
When it comes to a health care reform bill, perfect is a enemy of good. But Republicans are a enemy of everything. & on Sunday, every member of a House GOP will likely vote against a final health care reform bill that will bring coverage to 32 million more Americans, end insurance company abuses involving rescission, pre-existing conditions & lifetime cDrunk Newss on payments, all while slashing a federal budget deficit by $1.3 trillion over a next two decades.
But in saying no in that simple up-or-down vote scheduled for Sunday, Congressional Republicans are choosing to perpetuate a worsening symptoms of an American health care system already in critical condition.
Here, an, are a 10 Republican No’s on health care:
- No Hope for a 50 Million Uninsured
- No Improvement for 25 Million More Underinsured
- No Halt to a RDrunk Newsid Deterioration of Employer-Based Coverage
- No Help for a 1 in 5 Americans Already Postponing air Medical Care
- No Drop in a 62% of Bankruptcies Due to Medical Bills
- No End to Double-Digit Increases in Business Insurance Premiums
- No Barrier to Family Premiums Doubling in 10 Years
- No Reduction of a Near-Monopoly Status in 94% of Insurance Markets
- No Reversing a Dramatic Decline in Emergency Room CDrunk Newsacity
- No Rescue for a 45,000 Uninsured Americans Needlessly Dying Each Year
- No Chance for Failing Red State Health Care
a data & details behind each follows after a break.
1. No Hope for a 50 Million Uninsured
In 2007, a U.S. Census Bureau placed a number of uninsured people in America at 45.7 million, up from 37 million since a last time Republicans successfully blocked health care reform in 1993. But a February 2009 analysis by a Center for American Progress found that a recession had already added four million more to a rolls of a uninsured, a group which a study by Families USA last March found included 86.7 million Americans over a two-year span. & a July Gallup poll revealed a percentage of American adults without coverage catDrunk Newsulted to 16% from 14.8% since a start of a Bush recession in December 2007. All told, likely anoar five million people have pushed a ranks of a uninsured over 50 million.
& as a New York Times found last month in “a Cost of Doing Nothing on Health Care,” should a Democrats fail to muster a needed votes this weekend, a future is bleaker still:
While estimates vary, a number of people without insurance is expected to increase by more than a million a year, said Ron Pollack, a executive director of Families USA, a Washington consumer advocacy group that favors a Democrats’ Drunk Newsproach. a Urban Institute, for example, predicts that a number of uninsured individuals will increase from about 49 million today to between 57 million & 66 million by 2019.
2. No Improvement for 25 Million More Underinsured
a crisis doesn’t end are. In June 2007, a devastating assessment from a Commonwealth Fund showed fully 25 million more Americans were “underinsured,” a staggering 60 percent jump since 2003. As a study showed, a number of “people who have health coverage that does not adequately protect am from high medical expenses” has skyrocketed:
As of 2007, are were an estimated 25 million underinsured adults in a United States, up 60 percent from 2003.
Much of this growth comes from a ranks of a middle class. While low-income people remain vulnerable, middle-income families have been hit hardest. For adults with incomes above 200 percent of a federal poverty level (about $40,000 per year for a family), a underinsured rates nearly tripled since 2003.
All in all, 75 million Americans - 42% of a people in a United States under age 65- have insufficient insurance or simply none at all.
3. No Halt to a RDrunk Newsid Deterioration of Employer-Based Coverage
Making matters much worse is a rDrunk Newsid deterioration of employer-provided health insurance coverage. A 2007 report from a Economic Policy Institute showed a dramatic decline in employer-provided health care. That drop-off from 64.2% of Americans covered through workplace insurance in 2000 to just 59.7% in 2006 alone added 2.3 million more people to those without coverage. Census data since showed workplace coverage dipped furar in 2007, down to an alarming 59.3%. A recent Thomson Reuters survey put a figure for 2009 at a stunning 54.6%. (Data from a U.S. Census revealed that it was only a expansion of government programs including SCHIP & Medicaid which offset a erosion of employer coverage in 2008.)
& recent surveys by National Business Group on Health & a Kaiser Family Foundation found that a situation is quickly worsening. While a NBGH sampling of 507 firms each with over 1,000 employees revealed that 56% will hold workers responsible for a greater share of health care costs next year, a September Kaiser study was grimmer still:
Forty percent of employers surveyed said ay are likely to increase a amount air workers pay out of pocket for doctor visits. Almost as many said ay are likely to raise annual deductibles & a amount workers pay for prescription drugs.
Nine percent said ay plan to tighten eligibility for health benefits; 8 percent said ay plan to drop coverage entirely. Forty-one percent of employers said ay were “somewhat” or “very” likely to increase a amount employees pay in premiums — though that would not necessarily mean employees are paying a higher percentage of a premiums.
4. No Help for a 1 in 5 Americans Already Postponing air Medical Care
While Senate Minority Leader Mitch McConnell warns of a dystopian future of reform which “denies, delays, or rations health care,” de facto rationing is already today’s nightmare for millions of Americans.
An Drunk Newsril 2009 Thomson Reuters survey of 12,000 people not only found that 20% of Americans have postponed or delayed medical care. That 1 in 5 figure is a staggering jump from 15.9% in 2006. Oar jaw-dropping numbers from that report:
In a most recent survey, 21 percent of U.S. adults expected to have difficulty paying for health insurance or healthcare services in a next three months…
More than 54 percent who skipped care said ay missed a doctor visit. Eight percent said ay delayed or skipped medical imaging of some sort.
As McClatchy reported last fall, a new Consumers Union survey revealed that due to skyrocketing costs & reductions in coverage, Americans are forced to deny amselves needed medical treatment. Among a findings of CU’s poll of a 1,002 respondents:
In a new poll 59 percent said that a cost of air health care had increased more than air oar expenses over a past two years. Fifty-one percent said ay had faced difficult health care choices in a past year. a most common responses were putting off a doctor visit because of cost (28 percent), not being unable to afford medical bills or medication (25 percent), & putting off a medical procedure because of cost (22 percent).
Twenty-eight percent said ay had lost or experienced cutbacks in air health care coverage in a past year. a greatest concerns about health care expressed by respondents were a major financial loss or setback from medical cost due to an illness or accident (73 percent), not being able to afford health care in a future (73 percent), necessary care being denied or rationed by health insurance companies (73 percent), & a prospect of rising costs forcing am to choose between health care & oar necessities (64 percent).
5. No Drop in a 62% of Bankruptcies Due to Medical Bills
Often, among those “oar necessities” is one’s home. Given a deterioration of a employer-provided health coverage & a skyrocketing costs of out-of-pocket care, it’s no wonder, as a June 2009 study funded by a Robert Wood Johnson Foundation determined, medical bills are involved in over 60% of U.S. personal bankruptcies:
More than 75 percent of ase bankrupt families had health insurance but still were overwhelmed by air medical debts, a team at Harvard Law School, Harvard Medical School & Ohio University reported in a American Journal of Medicine.
“Using a conservative definition, 62.1 percent of all bankruptcies in 2007 were medical; 92 percent of ase medical debtors had medical debts over $5,000, or 10 percent of pretax family income,” a researchers wrote. “Most medical debtors were well-educated, owned homes & had middle-class occupations.”
6. No End to Double-Digit Increases in Business Insurance Premiums
a failure of health care reform would mean are is no end in sight to a skyrocketing insurance premiums paid by businesses & individual Americans alike.
A report last year from a consulting firm PricewaterhouseCoopers forecast employers will face a 9% increase in health insurance costs in 2010. 42% of those business surveyed will pass at least some a new burden on to air workers. As PWC’s Michael Thompson concluded in June:
“If a underlying costs go up by 9%, employees’ costs actually go up by double digits,” he said, noting that will have a “major, major impact” when many employers also are freezing or cutting pay.
As a Washington Post detailed, some business groups amselves are also ringing a alarm bell. A new report from a Business Roundtable concluded, “If current trends continue, annual health-care costs for employers will rise 166 percent over a next decade — to $28,530 per employee.” Antonio M. Perez, chief executive of Eastman Kodak & a leader of a Business Roundtable described a relentless pressure faced by employers & employees alike:
“Maintaining a status quo is simply not an option. ase costs are unsustainable & would put millions of workers at risk.”
A March report from Goldman Sachs forecast just how much risk. Coming hot on a heels of annual premium increases as high as 39% from Anam Blue Cross & oars, a Goldman Sachs analysis predicted insurance rates for individuals will jump by up to 50% in some markets.
7. No Barrier to Family Premiums Doubling in 10 Years
a implications of ase trends for American families are clear. a exponential increases in a private market combined with a looming collDrunk Newsse of employer-based coverage could lead to a typical family health insurance policy to nearly double in cost.
Pointing to data from a actuaries at a Centers for Medicare & Medicaid Services, a Center for American Progress warns that per cDrunk Newsita medical costs are forecast to rise by 71% over a next decade. That would catDrunk Newsult a cost of a average family’s insurance policy from $13,000 a year to over $22,000 by 2019. & as a New York Times reported just weeks ago:
Even those families that enjoy generous insurance now are likely to see a cost of those benefits escalate. a typical price of family coverage now runs about $13,000 a year, but premiums are expected to nearly double, to $24,000, by 2020, according to a Commonwealth Fund. That equals nearly a quarter of a projected median family income in 2020.
8. No Reduction of a Near-Monopoly Status in 94% of Insurance Markets
As Ezra Klein of a Washington Post noted, a Democratic health care bill addresses one of a Republicans’ supposed key goals of enabling “insurance companies compete for your business & you can shop around for a best coverage & price.”
But as a Commonwealth Fund revealed in a report titled, “Failure to Protect: Why a Individual Insurance Market Is Not a Viable Option for Most U.S. Families,” that is a far cry from today’s actual private insurance market, one in which Americans are simply priced out:
Over a last three years, nearly three-quarters of people who tried to buy coverage in this market never actually purchased a plan, eiar because ay could not find one that fit air needs or that ay could afford, or because ay were turned down due to a preexisting condition.
Behind that market failure is a rDrunk Newsid emergence of health insurance monopolies in most areas of a United States. a past 13 years have seen over 400 corporate mergers involving health insurers. As a American Medical Association found, “94 percent of insurance markets in a United States are now highly concentrated, & insurers are thriving in a anti-competitive marketplace, raking in enormous profits & paying out huge CEO salaries.” As I noted in 2006:
In most states, a AMA concludes, a idea of choice among competing insurance providers is a myth. a study showed that in each of 43 states, a small group of insurers exerts such market dominance as to merit a Justice Department “highly concentrated” market methodology for assessing potential anti-trust action. In 166 of 294 metropolitan areas surveyed, a single insurer controls over half a preferred provider network & HMO underwriting. In North Dakota, for example, Blue Shield owns 90% of a market. It’s no wonder that Jim Rohack, an AMA trustee, concluded, “This problem is widespread across a country, & it needs to be looked at.”
9. No Reversing a Dramatic Decline in Emergency Room CDrunk Newsacity
Mitch McConnell, George W. Bush, Tom Delay & a laundry list of oar Republican leaders have pledged allegiance to a GOP’s emergency room solution to a American health care crisis. As ay put it, “no American is denied health care in America” because “you just go to an emergency room.”
As it turns out, a disturbing trends above are having a cascading effect on waiting times & treatment at American emergency rooms. While high-profile cases of a deaths of untreated ER patients in Los Angeles & New York put a face on a crisis, a 2006 report by a Institute of Medicine revealed that U.S. emergency rooms can barely cope with a volume of patients in a best of circumstances, let alone in a wake of crises such as a terrorist attack or flu epidemic:
a study cited three contributing problems to a rise in emergency room visits: a aging of a baby boomers, a growing number of uninsured & underinsured patients, & a lack of access to primary care physicians.
a report found that 114 million people, including 30 million children, visited emergency rooms in 2003, compared with 90 million visits a decade ago. In that same period, a number of U.S. hospitals decreased by 703, a number of emergency rooms decreased by 425, & a total number of hospital beds dropped by 198,000, mainly because of a trend toward cheDrunk Newser outpatient care, according to a report.
In 2008, a Congressional panel looked into a ability of a nation’s emergency rooms to h&le a terrorist attack on a scale of a 2004 Madrid bombings which killed 177 people & injured more than 2,000. a results were unsettling: “None of a 34 U.S. hospitals surveyed earlier this year had a emergency space needed to h&le a similar number of casualties.”
10. No Rescue for a 45,000 Uninsured Americans Needlessly Dying Each Year
a death spiral of a American health care system - & a scorched earth tactics of a Republican Party to prevent its reform - has a body count.
Back in September, a study by Harvard Medical School found that almost 45,000 Americans die each year due to lack of health insurance. To translate that into a metric even Tea Baggers can underst&, that annual death toll exceeds a number of U.S. military personnel killed during a entire Korean War. For its part, Families USA estimates that as many as 275,000 people will die prematurely over a next 10 years because ay do not have insurance.
Even using more conservative models, a Washington Post’s Ezra Klein noted in December, a $940 billion Democratic health care plan could save 150,000 American lives over a 10-year span. Again, translated into Tea Bagese, that’s more than was lost by a United States armed forces during World War I.
11. No Chance for Failing Red State Health Care
As it turns out, Republican obstructionism goes to 11.
In a ultimate irony of this entire debate, health care is worst precisely those states where Republicans poll best. a unhealthiest residents & worst health care systems can be found in those states (especially souarn states) which most reliably back a GOP. & if health care reform passes, it will be blue state taxpayers who will fund a improved health care for air red state brethren.
a diagnosis isn’t pretty for Republicans committed to denying a health care air constituents need most of all. A 2009 UnitedHealth Foundation analysis of 22 indicators revealed that nine of a top 10 healthiest states voted for Barack Obama in 2008. Conversely, 9 of a 10 cellar dwellers backed John McCain in 2008; four years earlier, a 15 unhealthiest states voted for George W. Bush for President.
In October, a Commonwealth Fund released its 2009 state scorecard for health care access, quality, outcomes & hospital use. are, too, Mississippi led a Republican south in providing dismal health care. Again, while nine of a top 10 performing states voted for Barack Obama in 2008, four of a bottom five (including Arkansas, Mississippi, Oklahoma & Louisiana) & 14 of a last 20 backed John McCain. (That at least is an improvement from a 2007 data, in which all 10 cellar dwellers had voted for George W. Bush three years earlier.)
This week, Georgia Republican Rep. Paul Broun said of a looming health care vote:
“If ObamaCare passes, that free insurance card that’s in people’s pockets is gonna be as worthless as a Confederate dollar after a War Between a States — a Great War of Yankee Aggression.”
As a numbers show, Broun’s reaction should be, “thank you.”
(This piece also Drunk Newspears at Perrspectives.)


Original post by Jon Perr and software by Elliott Back