November 6, 2009
DON'T FOLLOW TEXAS' LEAD.... The Washington Post ran an op-ed today on health care policy co-written by former House Speaker Newt Gingrich (R-Ga.) and Texas Gov. Rick Perry (R-Texas). That, in and of itself, is a little odd -- when I think of conservatives with credibility on health care, Gingrich (a disgraced former Speaker who shut down the government 14 years ago, in part over cutting Medicare) and Perry (a Glenn-Beck-loving right-winger who recently raised the prospect of secession) aren't the first names that come to mind.
Nevertheless, they have a case to make.
Congress seems intent on forcing a one-size-fits-all mandate on states, some of which actually have solutions to repair their health-care systems that Washington is preventing them from trying.
Texas, for example, has adopted approaches to controlling health-care costs while improving choice, advancing quality of care and expanding coverage. Consider the successful 2003 tort reform. Fewer frivolous lawsuits have attracted record numbers of doctors to the state as medical malpractice insurance premiums dropped by half. Christus Health, a large Catholic nonprofit system with a significant presence in Texas, spent about $100 million on liability defense payments in 2003. Last year, Christus spent $2.3 million on such payments. Much of that savings has gone into expanding health-care services in low-income neighborhoods.
What Gingrich and Perry neglected to mention is that Texas is a disaster for the uninsured: "Texas currently leads the nation in the rate of uninsured, with more than 25 percent of the state's residents lacking health-care coverage. If you limit the analysis to residents under age 65, which takes seniors covered by the national Medicare program out of the data, 28 percent of Texans are uninsured.... Letting Perry serve as the spokesman for a federalist solution to the health-care system is a bit like letting Dick Fuld testify on the adequacy of self-regulation on Wall Street, or Donald Rumsfeld explain that occupations are easy."
For that matter, the vaunted "tort reform" measure in Texas, passed six years ago, has screwed over a few too many Texans.
As for Texas investing "savings" in "health-care services in low-income neighborhoods," I can think of several thousand Texans who'd love to hear all about it.
It's these pesky details that get Gingrich and Perry every time.
—Steve Benen 4:45 PM
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What Gingrich and Perry neglected to mention is that Texas is a disaster for the uninsured
I'm sure it just slipped their minds. An innocent oversight as it were.
Posted by: ckelly on November 6, 2009 at 4:49 PM | PERMALINK
Lawsuits are always frivolous until you need to sue someone.
Just like health insurance is always grand until you need to use it.
Tort reform has long been a conversation ender for me.
Posted by: doubtful on November 6, 2009 at 4:51 PM | PERMALINK
Is there any evidence that the removal of the threat of being sued has made any difference in the way Texas doctors treat their patients or prescribe "unnecessary" test?
Posted by: spencer on November 6, 2009 at 4:51 PM | PERMALINK
Newt Gingrich is the Future of the Republican Party.
Posted by: neill on November 6, 2009 at 4:52 PM | PERMALINK
At least our Liberal Media pointed out all these facts, to make sure people weren't fooled by their lies.
Posted by: Obama Won on Change on November 6, 2009 at 4:53 PM | PERMALINK
It's a shame Rick Perry, who's built his brand within Texan by executing factually innocent constituents (see Todd Willingham), didn't see fit to share his thoughts on Death Panels.
Posted by: K on November 6, 2009 at 5:00 PM | PERMALINK
Well, yes, but any death penalty advocate will helpfully remind you that Willingham was drinking at the bar and wasn't a very good father, so it really doesn't matter whether he committed murder or not. It's hard to muster up much empathy for someone who so obviously had it coming.
Incidentally, what makes the imaginary death panels so scary to conservatives is that they get to deem Grandma unworthy to keep on living!
Posted by: Equal Opportunity Cynic on November 6, 2009 at 5:21 PM | PERMALINK
Much of [medical malpractice insurance] savings has gone into expanding health-care services in low-income neighborhoods.
How much? They don't say.
Incidentally, this expanding health care justification for so-called tort reform is a new one. Tort reform advocates used to argue that tort reform would reduce unnecessary procedures and, therefore, reduce our premiums. But the savings that health care providers enjoyed weren't passed on to Texans via fewer unnecessary tests and procedures or, ultimately, lower premiums. In fact, while the cost of malpractice insurance took a dive as a result of these so-called tort reforms, health insurance premiums in Texas increased as fast or faster than premiums in most other states -- not exactly an ideal way to expand health care services.
Basically what Gingrich and Perry are arguing is that if you help save the for-profit hospitals some money via tort reform, then they'll spend a little of that savings to give you a vaccination or two in a free clinic somewhere once you fall into the low-income category as a result of your enormous health care bills.
Posted by: Chris on November 6, 2009 at 5:31 PM | PERMALINK
It's these pesky details that get Gingrich and Perry every time.
unfortunately its wishful thinking that the cretinous lying wingnuts ever pay a price for their lies and dissembling - US corporate media has their backs, making sure Americans never get those pesky details.
Posted by: pluege on November 6, 2009 at 5:33 PM | PERMALINK
Gingrich (a disgraced former Speaker who shut down the government 14 years ago, in part over cutting Medicare)
And in part because (as he perceived it) Bill Clinton was mean to him (http://tinyurl.com/y8qqba2).
Posted by: navamske on November 6, 2009 at 5:39 PM | PERMALINK
It's funny to me they're stretching so hard to use the word "mandate" in this particular specific way. Doubly funny because this bill already has something widely known as a "mandate" in a totally different sense than they use this word.
Posted by: mcc on November 6, 2009 at 5:50 PM | PERMALINK
Texas has been attracting doctors, but the rate of increase in the Medical Society investigations suggests Texas has become a magnet for medical incompetents.
Posted by: john sherman on November 6, 2009 at 9:05 PM | PERMALINK
I question the bit about malpractice premiums going down at all. I think the man was flat out lying. I've read too many articles in places like the Texas Observer saying that premiums are no different from states without tort reform.
Posted by: Texas Aggie on November 6, 2009 at 9:53 PM | PERMALINK
And also they neglected to mention that among Perry's cost savings mechanism is that Texas has the lowest percent of SCHIP eligible kids actually enrolled of any state in the nation. Perry has done everything possible to prevent eligible people from signing up for state health benefits. For instance, to be eligible for state health benefits you have to make less than 20% of the poverty level (Texas Observer.)
Posted by: Texas Aggie on November 6, 2009 at 9:56 PM | PERMALINK
All this while Texas is ground zero for diabetes, hypertension, petrochemical cancers.
Posted by: bob h on November 7, 2009 at 6:58 AM | PERMALINK
I am curious.
Of the 25% of Texas who lack medical insurane what percentage of those have been denied medical care, when needed?
Meaning, a lack of medical insurance does not mean, per se, a lack of medical care.
I am sure this has been studied.
Posted by: Dudley Sharp on November 7, 2009 at 7:12 AM | PERMALINK
With regard to tort reform, are you philosophically in favor of it? How do supporters of the status quo deal with these facts?
(1) The medical malpractice system tortures the medical profession. Most physicians drawn in are innocent. They are release, but perhaps after months or years of expense and anguish. Sound fair?
(2) We are wasting billions of $$$ on defensive medicine.
(3) Defensive medicine exposes patients to unnecessary risks of complications.
(4) Most victims of medical negligence are missed entirely.
Still think we don't need legal reform? See www.MDWhistleblower.blogspot.com under Legal Quality.
Posted by: Michael Kirsch, M.D on November 7, 2009 at 8:06 AM | PERMALINK
Of the 25% of Texas who lack medical insurane what percentage of those have been denied medical care, when needed?
Meaning, a lack of medical insurance does not mean, per se, a lack of medical care.
Well, yes, it does, Dudley, actually. You see, ERs aren't set up to do anything but stabilize the patient. They don't provide long-term care for disease -- particularly complex diseases like diabetes and cancer -- and they certainly don't provide preventive care. They also present the patient with a bill -- far larger than the one he or she would get from a doctor and minus the discount an insurer would get for the same services -- which the patient then has to pay. It's not "free" to anyone: after the unable-to-pay patient's credit rating's been destroyed, we all end up footing the bill for his or her very short-term care.
How much medical care do you think the uninsured seek under those circumstances? How many non-emergency trips to the doctor do you think an uninsured patient is going to make when paying cash for them is an impossibility?
It's time for you and your buddies to stop pretending that anything but the most stopgap and cursory medical care is available to people who don't have insurance. It's extremely offensive that at this stage of the game you still don't know this or are determined to deny it.
How do supporters of the status quo deal with these facts?
Okay, you've got your tort reform. It's all yours. Now -- how do you deal with the fact that this affects less than 2 percent of the cost of healthcare and the rest of the system is still broken? And what are we to make of the fact that your concern about doctors' costs doesn't seem to extend to the patients you pledged to serve?
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