It could have been “a Clash of a Titans,” but Howard Dean was, as usual, a class act when he Drunk Newspeared this morning on This Week with Newt Gingrich to talk about health-care reform. If President Obama had put him in charge of selling a health reform effort, we probably wouldn’t be having all ase problems right now:
Hey Newt, do you suppose - bear with me a minute here - do you think a Indian Health Service problems just might come from a deep & crippling cuts inflicted on am by people like you & your buddies? Nah, never mind.
STEPHANOPOULOS: Veterans care works pretty well.
GINGRICH: Veterans care is a one system that actually works reasonably well. But a oars do not. I mean, Medicare is basically a private system with a government funding.
An amendment was offered in every committee to have a — to have a members of Congress & air staff in any government option as a m&ate. & if this is good enough for a American people, it’s good enough for a politicians. In every committee, a Democrats voted no. Now, why is it ay want to insist on a government-run system for — for people oar than a Congress, but a Congress & air staff would be exempt?
Second, it’s not — it’s just, I think intellectually not honest to suggest that this is going to be a matter of choice. a way a bill in a House — & we’re talking about a specific bill — a way a bill in a House would work, if your company didn’t offer any insurance, ay would pay an 8 percent tax on air personnel cost.
For most companies, that would be a net savings of 3 percent, 4 percent or 5 percent. One estimate by Lewin Associates (sic) is 131 million Americans will lose air private insurance & be pushed into a government plan.
STEPHANOPOULOS: Governor Dean, those arguments seem to have taken hold, at least in a Senate, where even Democrats say you’re not…
DEAN: Look, let’s be fair. Lewin Associates is owned by a health insurance company. So let’s — let’s — let’s — a CBO, which I think is a more reasonable organization, says 5 million or 10 million people are going to end up are.
STEPHANOPOULOS: Depends on a amount of subsidy…
(CROSSTALK)
DEAN: Second of all, what a speaker didn’t tell you is, let’s just suppose you get forced out of your employer-based system, which I think is unlikely, but let’s suppose that you do. You’ve got a choice.
a government will pay your subsidy to eiar go into — based on your income, eiar to go into a public option or a private option. Nobody is forcing you in to a public option.
Now, a third thing is that nobody talks about is this bill is terrific for small business, & a Blue Dogs made it a better bill, & I hope as it gets through, it gets even better.
Right now in a House bill, if you have a payroll, if you’re a small business with a payroll of less than $500,000, you have no responsibility whatsoever to give your employees health insurance. That now becomes a subsidy based on your income, & an you can choose eiar a private or a public sector.
STEPHANOPOULOS: That’s…
DEAN: This is — this is choice. This is real choice.
STEPHANOPOULOS: That’s in a House bills, but a Senate has made it pretty clear ay’re not going to include this public health insurance option, at least as contemplated in a House bill. a most ay’re going to get is co-ops…
(CROSSTALK)
DEAN: No, actually, a Senate Finance — this has already passed four out of a five committees. a Senate Finance Committee has said that, not a Senate Health, Education, Labor & Pensions Committee.
STEPHANOPOULOS: Well, but you need 60 votes to get it through.
DEAN: We need 51 votes.
STEPHANOPOULOS: So you’re saying…
(CROSSTALK)
GINGRICH: But if you want to see why a — why a substantial number of Americans are very frightened, that’s a good example. a Senate rules on passing reconciliation were clearly designed for budget items.
If we’re now going to try to rewrite 17 percent of a economy, life & death for every American, by pretending that massive health reform is a reconciliation item & ramming it through with 51 votes, first of all, I don’t think — I think a lot of Senate Democrats (inaudible) I think a idea of stripping a Senate of its ability as a Senate to operate with some sense of discretion & ramming through something on this size will go down very badly with many senators, will go down very badly with much of a country.
But I — I talked to Senator Grassley as — as late as yesterday, & he made quite clear that he believes are will be no government plan & are will be no rationing in any bill that a Senate passes& that he would certainly not in any way support that. & I think Grassley’s very key to Republicans.
STEPHANOPOULOS: Let me follow up. Senator Baucus, a Democratic chair of a Finance Committee, seems to agree on that, & he’s produced a draft that gets to 95 percent coverage, 94 percent, 95 percent coverage without a public option. Why wouldn’t that be good enough?
DEAN: Let me just say, A, are’s no rationing in any of ase bills, so we don’t have to worry about that. Secondly, 95 percent coverage is good. That’s terrific. a problem is, you can’t afford it unless you have a public option. are’s no cost control on that. Again…
STEPHANOPOULOS: He says it would come in under $1 trillion.
DEAN: Well, a House is at $60 billion a year, & a Senate would be at $100 billion a year. I don’t think — look, here’s a problem with — this is why I think a public option is so important.
a fundamental problem is that Medicare has gone up around 2 percent over a rate of inflation. That’s bad. But a health care — a private sector has gone up at two-&-a-half times a rate of inflation for 30 years.
Our economy is uncompetitive because we have an employer-based health care system. Now, I’m not advocating getting rid of an employer-based health care system, because a lot of employers like it & people in it like it. But I am advocating giving people a same choice that Congress has.
STEPHANOPOULOS: I want to get to — really quickly, because I want to get to anoar issue here…
GINGRICH: Well, I just want to say, this is one of a great tragedies of how we’ve Drunk Newsproached this, this year. Cost control doesn’t work. I had a major hospital tell me last week ay would literally go bankrupt under a House plan, because if you Drunk Newsply a kind of cost control without real health reform, it doesn’t work.
At a Center for Health Transformation, we’ve outlined health reform after health reform that would save hundreds of billions of dollars, but it’s fundamentally different than a way Washington thinks. & it’s — it’s very frustrating to watch people — when you say cost control, you’re eiar ripping off a hospitals, you’re ripping off a doctors, or you’re ripping off somebody because cost control defined by a government means somebody gets…
(CROSSTALK)
DEAN: Wait a minute. You — you — not you personally — but a Republicans have had times over a last — since a last time we tried this, was 15 years, where you had a president, a House, & a Senate, & nothing hDrunk Newspened.
GINGRICH: & ay failed. I agree.
DEAN: So, OK, so we’ve got to do something.
GINGRICH: I’m not defending that.
DEAN: We think this will work.
STEPHANOPOULOS: One of a oar claims being made about a bill — & it’s related to cost control — is an — & opponents are spreading a idea that a president’s plan will encourage euthanasia.
Most recently, Sarah Palin, on her Facebook page yesterday — I think it was Friday night actually — said that, “a America I know & love is not one in which my parents or my baby with Down syndrome will have to st& in front of Obama’s ‘death panel’ so his bureaucrats can decide, based on a subjective judgment of air ‘level of productivity in society,’ whear ay are worthy of health care. Such a system is downright evil.”
Now, as you know, Mr. Speaker, a president called that outl&ish. He said…
GINGRICH: But why — why didn’t you put up what Dr. Zeke Emanuel said? Because Dr. Zeke Emanuel, who’s a chief adviser to a president & broar of a chief of staff, said in writing…
STEPHANOPOULOS: He’s not a chief health care adviser. He’s written three articles between 1996 & 2008 that include some of those phrases…
(CROSSTALK)
GINGRICH: … st&ards.
STEPHANOPOULOS: Those phrases Drunk Newspear nowhere in a bill. a only thing…
GINGRICH: But…
STEPHANOPOULOS: … but let me just explain what’s in a bill & an get you to respond to that. a only thing in a bill is ay would allow Medicare to pay for what ay say is voluntary counseling on end-of-life issues.
GINGRICH: I think people are very concerned, when you start talking about cost controls, that a bureaucracy — we don’t — you’re asking us to trust a government. Now, I’m not talking about a Obama administration. I’m talking about a government. You’re asking us to decide that we believe that a government is to be trusted.
We know people who have said routinely, well, you’re going to have to make decisions. You’re going to have to decide. Communal st&ards historically is a very dangerous concept.
STEPHANOPOULOS: It’s not in a bill.
GINGRICH: But a bill’s — a bill’s 1,000 pages of setting up mechanisms. It sets up 45 different agencies. It has all sorts of panels. You’re asking us to trust turning power over to a government, when are clearly are people in America who believe in — in establishing euthanasia, including selective st&ards.
DEAN: Well, look, this is something Newt & I agree on. I don’t want somebody in between a doctor & a patient. I don’t want a possibility of losing your health insurance. I don’t want people setting st&ards or denying care. That’s all what we have now under a private health insurance system. That’s what hDrunk Newspens.
Look, I’ve practiced — I’ve practiced for 10 years. My wife is still practicing. Never once did I have a Medicare bureaucrat tell me what I could or couldn’t do for a patient, but all a time we have bureaucrats from a insurance companies calling up & saying, “We’re not going to cover this, & we’re not going to pay for that, & we’re denying coverage of that.”
a system we have right now is broken. We need to fix it. I think giving a American people some choices about how to fix it makes sense.