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HILLARY CLINTON BACKS ANOTHER BAD HEALTH PLAN
DC EXAMINER - A Massachusetts plan that blends the Democratic goal of
universal health care with the Republican philosophy of personal responsibility
could be a model for politicians nationwide - and a presidential launching
pad for its chief sponsor, GOP Gov. Mitt Romney.
The proposal, approved Tuesday by Massachusetts' Democratic-led Legislature,
won Romney cautious praise from Democrats, including a longtime champion
of health care overhaul Sen. Hillary Rodham Clinton of New York.
"To come up with a bipartisan plan in this polarized environment
is commendable," said the former first lady, who led President Clinton's
failed health care campaign.
She embraced the Massachusetts measure's most striking aspect - requiring
people to purchase health insurance - but questioned Romney's plans to
eliminate a fee on companies that do not provide health insurance for
employees. "That would unravel the plan," Clinton said.
WHAT HILLARY CLINTON actually championed was an alternative health care
disaster:
TONY SNOW, 1999: In 1994, [HRC] set out to redesign the American health-care
system and convened a panel that drafted its plan secretly -- in violation
of federal law . . . The plan prescribed some eye- popping maximum fines:
$5,000 for refusing to join the government- mandated health plan; $5,000
for failing to pay premiums on time; 15 years to doctors who received
"anything of value" in exchange for helping patients short-circuit
the bureaucracy; $10,000 a day for faulty physician paperwork; $50,000
for unauthorized patient treatment; and $100,000 a day for drug companies
that messed up federal filings . . . When told the plan could bankrupt
small businesses, Mrs. Clinton sighed, "I can't be responsible for
every undercapitalized small business in America." When a woman complained
that she didn't want to get shoved into a plan not of her choosing, the
first lady lectured, "It's time to put the common good, the national
interest, ahead of individuals." As for privacy, forget it: Her plan
would have required people to carry national identification cards that
embedded confidential patient information on computer chips.
SAM SMITH, SHADOWS OF HOPE, 1994 - During the first months of the Clinton
administration, one of the biggest national policy changes of the past
fifty years was being forged by a secret committee led by Mrs. Clinton
under procedures that periodically defied the courts and the Government
Accounting Office and whose public manifestations consisted of highly
contrived media opportunities, carefully staged "town meetings,"
and similar artifices.
Despite the contrary evidence of public opinion polls, the concept of
Canadian-style single-payer insurance was dismissed early. Tom Hamburger
and Ted Marmor in the Washington Monthly tell of a single-payer proponent
being invited to the White House in February 1993. It was, he said, a
"pseudo-consultation;" the doctor was quickly informed that
"single payer is not politically feasible." When Dr. David Himmelstein
of the Harvard Medical School pressed Mrs. Clinton on single payer, she
replied, "Tell me something interesting, David."
In other words, write Hamburger and Marmor: "Fewer than six weeks
into the Clinton presidency, the White House had made its key policy decision:
Before the Health Care Task Force wrote a single page of its 22-volume
report to the President, the single payer idea was written off, and 'managed
competition' was in."
If there was any popular, grassroots demand for "managed competition"
it never appeared. Managed competition had not been tested anywhere. Nonetheless,
reported Thomas Bodenehimer in Nation:
"Around Hillary Rodham Clinton's health reform table sit the managed-competition
winners: big business, hospitals, large (but not small) commercial insurers,
the Blues, budget-worried government leaders and the 'Jackson Hole Group,'
the chief intellectual honchos of the managed competition movement. .
. Adherence to the mantra of managed competition appears to be the price
of a ticket of admission to this gathering. "
What was finally proposed involved a massive transfer of the American
health industry -- by some accounts now larger than the military-industrial
complex -- to a small number of the largest insurance companies and other
major corporations. These were companies that had the assets to play the
game being offered -- a medical oligopoly that would dispense health-care
under the rules of the Fortune 500 rather than according to those of Hipprocrates.
Clinton's position on health care had bounced around in the early months
of the campaign, finally settling on a policy that would leave the big
health insurers largely unscathed. It was not particularly surprising.
Max Brantley, columnist for the Arkansas Times, noted that "Blue
Cross owns Arkansas, and [Clinton] never did much to fight them."
The stakes would eventually
become so high that a number of the biggest insurers -- including CIGNA,
Aetna and Metropolitan Life -- would leave the industry-wide Health Insurance
Association of America. Five of the largest insurance companies formed
something called the Alliance for Managed Competition. In this new game
one of the first targets of 'managed competition' was the smaller insurance
companies that now account for nearly half of the health underwriting
business. Said managed competition advocate Lynn Etheridge, "Ninety-nine
percent of the insurance companies are going to be wiped out because they're
only prepared to be insurance companies." Mrs. Clinton, sounding
like a 1980s takeover lawyer, said, "It's going to be a Darwinian
struggle. Only the best and fittest of them will survive." Similarly,
when asked how small businesses were meant to cope with the added costs
of her plan, Mrs. Clinton replied, "I can't go out and save every
undercapitalized entrepreneur in America."
Her interest lay with the largest companies, i.e. the ones with the ability
to purchase or create the health maintenance organizations that would
become de rigeur under the Clinton scheme. The new HMOs would be major
profit-centers for companies, simultaneously subsidized by federal payments
for the ailments of the poor, elderly and those without conventional insurance.
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