American Elephants


Reckless, Arrogant, Partisan Politics Inflicted on an American Public that Wants No Part of It. by The Elephant's Child
December 22, 2009, 2:00 am
Filed under: Economy, Health Care, Law, Taxes | Tags: , , ,

This is depressing.  The Senate voted at 1:00 a.m. to end debate on the most partisan piece of legislation ever proposed.  Nobody really knows what is in it, for it has been changing ever since it was revealed 38 hours previously. Language and details have been shifting as sweetheart deals and bribes were put in place to secure the necessary 60 Democrat votes. Not one Republican voted for cloture.

It has been a deeply dishonest and legally corrupt bill from the start. Even the liberals admit that it is awful, but say that once they get it passed, they can start fixing it.  Here are the enticements that got them to the magic number:

Sen. Ben Nelson (D., Neb.)
—$1.2 billion over ten years for a permanent exemption from Nebraska’s share of the Medicaid expansion. The only state so exempted under the bill.
Exemption for Nebraska from an excise tax on non-profit insurers.

Sen. Carl Levin (D., Mich.), Sen. Debbie Stabenow (D., Mich.)
—Exemption from the non-profit excise tax for Michigan insurers.
Michigan and Nebraska were the only two states so exempted.

Sen. Bernie Sanders (I., Vt.), Sen. Patrick Leahy (D., Vt.)
—$10 billion for “community health centers”.
—Protections from cuts to Medicare Advantage beneficiaries in Vermont.
—$250 million over six years in expanded federal Medicaid funding.

Sen. Mary Landrieu (D., La.)
—$300 million increase in Medicaid funding in Louisiana.

Sen. John Kerry (D., Mass.), Sen. Paul Kirk (D., Mass).
—Three years of expanded federal Medicaid funding.

Sen. Chuck Schumer (D., N.Y.), Sen. Kirsten Gillibrand (D., N.Y.), Sen. Bob Casey (D., Pa.), Sen. Arlen Specter (D., Pa.), Sen. Bill Nelson (D., Fla.)
—Special treatment for Medicare Advantage beneficiaries in New York, Pennsylvania, and Florida.

Sen. Daniel Inouye (D., Hawaii), Sen. Daniel Akaka (D., Hawaii)
—billions in new funding for something called “Disproportionate Share Hospital” (DSH) payments (financed, in large part, by $18.5 billion in cuts to DSH payments in other states).

Sen. Max Baucus (D., Mont.), Sen. Jon Tester (D., Mont.), Sen. Kent Conrad (D., N.D.), Sen. Byron Dorgan (D., N.D.), Sen. Tim Johnson (D., S.D.)
—Higher federal Medicare reimbursement rates for low-population “frontier” states (also qualifying under the bill’s definition of frontier states are Utah and Wyoming, represented in the Senate by Republicans).

There is an excise tax on high-cost insurance plans, except when those plans belong to favored Democrat groups like the longshoreman’s union and other union interests such as miners, construction workers, electrical linemen or  EMTs and others who are absolved from this tax.

The excise tax also does not apply to the 17 states with the highest health costs, if that makes any sense.

If Congress passes the legislation — probable — it will not control costs.  It will make the budget outlook far worse.  It will lead to higher taxes.  And it will still leave at least 24 million without health insurance, probably far more.

The media is trumpeting an endorsement by the American Medical Association which represents only a minority of doctors, not all of whom agree with the AMA endorsement.

Health benefits are widely overstated.  Long-term economic costs are widely understated. The country will be far worse off for its passage.  It reeks of partisan politics and influence peddlers, and the American people want no part of it.

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