Monday, March 01, 2010

Larger than usual excerpts, from my man...

E.J. Dionne Jr...

...The proposal helps estates worth more than $7 million in the case of couples. I guess struggling millionaires deserve the same empathy we feel for those without a job.

And notice this: Especially in the Senate, what passes for "bipartisanship" too often involves a Democrat such as Lincoln allying with a Republican on behalf of the wealthiest interests in the country. And we're supposed to cheer this?


Addressing Obama, [Senator] Barrasso suggested that we might be better off if people were insured only for catastrophic care. "Mr. President, when you say [people] with catastrophic plans, they don't go for care until later, I say sometimes the people with catastrophic plans are the people that are [the] best consumers of health care in . . . the way they use their health-care dollars."

"A lot of people" with insurance, he added, "come in and say, 'My knee hurts, maybe I should get an MRI,' they say. And then they say, 'Will my insurance cover it?' That's the first question. And if I say 'yes,' then they say, 'okay, let's do it.' If I say 'no,' then they say, 'Well, what will it . . . cost?' And 'What's it [going to] cost?' ought to be the first question. And that's why sometimes people with . . . catastrophic health plans ask the best questions, shop around, are the best consumers of health care."

Obama played the old TV character Columbo, who thrived on posing seemingly naive questions: "I just am curious. Would you be satisfied if every member of Congress just had catastrophic care? Do you think we'd be better health-care purchasers?"

Barrasso answered in the affirmative, though he didn't propose that senators dump their present coverage. Obama came right back: "Would you feel the same way if you were making $40,000?"


Democrats on the whole believe in using government to correct the inequities and inefficiencies the market creates, while Republicans on the whole think market outcomes are almost always better than anything government can produce.

That's not cheap partisanship. It's a fundamental divide.

No comments: