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	<title>Comments on: State Health Care Reforms Need National Leadership</title>
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	<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/</link>
	<description>Firedoglake weblog</description>
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		<title>By: jono1412</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166102</link>
		<dc:creator>jono1412</dc:creator>
		<pubDate>Wed, 26 Dec 2007 23:56:20 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166102</guid>
		<description>&lt;p&gt;TheraP:  I understand the argument to opt out of networks.  But then one is only serving a small subset of the population (those who can afford cash payments) and then you too are part of a system that is organized around reimbursements as opposed to being organized to be of service.&lt;/p&gt;
&lt;p&gt;I have read your comments w pleasure. Are you a PT?&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>TheraP:  I understand the argument to opt out of networks.  But then one is only serving a small subset of the population (those who can afford cash payments) and then you too are part of a system that is organized around reimbursements as opposed to being organized to be of service.</p>
<p>I have read your comments w pleasure. Are you a PT?</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166041</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 23:08:10 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166041</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;Ummm, I think it had a lot more to do with the Bill Gates, and Googles of the world than Algore ever did.&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Ummm, I think you don’t know what you’re talking about.&lt;/p&gt;
&lt;p&gt;Gates &amp; Google had NOTHING to do with it.&lt;/p&gt;
&lt;p&gt;Al Gore sponsored legislation to open it up to the public. That was a nice step forward.&lt;/p&gt;
&lt;p&gt;Gates’ Windows operating system just opens it up further for all the hackers of the world.&lt;/p&gt;
&lt;p&gt;Google helps everybody find things, except for where the governments of this world say “NO”, then they close it down.&lt;/p&gt;
&lt;p&gt;The first browser (Mosaic I think) was a freebie invented by a scientist geek and given to the world for free!&lt;/p&gt;
&lt;p&gt;The first search engines came long before Google.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>Ummm, I think it had a lot more to do with the Bill Gates, and Googles of the world than Algore ever did.</p>
</blockquote>
<p>Ummm, I think you don’t know what you’re talking about.</p>
<p>Gates &amp; Google had NOTHING to do with it.</p>
<p>Al Gore sponsored legislation to open it up to the public. That was a nice step forward.</p>
<p>Gates’ Windows operating system just opens it up further for all the hackers of the world.</p>
<p>Google helps everybody find things, except for where the governments of this world say “NO”, then they close it down.</p>
<p>The first browser (Mosaic I think) was a freebie invented by a scientist geek and given to the world for free!</p>
<p>The first search engines came long before Google.</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166037</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 23:04:50 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166037</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;My Theme is that individuals acting with their God-given abilities can do more than any government can.&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Oh fantastic! When are you going to solve the Iraq and Al Qaeda problems for us then?&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>My Theme is that individuals acting with their God-given abilities can do more than any government can.</p>
</blockquote>
<p>Oh fantastic! When are you going to solve the Iraq and Al Qaeda problems for us then?</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166030</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 22:53:08 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166030</guid>
		<description>&lt;blockquote&gt;
&lt;p&gt;The Point is, “us Right Wingers” don’t want the government “providing good care”. We’ll do that for ourselves…we want taxes lower and the government off our backs.&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Are you calling for the elimination of the military or the police or the FBI or the FTC or the OTHER “care” agencies? If so, then you’re in the trivial minority.&lt;/p&gt;
&lt;p&gt;If we could see the free market system working for health care, then maybe there wouldn’t be any sense of necessity. But, look, even small city governments like where I live are near bankruptcy. It’s a disaster we have to face now.&lt;/p&gt;
&lt;p&gt;Even as things stand it’s going to take a while for this to be fully implemented.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote>
<p>The Point is, “us Right Wingers” don’t want the government “providing good care”. We’ll do that for ourselves…we want taxes lower and the government off our backs.</p>
</blockquote>
<p>Are you calling for the elimination of the military or the police or the FBI or the FTC or the OTHER “care” agencies? If so, then you’re in the trivial minority.</p>
<p>If we could see the free market system working for health care, then maybe there wouldn’t be any sense of necessity. But, look, even small city governments like where I live are near bankruptcy. It’s a disaster we have to face now.</p>
<p>Even as things stand it’s going to take a while for this to be fully implemented.</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166022</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 22:48:26 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166022</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;I heard a right winger howling about Dems raising taxes [ with regard to health care reform ]
&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;I think that the Edwards plan, which leaves our current health care system in place, wouldn’t have to raise taxes as much as they fear. If you’re going to cover everyone, then the only question is what kind of basic plan can you offer and what would it cost. There is where you’ll find the Devil in the details.&lt;/p&gt;
&lt;p&gt;Secondly, if this idea works it will hold down costs throughout the whole health care system by providing competition which the market lacks (to some degree) now.&lt;/p&gt;
&lt;p&gt;Of course, it shouldn’t be ignored that by providing a better health care system it should be possible to cut back on a lot of unnecessary care, tests, paperwork, etc. and that will cut costs. How much nobody yet knows.&lt;/p&gt;
&lt;p&gt;It would be nice if we could ease into this thing with a couple of states here and then a couple there. Given a bit of feedback we could get the rough edges worked off before shipping this product nationwide.&lt;/p&gt;
&lt;p&gt;There are probably also a lot of people in each state who are working in this area and would need to be moved into the new system (as I suggested with CHIPS in another post). It’s gonna be a big move and we shouldn’t rush it.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>I heard a right winger howling about Dems raising taxes [ with regard to health care reform ]
</p>
</blockquote>
<p>I think that the Edwards plan, which leaves our current health care system in place, wouldn’t have to raise taxes as much as they fear. If you’re going to cover everyone, then the only question is what kind of basic plan can you offer and what would it cost. There is where you’ll find the Devil in the details.</p>
<p>Secondly, if this idea works it will hold down costs throughout the whole health care system by providing competition which the market lacks (to some degree) now.</p>
<p>Of course, it shouldn’t be ignored that by providing a better health care system it should be possible to cut back on a lot of unnecessary care, tests, paperwork, etc. and that will cut costs. How much nobody yet knows.</p>
<p>It would be nice if we could ease into this thing with a couple of states here and then a couple there. Given a bit of feedback we could get the rough edges worked off before shipping this product nationwide.</p>
<p>There are probably also a lot of people in each state who are working in this area and would need to be moved into the new system (as I suggested with CHIPS in another post). It’s gonna be a big move and we shouldn’t rush it.</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166009</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 22:36:55 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166009</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;They also refuse to believe that insurance companies refuse to give insurance at any price to someone who is self-employed with a pre-existing medical condition like a heart attack or an expensive chronic disease like arthritis.&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Then they obviously wouldn’t mind a federal law which forbids denying care to someone with a pre-existing condition.&lt;/p&gt;
&lt;p&gt;I wonder if it will be possible to move CHIPS into a new state-run health care plan such as Edwards suggests. Running everything from the federal level could be a huge headache.&lt;/p&gt;
&lt;p&gt;If we’re going to have several government plans and some will be aimed at low-income people, then CHIPS would obviously be a fundamental part. Simply moving it into the new system would avoid causing anyone to lose coverage and it would keep the administration employees working throughout.&lt;/p&gt;
&lt;p&gt;I’m guessing whomever is made the first administrator of this new program is going to have to have a good bit of leeway in setting it up — state by state with coordination from the federal HQ.&lt;/p&gt;
&lt;p&gt;Who would be good to run such a program? To get it off the ground?&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>They also refuse to believe that insurance companies refuse to give insurance at any price to someone who is self-employed with a pre-existing medical condition like a heart attack or an expensive chronic disease like arthritis.</p>
</blockquote>
<p>Then they obviously wouldn’t mind a federal law which forbids denying care to someone with a pre-existing condition.</p>
<p>I wonder if it will be possible to move CHIPS into a new state-run health care plan such as Edwards suggests. Running everything from the federal level could be a huge headache.</p>
<p>If we’re going to have several government plans and some will be aimed at low-income people, then CHIPS would obviously be a fundamental part. Simply moving it into the new system would avoid causing anyone to lose coverage and it would keep the administration employees working throughout.</p>
<p>I’m guessing whomever is made the first administrator of this new program is going to have to have a good bit of leeway in setting it up — state by state with coordination from the federal HQ.</p>
<p>Who would be good to run such a program? To get it off the ground?</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166006</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 22:29:32 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1166006</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;All hmo’s are tax exempt! They are 501c3 in every state!&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;I confess I don’t know a lot about them, but I thought they were like corporations or limited partnerships.&lt;/p&gt;
&lt;p&gt;Hmmm.&lt;/p&gt;
&lt;p&gt;So, just how would one describe their organization and relationship to health care providers and and other health care industry businesses (pharmaceuticals, equipment manufacturers, etc.)?&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>All hmo’s are tax exempt! They are 501c3 in every state!</p>
</blockquote>
<p>I confess I don’t know a lot about them, but I thought they were like corporations or limited partnerships.</p>
<p>Hmmm.</p>
<p>So, just how would one describe their organization and relationship to health care providers and and other health care industry businesses (pharmaceuticals, equipment manufacturers, etc.)?</p>
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		<title>By: MarkH</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165998</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Wed, 26 Dec 2007 22:23:58 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165998</guid>
		<description>&lt;blockquote&gt;&lt;p&gt;And they receive frequent advice on how to vote from Emanuel…&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Apparently the newbies need better hand-holding.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<blockquote><p>And they receive frequent advice on how to vote from Emanuel…</p>
</blockquote>
<p>Apparently the newbies need better hand-holding.</p>
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		<title>By: otchmoson</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165629</link>
		<dc:creator>otchmoson</dc:creator>
		<pubDate>Wed, 26 Dec 2007 17:01:52 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165629</guid>
		<description>&lt;p&gt;An acquaintance in Wisconsin send me occasional e-mails regarding efforts in his state addressing universal health care and campaign reform. Any analysts care to take at look . . . at any of these sites/newsletters?&lt;/p&gt;
&lt;p&gt;&lt;a href=&quot;http://www.ThrowTheRascalsOut.org&quot; rel=&quot;nofollow&quot;&gt;www.ThrowTheRascalsOut.org&lt;/a&gt;&lt;br /&gt;
&lt;a href=&quot;http://www.WiCleanElections.org&quot; rel=&quot;nofollow&quot;&gt;www.WiCleanElections.org&lt;/a&gt;&lt;br /&gt;
&lt;a href=&quot;http://www.BusinessCoalition.net&quot; rel=&quot;nofollow&quot;&gt;www.BusinessCoalition.net&lt;/a&gt;&lt;br /&gt;
&lt;a href=&quot;http://MoneyedPoliticians.net&quot; rel=&quot;nofollow&quot;&gt;http://MoneyedPoliticians.net&lt;/a&gt;&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>An acquaintance in Wisconsin send me occasional e-mails regarding efforts in his state addressing universal health care and campaign reform. Any analysts care to take at look . . . at any of these sites/newsletters?</p>
<p><a href="http://www.ThrowTheRascalsOut.org" rel="nofollow">http://www.ThrowTheRascalsOut.org</a><br />
<a href="http://www.WiCleanElections.org" rel="nofollow">http://www.WiCleanElections.org</a><br />
<a href="http://www.BusinessCoalition.net" rel="nofollow">http://www.BusinessCoalition.net</a><br />
<a href="http://MoneyedPoliticians.net" rel="nofollow">http://MoneyedPoliticians.net</a></p>
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		<title>By: JamesJoyce</title>
		<link>http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165591</link>
		<dc:creator>JamesJoyce</dc:creator>
		<pubDate>Wed, 26 Dec 2007 16:32:21 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2007/12/26/state-health-care-reforms-need-national-leadership/#comment-1165591</guid>
		<description>&lt;p&gt;Libertylee,&lt;/p&gt;
&lt;p&gt;Any “trusts” enable your liberty?   Come work with me for a day and see if you survive the experience.  Liberty is a great concept, if your not a indentured servant and/or have a silver spoon affixed to your mouth at birth, like the shrub…….&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Libertylee,</p>
<p>Any “trusts” enable your liberty?   Come work with me for a day and see if you survive the experience.  Liberty is a great concept, if your not a indentured servant and/or have a silver spoon affixed to your mouth at birth, like the shrub…….</p>
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