Kirk Misleads About Health Care, ABC 7 Transcribes

At a downtown Chicago press conference yesterday, GOP Rep. Mark Kirk outlined his alternative health care proposal and received coverage from numerous local outlets, including the Tribune, Daily Herald, Sun-Times, Chicago Public Radio, and ABC 7.  Not surprisingly, Kirk's remarks included several distortions about the Democrats' health care push, as well as the number of uninsured in America.  Most of the outlets circumvented these dubious assertions in their reports on their event, focusing instead on summarizing his plan.  ABC, however, put them front and center.  You can watch reporter Charles Thomas' full report below:

In his write-up of the above report, here is how Thomas handled Kirk's criticism of the public option:

Kirk wants Congress to pass a law forbidding the government from interfering in doctor-patient relationships and predicted that Obama's plan for a "public option" would cost 3 to 4 million people in Illinois their private insurance.

"Roughly two-thirds of Americans who have provided-employer care risk losing it, being forced into the government plan," Kirk said.

Rep. Peter Roskam has repeatedly issued similar warnings about Americans being pushed off their private plans and they are just wildly misleading. The Congressional Budget Office released a preliminary analysis (PDF) of the House Democrats' so-called "tri-committee" bill last week.  It found that, under the plan, about nine million people will lose or not be offered employment-based insurance by 2016. But on the flipside, 12 million individuals who do not currently get insurance from their employer would receive such coverage during the same period:

We estimate that about 12 million people who would not be enrolled in an employment-based plan under current law would be covered by one in 2016, largely because the mandate for individuals to be insured would increase workers’ demand for insurance coverage through their employer. On net, therefore, about 3 million more people would have their primary coverage through an employer under the proposal than under current law.

ABC also reported Kirk's suggestion that, by passing a plan preferred by the White House, the U.S. will lose its ability to provide quality treatment for life-threatening illnesses:

The congressman predicted a bureaucratic mess and claimed that the current US system was better than socialized European healthcare when it comes to treating deadly diseases.

"Be it cancer, be it heart disease, and be it diabetes, survival rates in the United States are far better than in Europe," said Rep. Mark Kirk, (R) Northbrook.

Why is the U.S. adept at treating things like cancer? It has little to do with the private insurance industry and lots to do with the amount of resources we devote to government-funded research, none of which will be curtailed by health care reform.

In citing cancer, heart disease, and diabetes, Kirk happened to pluck out a few metrics on which the U.S. scores very well. But across the board, U.S. health care outcomes aren't as rosy as Kirk would have us believe.  A 2003 ranking of 20 advanced countries showed that our system finished 16th when it came to “mortality amenable to health care," even though we spend far more per capita on medical treatments than any nation on earth.

Finally, let's move on to Kirk's position that the uninsured population is not as large as the Democrats claim it to be (H/T Ellen of the Tenth):

Mark Kirk also said he did not believe the Obama administration's report that there are 46 million uninsured Americans with the number growing by 14,000 every day. The congressman said, if you remove certain groups from that number, including non-citizens, and people who afford it who don't want it, the number falls to around 8 million.

Again, this is a standard line from Kirk. Speaking privately to the Republicans of Wheeling Township last year, he said that "15 million" of the 46 million uninsured Americans are undocumented immigrants. This year, he mysteriously dropped it down to 9.5 million “non-citizens." In fact, the number is closer to 5.6 million, according to data (PDF) from the National Institute for Health Care Management (which, to his credit, the Tribune's Rick Pearson cited in his article).

But what about Kirk's claim that most of the uninsured can afford coverage but are voluntarily forgoing it?  This is a common conservative refrain, voiced in the past by Bob Dole, the Washington Times editorial board, and others.  The Wonk Room cites the following data in response to this myth that "it's people's own fault" they're uninsured:

According to the Kaiser Family Foundation (KFF), most Americans who lack health insurance “come from working families and have low incomes.” About two-thirds of the uninsured “are poor or near poor” and are “less likely to be offered employer-sponsored coverage or to be able to afford to purchase their own coverage.” [Kaiser Family Foundation, 10/15/2008]

More recently, a Families USA report pointed out that, of the nearly 3.5 million Illinoisians who went uninsured for at least a month during 2007 and 2008, most were "working families." Why are these temporary lapses in insurance so dangerous?  Because if one gets sick during such a period, or is denied coverage, there's a high risk of exposure to medical bankruptcy.

At the end of the ABC 7 segment, the reporters shrugged off Kirk's claims by simply stating that there is a "wide difference of opinion" regarding the number of uninsured "depending on who you talk to." If that's how the local media is going to handle Kirk's distortions, it's going to be a long, frustrating campaign season.

Comments

And if you figure in all the people who will never get sick or need to see a doctor, then really there isn't anyone in America that isn't covered.

The 'innovative' idea of a 'pay for value / outcome' pack came after the CBO had previously pointed out this health care reform wouldn't work without 'fundamental' change in the out of date system. It is said that as much as 30 percent of all health-care spending in the U.S. -some $700 billion a year- may be wasted on tests and treatments that do not improve the health of the recipients, and this 700 billion dollars a year can cover a lot of uninsured people.

The expected Benefits of this 'innovative idea' are as follows ;

1. Meet the objective of revenue-neutral.
Supporters of the agreement say it could save the Medicare System more than $100 billion a year and 'improve'
care, that means more than $1trillian over next decade, and virtually needs no other resources including tax on the
wealthiest. Supposedly even the 'conservative' number of such savings might be able to meet the objective of
revenue-neutral.

2. Quality and affordability.
If you are a physician, and your pay is dependant upon your patient's outcome, you will most likely strive to
prescribe the best medicine earlier in the process, let alone skipping the wasteful, unnecessary treatments.

3. No intervention in decision-making.
The innovative idea of 'a pay for outcome' will more likely prompt team approach and decision, as at Myo clinic.
Under the 'pay for outcome' pack, for good reason, best practices as 'recommendations' would simply help them
make a better decision, and the government won't still have to meddle in the final, actual decision-making
process as a non-expert.

4. Speed up the introduction of IT SYSTEM.
The pay for 'Outcome' pack is most likely to expedite the introduction of Health Care IT SYSTEM.
The synergy effect of the combined Health Care IT & a pay for 'outcome' system may allow the clinicians to
'correctly' diagnose and effectively treat a patient earlier in the process so that it can measurably scale back the
crushing lawsuits and deter the excuse for unnecessary cares to make fortunes.

5. Accelerate the progress in medical science, in return, it saves more money.

6. Settle the regional disparity.

7. Reduce the emergency room visits & save immense costs.
Public health insurance plans such as Medicare and Medicaid paid for more than 40 percent of U.S. emergency
room visits in 2006, according to government figures released recently. Many experts say reducing these hospital
visits would be an important way to lower the enormous, and growing, expense of U.S. health care.

Thank You !

-Some say we don't have faith in government, others say, we will be forced out.-
What kind of music does this reform dance to ?

I share the opinion that unlike the insurer-friendly, baseless senate plan by 'some' members, only a 'strong' public option will be capable of getting the premium inflation under control and saving the U.S in turbulence.
To my knowledge, a dual system tends to deliver better results than a pure single payer system. Supposedly, to be or not to be might be up to the innovations like a pay for value program, otherwise, the forthcoming start-ups may fill the void with competitive deals. The competition based on 'fair' market value would be a beauty of true capitalism, not monopoly, an objective for anti-trust.

According to the scoring of CBO on the prevention & wellness program, all fitness centers around the world should close down immediately and all media have to end reporting health tips about prevention.

Immune System & Levee System :

All of the excellent health systems seem to have one thing in common, a expansive, systematic preventative program requiring immense investments. I think a prevention system works as a 'levee' built against flood by the government, similarly, it also needs non-profit investments from the government 'on a large scale'.

This might offer us the clue of why all of the free states have public insurance policy in place.

It won't be easy to draw some specific numbers on the economic effect of the 'levee' , but the flood measure lacking a stable 'levee' would be a house on sand, as the too high level of 'preventable' chronic diseases in America shows.

At present, about 75 percent of each health dollar goes to treating chronic conditions.
When tests reveal patients are at risk of a chronic disease, physicians have no benefit to help them make necessary changes to stay healthy. Rather, the system today is designed around treating patients once they become sick.

If current health care system could shift a small percentage of total spending into programs that help prevent people from getting sick in the first place, it would dramatically reduce the overall cost of care.

Thankfully, the health care reform bill currently before Congress makes several key investments in preventive care, and those pieces of the PUBLIC OPTION must be maintained.

"An ounce of prevention is worth a pound of cure.", said Benjamin Franklin , and 'Early Detection' goes beyond monetary value as we see the recent case.

As far as I'm concerned, the congress affected by the special interests has impeded the budget request for prevention program in Medicare & Medicaid. Let's imagine the costs and invaluable lives following the levee breach.

Thank You !

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