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Elias Isquith

Elias Isquith is a freelance journalist and blogger. He considers Bob Dylan and Walter Sobchak to be the two great Jewish thinkers of our time; he thinks Kafka was half-right when he said there was hope, "but not for us"; and he can be reached through the twitter via @eliasisquith or via email. The opinions he expresses on the blog and throughout the interwebs are exclusively his own.

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11 Responses

  1. Avatar greginak
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    says:

    I’m not sure you make your case all that strongly. You are nudging up against the Green Lantern type theory where just exerting will or having a fight will obtain an objective. I’d argue that if O had pissed off the insurance companies to much we would have not had any HCR, not even the middling at best reform we got. How do you go into a legislative battle trying to eviscerate an entire industry, especially one that has lots of money and power, then expect to succeed. I think at times more fight might work and it might look good, but it isn’t always a winning strategy.Report

    • Avatar Kimsie in reply to greginak
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      says:

      Looking at the cigarette companies might prove instructive there.Report

      • Avatar greginak in reply to Kimsie
        Ignored
        says:

        I’m not seeing it. It took decades of fighting and an Everest high pile of science to get some restrictions on tobacco companies. And they are still in business, its not like they are gone or anything.Report

        • Avatar Kimsie in reply to greginak
          Ignored
          says:

          Public outrage on insurance companies (plus GM, Big auto, and tons of other corps wanting a level playing field) was enough to get ’em to bend.

          I’d say, it’s a start.

          A different start than Edwards — who would have used the poison pill approach.Report

    • Avatar LeeEsq in reply to greginak
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      says:

      This. There is no evidence that a more statist version of HCR could pass through Congress. More likely, it would have died in committee and HCR kicked down the road for another fifteen years at least.Report

    • Avatar zic in reply to greginak
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      says:

      I’d argue that if O had pissed off the insurance companies to much we would have not had any HCR, not even the middling at best reform we got.

      My suspicions here run even deeper.

      One of (IMHO) most crucial parts of ACA is efficacy research. And insurance companies have the data on medical outcomes, which is a crucial part of that research in some sort of cost-effective way. Even Medicare is (from the state’s I’m familiar with; may not be all states) contracted out to private insurance companies for billing/payment work; the states just oversee the program under federal guidelines. So insurance companies have the information needed for statistical analysis of health treatments, and that information is proprietary; they own it. It’s at the root of all those details of what they will/will-not pay for in your insurance policy.

      This is just one of the reasons electronic medical records matter; because right not, the only place this information exists in in insurance data bases and paper files in doctors offices. Which is cheaper to access?

      I’d guess that the potential of electronic medical records will eventually bring to efficacy research vs. the immediate value of information the insurance companies already own was a big part of the ACA negotiation process.Report

      • Avatar greginak in reply to zic
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        says:

        Good point. The Wife actually does some of this kind of case management for our state on Medicare/caid contracts.Report

      • Avatar Zane in reply to zic
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        says:

        Even Medicare is (from the state’s I’m familiar with; may not be all states) contracted out to private insurance companies for billing/payment work; the states just oversee the program under federal guidelines.

        I think you mean Medicaid here. I don’t think there’s a state role in Medicare provision. (If there is, let me know!)Report

      • Avatar Michael Drew in reply to zic
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        says:

        Interesting point, zic.Report

  2. Avatar zic
    Ignored
    says:

    On anti-liberalism and its many shortcomings:

    One that’s beginning to piss me off is the liberal media’s reporting on anti-liberal bias. Like, we cannot talk about any up-and-coming Republican without saying shiz like this:

    Cruz’s path to the presidency—if he decides to run—must consist precisely of convincing “the middle” of the party that he’s electable despite the fact that he may be the most conservative member of the Senate

    That’s a quote from John Dickerson, just lifted it off Sully’s blog.

    I heard the same on NPR this afternoon; Christie and his bromance (they actually used that word, too) with Obama and how the blowback if he runs for president.

    Like all that matters is if they’ll run and how they might be pissing off the base. Building the narrative for 2016 already.Report

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