podesta-emails
[big campaign] New Huff Post from Creamer -- If the Insurance Companies Win, We Lose
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If the Insurance Companies Win, We Lose
As the health care debate rages, one thing has become increasingly clear.
This battle is not mainly some academic argument about the best approaches
to health care policy – or even a clash of ideological world views. It is
a fight over who gets what. It is a battle between the health insurance
industry and the rest of us – as consumers, as patients, as taxpayers.
And one thing about this conflict is certain: if the insurance companies
win, we lose.
Fundamentally, the big insurance companies are fighting tooth and nail to
make sure they can continue to skim billions off the top of the dollars we
spend on health care.
This does not mean that if we win, the insurance companies will lose in
some existential sense. If real health insurance reform – with a strong
public option – is signed into law this fall, we won’t have to have a tag day
or bake sale for the big health insurers. They are very good at figuring
out how to make lots of money.
What is at stake is whether we continue to be the world’s greatest health
care chumps – paying 50% more per person for health care and still being
37th in the world in health care outcomes. More importantly, what is at
stake is whether the rapacious drive of big health insurance companies to skim
off money for Wall Street investors and their corporate CEO’s will
continue to create health care victims.
Take Stacie Ritter. She’s a mother of twins who lives in Pennsylvania.
Both of her daughters, now 11, were diagnosed with leukemia when they were
four. They both needed stem cell transplants and other cancer treatments.
They did survive, but the treatments damaged the glands that control
their growth beyond repair. Their doctors indicated that in order for them to
continue to grow normally, they needed regular growth-hormone injections.
But there was a problem. Each time Stacie took her daughter to the doctor
for shots, it cost her $440. CIGNA refused to pay.
Stacie and her husband were not about to deny their daughters the right to
grow up, so they spent every spare dollar on the injections. In the end,
those expenses – coupled with other costs they had to pay for the twins’
cancer treatment – forced them to declare bankruptcy.
Their story is not unusual. Sixty-two percent of all bankruptcies are
caused by medical bills -- and often when an insurance company denies care.
People think they are doing the responsible thing for their families. They
have health insurance, but then a tragic illness hits and they lose
everything anyway.
CIGNA didn’t refuse to pay for the kids’ hormone injections because it
hates kids, or wanted the twins to stop growing. It denied the shots
because its principle mission has nothing to do with those kids’ health. It is
making money.
Ed Hanway, CIGNA’s CEO, can tell you about that. In 2008, Ed made $12.2
million. That’s $5,883 an hour. Ed makes more in one day than the
average worker makes all year long. He makes 30 times more than the President of
the United States.
Ed makes enough each day to cover 106 of those shots.
And for CIGNA, the case of Stacie’s twins was not unusual.
Doctors said a liver transplant could save Nataline Sarkisyan’s life. But
CIGNA wouldn’t pay for that either. Nataline died in 2007, just before
Christmas. She was 17.
That same year, CIGNA CEO Ed Hanway locked in a $73 million golden
parachute for his retirement.
The average transplant operation costs about $250,000. Hanway’s golden
parachute would pay for 292 liver transplants. Nataline only needed one.
Hanway has a number of homes, including a beach house in New Jersey worth
$13 million. Many ordinary Americans are losing their only homes each
year because of medical bankruptcy.
Of course Hanway is not the exception, he’s the rule. Stephen Hemsley is
the CEO of UnitedHealth. In 2009 Hemsley will make an astonishing amount
of money from his stock options and other remuneration -- $128,000,000. As
you might imagine, he has a very nice house too.
People like Hanway and Hemsley don’t provide one iota of health care to
anyone. They have simply figured out a way to route billions of our health
care dollars through the companies that they control so they can skim some
off the top before it is used to pay for doctors and hospitals.
The incentives created by this system also produced Staci’s bankruptcy and
Nataline’s death. These companies hire armies of bureaucrats whose only
mission is to deny claims in order to fatten corporate bottom lines. The only
relationship those armies of bureaucrats have with health care is that
what they are employed to do is, itself, sick.
We’re approaching key decision moments in the health care war. Don’t sit
on the side lines. This battle is about each of us. Any one of us could
be Stacie or Nataline. Ask your Member of Congress if he or she lines up
with us, or the insurance companies. Demand to know which side he’s on. This
time they can’t have it both ways, because if the insurance companies win,
we lose.
Robert Creamer is a long time political organizer and strategist, and
author of the recent book: Stand Up Straight: How Progressives Can Win,
available on _Amazon.com._
(http://www.amazon.com/Listen-Your-Mother-Straight-Progressives/dp/0979585295/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1213241439&sr=8-1)
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