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  • Why Nebraska Needs Health Care Reform

    by: Kyle Michaelis

    Fri Jun 26, 2009 at 21:33:03 PM CDT


    With Republican Senator Mike Johanns working to stall health care legislation and certain to stand in the way of any real reform, the U.S. Department of Health and Human Services has just issued a very timely report that shows why the people of Nebraska will no longer accept the same excuses and endless delays that Johanns and his Republican cohorts have hidden behind for the last 15 years:
    THE HEALTH CARE STATUS QUO:

    Why Nebraska Needs Health Reform....
    Congress and the President are working to enact health care reform legislation that protects what works about health care and fixes what is broken. Nebraskans know that inaction is not an option. Sky-rocketing health care costs are hurting families, forcing businesses to cut or drop health benefits, and straining state budgets. Millions are paying more for less. Families and businesses in Nebraska deserve better.  

    NEBRASKANS CAN'T AFFORD THE STATUS QUO

    • Roughly 1.1 million people in Nebraska get health insurance on the job, where family premiums average $12,469, about the annual earning of a full-time minimum wage job.
    • Since 2000 alone, average family premiums have increased by 84 percent in Nebraska.
    • Household budgets are strained by high costs: 30 percent of middle-income Nebraska families spend more than 10 percent of their income on health care.
    • High costs block access to care: 10 percent of people in Nebraska report not visiting a doctor due to high costs.
    • Nebraska businesses and families shoulder a hidden health tax of roughly $1000 per year on premiums as a direct result of subsidizing the costs of the uninsured.

    AFFORDABLE HEALTH COVERAGE IS INCREASINGLY OUT OF REACH IN NEBRASKA

    • 13 percent of people in Nebraska are uninsured, and 76 percent of them are in families with at least one full-time worker.
    • The percent of Nebraskans with employer coverage is declining: 63 percent were covered in 2007.
    • Much of the decline is among workers in small businesses. While small businesses make up 78 percent of Nebraska businesses, only 27 percent of them offered health coverage benefits in 2006 -- down 8 percent since 2000.
    • Choice of health insurance is limited in Nebraska. Blue Cross Blue Shield NE alone constitutes 44 percent of the health insurance market share in Nebraska, with the top two insurance providers accounting for 69 percent.
    • Choice is even more limited for people with pre-existing conditions. In Nebraska, premiums can vary based on demographic factors and health status, and coverage can even be denied completely....
    The need for reform in Nebraska and across the country is clear. Nebraska families simply can't afford the status quo and deserve better. President Obama is committed to working with Congress to pass health reform this year that reduces costs for families, businesses and government; protects people's choice of doctors, hospitals and health plans; and assures affordable, quality health care for all Americans.

    The time is now for health care reform.  No delay.  No excuses.  The people of Nebraska have had enough!
    Kyle Michaelis :: Why Nebraska Needs Health Care Reform
    Tags: , , (All Tags)
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    I'm not sure why... (0.00 / 0)
    you're giving Senator Nelson a pass on this.  The truth is, we could probably pass meaningful health care reform without Johanns. Without Nelson it becomes much more difficult.  Despite protestations to the contrary, Nelson firmly opposes a public option.  From his own website:

    Private market solutions:While some have called for establishing a public plan, I believe we cannot effectively resolve our healthcare crisis if Congress becomes weighted down by creating a government-run option to attract Americans away from their private coverage, with little more to offer than cosmetic improvements and the creation of an unlevel playing field.  Our Medicare system is already on its way to insolvency, and our delivery system would collapse if it were to become more reliant on Medicare rates.  In Nebraska, Medicare reimburses as low as 75 percent of what private insurers pay for medical services, which together with the cost shift from uncompensated care, can make up 10-15 percent of an individual's private health coverage premium.

    What is left in Nelson's plan amounts to rearranging deck chairs on the Titanic.

    If we truly want to affect real health care reform, we must pressure Senator Nelson to support a strong public option.


    I agree (0.00 / 0)
    I have been thinking about contacting both Senators and my Congressman, but I'm having trouble formulating an argument that won't fall on deaf ears. When someone comes out and says that protecting the business side of health insurance is more important than your family's health and well being, what can you possible say to them?

    [ Parent ]
    Please... (0.00 / 0)
    don't just think about it.  Do it.  Johanns is probably a lost cause, but it wouldn't hurt to make him see how many people care deeply about this issue.  I believe Ben Nelson can be turned, but it will only happen whenpeople stand up and demand it.

    Contact info:

    Mike Johanns
    Ben Nelson


    [ Parent ]
    Selling Nebraskans (0.00 / 0)
    The public option should be an easy sell to Nebraskans.  We already have the best example right now of what a "public option" can mean.  Our electric utilities are all publicly owned.  We enjoy some of the best rates in the country, and we were imune from the crimes that helped ruin the California economy when Enron staged their rolling blackouts to manipulate prices.  With insurance companies in the drivers set it's going to be more of the same.  All decisions will be made to enrich their executives & stock holders.  A public option will ensure that the focus is on delivering service at the best price.

    [ Parent ]
    As a matter of cost containment.... (0.00 / 0)
    Nebraska's public utilities might offer a strong argument in the public option's favor.  But, at the same time, they've been so slow to adopt new technology and to make investments for the long-term public benefit, that any such comparison requires a note of precaution as well.  We've seen the weakness of such a system when its mission is too narrowly focused and its leadership is too lacking in vision.

    I support a public health insurance option - but not if it would embrace keeping costs low in the short term as its reason for being, as unfortunately appears to be the case with most of our state's public power providers.


    [ Parent ]
    Even better. (0.00 / 0)
    The wise investments in generating capacity for long-term public benefit are the reason that our public utilities haven't needed to adopt expensive new technology.  We have extra generating capacity that will meet the demands of consumers for several more years.  The leadership wisely recognized the future needs and built for the future.  Now they'll be able to take advantage of that advance preperation by delaying the purchase of expensive new technology until it can be purchased at a more reasonable price.

    The private utilities delayed investment for the future because they focused on short term profits to pay executive bonuses, and stock dividends.  Now their customers are beeing held at gun point.  They're being forced to finance the emergency expansin necessary because of the defered maintenance and defered investment in infrastructure.

    I'll be quite happy to purchase the public option in health care even if that means I'm going to get generic drugs and it won't pay for liver transplants.  If you want to purchase a private policy that allows you to have more than basic health care you're certainly free to do so.

    The bottom line is a public option is about keeping costs low.  The private insurance companies will have to provide something with added value if they are going to compete and make a profit.  


    [ Parent ]
    Even worse. (0.00 / 0)
    Again, your basis for comparison is a cause of great concern.  Just look at the way our own rural power public power districts have joined in campaigns actively lobbying against cap and trade while fear-mongering amongst customers about its costs.  The Omaha Public Power District has done the same thing, feeding Congressman Lee Terry such inflated estimates of the legislation's costs that the motives of its leadership must be called into question.  They certainly aren't serving the public by working so hard against a cleaner environment and the new energy economy.

    If this is the sort of leadership we might expect from those in charge of a public health care option, it would be a disaster.  Thankfully, I trust that we can and will do better.

    I wouldn't expect a public utility or a public insurance plan to be on the cutting edge.  That's not their purpose.  But, when they're actively working against reform and the adoption of new technologies in the supposed interests of the public, we have a serious problem.


    [ Parent ]
    Make it national. (0.00 / 0)
    You're absolutely right.  In this state one has to expect those kinds of responses to some issues.  They're only following the dictates of the pols who control them.  If we had a national public option for health care  the policy makers might present a more progressive side of an issue.  I'd still say we're miles ahead of most of the rest of the nation with our corrupt public option as opposed to being at the mercy of the privet vendors like Enron.  

    [ Parent ]
    re: Nelson (0.00 / 0)
    My criticism of Johanns is based on his declared intent to stall and delay health care legislation.  This post is about the urgency of reform and the empiness of calls for delay.  If you don't like it, you're always welcome to write your own diaries on whatever subject you choose rather than criticizing me for not writing what you'd like to see.

    I personally support a strong public option and hope that President Obama and our Democratic leaders in Congress will hold their ground to make it a reality.  The terms of the debate and my expectations of Nelson will be shaped by their courage of conviction.  But, I'm not counting on Nelson to lead the way on this one.  To be honest, I would not even expect Nelson to support the reform package I'd like to see.  His actively opposing it, on the other hand, is a horrific possibility that I won't consider further at the moment.  Let me only say that it would set the stage for a reckoning from which their might be no reconciliation.


    [ Parent ]
    Ahh... (0.00 / 0)
    there's more of that winning charm that's sure to attract more people to the Democratic Party.  Someone offers the faintest of criticisms and, rather than address them on their merits, you revert to full asshat mode.  Brian and Roger have nothing on you.  You're no better than them.  You only think you are.

    You say you are afraid Johanns will stall and delay reform.  I say Ben Nelson will kill it.  Your solution is to demand something of Johanns  you would not ask of Nelson.  Nelson will cave on the public option if we hold his feet to the fire.  As long as he thinks he has a free pass on this issue, he will do whatever he wants.


    [ Parent ]
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    101st Legislature

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