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Posts published in “Day: August 10, 2009”

The Mac not-quite attack

wu in mac

Outside the Wu town hall, McMinnville/Stapilus

As the McMinnville town meeting by Representative David Wu broke up, one man in the front row flipped open his cell phone and delivered a call, apparently to his wife - it was a call of reassurance: "Well, it's over. No automatic weapons."

Not a bad summation, as these things go. After reports about disruptive congressional town halls around the country, with anti-health reform protesters shouting down congressmen and anyone else who disagreed with them, you can understand why so many nerves and such trepidation accompanied this one. Some congressmen have bagged out on public events, and some (Representative Brian Baird for one) have resorted to telephone-only halls. This event was Wu's first town hall of the break back in district (several more are scheduled to follow), and both sides in the health care debate were primed for action.

That may have helped defuse it.

The pro-reform side was alerted to the prospect of being swamps by the anti's, so they moved quickly. We were told both sides (a local Democratic group on one side, and a protest group led by a former county Republican chair on the other) wit with police and Wu officials, and ground rules set. An escalating set of pre-town hall events was loosely planned, but the situation developed this way: A line formed about four hours before the event outside the meeting room, and most of the early arrivals were pro-reform people.

From there, over four hours, the line and participation swelled to somewhere upwards of 700 people, certainly one of the larger political gatherings ever in Yamhill County. (A typical town hall by Senator Ron Wyden, by comparison, typically might draw 100 people, which under normal conditions is considered pretty good turnout.) The crowd appeared well split between sides, the pro-reform people probably in a majority but likely not by a lot. (more…)

A Utah prescription

utah

Utah Health Care Initiative

Several readers of the recent post here on health care and costs have pointed to a just-delivered speech at the Boise City Club by Utah physician Joe Jarvis, of the Utah Health Care Initiative. The speech is available online.

The speech is called "Too much market, not enough care," and Jarvis' points overlap greatly with those that have been made here. Have a listen. There's a lot of useful material here: "Medicine has once again become a business opportunity. Our body politics has become paralyzed by a market oriented health policy."

From the initiative's web site: "The conventional wisdom about health care is that we should fear socialized medicine (the name offered by those with a proprietary interest in the status quo health system for anything that might threaten their business model) and instead embrace market-based medicine (the notion that health care is a commodity and that unfettered market forces can improve health care delivery). The conventional framing of the health reform debate is bogus. The pretense of a market makes wasteful spending due to a combination of inefficient financing and poor quality care inevitable. What should be feared is not the 'socialization' of American health care. No one, not even the most liberal advocate, is proposing government owned and operated hospitals and clinics in the US. Instead, fear the effects of poor quality health care. The fifth leading cause of death in the US is preventable hospital associated injury. Fear the loss of needed revenues through corporate welfare paid by the taxpayer into the coffers of for-profit insurers and pharmaceutical firms. It is time to change the debate about American health system reform. Rather than worry about coverage, we need to focus on waste. Waste elimination is politically difficult, but essential if sustainable health system reform is ever to happen."

We're en route, just now, to a congressional town hall where the topic do jour is expected to be health care.