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Politics of health care reform

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Politics of health care reform

  1. 1. Founder of the Internet Law Center Santa Monica, CaliforniaHost of Cyber Law & Business Report On WebmasterRadio.fm Past Co-Chair of the California Bar Cyberspace Committee Former Asst. General Counsel and Director of Privacy and Governmental Affairs and Anything Else That Would Help Me Set the Guinness Book Record for Longest Title ValueClick – Westlake Village
  2. 2. CAMPAIGNS LOBBYING PUNDITRY1978 – Senator Claiborne Pell1980 – Kennedy for President1982 – Senate Campaigns in RI and CT1992-1998 – Co-Founderand National Co-ChairDemocratic NationalCommittee Saxophone Club
  3. 3. CAMPAIGNS LOBBYING PUNDITRY 1980 Lobbied RI Gen Assembly on State Health Plan 1985—1988 Legislative Assistant with DC Lobbying Firm 2004-2007 Lobbied Washington and Sacramento on Tech Legislation
  4. 4. CAMPAIGNS LOBBYING PUNDITRY 2004 – Present Political Columnist Won 3 LA Press Club Awards 2008-2009 Filibanter
  5. 5. (78 Seconds)
  6. 6. Round 1
  7. 7. American Association of Labor Legislation 1912-1919 KEY PROVISIONS SUPPORTERS OPPONENTSCompulsory Organized Labor The Progressive Partyprogramproviding Business Amer. Medical Associationmedical,maternity and Insurance Companiesdeath benefitsfor those makingunder $1,500($27,000 incurrent dollars) California Red Sox won Proposition 4 World Series (1919) ‘12, ‘15, ‘16 and ‘18 Defeated 27% - 73%
  8. 8. Round 3
  9. 9. Member of the Asscoiated Press . Aenean commodo ligula eget dolor. Aenean. Aenean commodo ligula eget dolor. Aenhswse. Cejhciebce fcdcdcd.Est. 1869 Wednesday, November 24, Way Back Price 6dFDR Signs Social Security Act 1920AMA House ofDelegates “declares itsopposition to theinstitution of any planembodying the systemof compulsorycontributory insurance” FDR Dodges Fight with AMA, Strips Health Care Coverage from Bill.
  10. 10. Harry Truman’s 78 Seconds Senator Taft:• Wagner-Murray-Dingell single • I consider it socialism. It is to payer plan first introduced (1943) my mind the most socialistic• Truman Backed Wagner- measure this Congress has ever Murray-Dingell (1945) had before it.• House Committee Chairman Refused to Hold Hearings • Walked out of Senate hearing after saying plan came right• Universal Declaration of Human Rights out of Soviet constitution.
  11. 11. AMA RECORD FIGHT• SPENT $19MM IN CURRENT DOLLARS• WOULD BE HUGE EVEN BY TODAY’S STARDARDS Where AMA ‘45 Spending Would Rank in Lobby Spending in Modern Age YEAR RANK YEAR RANK YEAR RANK 1998 4th 2002 2nd 2006 5th 1999 1st 2003 3rd 2007 6th 2000 2nd 2004 2nd 2008 8th 2001 2nd 2005 6th 2009-2010 11th
  12. 12. Round 6
  13. 13. GREAT SOCIETY TIMESwww.dailynews.com THE WORLD’S FAVOURITE NEWSPAPER - Since 1879 LBJ Signs Medicare (1965) Canada Passes Medical Care Act (1966) 1933-1992 • DEMS controlled both houses of Congress -- 50 years • DEMS controlled House -- 56 years
  14. 14. NIXON-CARTER KENNEDY BUSH• Negotiations with Nixon (1974)• Hawaii Prepaid Health Care Act (1975) • COBRA (1985)• Confrontation • Catastrophic with Carter Health Insurance (1978-80) (1988) • Repeal of Catastrophic Health Insurance (1989)
  15. 15. Round 9
  16. 16. KEY PROVISIONSEmployer SUPPORTERSMandate toProvideinsurance Organized LaborCost Control Progressive Groupsthrough HMO Business Roundtablemanaged care. Chamber of Commerce American Medical Association OPPONENTS Health Ins. Industry Association Business Roundtable Chamber of Commerce Nat’l Federation of Independent Businesses
  17. 17. For it, before they were against it . . .
  18. 18. Year 1935 1945 1965 1994 2010Senate Then 70 57 68 57 59 After 73 45 64 48 51 Diff +3 -12 -4 -9 -8House Then 322 243 295 258 256 After 334 188 248 204 235 Diff +12 -55 -47 -54 -21NEXT WON WON LOST WON WON/LOSTPRES ??? AVERAGE LOST 6 SENATE & 33 HOUSE SEATS
  19. 19. Round 12
  20. 20. PCT IN HMO/PPO PLAN1993 – 47%2010 – 77%
  21. 21. Average Health Insurance Premiums and $13,375 Worker Contributions for 131%Family Coverage, 1999-2009 Premium Increase $9,860 $5,791 128% Worker Contribution $4,247 Increase $3,515 $1,543 1999 2009 Employer ContributionNote: The average worker contribution and the average employer contribution Worker Contributionmay not add to the average total premium due to rounding. 30Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009. http://ehbs.kff.org/pdf/2010/8085.pdf
  22. 22. 180% 159% 160% 138% 140% 120% 100% 80% 60% 42% 40% 20% 31% 0% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Health Insurance Premiums Workers Contribution to Premiums Workers Earnings Overall InflationSource: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. http://ehbs.kff.org/pdf/2010/8085.pdf Bureau of LaborStatistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, SeasonallyAdjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).
  23. 23. 18% 69% Under 65, Covered 68.3% 17% By Employer 68% 67.9% 16% 67.1% 67% 15.8% 15.3% 15.3% 15% 65.7% 15.1% 66% 14.9% 14.7% 14% 14.0% 14.1% 65% 13.7% 64.4% 13% 63.9% 64% Uninsured 63.5% 12% 62.9% 62.9% 63% 11% 62% 1999 2000 2001 2002 2003 2004 2005 2006 2007Source: U.S. Census Bureau.
  24. 24. Health Care Reform Dashboard 290- 50.7M 22K 350,000UNINSURED PREVENTABLE DEATHS DEATHS PER YEAR SINCE ‘94 $6,772 $24,291 2MFAMILY INS, FAMILY INS, HEALTHPREMIUM PREMIUM (2016) RELATED BKS(2000)
  25. 25. 2003* Medicare Prescription Drug Benefit* Maine’s Dirigo Health Reform Act 2006* “Romney-Care”* Vermont “Catamount Health”
  26. 26. Round 13THRILLA
  27. 27. Clinton Lessons•Failed to Give Congress Input in Drafting•Had Final Bill too late•Should have done Welfare Reform before Health Care•Byrd Rule•Incremental Reform•Get a Dog
  28. 28. Lessons Learned?• Failed to Give Congress Input in Drafting – Obama “subcontracted out” drafting to Congress• Had Final Bill too late – Obama – no bill yet to defend during “Town Hall summer”• Should have done Welfare Reform before Health Care – Same mistake, should have led with Jobs• Byrd Rule – Lesson Learned• Incremental Reform – Began administration with S-Chip covering 10M uninsured children• Get a Dog -
  29. 29. Passed House 245-189 Increase Deficit $210 Billion
  30. 30. DC DISTRICT COURT4TH & 6TH CIRCUIT – CONSTITUTIONAL11TH CIRCUIT - UNCONSTITUTIONAL
  31. 31. 6th CircuitRegulating Impact onInterstate Commerce
  32. 32. Scoreboard X 3 O X O O 3 X O X
  33. 33. Scoreboard X 3 O X O O 3 R? X R? O X
  34. 34. Scoreboard X 3 O X O O 3 R? X R? ? O X
  35. 35. Internetlawcenter.netbennetkelley.com webmasterradio.fm

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