Wednesday, March 17, 2010
Congressional Accountability and Responsibility
The other day we learned that for the first time Social Security brought in less than was needed to pay monthly benefit checks. Which means the government is going to have to borrow money, because Congress left a bunch of IOUs and raided the Social Security Trust Fund. Where is the responsibility and accountability in that action? Through their greed and stupidity Congress, rather than leaving the Fund alone to gain interest, blew the money on whatever half assed thing got their attention and now they will increase an already out of control debt even higher.
Health Care Reform. People need health care and there has to be a way to do it that will please the majority. Does Congress sit down and try and do what is best for the American people? Of course not. Better split based on party lines and say the hell with the people. My way right or wrong. Compromise is not an option.
Watching some of these pompous baboons on TV infuriates me and makes me marvel that some of these clowns just keep coming back.
Since it is obvious that our government does not want to be accountable or responsible, I think its time we the people take over. God knows we can't do any worse.
During the next weeks I intend to make a proposal to my senators for a bill to limit campaign funding so that not only the rich will be able to run for office in this country. Its time that those of us in the trenches had a chance on Capital Hill to bring back a sense of reality.
Obama made a lot of promises about changing the system and having an open government, but as he pointed out to John McCain during the Health Care Fiasco, that was a campaign promise and no one is campaigning anymore. How's that for a taste of reality?
Anyway, we all need to start thinking of ways to get the common man to DC. Best way to start - vote the incumbents out.
Its Common Sense!
Friday, February 26, 2010
Health Care Summit
Obama made it clear that he was in charge, but he did not come across as a leader. The majority of the Republicans came across as whiners wanting things their way.
I knew the summit would fail, but there was a part of me that prayed and hoped that maybe this was the time these politicians would put their selfish interests aside and actually try and do something for the good of the country. Of course, since they're politicians it was wishful thinking on my part to think they would attempt to do the actual job they were elected to perform.
From what I saw yesterday it appears that Health Care Reform is a dead issue. The Republicans made it clear they were not going to compromise. Pelosi for the Democrats has never wanted to compromise, so while the DC gang sits on their high horses pontificating why they're right and the other side is wrong, the American people suffer.
In truth, I do not understand what is so difficult. Both sides say the system needs fixing. Then sit down and write down all of the things that are wrong with the system. Next, on an issue by issue basis,list ways that solve that particular issue. Now comes the time for compromise, with a list of solutions there should be some middle ground all can agree on. It does not have to be my way or the highway.
Yesterday's summit only reinforces my belief that term limits need to be mandatory. The people in Congress really think they are far more important than they are. They were elected to be public SERVANTS not little kings and queens. The smirks on their faces, the sarcasm of many of the comments just made me sick.
In November, let's vote as many of them out as possible and start with some fresh blood interested in the well being of America and not themselves.
Its Common Sense!
Sunday, December 20, 2009
President Obama's Campaign Promises
Troops are being pulled out of Iraq, but at a slower rate than promised and now it appears that more will be staying than in the original plan.
The USA's commitment to Afghanistan has increased with the ordering of an additional thirty thousand troops, not to mention billions in finanical aid. Where is the end of al-Quada and the Taliban?
There are still prisoners in Guantanamo Bay (Gitmo) even though the President promised it would be closed in the first year of his Administration. There is talk of the prisoners being moved to a high security facility in Illinois, but nothing has been finalized.
Health Care Reform is an on going battle being fought along clearly partisan lines. What happened to the spirit of cooperation and unity in government?
Where are the new jobs? Where are all the new Green businesses? Unemployment has slowed down, but for millions nothing has improved.
Where are strong regulations to control banks? They are paying off the bail out money, paying employees big bonuses, increasing interest on credit cards, withholding loans for home buyers, and taking no precautions for the future. Why is the Obama Administration not making things tougher on Wall Street?
Other areas not going well. Obama failed to bring the Olympics to Chicago. Personally I do not think he should have even gone to plead the city's case, but the fact is he went and lost. Not a pretty picture.
Obama receives the Noble Peace Prize but no one, including himself, understands why. Regardless of the justification supplied by the Noble Committee, it still looks like Obama got the prize based on future hopes as opposed to any real action he has performed to date.
Climate control and saving the environment. Obama went to Copenhagen and failed miserably. Now,to be fair he tried, but it is evident other world leaders do not hold him in that high esteem because he could not even get the nations to agree to an enforceable plan. In truth, it looks like business will continue as always and future generations will pay the price for the greed of their ancestors.
Overall, I give Obama a C-. A lot of talk, a lot of promises but very little to show.
He got elected by people who really thought he was different, that he was more than just another politician, that he was a man of his word and that he would make things happen. Having been part of the system he knew how it worked, so he should only have promised what he knew was doable. Instead, he stayed a politician wanting to win and has put us in our current situation.
Understand that I know he can do nothing on his own. He has to deal with the Congress. But having been a part of Congress he knew what obstacles he would be up against and he should have been honest about them up front. Instead he gave the impression that he could overcome the obstacles and thus far he has failed miserably.
The real challenge for Obama is to see if his Administration can turn things around or he could end up being another one term president.
Actions speak louder than words, now Obama's actions need to live up to his words.
Its Common Sense!
Tuesday, October 13, 2009
Senator Ben Cardin on Health Care Reform (1)
Read carefully, especially in light of what the insurance companies stated over the weekend and in light of the bill that was approved in the Senate Finance Committee and is making its way to the floor.
Does Congress really understand our concerns?
Share your thoughts, at least I'll listen if no one else will.
Its Common Sense!
Dear Mr. Wolfe:
Thank you for contacting me about the affordability of health care reform.
Earlier this year, several Congressional committees began work on legislation to reduce the overall cost of health care for all Americans and expand coverage to the millions who are uninsured. Our overarching goal is to achieve meaningful reforms that will maintain what works in our health care system and fix what is broken. Although the Senate Finance Committee, which has jurisdiction over Medicare, Medicaid, and the financing of health reform, has not yet reported a bill, it is expected to do so shortly. Please be assured that I have read the bills that have been reported so far, and I will carefully read the Senate Finance Committee's bill before its provisions are debated on the Senate floor.
Everyday, more than 14,000 Americans lose their health insurance coverage, and the cost of medical care increases in this country, so the cost of inaction is greater than the cost of reform. Ten years ago, the average cost of a family health insurance policy in Maryland was $7,000, it is now more than $12,000, and if we do nothing, it is projected to be $23,000 by 2016. Providing Americans with a guarantee of stable, comprehensive medical coverage, along with strong insurance regulation will bring down the cost of care. A public option can help bring down the cost of health care. With fewer insurance companies offering coverage, competition is eroded and there is less incentive to control costs. This is apparent in Maryland, where only two companies control 71 percent of the private insurance market. A public plan could save money through lower administrative costs and greater efficiencies, which would in turn incentivize private insurers to be more efficient.
As the Senate continues deliberation, I hope we can agree that the only option that should not be on the table is the status quo. We cannot allow the current state of our health care system, which is too expensive and too fragmented, to continue. My objective is to make health care more affordable for American families' budgets and for our nation's budget. In order to achieve balanced federal budgets again, we must get health care costs under control, and in doing so, we will be able to make America more competitive in the global economy.
In addition, there are more than 46 million Americans who lack health insurance, and that number has grown by 20 percent in the past eight years. In Maryland , 760,000 people are uninsured. Underscoring the need for action is the fact that every day, Americans are filing for personal bankruptcy because they can't pay the health care bills they have incurred. In addition, when the uninsured cannot pay, health care providers shift those costs to those who can. It has been estimated that each American family with health insurance pays an additional $1,100 in premiums each year because of those who are unwilling or unable to get coverage.
I support reform that builds on our current system. I am privileged to represent a state that is home to two great medical centers-Johns Hopkins and the University of Maryland --and to the National Institutes of Health. Marylanders are justifiably proud of our state's tradition of high quality medical care. We want to maintain the ability to choose the doctors and hospitals where we receive care. I want Marylanders and all other Americans to be able to choose the health care plan in which they participate. For these reasons, we need to build on our current system.
As a member of the Senate Budget Committee, I firmly believe that any reform proposals we enact must be fully paid for, and the budget resolution passed by Congress requires that. I will carefully evaluate all options for financing health reform, keeping in mind the disproportionate effect that some provisions under discussion would have on working families. Health care access is an issue that stretches across all communities and many income levels, and it is not limited to members of one political party.
The President has made health care reform a priority for this Administration, and Congress has been striving to achieve workable solutions that can move our nation forward. I will continue to work in a bipartisan manner for solutions that will truly bring down the cost of health care in this country and expand access to quality care for all.
Again, thank you for letting me know your views on this important issue.
Please visit my website at http://cardin.senate.gov to sign up for my e-newsletter.
Sunday, August 16, 2009
Health Plan - Euthanasia
Isn't that what the health insurance companies and HMO's do now? Don't they tell their customers what procedures are covered and which are not, forcing the client to either pay out of pocket or do without?
It appears to me that the so called government plan is following the practice currently in place. Some procedures will be paid for some not. In other words, the government insurance plan will follow the same guidelines as the private health insurance company guidelines.
Rather than go off in a temper tantrum about the government imposing restrictions, the all knowing commentators for the news networks should be offering a way that all insurance companies will cover all procedures, rather than attack the unofficial government plan for having limits.
True health care reform needs to take away limitations from all plans. The plans need to offer the same coverage, then the premium battles can begin.
If this "reform" is truly going to work, then all the providers need to provide the best available coverage and treatment for their customers.
Its Common Sense!
Tuesday, August 11, 2009
Health Care Reform - How about a Referendum?
As I stated earlier, I could not make heads or tails out of what I thought was the House of Representatives' bill, only to learn it is one proposal.
It is fascinating to hear some of the things people believe are contained in the bills and non-bills. After all, the senate has not put anything together yet. The House of Representatives will need to have their various committees get together and try and patch a bill together.
All kinds of rumors and crazy statements (I hope they're crazy) are coming out. To save cost when people reach a certain age they will be put out of their misery. Mentally challenged people will be put away and allowed to "fade" away.
What's sad is that there are actually people who believe some of this nonsense.
My suggestion is that after Congress puts together a bill that they are forced to put it in an easily readable form, make it available to their constituents on the Internet and at their offices, and then allow the public to vote on their approval or disapproval.
Why not turn this into a referendum? This reform will effect all of us, in more ways than one. Doesn't it make sense that we be the ones who vote on it, not those on the Hill who "might" have been influence by lobbyists?
Tomorrow I will write a proposal and send it to the President and my representatives. I will let them know that even though we should, it is hard to trust them on a issue that will effect all of us personally and for that reason the decision should be on our shoulders, not theirs.
Registered voters should have the opportunity to make the final decision.
I'll share my letter tomorrow.
Share your ideas as well, this debate needs to go on until the vast majority of us are happy.
Its Common Sense!!
Sunday, July 19, 2009
Obama Health Plan Saga
Here is the President's plan.
http://www.whitehouse.gov/omb/fy2010_key_healthcare/
Now here is the bill Congress just passed.
http://www.opencongress.org/bill/111-h676/show
Now I know there is a lot to read and that the majority of you are going to give up before getting to the end. I know I did. Which is the important thing. There is too much to digest. Just from the little I read I am confused.
If you take the government program, does that mean as a senior you are no longer entitled to Medicare?
Are all states going to be forced to accept the directives of the bill, (if it passes the Senate & receives the President's signature) or are their options available?
Will private insurers, such as Care First, Blue Cross & Blue Shield, Aetna etc, be limited on how they can raise their premiums, or will they be able to force some of their clients into the government program and only keep their high paying clients?
Most importantly, who is going to pay for this health care act? Will the cost be equally distributed, or will the burden once again fall on the middle class tax payer?
As I look at this bill and the rush to pass it, I feel we are charging into a nightmare that will be mismanaged, and spiral into an out of control money pit.
Maybe I'm wrong. Maybe I'm just a pessimist who has no faith in government run programs being cost efficient and help full.
Send your opinions. Show me the silver lining around the cloud.
If you also don't see one, then write your representatives and let your voices be heard. We cannot allow our taxes and debt to continue to rise to support useless programs.
Its Common Sense!
Friday, July 17, 2009
National Health Care Reform
Feel free to use all or part in writing to your own representatives. We need to let Washington know that we will not stand for them to continue spending money we do not have for programs they cannot control.
Enough is enough. We have to let Washington know what we think and take control.
Its Common Sense!!
Dear (Varied depending on Recipient)
National Health Care is the big issue, especially since it appears that Judge Sotomayor will be confirmed to the US Supreme Court with no problem.
I agree that health care needs to be available and affordable for all of us here in the United States. However, I believe that before the Federal Government undertakes the task of establishing an equitable health care system, where the patient will have true options for health coverage and premium payments that the government first needs to take control of the two health programs it already runs.
I am speaking of Medicare and Medicaid. Currently both programs are mismanaged, have no accountability and are costing taxpayers millions of dollars every year due to fraud, the inability to negotiate provider services, and because many doctors do not want to participate due to antiquated payment and accounting procedures.
Before Congress commits billions to yet another new program that we the taxpayers cannot afford, why not show us how a well run health program should work?
I think your first objective should be to revamp Medicare and Medicaid, get rid of the waste, permit negotiation for provider services, prosecute those defrauding the system and do away with the overspending, so that seniors on Medicare do not need to have their Part B premiums raised every year, and that the percentage of the cost of services paid by Medicare does not keep decreasing.
As for Medicaid, the system needs an entire overhaul, in every state, and citizens should no longer feel they have a right to free health care just because of their financial situation. Medicaid is a health care assistance program, not a do all program.
Within their means, everyone needs to assist in the payment of health care. Those working and already paying health care premiums and deductibles should not have to take on the additional burden and tax of paying for those not working or having coverage.
This country needs to get away from the welfare state mentality, where some pay for all, and enforce a mentality of individual responsibility. If we accept our own responsibilities, then we can create a collective responsibility.
Please, no new national health care programs until the current two are actually running smoothly and debt free. We the people cannot assume any more debt or deficit. It is time for all of us to live within our means, and that includes all government spending.
Thank you.
Michael Wolfe
Thursday, July 16, 2009
Obama's Health Care Reform
I do not understand how giving everyone health care will bring down the cost? I definitely do not understand how having another Federal Government Health Care Provider will do anything but add to the national debt.
Currently the Federal Government is responsible for the Medicare Health Care Program, and oversees the states Medicaid Health Care Programs. No big surprise to find that they are mismanaged, victims of all kind of fraud and over billing schemes, and that there does not appear to be a plan in place to bring order to the system.
If the government cannot manage the health care programs for the elderly and the poor, is there any way they can provide an agency that can realistically compete with health care insurers already in place?
Why aren't the President and Congress first fixing Medicare & Medicaid? Take control of the wasted millions in those programs, put together an efficient organization that actually brings down costs, bargains with providers and allows patients premiums to remain the same or even decrease, and then consider a National Health Insurance program.
With the current lose of jobs, the deficit and debt, we can not afford to have more wasteful out of control spending. The President and Congress need to prove that they can put what they actually have to good use, then come to the people with a realistic plan.
I know there are many with out health care. I also know that the majority still get treated in emergency rooms and clinics across the country and that my tax dollars and my increasing health care premiums go to pay the difference, because my costs at the doctors and hospital keep increasing to offset what is lost from those who do not pay.
I do not expect that to change in the near future.
What I do hope changes is the government's attitude. Let's fix things using what we have. If Medicare & Medicaid are managed competently, responsibly, with accountability, millions of dollars will become available for a national program.
Let's fix the current problem, rather than leave it broken and start another agency that will only add chaos to the situation, rather than order.
Its Common Sense!!
Thursday, January 29, 2009
The Joy of Life
I was unaware of anything until I came conscious in the ambulance, strapped down, and paniced. I did not like being restrained and the paramedics had to work to calm me down.
In the ER I was given a battery of tests, and thus far, thank God, nothing has been found. Next I have to make an appointment with a neurologist to make sure the brain waves are functioning normally.
One of my thoughts during this ordeal was payment. Thank God I am insured, but how much is covered and how much will come out of my pocket?
Knowing the fear my wife and I went through, at least we know we are covered. I cannot imagine the fear of someone not covered who worries they may receive inferior or inadequate treatment because of money.
I hope that President Obama is faithful to his pledge of health care for everyone.
With all of the new technology available, we all have the right to a better life and care.
Let's make sure that those in power insure those rights.
Its Common Sense!
Sunday, October 26, 2008
Congress and Medicare
Finally the Congress is considering allowing Medicare to buy prescription drugs at bulk rate, just like the VA. Why wasn't that one of the first things Medicare was authorized to do as a dollar savings for the American tax payer and senior citizens? Seems to me that once again Congress is a little slow getting on the ball.
Congress is also considering the use of technology for better record keeping purposes. Once again, its a win win, so why consider when they can enact the measure immediately? I think it would be great if they could accurately track the doctors and clinics that have been ripping off Medicare/American taxpayer for years. Hopefully this would lead to the prosecution of violators and result in even more savings.
He goes on to talk about problems in Maryland related to the fact that there are not enough health care specialists. I am in favor of the government assisting with tuition for medical students - be they doctors, nurses or specialists. However, I think there needs to be strict enforcement of the terms of the contract for these students once they receive their degree and/or certification. In the past I have seen reports of students who had their full tuition to med-school paid by the Federal government with the understanding that they would serve for a period of time - three to four years - in an area of the country needing medical assistance - Indian reservations, parts of Appalachia, the Ozarks, etc,. If the student ops out then they have to reimburse the entire tuition. What upset me was to see the numbers who refused to honor their contract and attempted not to pay back our tax payer money. There have to guarantees that these people will be punished before I would agree to any money Federal money be spent.
There is no doubt that the health care system in this country is messed up and needs to reorganized. Fees have to fair, allowing patients the ability to pay them and doctors to make a decent (not flamboyant) living. There is also the whole matter of prescription drugs that have to be regulate so that there is an end to the exorbitant profits the pharmaceutical companies make.
How can the Federal government make health care better for all of us?
Read what Dutch has to say then let us know your thoughts. And not just us, let your representative know what you think they should be doing to make health affordable and available for all us.
Its Common Sense!
Dear Mr. Wolfe:
Knowing of your interest in the work of Congress, I wanted to provide you with a brief update on what Congress is doing to address the rising cost of health care to help all Americans.
The rapid inflation of health care costs affects all of us, and the spiraling cost of health care is risking the future of Medicare. Here is the problem we are facing: all Marylanders are facing a critical shortage in primary health care professionals, double-digit percent increases in health care costs, and health plans that are covering less and less. For example, if you are a senior citizen, the cost of prescription drugs is often a difficult choice between paying for the prescriptions you need versus paying your rent or buying food. In these unsure economic times, Congress must work to make sure there is access to quality and affordable health care.
Unfortunately, there is no one single solution to the health care crisis, and we cannot rely on just a tax credit or expanded insurance coverage. Here are some solutions that Congress is working on to address our systemic health care problems.
First, Congress must allow Medicare to purchase drugs at a bulk rate and pass those savings onto the patients, as the Department of Veterans Affairs does. Using the purchasing power of Medicare’s 44 million participants should immediately reduce the cost of the most popular life-saving drugs. When 75 million baby-boomers begin to retire, we will begin to see tremendous savings.
Second, Congress is considering legislation to increase the use of technology, especially electronic patient records, in the delivery of care. Technology will reduce costly medical errors, which directly contribute to the double-digit increases in the cost of health care for all Americans.
Third, Congress worked with patient advocacy groups and a coalition of doctors to stop dramatic cuts to Medicare and Medicaid proposed by the Bush Administration. The proposed cuts would have limited access to doctors and would have reduced the level of service for patients. Medicare is crucial to the delivery of health care to our seniors, and it must remain strong for our seniors and the next generation of Americans entering the program. I was proud to support Congressional action that prevented these cuts to Medicare.
Fourth, we are providing insurance to uninsured children. This expansion of health care coverage is necessary to teach young Americans about healthy living by focusing on preventative care. Hopefully, we will create a generation of Americans who focus on treating their health issues early. Preventative care will help save our country millions in health care cost in the long term.
Lastly, Maryland is experiencing real shortages of primary care health professionals. The number of primary care doctors in the state is at a critical level; we have 16% fewer primary care doctors than the national average, and 10% of the primary care physicians we do have are reaching retirement age. Maryland also faces a projected nurse shortage of over 15,000 nurses in the next 5 years. Without these medical professionals, access to care, and the quality of that care, will be severely diminished. In Congress, I have worked tirelessly to increase federal support for nursing schools and have voted in favor of student loan programs that assist students attending graduate or professional schools, in addition to college students. The recent economic rescue package will also help banks continue to make student loans at affordable rates, helping future medical professionals pay for their educations and work in these critical fields.
In the next Congress, I hope that we can work to make high quality health care accessible and affordable. In these tough economic times, reducing health care costs is a critical step in helping Americans make ends meet.
Sincerely,
C.A. Dutch RuppersbergerMember of Congress