While the rest of the nation ponders whether Kanye West is a “jackass” and President Obama was correct in calling him that, I’ve been thinking about why the Democrats and Obama are having such a tough time selling their health care proposals.
Obviously part of the push back by the people has been because of the recession. Common sense says you don’t exacerbate a bad financial situation by adding debt. Nothing anyone has claimed about the “health care savings” reform would bring has resonated with the public. That’s because people don’t believe or trust the rosy estimates that Democrats have used. And of course it hasn’t helped that the CBO has shot down just about every one of their claims as well.
In fact it looks a lot like 1993 all over again according to an ABC/Washington Post poll released today:
Sixteen percent of the respondents to the most recent poll say their health care would improve if the proposed changes are enacted, and 32 percent say their health care will be worse if that happens.
By comparison, the same poll in late September of 1993 found 19 percent saying their health care would improve and 31 percent saying it would get worse.
Even deploying Obama to use his vaunted oratorical skills to turn the tide hasn’t worked according to another poll:
A USA TODAY/Gallup Poll taken after the president’s dramatic address to a joint session of Congress last week shows Americans almost evenly divided over passing a health care bill and inclined to think it would make some of the system’s vexing problems worse, not better.
Six in 10 say Obama’s proposal, if enacted, would not achieve his goals of expanding coverage to nearly all Americans without raising taxes on the middle class or lowering the quality of health care. For the first time, a majority disapprove of the way he’s handling health care policy.
So what’s the problem? Why does public opinion seem so dead set against what Democrats feel is beneficial legislation for all?
Well, what Obama and the Democrats are running up against is the same problem Bill Clinton et. al experienced. People, for the most part, are quite satisfied with the insurance they have and don’t want to chance government messing that up. And they understand that the chance of government messing it up, given how government does most things, is very high.
Although polls have consistently shown that just over half of Americans think the health-care system is in need of reform, a substantial majority say they are satisfied with their own insurance and care. Any hope of change will require their support, according to experts and advocates across the ideological spectrum.
“They are critical,” said Drew E. Altman, president and chief executive of the Kaiser Family Foundation, a nonpartisan health research organization. “This debate will turn on people like this trying to answer the question ‘Will this benefit my family?’ “
Most are concluding it won’t benefit their family and, in fact, may end up being detrimental to them.
Democrats seem to be missing the point that while health care reform is popular, their version of health care reform isn’t. I guess health care reform somewhat resembles porn – the people will know it when they see it. But they’re not seeing it in the proposals the Democrats are offering right now – and that is why there’s this massive push back.
The majority of those opposed do not believe the claims that nothing will change pertaining to their health care. It simply doesn’t makes sense to them that the scope and goals of the change being discussed won’t effect their coverage.
One of President Obama’s biggest challenges this fall will be persuading seniors to accept his healthcare proposals. Many elderly voters are deeply worried about “Obama-care” because they fear that his plans will reduce their coverage and increase their costs. Seniors, in fact, are more opposed to Obama’s healthcare ideas than any other age group.
Of course the irony, as pointed out any number of times, is that most seniors are on a government program. Rarely pointed out is the fact that they have no choice in the matter. Consequently those who love to point this out and crow about how seniors “like” their government insurance never follow that up with the fact that seniors are forced into a system which may or may not have been their first choice.
But that aside, seniors don’t like change. And, they’re smart people who understand that they are the demographic that spends the most on health care. Given that understanding, when the goal of “cutting costs” is put forward as a primary goal of the reform being discussed, they know where those cuts are most likely to be made.
But they have developed a deep skepticism toward Obama’s agenda of expanding the reach and power of Washington. They basically agree with the conservative attack that he is a liberal zealot who wants to inject the government into every nook and cranny of American life—including everyday decisions about the choice of doctors and medical plans, pollsters say. Some seniors specifically fear that the healthcare overhaul will take money away from their cherished Medicare program, and they don’t want to take that risk.
Only 35 percent of people 65 and older approve of Obama’s handling of healthcare, according to a Washington Post/ABC News poll in August …
Their defense of a government medical insurance program for themselves and their skepticism of further government intrusion into our lives isn’t quite as contradictory (or ironic) once you understand the whys and wherefores of the mandatory nature of Medicare. Seniors aren’t interested in more government or the chance that the only insurance available to them will be cut to meet a savings goal.
Those are how the planets are lining up in the health care reform universe. Obama and the Dems aren’t succeeding in convincing the skeptics with their arguments. In fact, as it drags on, more skeptics are being born than believers.
The answer, devoid of politics, seems clear. Stop the process right now, reset the debate and actually have one. Find out what “reform” means to the public and act on that consensus. It may end up merely insuring those without insurance. It may be that and tort reform plus opening up the intra-state private insurance markets and eliminating mandates. Or more. Or less. But what should be clear to both the Democrats and Obama at this point is it is not what they’re offering.
The danger to them (electorally) and to us (reduction of liberty) is they’ll disregard that in the name of politics and ram through something we’ll all regret but find difficult get rid of once passed.
That’s what I fear and it appears that’s what some on the left are prepared to do. They have waited too long and have too much invested politically to back off now.
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A new poll by the Pew Research Center for the People & the Press shows the media’s credibility is at its lowest level since the poll has been taken (1985). Skepticism about the truthfulness of the media is rampant.
The survey found that 63 percent of the respondents thought the information they get from the media was often off base. In Pew Research’s previous survey, in 2007, 53 percent of the people expressed that doubt about accuracy.
The AP points out that the poll didn’t differentiate between bloggers and broadcast and newspaper reporters. The obvious implication is that “the internet” may be a primary reason the numbers are so low. I may have missed it, but I don’t know of any bloggers who present themselves as news people. Most of blogging is commentary on the news, the newsmakers or the media and its handling of the news. While “new media” might suggest that bloggers are on a par with what is commonly referred to as the MainStream Media (MSM), it’s simply not true. Few if any bloggers claim to be “journalists” (but there are journalists who are bloggers).
AP then reports:
The Internet also has made it easier to research information and find errors in news stories, said Kathleen Carroll, the AP’s executive editor. And the Web’s discussion boards and community forums spread word of mistakes when they’re found.
Carroll hopes the increased scrutiny and accountability fostered by the Internet will lead to better journalism.
“We’re in the early stages of a changing relationship between news organizations and consumers, who are becoming much more vocal about what they like, what they don’t and what they want to know,” Carroll wrote in a statement. “It’s not always pretty or pleasant, but that engagement can and does help improve coverage.”
The “internet” isn’t some amorphous blob. The part of the “internet” which “increased scrutiny and accountability” is the blogosophere. And that underlines the way the roles have broken out in the media as a whole – something the “internet” and blogosophere now figure in prominently. The monopoly on what is news as well as how that news is reported has been irrevocably broken.
It is that which the MSM is dealing, and, in most cases, it isn’t dealing with it well.
When the price of publishing dropped to the cost the price of an internet connection fee, the monopoly was broken. No longer consigned to letters to the editor (which may never be published), the people were able to speak out in various forums, but primarily through blogs. The result has been pretty stunning. Now a much more dynamic and democratic group decides what is news and how it is covered. In many cases, the MSM has been forced to cover stories it has obviously tried to ignore.
That is most likely one of the primary reasons their credibility remains low. In 1985 about 55% believed newspapers and broadcasters generally got things right.
By 1999, the figure had fallen to 37 percent. The only time the Pew survey recorded a significant shift in the media’s favor was in November 2001, when 46 percent said they believed news stories were accurate. Dimock attributes the anomaly to the sense of goodwill that permeated the United States after the September 2001 terrorist attacks.
The most recent poll found just 29 percent believed news reports had the facts straight. (Eight percent said they didn’t know.)
Similarly, only 26 percent of the respondents said the press is careful to avoid bias. The figure was 36 percent in 1985.
As has been the case for years, television remains the most popular news source. The poll found 71 percent of people depend on TV for national and international news. Some 42 percent said they relied on the Internet, 33 percent turned to newspapers and 21 percent tuned into the radio. (The figures don’t add to up 100 percent because some people cited more than one medium.)
A decade ago, only 6 percent of the survey participants said they leaned on the Web for their national and international news while 42 percent relied on newspapers. (TV also led in 1999, at 82 percent).
If you read this carefully, you realize that the credibility problem for the MSM began well before the internet, seeing a slide from 55% in ’85 to 37% in ’99. ’99 is when the internet began to be a factor. But note that even then, only 6% said they used it for their news source. In 10 years that has grown to 42%, faster than any other source.
And what has the internet and blogs been most successful at doing? Fact checking the MSM and pointing to bias. That’s one reason only 26% now believe the MSM to be unbiased in their reporting.
Obviously the media world is changing, and as AP’s Carroll says, the MSM is still trying to come to grips with the change. What seems to finally be dawning on the MSM is the “new media” isn’t going to go away. In some cases they’ve been successful in co-opting various players. But with bars to entry as low as an internet account, there are always new players who will enter the “new media” market. The MSM may as well resign themselves that fact and step up their game (maybe they need 4 levels of editors) unless they want to continue to see their credibility shredded.
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The good old media waterboy comes through again. Immediately after the speech last night, CNN released the following:
Two out of three Americans who watched President Barack Obama’s health care reform speech Wednesday night favor his health care plans — a 14-point gain among speech-watchers, according to a CNN/Opinion Research Corporation national poll of people who tuned into Obama’s address Wednesday night to a joint session of Congress.
Wow … hot stuff huh? You’d think that the magic was back and the silver tongued orator had done it again wouldn’t you? Of course had you bothered to go to the third paragraph you might have become a little uneasy with the result:
The audience for the speech appears to be more Democratic than the U.S. population as a whole. Because of this, the results may favor Obama simply because more Democrats than Republicans tune into the speech.
And had you then made the “jump” and read the second half of the report, you’d have been downright suspicious of the poll’s results.
The CNN/Opinion Research Corporation poll was conducted just before and just after the president’s speech, with 427 adult Americans questioned by telephone. The survey’s sampling error is plus or minus 5 percentage points.
The sample of speech-watchers in this poll was 45 percent Democratic and 18 percent Republican. Our best estimate of the number of Democrats in the voting age population as a whole indicates that the sample is about 8-10 points more Democratic than the population as a whole.
A 427 sample, loaded with Democrats and a plus or minus 5% sampling error?
Does the word “disregard” say it all?
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Despite being called “brownshirts”, “un-American” and a “mob” of “astroturfers”, a Rasmussen poll indicates the public believes the townhall protesters to be a genuine reflection of the concerns of their neighbors:
Forty-nine percent (49%) have a favorable opinion of those opposing the health care reforms at town hall meetings. That’s up eight points from 41% a month ago. Thirty-five percent (35%) have an unfavorable view of the town hall protesters, unchanged from last month.
Fifty-nine percent (59%) now say the town hall protesters are citizens reflecting the concerns of their neighbors. That’s up ten points over the past month.
Thirty percent (30%) believe the protests are phony efforts drummed up by special interest groups and lobbyists.
Those are phenomenal numbers – within a month, the favorables for the protesters move up 8% despite an organized effort to demonize them while those who see the protesters unfavorably remains both flat and in the minority.
Another encouraging sign is the fact that most of those polled think that Congress members ought to shut up and listen:
Fifty-six percent (56%) of voters nationwide say that it’s more important for Congressmen to hear the view of their constituents rather than explain the proposed health care legislation. The latest Rasmussen Reports national telephone survey found that 37% hold the opposite view while 7% are not sure.
The desire for Congress to listen may stem from the fact that voters believe they understand the legislation better than Congress.
Apparently Americans are in the mood to remind Congress members it is they who are the hired help and it is time they remembered it.
People ask, “what is the utility of a poll like that”? It is a temperature check, a mood indicator, a warning, if you will, that whatever is being contemplated by legislators and the president had best be checked against this trend. It isn’t a favorable trend for what they want to do and the utility comes in realizing that an tailoring something which won’t see them ushered unceremoniously out of office in a year or so.
Like, for instance, ramming something through that their constituents don’t like, but the party base does. The point to be taken here is if the protesters are the tip of the iceberg and most feel they truly represent the feelings of their neighbors, what do you suppose might happen in November of 2010 if legislators disregard the very strong signals being sent?
The president’s speech next Wednesday should be very interesting given these polling indicators. Will he continue to plow ahead trying to force a square peg in a round hole (and pay the political consequences) or will he bow to political reality and radically modify and shrink his goals for health
care insurance reform?
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At least in the domestic realm. Those are the latest poll results tracking the president’s job performance approval by CNN/Opinion Research Corp.
Obama retains majority support on foreign affairs at this point (although I don’t expect that to remain favorable for long), but a majority of independents, the key to his electoral victory last year, are not at all impressed with this performance domestically:
Fifty-three percent of independents questioned in a CNN/Opinion Research Corporation survey released Tuesday say they disapprove of how Obama’s handling his duties in the White House, with 43 percent in approval. That result marks the first time in a CNN poll that a majority of independents give the president’s performance a thumbs-down.
Here’s the key line in the article:
“Obama won a majority of the vote among independents last year, and that helped put him in the White House,” says CNN Polling Director Keating Holland. “Losing their support makes it more difficult for Obama to govern from the center.”
So that leads the question, “how does Obama recapture this key electoral demographic”? The obvious answer is by moving toward the center. But if he does that he’ll have to scrap the more controversial parts of his health
care insurance reform bill and there’ll be hell to pay with his base.
But it is even more complicated than that.
Is the fight over health care responsible for the downturn in Obama’s numbers?
“Yes, in part, but his standing on some other issues has taken an even bigger tumble,” adds Holland. “Among all Americans, his rating on health care has dropped 13 points since March. Compare that to his 16 point drop on the deficit and 17 point dip on taxes and it looks like there is growing discontent with Obama’s overall domestic agenda — not just his health care policy.”
Again, emphasis on the point the left seems incapable of grasping – independents disapprove of the whole domestic agenda – health
care insurance reform is only the flash point.
So coming up with a new bill aimed at the health care issue, even if more acceptable than what is presently being proposed isn’t going to necessarily change the approval rating or bring independents back into the Obama (and Democratic) fold.
As an aside, this is interesting as well:
The survey also indicates that 37 percent of Americans think the media has treated Obama fairly, down 18 points from February. One in four say the media has been too critical of the president, up seven points from February and 36 percent say the media has not been critical enough, up 10 points.
If you add the 37% who think the media has treated Obama fairly, with the 18% who’ve dropped out of that category you just about have the percentage of the vote which elected Obama. My guess is that 37% that think he been treated fairly are mostly the independents he and the Democrats have been losing over the past few months.
Back to the topic – it is fish or cut bait time for Obama and the health care debate is where he’ll finally have to show his true colors. Is he going to try to woo the independents back by proposing moderate reforms and attempting to move back toward the center? Or will he double down, push the controversial portions of the legislation his base demands and all but declare his liberal colors? He’s not going to be able to please both his base and independents. So he’s going to have to make a decision and make it soon – look for his “major speech” on health care to be that decision point.
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As Congress members slink back into Washington DC to get trauma treatment for their townhall wounds, a new Rasmussen poll indicates cap-and-trade legislation isn’t much more popular than health
care insurance reform.
The survey of 1,000 adults showed 35 percent of Americans favor the climate change bill, while 40 percent oppose it.
Nearly one adult in four — 24 percent — are not sure whether passage of the bill is a good idea — findings which reflect virtually the same results as in late June.
While that may not seem overwhelming, it changes dramatically when the question of cost to the person being polled is brought up:
On economic impact of the legislation, 56 percent said they are unwilling to pay more in taxes and utility costs to generate cleaner energy and fight global warming, the same number who expressed that opinion in June.
Another poll mirrored the results. Of those polled in a Washington Post/ABC poll 52% supported cap-and-trade legislation, until cost was introduced into the questioning:
When asked if a cap and trade program “significantly lowered greenhouse gases but raised your monthly electrical bill by 25 dollars a month” – then only 39 percent support cap and trade while 59 percent oppose it.
The Heritage Foundation modeled the current pending legislation and found that on average it would increase electricity prices by $32.67 a month. But that’s just part of it:
But that’s just one small chapter in the book on how an average family of four’s pocketbook would be hit. Cap and trade is a massive tax on energy across the board – so your electricity bills will rise and so will everything else – gasoline, natural gas, and home heating oil. Add it up and the family of four energy expenditures increase on average by $69 per month from 2012-2035. Because the carbon caps become more stringent in subsequent years, the costs are highest in 2035 at $103 per month in the form of direct higher energy prices.
And we’re still not done – also added into the mix are the indirect costs these price increases will bring:
The energy tax also hits producers. As the higher production costs ripple through the economy, the household pocketbooks get hit again and again when producers pass costs onto the consumers. If you look at the total energy tax from Waxman-Markey, it works out to an average of $2,979 annually from 2012-2035 for a household of four. By 2035 alone, the total cost is over $4,600.
Now that $32.65 a month for the family of four has grown to $248.25 brought on solely by the imposition of cap-and-trade. Add to that the cost of the proposed health
care insurance reform, the bailouts, the unstimulating “stimulus” and the pork laden emergency spending bill, plus a 10 year budget that puts us 9 trillion further in debt and you can begin to understand why the American people are angry and the clueless Congress and administration are seeking trauma care.
Like one woman said at one of the townhall meetings, echoing Adm. Yamamoto’s WWII quote, “I think you’ve awakened a sleeping giant”.
I certainly hope so. And if so, hopefully cap-and-trade will go the way of the Dodo bird, and become an extinct idea. Cap-and-trade is based on dubious and unsubstantiated science and it is obviously detrimental to the economic health of this nation. It should be abandoned immediately.
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According to Rasmussen, if given the choice of a single vote to turn out or keep all the members of Congress, 57% would vote to boot ‘em:
If they could vote to keep or replace the entire Congress, just 25% of voters nationwide would keep the current batch of legislators.
A new Rasmussen Reports national telephone survey finds that 57% would vote to replace the entire Congress and start all over again. Eighteen percent (18%) are not sure how they would vote.
Of course that’s more of a feel-good poll than reality since we all know that incumbents are usually reelected and that happens because for the most part those in each Congressional district feel the problem is the rest of Congress and not their guy or gal.
However, it is a number which does point to the underlying unrest among the population – and not just about health care.
Back in October, prior to the election which saw increasing Dem margins, 59% said given a single vote to turn out the whole Congress, they’d do so. That was in the middle of the “crisis” and frenzy of TARP.
Obviously “turning them out” wasn’t something which happened then, but the fact that we had a rather historical presidential election can be assumed to have had some salutary effect. 2010, on the other hand, is a purely Congressional election year. Again, the probability of turning the whole Congress over is practically nil. But it could be a bloody year for incumbents as we’re seeing some of the early polls indicate. If the anger remains at this level and the politicians continue to ignore it as they seem to be doing, I predict that 20 seat losses in the House may be considered the best outcome to be hoped for when election day rolls around.
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Coming soon from a lefty near you:
A new survey commissioned by the AARP asks respondents to what degree they support or oppose “[s]tarting a new federal health insurance plan that individuals could purchase if they can’t afford private plans offered to them” — a public option, in other words. The results are interesting, though not necessarily surprising to those who have been closely following the debate.
All: 79 percent favor/18 percent oppose
Democrats: 89 percent favor/8 percent oppose
Republicans: 61 percent favor/33 percent oppose
Independents: 80 percent favor/16 percent oppose
Let that sink in for a moment — 61% of Republicans and 80% of Independents support some sort of “federal health insurance plan” according to MyDD’s Jonathan Singer, who adds:
Indeed, a supermajority of even Republicans supports a federal program to provide individuals with a choice for their health insurance coverage, with just a third of the party membership opposing such a plan.
So why, again, are supporters of a public option finding such difficulty in Congress?
Regardless of the veracity of these numbers, you will hear them spouted over and over again by every leftwing outlet available (yes, that includes the MSM). It will become gospel amongst ObamaCare supporters that 80% of Americans support a public option, just as it’s become gospel that there are 47 Million uninsured individuals in this country, or that Tea Party advocates are in the paid employ of the health insurance lobby. Yet, problems abound with this survey.
Where to begin. Firstly, when I say “according to Jonathan Singer” above, I mean that the poll question he quotes is nowhere to be found publicly, so there is no way to verify its accuracy. The AARP has no link to it (and in fact does not even mention the poll), nor does the company, Penn, Schoen & Berland Associates (“PSB”), that conducted the survey.
If in fact the question was worded as described by Singer, then the inclusion of the phrase “if they can’t afford private plans offered to them” alters the results dramatically. Although some have suggested that this is the reason we need health
care insurance reform so desperately, it completely ignores the fact that those who can’t afford health insurance are generally covered by Medicaid, SCHIP and other federal and state programs. So when respondents are asked whether such people should be covered, how do we know they aren’t thinking about those federal and state programs already in existence and not the public option as proposed by Obama and Congress? In short, we don’t. To be fair, the question allegedly refers to “starting a new” program, but that doesn’t necessarily mean that people understood the question to be asking about ObamaCare’s public option.
Indeed, according to PSB, “only 37 percent define ‘public option’ correctly” and “about one-fourth of those polled believe the ‘public option’ is a national health care system, similar to the one in Great Britain.” Of course, how to “correctly” define the public option is not revealed, but suffice it to say that the survey’s respondents did not reveal they had a concise grasp upon what a public option actually means.
Then there is the transparency problem. Although PSB claims (pdf) its survey has a margin of error of “+/- 3.10% at the 95% confidence level and larger for subgroups” it also states that it was done over the internet “on August 12-13, 2009 among 1,000 Americans”. Because the data are not released (at least, not to the public, although Singer apparently has access to a copy), it’s impossible to tell, and difficult to understand, how an internet survey could determine that only Americans responded, that the respondents were actually associated with any political party (e.g. registered voters), or that respondents were even separate people. In addition, how is that an “internet survey” completed over two days received only (and exactly!) 1,000 responses? Again, we don’t know because the actual poll data are hidden from public view. But it looks awfully suspect when such a survey has 61% of Republicans, and 79% overall, responding favorably to a public option, when numerous other polls out there show much lower support.
Finally, there is a potential bias problem. PSB, the company who conducted the survey, is not exactly a bystander in this debate. The “P” in “PSB” is Penn. As in Mark Penn. Remember him?
Mark Penn, the strategist who dashed Hillary Clinton’s presidential hopes, is the Wall Street Journal’s “Microtrend”-spotting columnist. He’s also CEO of PR giant Burson-Marsteller. Only a scumbag would abuse the former to drum up business for the latter.
Mark Penn’s latest (old, and none too insightful) ‘Microtrend’ column is about “glamping”—glamorous camping. It ran last weekend. By Monday, according to an internal email obtained by Gawker, Burson was already trying to recruit companies from the industry featured in the column as clients. Burson Executive Vice President (and former Bill Clinton speechwriter) Josh Gottheimer urged Burson’s senior staff—including Founding Chairman Harold Burson, US President & CEO Patrick Ford, and others, to use Penn’s column as a tool to approach clients in the camping industry about business. Not only that—he recommends that Mark Penn “send a note” to the CEO of these potential clients requesting a meeting.
The WSJ is currently investigating whether the allegation that Penn used his column to generate business created any conflict of interest problems [Ed. – gee, you think?]. Meanwhile, a survey conducted by another one of his companies (PSB) is claiming that support is monstrously high for a public option. And what does PSB do?
Penn, Schoen & Berland (PSB), a member of the WPP Group, is a global research-based consultancy that specializes in messaging and communications strategy for blue-chip political, corporate and entertainment clients.
Any guesses as to which clients PSB might be after, and why they only released their survey results to friendly (i.e. partisan lefty) outlets?
It’s my guess that the 80% number is going to tossed around quite a bit in the next coming weeks as Congress gets back to work
screwing us passing legislation in September. Just remember that, as of right now, there are many, many reasons to be quite skeptical about that number.
UPDATE: As bains points out in the comments, Jonathan Singer has amended his post, without explanation and (still) without any link to the data, so that “commissioned by the AARP” has been struck out. There’s really nothing wrong with that (it’s not as if the words disappeared altogether), but the omissions are more than a bit strange.
Also, with respect to polling data, Rasmussen released this today:
The latest Rasmussen Reports national telephone survey show that 43% of voters nationwide favor the plan working its way through Congress while 53% are opposed. Those figures are virtually identical to results from two weeks ago.
As has been true since the debate began, those opposed to the congressional overhaul feel more strongly about the legislation than supporters. Forty-three percent (43%) now Strongly Oppose the legislation while 23% Strongly Favor it. Those figures, too, are similar to results from earlier in August.
While supporters of the reform effort say it is needed to help reduce the cost of health care, 52% of voters believe it will have the opposite effect and lead to higher costs. Just 17% believe the plans now in Congress will reduce costs.
There’s lots more, so go RTWT.
And one last thing. Some of you may notice a certain comment that I let through the filters. It’s not technically spam, but it is one of those pernicious attempts to make some favorite meme go viral that it might as well be spam. You may also notice that I will have gone into the comment and ripped it to shreds. I reserve the right to do so at my leisure, because I have the power and spammenters (as I shall now call these vermin) do not. Neither do they have the common courtesy to even read the post, but instead they simply post their drivel whenever the come across the right keywords. In return, I shall treat these spamments (see what I did there!) as my own personal canvas upon which to express my personal disdain for such ignorant, disrespectful malcontents.
That is all.
MORE: OK, someone went ahead and deleted the comment after I approved it, thus depriving me of my fun. So … carry on.
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It appears at least some plan too. Dr. Alfred Bonati, who heads the American Society of Medical Doctors, says he plans to say “no” to accepting patients under a government run plan and, according to a poll he cites, so do an awful lot of other physicians:
Perhaps this is why a nationwide, nonpartisan poll of physicians this month found that a full 70 percent oppose the health care reform proposals under consideration by Congress. Sixty-six percent feel that a government-run health insurance plan would restrict doctors’ ability to give the best advice and offer the best care possible to their patients. Perhaps most importantly, 60 percent said they would not accept new patients covered by a government insurance plan.
His reasons are based in experience:
Nearly all the doctors polled have worked with Medicare. Most have likely been denied Medicare reimbursement, or given minimal reimbursement, for a course of treatment that they prescribed that best fits the needs of a patient and that patient’s family. They know that government coverage does not allow for flexibility, creativity, or, sometimes, even compassion.
I share the view of the 60 percent in the August poll — those doctors who are planning to “just say no” if government-run health coverage is implemented. Many of us already do not accept patients who are on Medicare or Medicaid because of restrictions those programs put on our decisions as doctors. It pains us to turn away a patient in need, but the narrow rules of government reimbursement programs stymie our ability to follow our oath, so we simply opt out and work with patients who are also in need but have more flexible, private coverage.
If a government option gains the popularity that is expected — after all, who would not choose the most affordable option available, and how could any option compete with one that is subsidized by taxpayers — millions of Americans will face severely limited options in choosing a doctor. As physicians reject working with a system that does not honor our oath, patients will be left opening their own checkbooks, or going into credit card debt, to get the treatment they need and deserve.
The law of unintended consequences again raises its head. The government may indeed put a public option in place – whether or not the citizens of the nation want it or not. And they may, through legislation, force insurance companies to take everyone without exception, but -at least not at this point- they can’t force doctors to accept patients under plans that don’t feel reimburses at a rate commensurate with the care given or doesn’t allow them to treat a patient in accordance with the oath they took.
Of course that then leaves that system with a problem and the government with a dilemma – does it then force MDs to take anyone who applies (as it will insurance companies) regardless of insurance plan? And if so, how do you suppose doctors and other health care providers will react?
It is these sorts of problems, dilemmas and unintended consequences that few are talking about in this great “debate”. What if it is doctors who become the Atlas that shrugs when all is said and done. What options would the government then have – in this land of the “free” and home of the brave?
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Yeah, it’s a provocative title, but it is certainly a way to interpret what the latest Gallup poll indicates:
A new Gallup Poll finds that 68% of Americans believe their federal income taxes will be higher by the time Barack Obama’s first term as president ends. This includes 35% who say their taxes will be “a lot higher.”
It is also another indication of why Obama’s job approval numbers are tanking and why Americans, using the only real outlet available to some of them, i.e. townhalls, appear angry.
They simply don’t trust a thing this administration and the Congress is putting out there. The irony, of course, is that the Democrats and Obama thought that circumstance had handed them the perfect political storm with which to pass huge social programs liberals had dreamed of for decades. They had a crisis and, as Rahm Emanuel said, they weren’t going to let it go to waste.
But it has doubled back on them in a fairly quick and dramatic way. Suddenly, in the crisis fever they whipped up, people who were normally uninterested in politics started paying attention. And what they saw didn’t please them. They saw the federal government pumping unheard of amounts of borrowed money into various black holes, taking over whole industries and parts of others and planning on taking over even more, such as health care. That, all while telling us what we knew was intuitively and historically false – they’d run them more efficiently and effectively than the private side could.
It was a huge wake-up call for the American public, formerly known as the slowly and quiescently boiling frog. That level of activity, money and government intervention in a short 6 to 8 month period grabbed the public’s attention and, even in short attention span America, has kept it.
Democrats and the administration reacted badly. And they continue to do so. Falsely believing they had some sort of mandate to act as they wished, they’ve completely blown the health care debate. As Greg Lyons notes at Salon – Salon for heaven sake – “you won’t win the healthcare debate by calling people stupid racists”. But that seems to be the Dem game plan. And again we’re treated to the delicious irony of Democrats calling for “civil debate” while characterizing Americans who disagree with them as “political terrorists”, “brownshirts” and “un-American.”
Yes, this has turned into a perfect storm alright, but not at all the one the Democrats and administration thought they were going to get to exploit. And I can’t say I’m displeased about that in the least.
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