Our Republican Congressman Peter Roskam appeared on WLS AM’s Roe Conn show this afternoon continuing his aggressive campaign to block any meaningful healthcare reform legislation. Here’s the audio:

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Roskam is obviously pretty pleased with himself about his little theatrical performance with the handcuffs on the House floor the other day. Its a shame we have a Congressman who constantly resorts to stunts and party talking points to scare his constituents rather than engage in serious efforts to resolve the issues that are making their lives difficult. If Roskam gets his way on healthcare, it won’t be long until members of Congress are the only Americans who will be able to afford adequate care.

Roskam’s latest scare tactic is to talk about the individual mandate provision in the House bill that was passed on Saturday. The Republican party has decided that scaring the public about individual mandates to purchase healthcare insurance is the best means they have to kill health reform and Old Rubber Stamp has been quick to take that message on the road.  It wasn’t too long ago though that Republican leaders were talking about individual mandates as being a good thing – ensuring individual responsibility. Watch Republican Senator Charles Grassley extol the virtues of individual mandates on Fox News:

Individual mandates are a good thing because, without them, the cost of caring for people without insurance in emergency rooms raises the cost of health insurance for the rest of us – maybe as much as $1800 per year. People who can afford to obtain health insurance must do so as a matter of responsibility. Grassley says: “I believe there is a bipartisan consensus to have individual mandates.”

And listen to these guys talk about mandates – 2008 Republican Presidential candidate Mitt Romney, Grassley again, Republican Senator Bob Bennett, Republican Senator Olympia Snowe, and former Republican Senate Majority leader Bill Frist:

But now Senators Grassley and Snowe and the rest of the party are opposing mandates. Grassley is questioning their constitutionality. Roskam is pulling out his handcuffs. What happened?

Well a couple of things, I think. As I have already suggested, the Republican Party has determined that this is the best strategy to kill health reform and cause the Democrats in Congress and the President to fail, and that is what they want more than anything else, even if it means the American people continue to suffer due to unmanageable healthcare expenses and lack of access to care. I think the other thing that’s operating here is the Democratic bill’s inclusion of effective insurance regulatory reform. Republicans would probably be very happy with mandates in a reform bill, if it didn’t come from the Democrats, and if it included massive insurance de-regulation as the present, Republican alternative bill does, without any public option to compete with private insurers. The health insurance industry supported mandates and have donated heavily to Republicans to get them included in any reform plan. But the public option was a buzzkill and so Republicans have reversed and are now attacking mandates.

The health insurance industry is isn’t anything like the bogeyman that some on the left portray it it to be.  It’s like any industry looking after its stockholders first and foremost, but trying to be competitive by offering a high-quality high-value product that consumers and employers will want to buy. The companies are staffed by honorable people who subscribe to the same plans that they sell. Most of the horror stories in the media involve gross distortions of insurers role in medical decision making and the size of the profit margins that companies earn on their products.

Because health insurers have built-in incentives to control medical cost while maintaining quality of care, I believe it is possible, and perhaps desirable, to build an effective universal coverage plan based the private sector. But such a plan can only succeed in providing affordable universal coverage if there are  effective individual and employer mandates, strong industry regulation, and a public option to fill in the gaps. Far from destroying, the private sector, CBO estimates that millions more Americans will obtain private coverage under the Democratic plan. And Roskam’s lies to the contrary, this plan does not involve the government taking control over 1/6 of the economy. Nothing changes hands. There is no nationalization of physician practices or hospitals or insurance companies. All that stays as it is now, in the private sector. This is not communism no matter what the teabaggers signs may say.

If the Republicans reject the individual mandate, there is still another option – single payer. But of course they reject that as well. They want only for reform to fail.

Rather than work seriously toward and effective solution to the nation’s healthcare crisis, Roskam and his Republican colleagues have offered a phony reform plan based in medical malpractice caps and insurance de-regulation that will do nothing to increase the proportion of Americans with health coverage based on CBO analysis. And if you like what Republican de-regulation has done for the banking industry, you’ll love what it does for healthcare.

One more point of correction for Peter Roskam on his statements on the radio today – Senator Lieberman has no conscience.

Lots of folks have been hitting the site this morning looking for the results of last evenings historic House vote on H.R. 3962 – the Affordable Health Care for America Act. Fox News must still be devoting all their resources to round-the-clock coverage of Tuesday’s New Jersey gubernatorial contest so I guess I should put something up as a public service.

Well the news is mixed. First off, 6th District, your Republican Congressman, Peter Roskam, as usual, sided with the interests of big corporations over those of  his constituents who are being bankrupted and going without adequate healthcare. Peter Roskam voted against passage of H.R. 3962.

The measure passed by a vote of 220-215 with one lone Republican having the courage to stand up and do the right thing. That Republican, Rep. Joseph Cao of Louisiana, has since been viciously attacked by the Teabaggers (H/T to Wonkette) whom Rep. Roskam and his party have allied themselves in their efforts to kill any meaningful healthcare reform:

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Thankfully, the Teabaggers are merely standing up for the freedom of all poor and middle class Americans to die an untimely death. Racism has in no way motivated their attacks on the President and his agenda for healthcare reform.

obamacareBut I digress.

The bill that Peter Roskam voted against will, if enacted, by CBO estimates provide health coverage to 96% of Americans and do so under the $900 billion threshold outlined by President Obama and will reduce the deficit to a greater degree than the phony reform alternative presented by Roskam and the desperate Republicans at the last minute.

Specific providions of the bill include:

  • The creation of a new national program to provide affordable coverage for those who can’t get health insurance today because of pre-existing conditions
  • Implementation of insurance reforms to enforce an 85% medical loss ratio – meaning that insurance companies must spend 85 cents out of every premium dollar on medical services
  • Coverage of young adults on their parents’ policies through age 26
  • Limits on pre-existing condition exclusions
  • A self-sustaining public insurance option (that is financed not by tax dollars but by insurance premiums) that provides an alternative to and competes on a level playing field with private health insurance companies
  • Elimination of the antitrust exemption for health insurers and medical malpractice insurers, increasing competition in the insurance marketplace and removing the shield that has allowed them to price fix, divide up territory, and effectively create monopolies in particular markets.
  • Establishment of a new essential benefit package that over time will become the minimum quality standard for employer plans. The basic package will include preventive services with no cost-sharing, mental health services, oral health and vision for children, and caps on the amount of money a person or family spends on covered services in a year.
  • Creation of a new, voluntary, public, long-term care insurance program to help purchase services and supports for people who have functional limitations. Individuals determined to need assistance because of functional limitations would qualify to receive a daily or weekly cash benefit to help purchase the services and supports needed to maintain personal and financial independence.
  • Provision of affordability credits to low- and moderate income individuals and families, up to 400% of the federal poverty level, to aid in the purchase of health insurance of their choosing through a new health insurance exchange that includes the public option.
  • Caps for annual out-of-pocket spending. Will cap annual out-of-pocket spending at a maximum of $5,000 per individual and $10,000 per family to prevent bankruptcies from medical expenses.
  • Expansion of Medicaid. Individuals and families with incomes at or below 150% percent of the federal poverty level will be eligible for an expanded and improved Medicaid program. Recognizing the budget challenges in many states, this expansion will initially be fully federally financed then transition to include a 9% contribution from states starting in 2015. To improve provider participation in this vital safety net – particularly for low-income children, individuals with disabilities and people with mental illnesses – reimbursement rates for primary care services will be increased to Medicare rates with new federal funding.
  • Improvements to Medicare. Senior citizens and people with disabilities will benefit from provisions that fill the donut hole over time in the Part D drug program, eliminate cost-sharing for preventive services, improve the low-income subsidy programs in Medicare, increase access to primary care providers, and make other program improvements. The bill will also address future fiscal challenges by improving payment accuracy, encouraging delivery system reforms and extending solvency of the Medicare Trust Fund.

To make this all work the bill includes mandates: except in cases of hardship individuals must obtain insurance through their employer or independently. Assistance is providedfor those with low incomes. Care is made more affordable for everyone by increasing the size of the risk pool and by removing the antitrust exemption and providing public plan competition.  Employers must either provide insurance to their employees or contribute to the cost of their coverage through the public plan/exchange. Small businesses are exempted from this requirement.

Sadly, an amendment was offered and passed to the original legislation by pro-life Democrats which restricts the ability of women to obtain a plan that covers abortion services, even if they are purchasing the plan through the exchange with their own money. The Democratic leadership was forced to compromise and allow a vote on the amendment or the whole reform bill would have failed. It was a necessary compromise, I think, but a painful one. The provision is an affront to all women and makes a mockery of the Republican claims that their votes against healthcare reform are votes for freedom. This addition allows unwarranted interference by the state in the lives of women seeking a legal medical procedure.  Peter Roskam voted for the anti-choice amendment, even though he had no intention of voting for the final bill.

Difficult work lies ahead in reconciling this bill with Senate legislation and in passing a final conference report. But this was a big step.