviews John Cochrane’s recent Cato Policy Analysis, “Health-Status Insurance: How Markets Can Provide Health Security.”
Writing in advance of last week’s health care summit held by President Obama, Bailey explains:
Summit attendees will break into various working groups that are supposed to engage in “outside-of-the-box” thinking. As it happens, they now have some fascinating “outside-of-the-box” thinking on health insurance reform to draw on. Earlier this month, University of Chicago economist John Cochrane published an intriguing policy analysis for the libertarian Cato Institute that looked at how “health-status insurance” can provide health security for Americans. Cochrane claims that with health-status insurance, free markets can solve the vexing problem of how to insure people with pre-existing medical conditions and “provide life-long, portable health security, while enhancing consumer choice and competition.”…
Creating and selling separate health-status insurance policies would mean that medical insurance companies would no longer have an incentive to offload sick people. Instead, because those with pre-existing conditions would have the funds to pay higher premiums, insurers would compete for their business. “Constant competition for every consumer will have the same dramatic effects on cost, quality, and innovation in health care as it does in every other industry,” argues Cochrane.
Health-status insurance also helps delink medical insurance from employment because…a worker diagnosed with diabetes…can switch jobs without worrying about whether or not he can obtain medical insurance…
While Cochrane acknowledges that his proposal is not a comprehensive health care reform program, adopting it would go a long way toward satisfying President Obama’s eight health care reform principles, especially affordability, aiming toward universality, portability, and choice, and being fiscally sustainable. “Health-status insurance can simultaneously give us complete and portable long-term insurance, great individual choice, and cost-containment beyond the dreams of any health policy planner,” concludes Cochrane. Asked if he has been invited to the president’s health care reform summit this week, Cochrane said no, but quickly added, “If I got the phone call, I would definitely be there.” Mr. President, there’s still time for your summiteers to hear about this outside-of-the-box thinking.
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