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Reply #89: No, I am not the one who is responding to something other than what was said [View All]

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stevenleser Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Jun-28-09 10:06 PM
Response to Reply #54
89. No, I am not the one who is responding to something other than what was said
I am simply stating that if we have an insurance market with multiple plans, there needs to be benchmarks so people and governmental bodies have a meaningful way to evaluate their effectiveness. That has nothing to do with rationing or pooled risk or anything else either of the two responders said.

If you have any experience with benchmarking business processes you will get what I am talking about. If not, you won't, and any response will be as useless as the two I got previously.

Health care plans are benchmarked and rated all the time. This is how we know France's health care system is rated #1. Someone or some group spent the time to look at pieces of the plans of various countries and compared them and came up with a rating system.
That is a kind of benchmarking called performance benchmarking. That rating did not include costs but there isnt any reason why it couldn't in the future.

The reason this is needed even more acutely with a public option being in the mix with private insurers is to counter false arguments that it is providing care less efficiently and effectively or if the argument is made and it is not false, someone can then step in and try to fix it. It is also critical with a public option for the very reason someone else stated regarding the risk that the sickest and poorest may flock to the public option.

If the systems are properly benchmarked then it doesnt matter if the sickest and poorest tend to go to one plan. As long as we see that:

Private Plan A saw 10000 patients with an acute case of Y disease and spent an average of $5000 per patient and 10% of patients died

Private Plan B saw 8000 patients with an acute case of Y disease and spent an average of $4500 per patient and 12% of patients died.

The Public plan saw 2,000,000 patients with an acute case of Y disease and spent an average of $5000 per patient and 8% of patients died.

or Public plan saw 2,000,000 patients with an acute case of Y disease and spent an average of $8000 per patient and 2% of patients died.

Those are the kinds of benchmarks I am talking about and I have even simplified them a bit. Age and prior healthcare and other factors could be added. The point is that the overall costs of the plans (and thus things like the concept of pooled risk) are irrelevant because we are looking at average costs and average success rates of people who present similarly. We need to know which plans are effectively and efficiently handling health issues. Obviously if in the above case we had the Public plan seeing 2,000,000 patients with an acute case of Y disease and they were spending $15,000 per patient and 20% were dying, we would know there is a high likelihood that we have a problem and someone needs to check it out.

This is the answer to Diane Feinstine's question about cost of a public plan. You put into place a strong system of benchmarks to see what you are getting.
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  -Health-Care Activists Targeting Democrats undeterred  Jun-27-09 09:11 PM   #0 
  - It is about time.  pleah   Jun-27-09 09:15 PM   #1 
  - Damned right lets target the "centrist Democrats" If they want to govern like rePUKES let them run l  Vincardog   Jun-28-09 01:31 PM   #68 
  - ABSOLUTELY -well said..."it's about time"! it's also about time Democrats stood up for the people  GreenTea   Jun-28-09 03:30 PM   #75 
  - The more the better  depakid   Jun-27-09 09:16 PM   #2 
  - Where do I give money? nt  patrice   Jun-27-09 09:23 PM   #3 
  - Move On is running ad campaigns  undeterred   Jun-27-09 10:18 PM   #10 
  - Health Care for America Now is a coalition of groups working for  No Elephants   Jun-28-09 11:49 AM   #56 
  - Here's links to 9 Senators (D)  mascarax   Jun-27-09 09:42 PM   #4 
  - Oh, boo-fucking-hoo. I lived in a country with socialized medicine.  Suji to Seoul   Jun-28-09 12:00 AM   #21 
  - I just sent an email to every one, except Wyden. He only wants to hear from people in his state.  Doremus   Jun-28-09 12:19 AM   #22 
  - This attitude really pisses me off.  xxqqqzme   Jun-28-09 02:01 AM   #30 
  - Barney Frank does the same thing. nt  imdjh   Jun-28-09 01:20 PM   #66 
  - You and me both  primavera   Jun-29-09 09:20 AM   #92 
  - Doesn't that piss you off? They vote on things affecting us all, but they only want local mail.  imdjh   Jun-28-09 01:20 PM   #65 
  - Very much so, yes. - n/t  primavera   Jun-29-09 09:21 AM   #93 
  - I am from Oregon. Wyden is not representing his constituents.  Go2Peace   Jun-28-09 02:01 PM   #70 
     - Have anyof his constituents done a search for the money? It always makes sense to follow the money!  bobbolink   Jun-28-09 02:52 PM   #73 
     - I added my name and donated for this add  lame54   Jun-28-09 04:12 PM   #80 
        - Very good! Thanks for showing this. Has it been posted on DU by itself?  bobbolink   Jun-28-09 08:41 PM   #85 
     - wtf is wrong with wyden? i though he was one of the good guys.  mopinko   Jun-28-09 05:10 PM   #82 
  - An incomplete list.  disndat   Jun-28-09 11:44 AM   #53 
  - We must have health care reform NOW  quidam56   Jun-27-09 09:50 PM   #5 
  - thing is... public option does nothing to remove private health  nightrain   Jun-27-09 10:01 PM   #6 
     - agree  MisterK   Jun-27-09 10:06 PM   #8 
     - The public option will compete with insurance companies  creeksneakers2   Jun-27-09 10:16 PM   #9 
     - more than likely the public option will end up with a pool of the  nightrain   Jun-27-09 10:32 PM   #14 
     - I disagree with your characterization even as I see that you are constructing your argument very  stevenleser   Jun-27-09 11:25 PM   #17 
     - No, it's not "benchmarks." Insurance works by pooling risk.  PSPS   Jun-28-09 02:41 AM   #31 
     - OK, you dont get it. That's fine n/t  stevenleser   Jun-28-09 10:55 AM   #45 
        - PSPS is on the money (no pun intended).  No Elephants   Jun-28-09 11:58 AM   #58 
           - To whatever they think they are responding they might be, not to what I wrote n/t  stevenleser   Jun-28-09 09:33 PM   #88 
     - healthcare doesn't work by "benchmarks". This whole idea  nightrain   Jun-28-09 07:48 AM   #40 
        - As with the other responder, you completely miss what I am saying. n/t  stevenleser   Jun-28-09 10:56 AM   #46 
           - well then, restate it. And/or pay attention to what we are saying...  nightrain   Jun-28-09 11:46 AM   #54 
              - No, I am not the one who is responding to something other than what was said  stevenleser   Jun-28-09 10:06 PM   #89 
     - yes, and Ins Cos will dump all the expensive cases so Public seems too costly to taxpayers  WillYourVoteBCounted   Jun-27-09 11:31 PM   #19 
     - yep, just wait and see.... sad....  nightrain   Jun-28-09 12:59 PM   #63 
     - Unless the privates are outlawed from  ProudDad   Jun-28-09 01:04 AM   #25 
     - +1. . (rec this post). . n/t  annabanana   Jun-28-09 05:27 AM   #34 
     - I'm not sure that a public option will end up with Just the sickest.  fasttense   Jun-28-09 06:17 AM   #36 
     - I'm healthy and employed and would switch to the public option....  rucky   Jun-28-09 07:40 AM   #39 
     - me too. Just on principle alone  stevenleser   Jun-28-09 10:10 PM   #90 
     - Are you implying that a public option would charge less for young, healthy people?  CTyankee   Jun-28-09 11:13 AM   #47 
     - Well, here is one healthy family of four that will drop my employer-subsidized plan  AllyCat   Jun-28-09 12:03 PM   #60 
     - Not as terrified as people would like to have us believe and not anywhere near as terrfied as they  No Elephants   Jun-28-09 12:01 PM   #59 
     - yes they are  GinaMaria   Jun-28-09 03:23 PM   #74 
     - I'm a huge Single Payer advocate but there is no way in the world that it's going to go  bertman   Jun-27-09 11:30 PM   #18 
        - what about if the government buys some of the health care companies  AlphaCentauri   Jun-27-09 11:54 PM   #20 
           - Interesting idea. I have not given that any thought, but I will now. My guess is that they  bertman   Jun-28-09 01:04 AM   #26 
              - Exactly  ProudDad   Jun-28-09 01:13 AM   #27 
              - So... much.... waste...  Beartracks   Jun-28-09 03:37 AM   #32 
              - You got it  Canuckistanian   Jun-28-09 03:34 PM   #76 
              - "Not to mention CEOs who ain't worth the crap that clings to their undershorts..."  bertman   Jun-28-09 11:31 AM   #51 
                 - Why, thanks...  ProudDad   Jun-28-09 02:40 PM   #72 
              - The government may dissect some of the waste assets they own  AlphaCentauri   Jun-28-09 02:40 PM   #71 
  - Atta boy !  MisterK   Jun-27-09 10:05 PM   #7 
  - Wyden is a tool in any case  Bluenorthwest   Jun-27-09 10:23 PM   #11 
  - I would love to see DeFazio take him out  depakid   Jun-27-09 10:28 PM   #12 
  - Well...we got rid of Smith  Oldenuff   Jun-27-09 10:38 PM   #15 
  - thanks for the info  NJCher   Jun-27-09 10:32 PM   #13 
  - Good! We need 51 votes, with or without reconciliation, to pass a strong public option  Better Believe It   Jun-27-09 10:51 PM   #16 
  - The only thing to do. The Repubs will be against anything n/t  eridani   Jun-28-09 12:21 AM   #23 
  - I feel that some have betrayed "We the People".  farmboxer   Jun-28-09 12:32 AM   #24 
  - Those so called "democrats" are bringing it on themselves  Dragonfli   Jun-28-09 01:16 AM   #28 
  - as well as a comfortable health insurance plan for life.  PuraVidaDreamin   Jun-28-09 03:53 AM   #33 
  - Instead of worrying about voters you might lose concentrate on those new voters you will win by bold  bjobotts   Jun-28-09 01:47 AM   #29 
  - Maybe these health care advocates need to  Pharlo   Jun-28-09 05:40 AM   #35 
  - Primary fund  gdebs   Jun-28-09 05:01 PM   #81 
  - Tell These People That CENTRISTS and even 50% of REPUBLICANS want public option !!  RBInMaine   Jun-28-09 06:40 AM   #37 
  - If the Republicans weren't so screwy  The Wizard   Jun-28-09 07:20 AM   #38 
  - haven't seen this point  Aragorn   Jun-28-09 08:14 AM   #41 
  - Our reps are mostly corrupt and there's nothing that is going to change that.  L0oniX   Jun-28-09 08:32 AM   #42 
  - We NEED A National Referendum For Campaign Finance Reform and Election Reform!  DaLittle Kitty   Jun-28-09 11:48 AM   #55 
  - I think we broke the Post.  uberblonde   Jun-28-09 08:42 AM   #43 
  - Putting pressure on Dem Senators....  kooljerk666   Jun-28-09 08:57 AM   #44 
  - k+r  flamingdem   Jun-28-09 11:20 AM   #48 
  - They should ask these 9-12 ConservaDems why they want to prevent the American public from having  4lbs   Jun-28-09 11:22 AM   #49 
  - Why waste effort to defy public option, Obama/Dems? Some aren't  MarjorieG   Jun-28-09 11:26 AM   #50 
  - Oh no, we musn't alienate centrist Democrats!  sandyd921   Jun-28-09 11:38 AM   #52 
  - I'm tired of centrists setting the agenda.  EndElectoral   Jun-28-09 01:47 PM   #69 
  - Being against a public option isn't centrist, it's right wing. The public option is the centrist  Pushed To The Left   Jun-28-09 09:04 PM   #87 
     - Same thing.  sandyd921   Jun-29-09 08:11 AM   #91 
  - I guess we are not willing to tolerate betrayal from our friends.  Deep13   Jun-28-09 11:53 AM   #57 
  - Not only is it about time that progressives are being more vocal, it's about time that  No Elephants   Jun-28-09 12:09 PM   #61 
  - bout time these backstabbing bastards are put in their place.  ooglymoogly   Jun-28-09 12:11 PM   #62 
  - recommend  xchrom   Jun-28-09 01:02 PM   #64 
  - Good for them! KEEP THE PRESSURE UP!!!  TankLV   Jun-28-09 01:21 PM   #67 
  - It is about time!  LaPera   Jun-28-09 03:36 PM   #77 
  - Moderate IS having a public option!  LiberalLovinLug   Jun-28-09 04:00 PM   #78 
  - YESSSSSS!  LaPera   Jun-28-09 05:27 PM   #83 
  - If they don't vote for a public option they're FIRED!  Joanne98   Jun-28-09 04:10 PM   #79 
  - Good, they need to be blitzed...  and-justice-for-all   Jun-28-09 06:01 PM   #84 
  - That list is too small. What about enlarging it to include Bayh et al.  MasonJar   Jun-28-09 08:48 PM   #86 

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