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Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
Since UHC is off the table, are there any advantageous UHC-components we could push?

Like, is there an angle in 'universal provider-networks?' Are networks raw overhead that insurers would happily pawn off onto the public sector? Are they a competitive thing that they'd like to keep private?

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Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
Nice cut. Did you know Medicaid covers about half of US births?

quote:

WASHINGTON, DC (September 10, 2013)—Medicaid paid for 45 percent of the 4 million births in the United States in 2010, an amount that has been rising over time
Source

:patriot:

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Craptacular! posted:

If anything it contributes to the right's "poor people are having bunches of kids so they can support themselves on the programs designed for those kids welfare" narrative.

Or to, "Things are terrible and Medicaid's carrying a lot of weight."

Edit: Here's a data table from the Kaiser Family Foundation listing state-by-state percentages for most recent year reported. The latest-year-reported ranges from 2010 to 2016 with values ranging from 27% (NH, '15) to 74% (NM, '15).

And the GOP's taking a run at it.

Accretionist fucked around with this message at 03:00 on Mar 12, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
It's Trump & Co. so, what's the catch?



Are they opening up CHCs for religious chicanery, too?

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

evilweasel posted:

I believe that is all funding they're taking away from planned parenthood.

That framing seems like a missed opportunity. There's no line item for Planned Parenthood, so how accurate is, "funding?"

Medicaid pays for healthcare from healthcare providers. PP provides healthcare.

It's not, "defunding PP." It's, "banning your healthcare provider."

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
General Comment: Agitation for UHC should be mainstream Democratic political culture. This would help a lot.

Accretionist fucked around with this message at 19:35 on Mar 21, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
The most feasible approach seems like Medicare-for-All baseline with for-profit supplemental coverage and co-insurance through exchanges. Jump straight into paring down the health insurance industry to something a little smaller and more stable but still amply profitable.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

VitalSigns posted:

This is incredible.

I still can't believe "we have a secret healthcare plan, whatever it is you want, that's exactly it" loving worked for 6 years

It's bizarre watching some of my relatives talk politics. I remember one conservation involving about six people. A few were expressing honest exasperation and concern regarding Trump and these idiots would just repeat talking points while flaring out their arms and waggling their heads like it's a battle between whose culture has better equipped them to yell and assume dominant social-postures. Information, analysis, etc. doesn't exist to these people. They just want the strength of an authoritarian culture coursing through them.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

haveblue posted:

Also because people consistently rate all of Congress as a whole as trash but their personal representative as the good one.

Good thing they're legalizing ISP-sales of browsing histories. Activists can start buying congressmen's records.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

evilweasel posted:

GOD BLESS THE FREEDOM CAUCUS

It's not over yet. There's still time to poison them with polonium.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
They'd have their votes if only they'd held the meeting on a fourth floor balcony.

Rookie mistake!

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

On Terra Firma posted:

if they pass this bill in it's current form and it goes into law there's a good chance my family will go bankrupt paying for my brothers seizure medications because he can only find part time work and he's 27 years old. Either that or he just dies.

If I survive the heart-attack gauntlet of my 50s, I'll be in the same boat: Spend Everything or Die Quickly. I don't even want to know this nonsense is doing to intergenerational wealth accumulation for the middle/working class.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

The Phlegmatist posted:

An untested state-only single-payer system was just too risky.

This makes me wonder if Medicaid buy-ins are feasible.

Start with people who want cheap insurance, use increased revenue for increased coverage, eventually start getting employers on board and now you're making progress toward a state-only UHC baseline with private supplemental policies on top.

Would insurers like to shift the health insurance market toward lower revenue, higher margins and greater stability? They're the primary opposition.

Accretionist fucked around with this message at 03:36 on Mar 25, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

TyrantWD posted:

For people who can afford it, you can get incredible healthcare in state of the art facilities, and often with no wait time. 11 of the 12 best hospitals in the world are in the US. For people who have great insurance, live in a big city, and enough money to not blink an eye at their deductible, there is no better place in the world to need medical care.

"America has the best healthcare in the world -- in its possession."

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

SousaphoneColossus posted:

Yes they should but pretending it's some brilliant winning electoral strategy is dumb

What about just a 'good' electoral strategy? Agitation for UHC will stimulate the base. It would be useful in that regard.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Confounding Factor posted:

If Bernie or another Democrat that campaigns heavily around Medicare for everyone, they get elected, what could they do about getting the votes necessary to get that bill passed? If Bernie was president now, and lets say the bill gets passed in a Democratic majority House but the Senate is composed the way it is today, there's no way that bill would be passed.

It'll be worthless to get Bernie in if he doesn't have a majority of Democrats that would vote for the bills he wants passed. Am I missing something?

Here's why the talking-points piss me off so much: There is a difference between long-term goals and today's sausage-making.

You can advocate for UHC, lambaste opposition, make agitation for UHC mainstream Democratic political culture, etc. all while fighting to lower Medicare age, increase funding, create 55+ optional buy-ins, let Medicare negotiate drug prices, etc.


tl;dr: Ratchet out progress however you can while applying constant pressure to the long-term goal.

Accretionist fucked around with this message at 23:27 on Mar 27, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Dude, these are completely different ideas:
  • It fucks me over.
  • It only fucks me over.

The GOP channeled PP money into CHCs. Does that mean they didn't gently caress over women/poors? Of course not. Because loving them over is distinct from only loving them over.

Accretionist fucked around with this message at 19:01 on Mar 29, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Xae posted:

It polls really poorly when you start looking at potential policies.

Some poll well. Public option buy-ins are the best.

Here's a poll of likely 2016 voters from from Jan. 9 - 15, 2016.

quote:

MEDICARE BUY-IN FOR ALL

“Give all Americans the choice of buying health insurance through Medicare or private insurers, which would provide competition for insurance companies and more options for consumers.”

71% Support
13% Oppose
14% Neutral

Percent supporting by party

77% Democrat
63% Republican
71% Independent
http://pnhp.org/blog/2015/01/22/new-poll-on-single-payer-and-a-medicare-buy-in/

Edit:

Majorian posted:

So I don't understand this argument that the Democrats can't make big promises with regard to health care, lest they suffer from it politically. People vote candidates with pie-in-the-sky overpromising into power all the time.

They oppose UHC and the party's left is their enemy.

Accretionist fucked around with this message at 19:39 on Mar 29, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Xae posted:

Those are still vague.

Will their Medicare be subsidized like current members? If so are people willing to pay more taxes for it?

If they aren't subsidized are people still interested in giving a public option that is ~1000+ per person per month?

The more specific you get the more support with drop.

They should put something together and find out. Unless you're willing to fight and take risks, the only pragmatic realistic policy is Full Oligarchy.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Brainiac Five posted:

So, uh, Brown v. Board was wrong, given that it was imposing desegregation against the desires of a majority of the population? I think you should probably back off a little.

Goon #1: Democrats should fight for UHC today.

Goon #2: What's that? You're calling for race war???

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Brainiac Five posted:

He said that government must represent the popular will. I know that you are incapable of thinking in terms of ideas and of applying a principle to different situations, but there are lurkers whose minds you might poison with your stupidity.

Except he didn't say that, you illiterate

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Ze Pollack posted:

The Democratic Party that based its healthcare strategy- the sole major policy achievement of said party in the last eight years, through not entirely their own fault- around the premise popular opinion would have no influence on policy going forward has lost over one thousand seats in the last ten years, and as a result has zero voice in healthcare policy for at least the next eighteen months, more likely the next forty-two.

Evidence provided.

The party's basically dissolving, leaving the GOP at record-setting levels of control.

Article: Republicans Now Control Record Number of State Legislative Chambers
From: CBS News
Date: November 16, 2016

quote:

...

Republicans are now in control of a record 67 (68 percent) of the 98 partisan state legislative chambers in the nation, more than twice the number (31) in which Democrats have a majority, according to the bipartisan National Conference of State Legislatures (NCSL).

“That’s more than at any other time in the history of the Republican Party,” according to NCSL. “They also hold more total seats, well over 4,100 of the 7,383, than they have since 1920.”

Next year, the GOP will control both legislative chambers in 32 states - an all-time high, according to NCSL - while Democrats will have total control of just 13 state legislatures.

In 24 of the 32 states with Republican-controlled legislatures, voters have also elected Republican governors. In contrast, Democrats have a “political trifecta” in just six states.

...


Article: Have Democrats lost 900 seats in state legislatures since Obama has been president? | [True]
From: Politifact
Date: January 25, 2015

quote:

...

Overall, Sabato wrote, Democrats during Obama’s presidency lost 11 governorships, 13 U.S. Senate seats, 69 House seats, and 913 state legislative seats and 30 state legislative chambers. (Our analysis of legislative seats is off from Sabato’s by three. The small discrepancy is likely due to run-offs and recounts.)

...

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

These are two different claims:
  • Ignoring your constituents as a matter of course is bad.
  • Never ignore the will of your constituents.

He asserted the former. You're respond to the latter.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Brainiac Five posted:

Ah, you're starting to retreat.

Ah, you're making poo poo up (again)


quote:

Why don't you elaborate on when it's okay to ignore the popular will and when it's not? I'm sure it won't be obviously ex post facto and ad hoc.

When values dictate as much, such as egalitarianism or promoting public health.

What values are met by losing elections and opposing UHC?

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Brainiac Five posted:

Okay, so why exactly are we talking about popular will when it's totally loving irrelevant then? It's almost as if you guys are either 1) really loving stupid or 2) desperately want to be able to ditch "identity politics".

Don't ask me. You just made a post so lovely I couldn't help but post post post. Also, it's vaguely offensive that you're trying to link opposition to IDPol to support for UHC.

Edit: It's also so odd that I just looked at your rap sheet and now I feel like an idiot for taking the bait. The personal attacks should've been a hint. [MISSION ACCOMPLISHED]

Accretionist fucked around with this message at 23:37 on Mar 29, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Queering Wheel posted:

Everyone who voted for this bill today is a murderer.

I feel disgusted.

All my life, we've been evil shitheads about our healthcare (read: each other's lives). After a long insane fight, we managed to slightly restrict and substantially subsidize said evil shithead-ery to take the edge off and it was to public benefit. We couldn't even hold on that.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

bawfuls posted:

So is this shitheap going to pass the Senate or what?

Likely not, it seems. If it's even possible, it'd likely require substantial revisions.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Rad Valtar posted:

What I'm trying to say is gently caress those assholes I hope they all die a horrible fiery death.

Their behavior will be rewarded and they will lead easy, beautiful lives.

What a system!

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Sloober posted:

Theres so much hatred for gop among most lefties i know its crazy. I hope it continues. I thought id get rage fatigue but so far i continue to just get more pissed.

They're like a loving death cult and I'm chained to them.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

BlueberryCanary posted:

They absolutely believe what they are doing is right and best for the nation and themselves.

I doubt that's even a consideration.

Reminder: American Conservatism is literally a plot to bring back the Gilded Age.

quote:

On August 23, 1971, prior to accepting Nixon's nomination to the Supreme Court, Powell was commissioned by his neighbor, Eugene B. Sydnor Jr., a close friend and education director of the US Chamber of Commerce, to write a confidential memorandum titled "Attack on the American Free Enterprise System," an anti-Communist, anti-New Deal blueprint for conservative business interests to retake America for the chamber.[13][14] It was based in part on Powell's reaction to the work of activist Ralph Nader, whose 1965 exposé on General Motors, "Unsafe at Any Speed," put a focus on the auto industry putting profit ahead of safety, which triggered the American consumer movement. Powell saw it as an undermining of Americans' faith in enterprise and another step in the slippery slope of socialism. [...]

The memo called for corporate America to become more aggressive in molding society's thinking about business, government, politics and law in the US. It sparked wealthy heirs of earlier American Industrialists [...] to use their private charitable foundations, [...] to fund Powell's vision of a pro-business, anti-socialist, minimalist government-regulated America as it had been in the heyday of early American industrialism, before the Great Depression and the rise of Franklin Roosevelt's New Deal.

The Powell Memorandum thus became the blueprint of the rise of the American conservative movement and the formation of a network of influential right-wing think tanks and lobbying organizations, such as The Heritage Foundation and the American Legislative Exchange Council (ALEC) as well as inspiring the US Chamber of Commerce to become far more politically active.[15][16]

https://en.wikipedia.org/wiki/Lewis_F._Powell_Jr.#Powell_Memorandum

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
Major wrinkle here:

quote:

...

The bill does not include detailed language about how the state would come up with [...] dollars [...] for health care coverage for nearly 40 million residents.

SB 562 would have to return to the Senate floor for another vote if it is amended in the Assembly with a funding plan. If that happens, the bill would require a two-thirds majority in each house to advance to the governor’s desk. In its current form, the bill only required a majority vote to pass.

...

“We are not debating single payer today because we are not debating a funding source,” Hueso said. “We are not debating delivery of service. We are not debating where the health savings will come from. None of that is in the bill. This is the Senate kicking the can down the road to the Assembly and asking the Assembly to fill in all the rest of the blanks.”

...

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Spiritus Nox posted:

I'm really tired of people declaring that the problem is dems abiding by the rules and not that a huge portion of the electorate is actively evil.

Fighting's worth it. The angles I'd push are Propaganda of the Deed and engendering trust/enthusiasm from the base.


If you're interested in a contrasting perspective, here you go:

(for a tl;dr, skip to the asterixes)

Democrats represented labor until deindustrialization neutered labor as a center of power. Now they want to go right because that's where the remaining centers of power are.

In the broad strokes (re: power), you're looking at:
  • Socially Liberal & Fiscally Conservative types spread across the 10% (mostly) in tech and finance. These is the center-right the centrists have latched onto.
  • Several hundred billion dollars worth of assholes who want to bring back the Gilded Age
The Republicans are dragging the country right on behalf of the latter. The Democrats are happy to be pulled right toward the former, refusing to fight in exchange for concessions.

* If you take a realpolitik view of things then they're (essentially) correct to sell out the country. They can't do better than being pulled right and garnering concessions so what the gently caress do you want them to do?

* If you believe, as I do, that fired up New Deal Democrats representing the general public could consistently succeed on the basis of said representation then the centrists can do better but simply refuse to so what the gently caress?

The Republicans are capitalizing on nativisit populism. The Democrats could capitalize on emancipatory populism, and they should because it'd work.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

The Phlegmatist posted:

because he had the wrong politics

I think this is a glib way to characterize policy-that-kills.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

TROIKA CURES GREEK posted:

-a Republican, talking about abortion

but but buruttt~~~~~~~~~~ it's different ~~~~~~~~

It is via 'Product Substitution.' [Back-Alley Abortion] substitutes [Abortion].

Harm-minimization dictates legal, accessible abortion.

Where's the harm-minimization argument for reducing access to healthcare?

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Peachfart posted:

The people on the left who are focused on purity are also the same sort to say 'Well, just implement UBI, easy!' and 'Just do Medicare-for-all, easy!' and will usually freak out at any suggestion that an actual plan is made for anything.

Nah, the point is that, "This is what we're doing," and, "This is how we're doing it," are two separate things.

If you get up on stage and say, "it's hard so don't want UHC," then it comes across as feet-dragging because they want your votes but oppose your policy preferences.

Edit:

Long-term goals should guide short-term action.

Edit: If you treat long-term goals as 'disprovable' (for lack of a better description) by short-term constraints, it comes across as disingenuous as hell. This happens often enough that stereotypes among progressives about centrists have been forming.

Imagine what it would look like for a Democrat to hustle for UHC as vigorously as the GOP hustles over guns and abortion. How often have you ever seen that?

Accretionist fucked around with this message at 23:29 on Aug 29, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Peachfart posted:

I guess I just want a strong left vision with a solidly reviewed and researched plan behind it.

Same.

quote:

Going full 'populist' is what made the GOP the dumpster fire that it is today.(and yes I know that their policies aren't populist, but their 'know-nothing' approach is)

Only thing I'd add is that I think there's a distinction to be made along lines of 'authoritarian populism' and 'egalitarian populism.' If you lump em' together, you're in the awkward position of both police reform and police militarization being populist, and both UHC and laissez faire healthcare being populist.

Also, I'd chock the know-nothing approach up to anti-intellectualism more than populism as it pervades right-wing politics bottom-to-top and there's less of it among the left's populists/'bottom' than among the Republican establishment/'top'.

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

boo hiss

Someone get him out of his Twitter feed / Fox News bubble! If he passed UHC, he'd be a hero for generations -- no matter what else he's done.

It could be a worst-case scenario where the Russians have him on tape sawing the head off a prostitute and he'd still go down in history for UHC.

He's pretty narcissistic. He should want this, right?

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES
The debate felt primitive. Like, how is this contentious? How is this our culture?

Accretionist fucked around with this message at 05:09 on Sep 26, 2017

Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

Leon Trotsky 2012 posted:

The U.S. actually does have the most progressive income tax system in the world.

But does, "tax structure," equate to, "federal income tax?"

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Accretionist
Nov 7, 2012
I BELIEVE IN STUPID CONSPIRACY THEORIES

LeeMajors posted:

loving stunning how expensive healthcare is here.

It's like a mechanism for transferring wealth from middle class boomers to the upper class --

-- which, I don't know, could that be part of what's driving market-beating sector performance?

(BTW, that's Vanguard's healthcare ETF compared to the S&P over 20 years)

Boomers are all hitting end-of-life and that's the expensive care. Those nest-eggs they'll be spending total up to quite a lot.

I can't help but wonder if our reticence to pursue UHC is in large due to our societal betters' desires for great returns any way and anywhere they can get it.

How much would 'Medicare-for-All' (or something) dampen investor returns?

Accretionist fucked around with this message at 23:04 on Jan 28, 2018

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