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Next entry: Note to conservatives: thanks, but your help is not needed Previous entry: Mad Men blogging: Never go with a hippie to a second location

Hey, Mama, I Done Self-Fulfilled A Prophecy!

Michael F. Cannon and Ramesh Ponnuru write an article called “You Mislead!”, which is apparently the NRO method of sympathizing with Joe Wilson, two weeks late and with a lot more lying.

You see, they’re going to “fact check” Obama’s healthcare speech, which is so full of terrible, glaring missteps that even reports cited misleadingly and out of context disprove every point he tried to make.  That is how bad it is, my friends.  Let’s look at their first couple of points (the italicized portions are Obama quotes):

1. “Buying insurance on your own costs you three times as much as the coverage you get from your employer.” The Congressional Budget Office writes, “Premiums for policies purchased in the individual insurance market are, on average, much lower — about one-third lower for single coverage and one-half lower for family policies.” It is true that individual insurance policies are generally 30 percent less comprehensive than employer-provided insurance, and comparable individual policies are about twice as expensive. But much of the extra cost is a function of the tax penalty on purchasing such insurance and the stunted market that penalty has yielded.

Actually, the authors leave out the next part of the CBO’s argument, which I’ve reproduced in full:

Premiums for policies purchased in the individual insurance market are much lower—about one-third lower for single cover- age and half that level for family policies. In large
part, those differences reflect the fact that policies purchased in the individual market cover a lower share of enrollees’ health care costs, on average, which also encourages enrollees to use somewhat fewer services. At the same time, average administrative costs are higher for individually purchased policies. The remainder of the difference in premiums probably arises because people
who purchase individual coverage have lower expected costs for health care to begin with.

There’s no support for the tax penalty contention from the CBO.  Whatsoever.  More importantly, the major reasons that individual policies cost any less is because they’re generally worse insurance for younger and healthier people.  In other words, Obama was completely right about the drastically increased expense for purchasing comprehensive health insurance individually…but it doesn’t count because of something something ACORN.

2. “There are now more than 30 million American citizens who cannot get coverage.”An outright falsehood, whether you use the president’s noncitizen-free estimate or the standard, questionable estimate of 46 million uninsured residents.

A study prepared for the federal government estimates that 9 million people counted as “uninsured” in the standard estimate are in fact enrolled in Medicaid. The left-leaning Urban Institute estimates that 12 million are eligible but not enrolled, meaning they could get coverage at any time. Health economists Mark Pauly of the University of Pennsylvania and Kate Bundorf of Stanford estimate that one quarter to three quarters of the uninsured can afford to purchase coverage, but choose not to do so.

 

I really wish we were in the middle of a game of Mortal Kombat right now so that a distorted, bass-driven voice could yell out, “DEVASTATING” right now.  And then I wish the arcade operator would come over and reset the machine, because it’s malfunctioning rather terribly.

Is saying there are 30 million uninsured, particularly based on the sources cited, an “outright falsehood”?  Well, technically, yes, because the sources cited all say there are more uninsured than that, even with the exclusions.  For instance, the government report:

For CY 2003, correcting for an undercount of 17 million persons lowers the full year uninsured estimate by just over 9 million persons. For CY 2003, with this adjustment, the almost 36 million uninsured (as compared to an unadjusted 45.0 million) is more consistent with the full year uninsured count reported by MEPS of 31.7 million (although for an earlier year).

In 2003, years before the economy took its current tumble, there were somewhere between 32 and 36 million uninsured.  And Barack Obama said 30 million in 2009, which is basically akin to saying the Holocaust didn’t happen, except with a greater chance of killing your grandmother.

Now, the Urban Institute piece, which is actually from the Kaiser Foundation, but whatever, because Bill Ayers runs the whole thing.  Its first page shows the following graph:

image

44.6 million uninsured, 25% of which (11.15 million, but what’s an extra million between people who are ideologically opposed to each other?) are eligible for public assistance, leaving 33.45 million who are uninsured and ineligible for public assistance.  And that was in 2007.  (Also remember that, from their initial contention, the authors preferably wanted you to subtract the covered-but-not-insured from the 30 million number, assuming that the only difference between the higher number and the lower number was illegal immigrants.)

There are two explanations for why Cannon and Ponnuru are unfailingly dishonest in “correcting” Obama.  The first is that they’re hoping that a gullible yet uninformed audience buys into everything they say and harasses your libtard face with it every chance it gets.  The second is that Cannon and Ponnuru took the affirmative action-bake sale route through undergrad and never went to class enough to learn that you can’t prove your point just by yelling at minorities and liberals with made up numbers.

My vote is both.

 

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Posted by Jesse Taylor on 08:13 AM • (22) Comments

You know, Mark Pauly and Kate Bunford can “estimate” my ass.  I love that they “estimate” that people can get insurance but choose not to.  What is their definition of choosing not to? 

Is it calling around to five or six insurance companies and getting “estimates” of monthly insurance premiums that on paper, when looking at my gross income (which is what all these studies do.  They never look at the actual net), should be affordable but in practice, if I want to eat or even go out once in a while with friends, I could never afford to do that and pay for insurance? 

Is it paying two to three hundred dollars a month for insurance that doesn’t cover you for what you actually need it to cover (say, the pre-existing condition that the insurance company wrote a special rider in order to be able NOT to cover any treatment for), so instead of wasting $200 a month on something that won’t pay any near-term dividends while still having to shell out the cash price of seeing the doctor and getting the medication you need, you decide, “Fuck it.  If I don’t have to pay for this crap insurance, that money each month can go toward the medicines and care I actually need”?

I mean, let’s get some real definitions of people just willy-nilly saying, “Fuck insurance.  I’m a gambler.”  Cause all the people I know without have one of the two reasons above or any number of completely rational reasons that any thinking human adult would come up with in the untenable situation of medical care being treated as a commodity.  I mean, for fuck’s sake, there are letters in the fucking U.S. News from actual idiotic people arguing for MORE commodification of health care and you can all go fuck off if you get sick. 

I hope those people who think health insurance is the same as auto insurance get to choose between totalling out their body after a catastrophic illness or accident and paying for repair.  I bet they choose total cause it’s just easier, and it will be too late at that point to tell them that it’s near to impossible to get a replacement body, unlike buying a replacement car.  Also, how much is the Kelly Blue Book value on my body?  I have a bit of cellulite, some shin splints, and hyperthyroidism.

It’s disgusting.

Comment #1: speedbudget  on  09/29  at  08:32 AM

You’re not being fair, Jesse.

You don’t seem to understand that it’s really okay for Cannon and Ponnuru and all the rest of the Reichwing Insurance Company Choir to lie and manipulate figures.  They have a greater good in mind, which is the final elimination of all parts of government except the Defense Department, the CIA/NSA, and the FBI/DHS.  If you’re going to eventually turn America into a satanic, Randian, Mad Max-style wasteland, further steps toward the elimination of human empathy and understanding are a great place to start.

So, sure, they’re telling lies, if you want to be rude about it. 

You may see those lies as outrageous propaganda attempting to wreck the chances of getting true healthcare reform that could make a huge difference in people’s lives.  And you’d be right.

But enlightened American Conservatives prefer to see them as tiny, innocent, white lies that serve a greater good: lining their pockets and the pockets of their bestest friends in the insurance industry.  Somewhere in Hell, Ayn Rand is smiling…

Comment #2: MikeEss  on  09/29  at  09:54 AM

In fairness (‘cuz, why not be fair?) I can’t figure out *what* those highlighted quotes in your article actually mean.  “For CY 2003, correcting for an undercount of 17 million persons hey nonny nonny who let the pigs fly over a paper moon over a cardboard sea what I mean?”  Is this really how the CBO reports their findings?

Comment #3: xebecs  on  09/29  at  10:52 AM

Those “estimations” rarely include the fact that “quotes” are frequently lowballed, too.

Sure, I would get a phone quote that would look great ... but then they would find 20 things to rate me for upon “further review”.

Comment #4: Ms Kate  on  09/29  at  10:54 AM

Oh, and I can’t wait to see what Statistics Gnurd Nate is gonna do with this one.

Comment #5: Ms Kate  on  09/29  at  10:56 AM

I just can’t get over the “people choose not to buy insurance so they’re irresponsible and don’t deserve to see a doctor when they get sick” bit.  People “choose” not to buy insurance so they can “pay the rent” and “eat” and “buy clothes for their kids.”

Comment #6: snowmentality  on  09/29  at  01:38 PM

“People “choose” not to buy insurance so they can “pay the rent” and “eat” and “buy clothes for their kids.””

...all Cannon and Ponnuru and fellow travelers want is for people to choose to be rich first.  Then they can buy medical insurance and have all the rest.  Otherwise they think those irresponsible people should be sold for medical experiments…

Comment #7: MikeEss  on  09/29  at  01:50 PM

Oh, and while we’re at it? The reason that the CBO didn’t blame tax consequence for a lousy market in individual insurance is that for a large chunk of people buying that insurance, there really aren’t. If you’re self-employed, you can take (what is it? 80%?) almost all the costs of your insurance right off the top, just like people who are employed by a company that offers insurance to its employees.

You would think that expansion of the individual market would have brought premiums down substantially, or at least reined in growth, but nah…

Comment #8: paul  on  09/29  at  03:01 PM

Individual insurance may be “cheaper” by some standard but considering how crappy it is, it’s hardly worth it.  Way back in 2004 I got an individual plan.  Did not cover any of my pre-existing conditions, so anything i regularly went to the doctor for, like eczema, was excluded.  No maternity coverage, so if I got pregnant, my only hope was to quit my job so I could qualify for medicaid.  $2000 deductible plus a separate $1500 deductible for prescription medications.  It cost $175 a month, and the premium was going up about 10% a year when I finally dropped it in early 2005.  For a healthy 22 year old.  At the time I was pulling in about $1500 a month after taxes so this was more than 10% of my net income—a large expense that did nothing for me except cover me in the case of a catastrophic emergency, assuming such emergency was not related to pregnancy or any of my pre-existing conditions.  And assuming this continued to rise at the same rate for the past five years, it would cost over $250 a month for the same plan now.  My husband’s company offers full coverage for both of us for $700 a month, except they pay half so we only pay $350 a month.  Still, even if we paid all of it, it would be worth the extra couple hundred a month for a plan that actually covers what we need it to and doesn’t require us to pay everything out of pocket. 

BTW, what calculation are they using for medicaid eligibility?  From my understanding, it varies by state.  In Texas, it is nearly impossible for a non-pregnant, non-disabled adult to get medicaid, no matter how poor they are.

Comment #9: rebelliousjezebel  on  09/29  at  03:27 PM

“For CY 2003, correcting for an undercount of 17 million persons hey nonny nonny who let the pigs fly over a paper moon over a cardboard sea what I mean?”

After the revolution, when im dictator, you can be my press secretary

Comment #10: jefft452  on  09/29  at  03:28 PM

@xebecks
Undercounting is (I believe) a type of sampling error that statistical surveys sometimes run into.

The CBO quote means that the unadjusted totals had a problem that resulted in an overestimate of 9 million in terms of the number of uninsured people. If I had to guess, it’s because the population that has insurance was undercounted, so the rate of being insured was underestimated (so the uninsured were overestimated), but all the quote syas is that there was an error. And then it goes on to say that, after correcting for the error, the results of the study are reproducible, and were reproduced by MEPS (whoever they are), so low-to-mid 30’s of millions uninsrued is a pretty good estimate for 2003.

Comment #11: jalmondale  on  09/29  at  03:29 PM

Don’t people on Medicaid constantly have to reapply?  And can’t they get kicked off the second their incomes go up just a smidge?  Where I come from (reality land), that’s not health coverage.

Comment #12: keshmeshi  on  09/29  at  03:51 PM

Where do these people live that it’s so easy to qualify for Medicaid? In my state you can’t get Medicaid unless you have kids.

Comment #13: slingshot  on  09/29  at  04:03 PM

Oh, and you need to have no job or a full-time job that somehow pays min wage or less.

Comment #14: slingshot  on  09/29  at  04:05 PM

Also, not only can neither me nor my partner afford health insurance (which would be more than our rent!) our employers can’t either. So really it’s too fucking expensive all around when only big corporations or wealthy people can afford it.

Comment #15: slingshot  on  09/29  at  04:07 PM

Where do these people live that it’s so easy to qualify for Medicaid?

Neptune.

That was too easy smile

They really believe that entitlements are being handed out like candy to people “unworthy” of them.  They can’t process that as many people actually need help as there actually are.  There simply can’t be that many poor people in the United States that can’t prosper through no fault of their own; it has to be something else, something about the character of those people that explains why they aren’t succeeding and prospering.  The people they see and interact with in their daily lives are all more or less as successful as they are; I’d be very surprised if they thought at all about the office cleaners who empty their trash baskets and vacuum up the dust bunnies every night so they can have clean offices.  It’s especially jarring coming from someone with a name like Ramesh Ponnoru, a name that screams out “Developing-World immigrant” and therefore ostensibly someone who knows something about poverty.

Comment #16: liberalrob  on  09/29  at  06:12 PM

These kinds of ‘analysis’ by that purport to say there really is no problem with the uninsured sets my teeth on edge, because my son is one of those uninsured. And not because that is what he chooses, unless choosing to work part time while he finishes his college degree is the wrong choice. What makes this doubly infuriating is he is prone to kidney stones, so since he cannot afford health insurance (and has this pre-existing condition), he ‘chooses’ to avoid the hospital route when he’s passing a stone. I had the special treat of watching him writhe in agony, his face turning purple, as he passed one of these stones.

But there are other stories to share as well.

Such as the young couple expecting their first child who ‘chose’ to go without insurance and go the midwife route, because his free-lance IT work didn’t produce enough income to buy health insurance and his wife’s pregnancy was one of those pre-existing conditions. They thought they could get by since the pregnancy went well… and everything was hunky-dory until the delivery. Hypoxia and weeks in a NICU led to a bill of $1 million.

Or the young woman who had a pet-sitting business and had just finished college and was about to start a job with health insurance coverage who got an infected ovarian cyst (a pre-existing condition) and had to undergo emergency surgery with over a week in the hospital. Her ‘choice’ led to a $30K debt.

Comment #17: revrick  on  09/29  at  06:27 PM

It’s especially jarring coming from someone with a name like Ramesh Ponnoru, a name that screams out “Developing-World immigrant” and therefore ostensibly someone who knows something about poverty.

Sometimes that’s the problem—if Americans aren’t living in shantytowns eating scraps of garbage like the very poorest of the poor do in third world countries, then they aren’t poor at all and their only real problem is that they’re lazy.  It’s a variation on the “but they all have color TVs so how can they be poor?” dodge.

Comment #18: Mnemosyne  on  09/29  at  06:29 PM

A study prepared for the federal government estimates that 9 million people counted as “uninsured” in the standard estimate are in fact enrolled in Medicaid. The left-leaning Urban Institute estimates that 12 million are eligible but not enrolled, meaning they could get coverage at any time.

This is a LIE, which I know others on this thread have pointed out already, but I feel like maybe its important to reiterate a million times over that this is a LIE.

I am the picture of Medicaid eligibility. The most money I have ever made in a year was seven thousand dollars, as in seven-zero-zero-zero. I am currently an unemployed part-time non-traditional student. I live with my retired living on a fixed income mother. I have the sort of pre-existing condition that makes insurance companies bypass offering you inadequate coverage and instead just tell you to go fuck yourself. My college is a junior college in an incredibly poor suburb with a predominantly Black and Latino population, so obviously it doesn’t offer insurance.

I am eligible for Medicaid in every way possible, yet I’ve been rejected each time I applied. THAT’S HOW THE SYSTEM WORKS. That is the way it is set up. After posting my story on another blog a girl emailed me to share her tips for getting Medicaid when you’re eligible but keep getting rejected. It went like this “apply, they reject you, you appeal, they reject you, reapply, they reject you, you appeal, they reject you, reapply, they reject you, you appeal, they finally fucking accept you.”

This is a full time job in and of itself, add in that the people who need Medicaid the most often have serious medical conditions and it becomes obvious why so many who are qualified aren’t on the program. The system is set up so those people aren’t in the program.

This isn’t some accidental flaw, this is systematic. Those 12 million people they mention aren’t lazy, disinterested, or uninformed, they’re slipping through bureaucratic cracks that didn’t form by accident, but rather were fucking put there by assholes like Ronald Reagan and the douchebags behind the above quoted article.

An aside, can I just tell you all that the health reform debate made my husband and I start smoking again? Seriously.

Comment #19: jessilikewhoa  on  09/29  at  07:09 PM

It’s not like Medicaid entitles you to much, too. In Austin, I think there’s like one ob/gyn that’ll take Medicaid patients for anything but pregnancies. Anything. I thought I had uterine fibroids thanks to being given vague and irrelevant information by a doctor. The one place in town that would see me had an attached surgery center that wouldn’t operate. I was stuck seeing a creepy old man in the suburbs that I won’t ever visit again. Fortunately, I didn’t actually need any surgery that time but if I ever do, I guess I’m out of luck.

I’m having some pain issues that my doctor has yet to properly diagnose. I’ve had such bad luck with that clinic that I’m looking for another doctor, and of course, I have very few other options. I can go to one pain management clinic, but it had a six month waiting list. Yeah, waiting lists can happen to anyone, but I figured I had other options. Of course not. I couldn’t see a neurologist without being bused to Houston and my HMO that “Medicaid reform” in Texas entitled me to won’t cover psychical therapy appointments. I’m hoping finding another doctor will at least I help me figure out what’s wrong, but I’m really not sure what I’m going to be able to do about it.

It’s amazing how many hoops you have to jump through to get so little help.

Comment #20: Quijotesca  on  09/30  at  01:22 AM

In Delaware, the cut-off for Medicaid for a single person, no kids, is $850/month.  If you make one penny over that, you no longer qualify. 

Yes, you have to reapply every year.  Yes, you have to provide income documentation throughout the year.

No, it’s not considered insurance when/if you find a job that pays a living wage and includes benefits.  If you have a condition and get treatment for it and get it under control while being on Medicaid and then buy your own insurance, even if there is no gap in coverage, that condition is a pre-existing condition and because you didn’t technically have insurance, the insurance company does not have to cover that condition.

So explain again the point of Medicaid being available to anyone.

Also, ask a Republican to explain why a cut-off of $850/month (with no step-down program.  Like, say you get a job making $1,200/month.  You can’t pay in a percentage to Medicaid to keep your coverage, even though there is no FUCKING way you could afford insurance on your own with income) is in any way sane or logical when all it does is ENCOURAGE people to stay un- or underemployed, especially if they are diagnosed with a condition while on Medicaid.

Comment #21: speedbudget  on  09/30  at  09:36 AM

jessilikiewhoa (19):

This isn’t some accidental flaw, this is systematic. Those 12 million people they mention aren’t lazy, disinterested, or uninformed, they’re slipping through bureaucratic cracks that didn’t form by accident, but rather were fucking put there by assholes like Ronald Reagan and the douchebags behind the above quoted article.

That seems odd to me, but I guess it makes sense. Just as a for-profit insurance company can’t tell stockholders, “we took your money and spent it on a bunch of sick people,” Medicaid can’t tell taxpayers “we took your money and spent it on a bunch of poor sick people.”

Comment #22: Hershele Ostropoler  on  09/30  at  07:53 PM
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