>From Jerry Policoff:

With Max Baucus riding herd over healthcare 
reform in the Senate it is becoming pretty clear 
that anything he approves will leave the health 
insurance companies with a major gatekeeper role.

The healthcare reform floated by Barack Obama 
during the campaign revealed a vivid 
understanding of just how predatory these 
companies are.  We need to remind Obama of these 
words.   Clearly Obama understood during the 
campaign that insurance companies cannot be 
trusted.

While President Obama did not campaign on 
single-payer (though he did say that he would go 
that way if he was building a healthcare system 
from scratch), we all know that the only way to 
rein in the insurance companies is to replace 
them with a government financed, privately 
delivered single-payer healthcare system.  Max 
Baucus's hearing the other day not only had no 
single-payer representatives present, it was in 
fact dominated by the health insurance industry, 
its corporate allies, and its lobbyists.  Such a 
panel is inconsistent with the message candidate 
Obama delivered during the campaign:

BARACK OBAMA'S PLAN FOR A HEALTHY AMERICA:
Lowering health care costs and ensuring affordable, high-quality health
care for all

ŠLOWERING COSTS BY INCREASING COMPETITION IN THE INSURANCE AND DRUG MARKETS.

It is not right that Americans families are 
paying skyrocketing premiums while drug and 
insurance industries are enjoying record profits. 
These companies benefit most from the status quo, 
and in many cases are the greatest obstacles to 
reform. Š

ŠThe insurance business today is dominated by a 
small group of large companies that has been 
gobbling up their rivals. In recent years, 
for-profit companies have bought up 
not-for-profit insurers around the country. Other 
not-for-profits found business so lucrative, they 
converted to for-profit companies. There have 
been over 400 health care mergers in the last 10 
years, and just two companies dominate a full 
third of the national market.  The American 
Medical Association reports that 95% of insurance 
markets in the United States are highly 
concentrated and the number of insurers has 
fallen by just under 20% since 2000.

These changes were supposed to make the industry 
more efficient, but instead premiums have 
skyrocketed, increasing over 87 percent over the 
past six years. Over the same time period, 
insurance administrative overhead has been the 
fastest-growing component of health spending. The 
2007 Commonwealth Fund Commission on a High 
Performance Health System reported that between 
2000 and 2005, administrative overhead - 
including both administrative expenses and 
insurance industry profits - increased 12.0 
percent per year, 3.4 percentage points
faster than the average health expenditure growth of 8.6 percent.

And while health care costs continue to rise for 
families, CEOs of these insurance companies have 
received multi-million dollar bonuses. Barack 
Obama will prevent companies from abusing their 
monopoly power through unjustified price 
increases. Š




Jerry Policoff

1115 Wheatland Avenue/ G-3
Lancaster, Pa. 17603
Home phone/fax:  717-295-0237
Cell: 717-682-4434
www.progressives4pennsylvania.com
www.healthcare4ALLPA.org

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