Forget single payer. Not Gonna Happen. The Obamacans say it’s off the table, and I believe ‘em. Just like I believed their duly selected Spokesmodel-In-Chief, Barack Hussein Walker Obushma, when he said, back when he was just the Inevitable Candidate, that he wasn’t opposed to all wars, just dumb ones, and that blowing shit up in Afghanistan and Pakistan was a pretty freaking radically brilliant idea, as far as he was concerned. “Anti-war, my left tit,” said I back then, and, sure as shootin’, turns out my faith in the Black Sheep of the Bush Family was not misplaced. His FISA vote and his subsequent, “look forward without anger, why change things when they work for me” philosophy regarding Bush-era transgressions doesn’t surprise me a whit, either.
I have always been struck by the cozy, lovey-dovey relationship Georgie’s Ba’ Bruh has always seemed to have with “Obamacans.” When I first heard of Republicans for Obama, I was like, “what’s up with that, huh?” Why would a group of Republicans get together in 2006 to encourage the “most liberal Senator in the history of…liberals and Senators” to run for President after the guy had only been voting against their interests on a national basis for a couple years or so? Sure, coulda been just another Axelrove AstroTurfing campaign, but, if it was, why weren’t real Republicans yelling their heads off about it? Rush Limbaugh and Dick Cheney are not exactly shy about slamming one of their own for being too buddy-buddy with the other side. Why did all the black Republicans endorse this “most liberal Senator, blah, blah, blah, either explicitly, or tacitly? Why did so many registered Republicans switch party affiliation to vote for a community organizer, (a phrase they utter with all the dripping sarcasm, venom and contempt a mother uses to describe her law school-grad son, the “rap singer”’s career choice) in the primaries and caucuses, then neglect to switch back, swelling the ranks of Independents while depleting their former party’s numbers so significantly it’s now a shell of itself? In fact, didn’t the guy Al Franken called a “big, fat, idiot,” encourage that? Operation Chaos, anyone? Why didn’t the sleazy Obama ploy plea for Republicans to become Democrats for a Day cause the “liberal media” and the “progressive blogospherians” who supported him with a blind fury to turn their backs on, and wash their hands of, him? How come the Barackamedian’s biggest laugh on his Rock Star Tour campaign trail come from his oft-related response of “Thank you, why are we whispering?” to Republicans’ hushed confessions of “I voted for you”?
The tales of his repeated promises to “reach across the aisle” in a “bipartisan effort,” yadda, yadda, are legend. In light of all that, one would have to be a willingly head burying ostrich not to conclude, “duh, he’s one of them.” His latest actions in regard to “health care reform” only validate, underscore, and put a cherry on top of that obvious reality. And, then here’s Arlen.
In 2004, That One’s Rhinestone Cowboy predecessor began his push for reforming the healthcare industy by digitalizing medial records. While he, and his Homey, the Clown, speak in pretty vague terms of “computerizing medical records,” the truth is that the goal involves totally revamping the way health care is delivered, both nationally, and globally. From Health Policy Monitor, October, 2004:
On April 26, 2004 President Bush announced his goal that most Americans have an Electronic Health Record (EHR) within the next ten years. The anticipated benefits of EHRs that could share patient information securely among providers and ensure complete health information would be available at the time and place of care, would be: improved quality of care, reduced medical errors, reduced health care costs, improved administrative efficiencies, reduced paperwork, and increased access to affordable health care. The President issued Executive Order 13335 and established the position of National Coordinator for Health Information Technology, who was required to report within 90 days on a strategic plan to guide the national development and implementation of Health Information Technology (HIT) in both public and private sectors.
In May 2004, Secretary of Health and Human Services Tommy G. Thompson appointed David J. Brailer, MD, PhD to serve in this new position, and on July 21, 2004, presented a report, “The Decade of Health Information Technology: Delivering Consumer-centric and Information-rich Health Care - Framework for Strategic Action.”
Now, I don’t know if Dr. David Brailer of Health Evolution Partners is part of the SEIU led group of health care related organizations pledging to “reform” health care and cut costs, but I do know that it doesn’t really matter. The coalition coming to the White House at 12:30 tomorrow to present Obamboozler with an undefined proposal outlined in a vague letter, comprised of some of the same reform-blocking entities that plagued the Clinton administration, is but another player in the ongoing drama in the Theater of the Obsurd. Karen Ignagni, of American Health Insurance Plans, (one of the letter signing groups) last week went before Congress and bogusly begged to be regulated. While the media dutifully reports that their concern is over the possibility that the Obamacrats (the opposing faction of the Obamacans of the Democratic party) might actually implement a public plan to help Americans struggling with impossible to afford health care, the truth is we’re just being softened up for the GE/Microsoft/Simi Valley/Google/liberal elite university overhaul of the industry. Forget about single payer, think health care “delivery system reform.” Senate Finance Chair Max Baucus does:
“I do believe we need universal coverage and I think the inefficiencies you allude to can be addressed. Delivery system reform would cut costs and improve quality. We need health insurer reform to get rid of preexisting conditions and other ways insurers discriminate. That’s part of our plan here, and the CEOs of many larger insurance companies are on board. They know this change is coming. They may lose the current model but they pick up on volume with 46 million people coming into the system.”
The insurance-based, public/private payment system is unlikely to change much. The Obamacanacrats will get away with that by convincing us all that by the time all of our medical, insurance, hospital, etc., files are hooked up to a central national, then global, database, insurance industry overhaul won’t be necessary. The Rick Scotts and Karen Ignagnis of the world are just jockeying for elbow room at the coming pie-laden boardinghouse table. When George Bush, Barack Obama, Newt Gingrich and Max Baucus are all saying the same damned thing, only a fool would believe there’s a chance they’ll listen. No single payer, it’s the medical records, stupid. They’re just quibbling over the details to keep us occupied. Baucus, once again, spells it out:
Sen. Max Baucus (D-Mont.), chairman of the Senate Finance Committee and responsible for leading healthcare reform efforts, said Monday that health IT will be key in containing costs to pay for reform.
At a press meeting hosted by the American Progress Action Fund, Baucus said Congress wants to reduce costs internally through delivery system reform, and he highlighted health IT and comparative effectiveness as prime examples. He emphasized savings would come over the long haul, up to 12 years, after initial investments in health IT.
“This is strategic,” he said.
Baucus said the Senate is working hard to develop legislation before next fall, a longer timeline than initially proposed. He’s optimistic about the process, saying, “I think all of us agree that the stars are maybe finally aligned this year for the passage of meaningful healthcare reform.”
Baucus said a bipartisan compromise will create sustainability in health reform.
Health Information Technology, (HIT) something General Electric, parent company of MSNBO, is investing heavily in, refers to any computerized health care service; electronic health records are those of an individual; and electronic medical records are the doctor’s files. Coming up with a compatible, comprehensive system that will accommodate all the disparate factions is a huge, and hugely expensive undertaking, but make no mistake, that’s what the current fight is about. Pulling it off will create jobs, and likely effect a siesmic shift in the economy. Which, if you’ve been listening, is pretty much what Obie’s been talking about with his social planning budget. And, though the Republicans cast in the role of curmudgeonly contrarians make a big, “oh, he’s a socialist” show to entertain, occupy and confuse the sheeple, they know better. Hell, they’re in on it, too.
There are drawbacks, however, like this article detailing the hacking of the medical records database at University of California, Berkley, highlights. This Boston Globe piece about Google Health chronicles some others. And, while this Wikipedia entry shows how the sheer number of software companies looking to get in on the gravy train makes compatibility a potential nightmare, the chart at the bottom reassures us that they all run on Windows.
The Republicans wanted Obama to be nominated and elected last year. That’s the only conclusion we can draw from the evidence right in front of our faces. You may remember that during the primary, it was supposed to be a REALLY REALLY good thing that Obama attracted Republicans and could win conservative states.
I asked then, and will continue to ask, over and over and over again, why on earth would we want more conservatives in the Democratic Party? All they do is keep us from implementing a sane, progressive agenda.
Carolyn Kay
MakeThemAccountable.com
Thanks, Cinie.
Maybe when GE does to healthcare what it has done to the news, death will start looking better and better.
Just for the record, today (May 13) Glenn Beck had a huge segment on his radio show about how George Bush was a “progressive.” And how all progressives are BAD! My head is spinning…
As for the electronic medical records…it’s not about cost cutting because they are introduced…it’s about cutting TREATMENT to the elderly….even heard mention of dialysis being limited to those under 60 (I have kidney disease and am on a low protein diet, which the MDs DO NOT PROMOTE….because dialysis is the norm for them)… All those new centers (like the one in Albuquerque which just opened)…will they put that industry out of business or curtail it greatly? I mean, suddenly the medical profession has discovered a big increase in kidney disease (from meds, poor general health, high blood pressure,etc)….so, I guess they’ll stay in business but with younger patients….
We are screwed…
Cinie, I wasn’t referring to you, I’m sorry it sounded that way.
I apologize for any offense.
I inadvertently used my last name in my first post. Can you delete it or the entire post?
Cinie – Too bad no one ever listens to Obama. He told us this was the scope of his “health care reform” plan in January. I even wrote about it at the time. (BY the way – Bush’s idea about medical records came in 2003 AFAIK.)
I agree that this “solution” is larger in scope than I first thought when I wrote the piece, but ya know, it’s still not large enough. We need reform in how many people are being covered, what health care and prescriptions are automatically covered, and a very large cost reduction. IOW, single-payer health care.
As you said, it’s not going to happen. I don’t see any point in focusing my activism on writing letters asking Barack Obama and these useless Congressional RepubliDems to live up to their promises. Instead, I would rather focus on getting out into the streets, and getting more women into the pipeline for local, state and federal elections. I’m convinced that nothing else will change our now thoroughly corrupted governmental system. And the more research that comes out on the effects of getting women past the 30% mark in government has on social justice in any society, the more that belief is validated.
Cinie – here’s a link to a VA document that does a good job explaining the context of why Vista was developed, what it does, and some problems with using it outside the VA:
http://74.125.95.132/search?q=cache:NzbvM8YKX7cJ:forecasting.cwru.edu/MIDS409F06/projects/CPRS.doc+VA+CPRS&cd=18&hl=en&ct=clnk&gl=us
thetowncrier – my husband says your points are well-taken, but as with any software, there are opinions both ways. You may be interested in checking out this site: http://worldvista.org/ Look at Software demos and links. World Vista partnered with the VA to add, for example, pediatric care.
My purpose in posting, Cinie, was to give you information for your research. When someone writes about healthcare IT and doesn’t know about the VA system, I question how deep their knowledge is. The VA is, after all, the largest medical provider in the country, and this software is a workhorse that is fulfilling its function as we speak (not new and shiny ).
You may be interested in knowing that after Katrina, it took only 3 days to restore all the medical data for the veterans served by the New Orleans VA.
Enough.
Why do you assume I didn’t know about it just because I didn’t find what I did know about it relevant enough to promote it? I’m not advocating for or against any particular company, platform, model, or software, merely pointing out the companies that have paid to have their interests promoted and seem to be having their investments bear fruit. That being said, since both Bush and Obama have heavily endorsed and invested in the VA records computerization, and it uses VistA, that seems to be where they’re headed, to a degree. But, if you looked at the last link in the above post you’ll see that VistA runs on Windows, a Microsoft company.
And, I make no claims of being an IT expert, but, if you follow the links in my posts, you’ll usually find that the info you seek is in there.
Thoughts on this, healthcare guru Cinie?
http://online.wsj.com/article/SB124208383695408513.html
Gottlieb’s a rightwing former Wall Streeter:
http://seattletimes.nwsource.com/html/nationworld/2002450292_gottlieb24.html
A different argument:
http://voices.kansascity.com/node/4573#comment-23939
Cinie – Revised formula for world-wide financial domination of health care systems
Bush Sr. = Carlyle = CalPERS = SEIU = Dubbya = Brailer/Newt!!!
Bush Sr./Carlyle Group buy up controlling interest of key health care institutions. Dubbya/CalPers/Brair/Newt promote, dominate, and supply private venture capital for heath IT to force reimbursment rate/profit compliance from health care providers. SEIU/Obama strong-arms control of the workforce and thus government compliance to health IT systems.
Institutions + Records + Workforce = Submission
Am I off the rails here? (Swell tweaks tin-foil hat *scrinch,scrinch*)
I find it amazing that computerization of medical records registers more than a faint blimp on the Health Care Reform radar. Exactly how much savings would that introduce? If it’s the 1.5% “yearly reduction in rate of growth” of medical costs alluded to yesterday by the Teleprompter, Americans in 2019 will still be facing a 285% increase in premiums annualy! That is depressing, but there’s no lack of blissfully ignorant bots and “journalists” hailing the Teleprompter’s announcement.
Cinie – Bush = Brailer = CalPERS = SEIU
http://www.modernhealthcare.com/article/20070606/FREE/70606006
Remember, the mark of the beast? Now look at this, seems CalPERS is having $$$$$ problems. Boy, seems they sure do need their above investment to pay off big.
http://www.seiuca.org/politics/california_budget/Calpers_Looks_to_Shore_Up_Assets.aspx
P.S. You know lots, Cinie. That’s why I come here everyday.
CalPERS, Enron, Carlyle Group?
What the hell does this mean?
http://www.thenation.com/doc/20020401/shorrock2
http://sourcewatch.org/index.php?title=Carlyle_Group
Cinie – here’s a little food for thought you might want to use in your research on healthcare IT.
The Department of Veterans Affairs has had an automated patient record for years. The VA’s computer software was developed in-house by degreed federal employees who had to fight to get it accepted.
Here’s a current article on a bill Sen. Rockefeller, D-WV, (I know! I know!) is working on to promote the use of open-source software: http://www.boston.com/news/health/articles/2009/05/04/few_hospitals_go_paperless_using_free_va_software/
“It’s really insane that we have a fully developed health information technology system that is bought and paid for and free to anybody who wants it and used widely around the world by other governments running their healthcare systems . . . and yet we don’t have any take-up in the US, or not much to speak of,” he (Phillip Longman, a fellow at the New America Foundation) said.
The first comments are negative. I urge you to keep reading to where people who know this software respond.
If you’re thinking of the old crappy VA, here’s a 2005 article from the Washington Monthly about the new VA: http://www.washingtonmonthly.com/features/2005/0501.longman.html
“Ten years ago, veterans hospitals were dangerous, dirty, and scandal-ridden. Today, they’re producing the highest quality care in the country. Their turnaround points the way toward solving America’s health-care crisis.”
Of course, Obama, GE, Microsoft et.al. aren’t interested in adapting what we already have which has been paid for by the taxpayers.
Just so you know, my husband retired from the VA last year, where he worked in software development.
Peg
Ohio
Peg, just from a very cursory preliminary examination of the issue, it seems like it’s the Wild, Wild West out there with everybody jockeying for dominance. Then there are the questions of “interoperability” at play here. On top of that, there are also a lot of open source programs to choose from, Rockefeller seems to want to develop a new one, or, maybe he wants the government to choose the industry standard and adapt it.
“The senator says that his proposal would not mandate the use of open source software programs nor block adoption of proprietary commercial software. The objective is to fund development of an open source reference implementation so that a completely free and open solution is available for organizations that desire one. Proprietary software vendors will be able to implement support for the new open standards in their own products, thus guaranteeing interoperability.
“This legislation does not replace commercial software,” said Rockefeller. “Instead, it complements the private industry in this field—by making health information technology a realistic option for all providers.”
http://arstechnica.com/open-source/news/2009/04/senator-opens-source-software-needed-for-medical-records.ars
This is the Wiki entry on open source healthcare software:
http://en.wikipedia.org/wiki/List_of_open_source_healthcare_software
Both Bush and Obama seem to want to use the VA as a model, and promoted going full bore on computerizing their system.
http://latimesblogs.latimes.com/washington/2009/04/obama-to-veterans-.html
http://www.thebostonchannel.com/health/3243106/detail.html
I don’t know enough about the particulars to have an informed opinion, I’m still reading and learning.
checked out VistA a few years ago. UGH! Onerous! Cumbersome! No way! Like the article says, good for big institutions with many IT people in waiting for tweaking it. Like an auto, one brand/size/model/etc. does not fit all needs. Maybe if the GE and pals would work on VistA, it might become a viable program large scale. But then again, GE and Microsoft did not donate to the Zer0 campaign to get peanuts of contracts to work out VistA.
Let me think out loud here about SEIU being involved in this. Could it be that their pension plan administrators have secured sole rights to the first year’s profit at some of these companies poised to provide medical records on-line, by providing a fraction of the venture capital? Could it be that the taxpayer is to finance the rest of the start-up costs, with no stake in the company profits? This wouldn’t be a ponzi scheme, would it?
Swell, just the upcoming unionizing opportunities are enough to justify SEIU jumping aboard, imo. And, since health insurance is currently primarily employer based, they’d probably really want to be in on the ground floor of whatever system is developed. Of course, their pension plans are a big part of it, too. But, what the hell do I know?
My sentiments exactly. The Republicans couldn’t get the healthcare update but with Obama in with a majority (including Republican Specter) it will be a breeze. And the Obamacans want medical records to spy on us and decide what NOT to deliver on a worldwide basis.
Smart, too, putting it in an emergency package.
The progressives will sit back waiting for BO to deliver their liberal agenda until it’s too late.
When the Repubs are elected in 2010 and 2012 they will have more authoritarian power than they could have acquired on their own.
bing…bing…bing…bing… Exactly.
I’m not sure everybody appreciates the scope of this issue. Changing the health care delivery system is a huge, game changing, undertaking, and in my opinion, should be explained in detail to the public before they try to implement it.