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	<title>Comments on: Obama&#8217;s Dilemma: Ten Degrees of Separation</title>
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	<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/</link>
	<description>Insights on Health Care Reform &#124; NCPA</description>
	<lastBuildDate>Fri, 10 Sep 2010 16:15:15 -0500</lastBuildDate>
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		<title>By: Can There Be Scaled-Down Health Reform? &#124; John Goodman &#124; NCPA</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-53038</link>
		<dc:creator>Can There Be Scaled-Down Health Reform? &#124; John Goodman &#124; NCPA</dc:creator>
		<pubDate>Wed, 03 Feb 2010 18:31:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-53038</guid>
		<description>[...] readers will recall that I made a similar point here and Uwe Reinhardt agreed with me. But I wasn’t arguing for ObamaCare. I was arguing against [...]</description>
		<content:encoded><![CDATA[<p>[...] readers will recall that I made a similar point here and Uwe Reinhardt agreed with me. But I wasn’t arguing for ObamaCare. I was arguing against [...]</p>
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		<title>By: Don Levit</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46182</link>
		<dc:creator>Don Levit</dc:creator>
		<pubDate>Tue, 15 Sep 2009 20:09:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46182</guid>
		<description>I guess the government could dictate price and coverage for a public option plan.
It has no business doing so for private insurance, aside from minimum coverage requirements.
Regarding a public option plan like Medicare, how is the government going to ensure that reserves are used to pay for medical claims, rather than for battleships?
Don Levit</description>
		<content:encoded><![CDATA[<p>I guess the government could dictate price and coverage for a public option plan.<br />
It has no business doing so for private insurance, aside from minimum coverage requirements.<br />
Regarding a public option plan like Medicare, how is the government going to ensure that reserves are used to pay for medical claims, rather than for battleships?<br />
Don Levit</p>
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		<title>By: Bob Kramer</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46173</link>
		<dc:creator>Bob Kramer</dc:creator>
		<pubDate>Tue, 15 Sep 2009 18:09:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46173</guid>
		<description>John, I wish that you could come up with exact quotes about prop I and II. We will never achieve a doable health care plan when all one side does is ridicule the other and vice-versa. What has happened to that elusive phrase &quot;collaboration&quot;? We need to stop the acerbic rhetoric and work together.</description>
		<content:encoded><![CDATA[<p>John, I wish that you could come up with exact quotes about prop I and II. We will never achieve a doable health care plan when all one side does is ridicule the other and vice-versa. What has happened to that elusive phrase &#8220;collaboration&#8221;? We need to stop the acerbic rhetoric and work together.</p>
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		<title>By: Ron Bachman</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46163</link>
		<dc:creator>Ron Bachman</dc:creator>
		<pubDate>Tue, 15 Sep 2009 15:24:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46163</guid>
		<description>John, you always have great analysis.  Maybe you can focus a future email on the &quot;Green Healthcare&quot; built into the Senate HELP bill. Watch closely if it makes its way into the final Senate or House bill. Has anyone asked what &quot;Built environment&quot; means???  

Some initiatives go frighteningly beyond traditional health care and into areas of city planning, home construction and transportation systems. The level of centralized power over individual rights seems far beyond anything most citizens would expect in their daily lives on the grounds of health insurance reform.  Here is what is in the bill:

Wide-sweeping “Health Impact Assessments” are proposed on “the potential health effects of the built environment.”

“The term ‘built environment’ means an environment consisting of building, spaces and products that are created or modified by individuals and entities, including homes, schools, workplaces, greenways, business areas, transportation systems, and parks and recreation areas, electrical transmission lines, waste disposal sites, and land-use planning and policies that impact urban, rural and suburban communities.”

For proponents, these proposals do a terrific job of centralizing power into the hands of government. They include health environmentalism, green impact assessments and added bureaucratic oversight and restrictions on American business. The ability to award grants seems unlimited and ideologically oriented to an expanded role of government in citizens’ lives, well beyond health and health care.</description>
		<content:encoded><![CDATA[<p>John, you always have great analysis.  Maybe you can focus a future email on the &#8220;Green Healthcare&#8221; built into the Senate HELP bill. Watch closely if it makes its way into the final Senate or House bill. Has anyone asked what &#8220;Built environment&#8221; means???  </p>
<p>Some initiatives go frighteningly beyond traditional health care and into areas of city planning, home construction and transportation systems. The level of centralized power over individual rights seems far beyond anything most citizens would expect in their daily lives on the grounds of health insurance reform.  Here is what is in the bill:</p>
<p>Wide-sweeping “Health Impact Assessments” are proposed on “the potential health effects of the built environment.”</p>
<p>“The term ‘built environment’ means an environment consisting of building, spaces and products that are created or modified by individuals and entities, including homes, schools, workplaces, greenways, business areas, transportation systems, and parks and recreation areas, electrical transmission lines, waste disposal sites, and land-use planning and policies that impact urban, rural and suburban communities.”</p>
<p>For proponents, these proposals do a terrific job of centralizing power into the hands of government. They include health environmentalism, green impact assessments and added bureaucratic oversight and restrictions on American business. The ability to award grants seems unlimited and ideologically oriented to an expanded role of government in citizens’ lives, well beyond health and health care.</p>
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		<title>By: not Linda Gorman</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46156</link>
		<dc:creator>not Linda Gorman</dc:creator>
		<pubDate>Tue, 15 Sep 2009 14:02:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46156</guid>
		<description>Medicare is NOT insolvent.

If your premise is false, then if your conclusion is true, it&#039;s only coincidence.</description>
		<content:encoded><![CDATA[<p>Medicare is NOT insolvent.</p>
<p>If your premise is false, then if your conclusion is true, it&#8217;s only coincidence.</p>
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		<title>By: Linda Gorman</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46150</link>
		<dc:creator>Linda Gorman</dc:creator>
		<pubDate>Tue, 15 Sep 2009 03:49:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46150</guid>
		<description>Medicare is insolvent. 

Expanding it is not an option unless one wants to force people to accept a promise of &quot;coverage&quot; that will not result in the provision of actual medical care.

The private health insurance industry serves the people who contract with it. If they don&#039;t like it they don&#039;t have to purchase its products. As most people say they like the product they have, it is rather arrogant to applaud government interference in private arrangements out of some misplaced desire for revenge.

As an aside, the House of Representatives does not control public education, public safety, or most law enforcement. These are controlled by local governments.</description>
		<content:encoded><![CDATA[<p>Medicare is insolvent. </p>
<p>Expanding it is not an option unless one wants to force people to accept a promise of &#8220;coverage&#8221; that will not result in the provision of actual medical care.</p>
<p>The private health insurance industry serves the people who contract with it. If they don&#8217;t like it they don&#8217;t have to purchase its products. As most people say they like the product they have, it is rather arrogant to applaud government interference in private arrangements out of some misplaced desire for revenge.</p>
<p>As an aside, the House of Representatives does not control public education, public safety, or most law enforcement. These are controlled by local governments.</p>
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		<title>By: Jennie Fiedler</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46146</link>
		<dc:creator>Jennie Fiedler</dc:creator>
		<pubDate>Tue, 15 Sep 2009 01:08:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46146</guid>
		<description>Expand Medicare to include everyone, make everyone pay for it (like we already do) and get rid of this whole mess.  The system is already in place and doesn&#039;t need to be &quot;created&quot;, the House Resolution is already written, and the health insurance industry will get the spanking it deserves.  It works for law enforcement, education and public safety.  It will work for healthcare too.</description>
		<content:encoded><![CDATA[<p>Expand Medicare to include everyone, make everyone pay for it (like we already do) and get rid of this whole mess.  The system is already in place and doesn&#8217;t need to be &#8220;created&#8221;, the House Resolution is already written, and the health insurance industry will get the spanking it deserves.  It works for law enforcement, education and public safety.  It will work for healthcare too.</p>
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		<title>By: Ray Gitmo</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46144</link>
		<dc:creator>Ray Gitmo</dc:creator>
		<pubDate>Tue, 15 Sep 2009 00:40:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46144</guid>
		<description>John, I am an insurance professional, and you have to be one of the clearest thinkers that I have read discussing the dynamics of any insurance market.

Supposedly the big O was to put together a panel of experts who would get together and come up with the best ideas on how to proceed to fix our very screwed-up healthcare system. My question: Did anyone ever invite you to any of the gatherings of experts?  If they did not, they missed the boat big time. 

I believe there were some very informal meetings in the early days of the big O administration. If they believe this was enough to come up with fixes to such a complex system, they are even more naive than I already thought them to be.

Sadly our healthcare guru in chief does not seem to know what is meant by adverse selection.</description>
		<content:encoded><![CDATA[<p>John, I am an insurance professional, and you have to be one of the clearest thinkers that I have read discussing the dynamics of any insurance market.</p>
<p>Supposedly the big O was to put together a panel of experts who would get together and come up with the best ideas on how to proceed to fix our very screwed-up healthcare system. My question: Did anyone ever invite you to any of the gatherings of experts?  If they did not, they missed the boat big time. </p>
<p>I believe there were some very informal meetings in the early days of the big O administration. If they believe this was enough to come up with fixes to such a complex system, they are even more naive than I already thought them to be.</p>
<p>Sadly our healthcare guru in chief does not seem to know what is meant by adverse selection.</p>
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		<title>By: Kevin</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46142</link>
		<dc:creator>Kevin</dc:creator>
		<pubDate>Mon, 14 Sep 2009 22:48:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46142</guid>
		<description>God, I just want to cry... our government is pure evil and there is no way out of Washington DC using all of this to exact tighter control and regulation of our lives.</description>
		<content:encoded><![CDATA[<p>God, I just want to cry&#8230; our government is pure evil and there is no way out of Washington DC using all of this to exact tighter control and regulation of our lives.</p>
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		<title>By: James</title>
		<link>http://www.john-goodman-blog.com/obamas-dilemma-ten-degrees-of-separation/comment-page-1/#comment-46139</link>
		<dc:creator>James</dc:creator>
		<pubDate>Mon, 14 Sep 2009 21:16:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=5229#comment-46139</guid>
		<description>Hi John,

One possible solution to the entire problem is to require insurance companies to cover an entire &quot;course&quot; of treatment for a condition which arises while coverage occurs - regardless of whether the customer continues to pay premiums.  

This would be like life insurance.

I&#039;d like you to explain the pros and cons of that in some future column if possible.

James</description>
		<content:encoded><![CDATA[<p>Hi John,</p>
<p>One possible solution to the entire problem is to require insurance companies to cover an entire &#8220;course&#8221; of treatment for a condition which arises while coverage occurs &#8211; regardless of whether the customer continues to pay premiums.  </p>
<p>This would be like life insurance.</p>
<p>I&#8217;d like you to explain the pros and cons of that in some future column if possible.</p>
<p>James</p>
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