Showing posts with label Blue Dogs Health Care. Show all posts
Showing posts with label Blue Dogs Health Care. Show all posts

Friday, August 07, 2009

Rick Scott, the man behind the Town Hall Teabaggers

Rick Sanchez of CNN takes on Rick Scott.

Watch it:



Rick Scott, from the Nation:

A Texas lawyer who shared a business partner with George W. Bush, Scott started his health company, Columbia Hospital Corporation, in 1987. Its growth was meteoric, expanding from just a few hospitals to more than 1,000 facilities in thirty-eight states and three other countries in 1997. As his firm gobbled up chains, like the Frist family's Hospital Corporation of America (HCA), it became the largest for-profit hospital chain in the country. By 1994, Columbia/HCA was one of the forty largest corporations in America, and Scott had acquired a reputation as the Gordon Gecko of the healthcare world. "Whose patients are you stealing?" he would ask employees at his newly acquired hospitals.

He promised to put nonprofit hospitals--which he insisted on referring to as "nontaxpaying" hospitals--out of business and touted his company's single-minded pursuit of profit as a model for the nation's entire healthcare system. "What's happening in Washington is not healthcare reform," he told the New York Times in 1994. "Healthcare reform is happening in the marketplace."

The press portrayed Scott as a guru to be admired and feared, "a private capitalist dictator," in the words of one Princeton health economist. "Probably the lowest body fat of anybody I've been in business with," his partner told the Times.

"Other hospitals were intimidated," recalls John Schilling, who worked for Columbia/HCA in the 1990s. Scott was "like the bully that would come into town and if you didn't sell to him or partner with him, he would open up shop across the street from you and put you out of business."

Not long after joining the company in 1993 as the supervisor of reimbursement for the Fort Myers, Florida, office, Schilling noticed things weren't quite kosher. "They were looking for ways to maximize reimbursement...which ultimately would improve the bottom line."

One way they did this was to fudge the costs on their Medicare expense reports. They were "basically keeping two sets of books," says Schilling. The company would maintain an internal expense report, what it called a "reserve" report, which accurately tallied its expenses. "And then they would have a second report, which...they would file with the government, which was more aggressive." That report would "include inflated costs and expenses they knew weren't allowable or reimbursable. The one they filed with government might claim $5 million and the reserve would claim $4.5." Columbia/HCA would pocket the difference.

It wasn't just happening in Florida, and it wasn't just fraudulent Medicare expense reports. Around the country, dozens of whistle-blowers like Schilling stepped forward to file lawsuits under the False Claims Act, charging the company with sundry forms of chicanery: kickbacks to doctors in exchange for referrals, illegal deals with homecare agencies and filing false data about the use of hospital space.

By 1997 the FBI was investigating Columbia/HCA. Days after agents raided company facilities armed with search warrants, Scott was forced to resign. In 2000 the company pleaded guilty to fraud and agreed to pay the government $840 million. Other civil settlements would follow, ultimately totaling a staggering $1.7 billion, making it the largest fraud case in American history.

(Scott was never criminally charged and continues to deny wrongdoing. His spokesperson did not respond to repeated interview requests.)

And this is the man behind the organization to disrupt these Town Hall meetings. What surprises me are all the people falling all over themselves to come to these town hall meetings from other areas to disrupt them. Why? What is the real reason?

For Mr. Scott, it's to protect his Business which is walk-in Health Clinics, most of which are in Wal Marts. For the people he's recruiting? With a true bill from Congress not even out yet, people like Scott are scaring these simple people with all kinds of misinformation. And these simple people, deep down, don't trust a Black President. That's the whole thing right there. They want to believe that this president will do them wrong. What a sad world we live in!

Monday, July 27, 2009

2 Great Articles on Health Care and Blue Dogs

The first is from one of my favorite economists, Paul Krugman of the NY Times. He titles this article An Incoherent Truth....

Right now the fate of health care reform seems to rest in the hands of relatively conservative Democrats — mainly members of the Blue Dog Coalition, created in 1995. And you might be tempted to say that President Obama needs to give those Democrats what they want.

But he can’t — because the Blue Dogs aren’t making sense.

To grasp the problem, you need to understand the outline of the proposed reform (all of the Democratic plans on the table agree on the essentials.)

Reform, if it happens, will rest on four main pillars: regulation, mandates, subsidies and competition.

Read more at the link

And the second article is by Harold Meyerson of the Washngton Post who titles his article
The Can't-Do Blue Dogs:

Watching the centrist Democrats in Congress create more and more reasons why health care can't be fixed, I've been struck by a disquieting thought: Suppose our collective lack of response to Hurricane Katrina wasn't exceptional but, rather, the new normal in America. Suppose we can no longer address the major challenges confronting the nation. Suppose America is now the world's leading can't-do country.

Every other nation with an advanced economy long ago secured universal health care for its citizens -- an achievement that the United States alone finds beyond the capacities of mortal man. It wasn't ever thus. Time was when Democratic Congresses enacted Social Security and Medicare over the opposition of powerful interests and Republican ideologues. In fact, our government used to actually pave roads, build bridges and allow for secure retirements by levying taxes on those who could afford to pay them.

To today's centrist Democrats, this has become a distant memory, a history lesson they cannot grasp. The notion that actual individuals might have to pay to secure the national interest appalls them. In the House, the Blue Dogs doggedly oppose proposals to fund universal coverage by taxing the wealthiest 1 percent of the nation's households. Their deference to wealth -- whether the consequence of our system of funding elections or a byproduct of the Internet generation's experience of free access to information and entertainment -- is not to be trifled with.


Meyerson goes even further in his article to address Manufacturing:

But the big picture here, of which the resistance to reforming health care is just one element, is our growing inability to meet our national challenges. Almost all of the major nations with which we trade, for instance, have quasi-mercantilist policies that lead them to champion their own higher-wage growth industries, often in manufacturing. In America alone are such policies considered anathema. In consequence, as the Alliance for American Manufacturing reports in a new book, we shuttered 40,000 factories from 2001 through 2007 -- the years, ostensibly of prosperity, between the past two downturns. The diminution of manufacturing, which employs just 11 percent of the U.S. workforce, may please Wall Street, which looks with disfavor on decent-wage domestic production, and Wal-Mart, which tripled its purchases from China (from $9 billion to $27 billion annually) during roughly the same years those American factories closed, but it poses a clear threat to the nation's economic, and even military, power.

Meyerson brings up the major problem in the United States that is the crux of our economic problems and that is our loss of manufacturing. Most economists say we have been running our country on borrowed money because of this shrinking manufacturing base since the Reagan years. We are now buying things we used to manufacture from other countries that can produce it for less money than we can and one of the main reasons is that our health care is so expensive.

Salaries have stayed stagnant because employers are having to pay more to provide health insurance and even they have passed alot of the expense on to the employee. The problems are deep and the Blue Dogs seem to want to sit back and collect the lobbyist funds and everyone else be damned.