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Drop Dillon idea ... reform health care instead

by: Eric B.

Fri Jul 17, 2009 at 10:48:42 AM EDT


If we can pry ourselves away from Very Serious Person Andy Dillon's suggestion that we solve the state's budget problems by makng things worse for thousands of people, I'd like to direct you to an editorial in this morning's Lansing State Journal.

The people of mid-Michigan may have a better understanding of the shift in health care than their counterparts in other states. Economic tsunamis tend to clear away all but the most vital concerns.

And what Greater Lansing and the rest of Michigan have learned in the last decade is the existing employer-based system of health insurance for working Americans is ill. It's sick because the global economy has changed faster than Michigan-based firms have.

I don't have any special problem reopening negotiations with various unions and squeezing concessions out of them, I suppose.  Things are really very crappy in this state right now, and at some point everyone has to ante up and kick in.  On the other hand, Dillon's proposal to screw state workers really just frankly ignores that the entire health care system is broken.  It's not just the state of Michigan's approach.

Anyone who thinks we can continue without some kind of universal health care is deeply deluded.  It's just not going to happen. In fact, things are going to get worse as our biggest generation -- the Baby Boomers -- continue to age.  The American health care system, as it exists today, is going to have to go away and be replaced by something universal.

You can attempt to split the issues.  We have to balance our budget in Michigan, and we also need to fix the national health care system.  Frankly, I think that means creating an excuse to not pressure Washington to do what's been needed to be done for the last two decades.  The only thing that will push Washington into doing something, and not doing the stupidest thing possible, will be concerted pressure from all the various players -- medical professionals, employers, state governments.

I'm also frankly skeptical of letting the state Legislature do this before the end of this fiscal year.  This strikes me as the kind of thing that would be contentious enough without worrying about hitting a deadline in two months.  I also have zero confidence that a deal will get done in good faith that isn't at the last minute and makes a further hash of things.  This state Legislature has demonstrated extreme aptitude in bolloxing everything it touches, and I can point to the past failures of the 2008-09 budget, the replacement of the SBT, the presidential primary, and a whole host of other things.

Eric B. :: Drop Dillon idea ... reform health care instead
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The Michigan Legislature cannot be trusted. (0.00 / 0)
They have NOT kept their bargain with school funding.  Why would we expect them to keep their bargain here?

We MIGHT have the same services the first year under Dillon's plan but I doubt it and a few years down the road, our coverage will be cut and cut again until it is nearly non-existent.

The economy will not recover by destroying people's spending ability.


On national health care (0.00 / 0)
Even if Obama passes a plan, it will not solve the problem because he 'governs' by consensus.. at least consensus with the corporations.  Hospitals and insurance companies are coming online because THERE IS NO COST CUTTING, only adding paying customers.

To truly reform health care in this country, we need a nationalized health care system.  It needs to do the following:

1.  Increase the number of medical students and nursing students by increasing the number of spots and decreasing costs of attendance for primary care specialists (family medicine, pediatrics, obgyn, some internists).  Having more doctors means  more care, longer time with patients and less costs.

2.  Increase the number of urgent care centers throughout the country.  It is often difficult to get a same day appointment to see your doctor when you are ill and impossible at night.  You are left with the choice of waiting till morning and hoping for an appointment or going to the ER.  There has to be an in between.  Most ERs should have an Urgent Care clinic attached to them.

3.  Provide a choice of about 5 plans with the coverage and costs clearly laid out in an easy to read format.  Some suggested ideas for services include:  catastrophic plan (pays for accidents and major illnesses like cancer, heart attack, etc.), a traditional 80/20, an HMO, and a very generous but expensive plan.

4.  Require everyone to sign up for insurance through their (primary) employer.  Employers will take on at least half the burden of insurance premiums; part time employees will be paid respective of their employment (so if you work 20 hrs per week, your employer will pay 50% of 50% or 25%). If self-employed, individuals must pay for it themselves.  This must be mandatory.  Citizens who earn under a certain threshold will be paid for or subsidized by the Federal Government.  

5.  Provide a window once a year to change insurance.

6.  All licensed medical practitioners and facilities MUST accept insurance for covered procedures and visits.

7.  Immigrants must be able to pay for their insurance in order to stay in the country.  Illegal immigrants are not eligible for insurance.

8.  All children will be covered by the same extensive plan and with the Federal and state government picking up the employer piece.  


The Dillon Plan (0.00 / 0)
I've read the plan. It's standard political garbage:

The Savings:

$65 to $75 million, from no longer negotiating and administering multiple health care plans.

$100 to $200 million, from "economies of scale."

An unknown amount, from exploring "holistic treatment" and making "medical cost and quality information available to patents."

$400 to $600 million, from "standardized health care coverage"

An unknown amount, from a "mechanism" that ensures "best medical practices"

That's it. $900 million based on just that. Those of us who have worked in the legislature know baloney when we read it. (Some of us used to write it.)

This is politics, not policy.


This is not single payer (0.00 / 0)
Dillon's plan would still have every unit of government and and every employee group be the payer. This an anti-union agenda run by the Right-to-Work crowd. It will strengthen the hand of the enemies of single-payer by weakening the strongest voices for real health care reform - unions and progressives.


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