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McCain Adviser: Emergency Room Just as Good as Health Insurance

This is starting to get more and more attention today: In an interview with the Dallas Morning News, a health care policy adviser to John McCain appeared to suggest that anyone with access to an emergency room effectively has health insurance.

The adviser, John Goodman, who is not paid by the McCain campaign but is widely quoted as one of the campaign's advisers and an author of McCain's health care policy, offered the following solution to the health care crisis to the paper:

"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American -- even illegal aliens -- as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care.

"So, there you have it. Voila! Problem solved."

The problem with this analysis, according to an expert quoted in the article, is that people without insurance are less likely to seek non-emergency-room care, which ultimately drives up the cost to the health care system.

In the interview, Goodman elaborated by suggesting that the truly uninsured are those who are denied care.

"So instead of producing worthless statistics that people fling around in vacuous editorials and pointless debates, the Census Bureau should produce meaningful numbers, identifying all of the sources of funds people will draw on if they need medical care," Goodman concluded.

More on this in a bit.


Late Update: The McCain campaign is now saying that Goodman is not an adviser. Oddly enough, there were multiple press reports in the past few months identifying him this way that have yet to be corrected.

Late Late Update: Here's a statement from the McCain campaign saying that this guy was an adviser, but no longer...

Mr. Goodman volunteered his advice to the campaign in the past. However, his philosophy on health care -- and especially on the urgency of the problems faced by 45 million uninsured Americans -- are clearly out of step with John McCain. Earlier this summer the campaign informed Mr. Goodman that his advice was not required and requested that he not identify himself as being associated with the campaign in any way, including as a volunteer. John McCain could not disagree more strongly with Mr. Goodman. John McCain believes that addressing the problem of the nation's uninsured is one of our most pressing national priorities. That's why the McCain plan will, for the first time, bring health coverage within the reach of every American.

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POW.

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When John McCain was a POW he didn't have health insurance!

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Not true. He had health insurance, as he has had his whole life, through the government.

He just couldn't get access to a healthcare provider until he agreed to make propoganda tapes for the No. Vietnamese.

Kinda like being in an HMO.

nice!

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And he couldn't go to the emergency room, so he was really uninsured, not like those whiny poor people.

When John McCain was a POW he didn't have health insurance!

Or as McCain put it when Elizabeth Edwards pointed out he had government health care plan his whole life

...I did have a period of time where I didn’t have very good government health care. I had it from another government. This Week: April 20, 2008
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He was provided medical care by the NVA, although he was threatened with the loss of said care if he didn't talk.

But he did have health care coverage.

Also, what this guy is saying is insane. We'll fix the problem by redefinition? But how is having access to healthcare the same as having health insurance? It isn't at all, if you don't have insurance, you can go to the ER but you still get billed

That's the entire point of insurance.

And if you don't have ins., the hospital WILL bill you and, eventually, SUE you. Even the "not for profit" ones. The ER is not "free health care."

Isn't that a similar tactic the Bush administration used to 'create' manufacturing jobs?

On the contrary, didn't he have access to the emergency room at the Hanoi Hilton?

A Noun, a Verb and POW.

He's not an advisor.

Oddly enough, there were multiple press reports in the past few months identifying him this way that have yet to be corrected.

Corrections forthcoming.


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Yes. The Ministry of Truth will get right on that.

I wonder why the Obama Campaign hasn't made health care an issue yet. Maybe they're saving it for the final two months - or much like the McCain "I don't know how many houses I have gaffe" they're just looking for the right time to pounce.

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Oh, I think these comments from McStains healthcare advisor just gave Obama's team the opening they need to get into the big healthcare debate.

Keep 'em coming!

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I think they're starting to. The speeches at the convention, especially by both Clintons, have put universal health care right back on the front burner. I think that if Sen. Obama wants to win some of the more stubborn Clinton supporters, this will be talked about ad nauseum over the next few weeks.

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I agree with novice. They will.

Especially when McCain lets slip that he's thinking about J. Goodman as the next secretary of health.

The McCain campaign health care plan is the ace in the hole for Obama. McCain's plan is actually a massive tax increase on millions of middle class Americans who already get health insurance through their employer. They obviously don't bother with policy modelling and analysis over there when they cook these things up.

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I think this is the McCain campaign's equivalent of "Let them eat cake."

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Some days, it seems like the McCain campaign is nothing but one big cake-serving operation. (GOP Motto: Letting them eat cake since 1980!)

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More like: "You're just a worthless piece of statistical garbage."

Maybe there's a way to combine this with "you're just a whiner" into a seemless montage.

Honestly, I will be very disappointed if they don't use this. McCain needs to be tarred with the repulsiveness of his advisers.

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Revealing and embarrassing, yes, but it's a lot easier to throw an unpaid so-called advisor overboard than Phil Gramm.  Watch for the splash.

splash ???

hopw does throwing a guy under the double talk express make a splash ???

this guy goes under the bus

keep yer metaphors straight dude

(it's a metaphore, right ???)

Isn't this like saying the people lining up outside the food pantry *are not* hungry?

Moments like this make me hope that somehow the mask will slip a little and average folks will see these neocon f*ktards for what they are...as Jon Stewart said the other night, "Republicans love America, they just hate 50% of the people living here."

I loved that quote from Jon Stewart...talking about all these TV broadcast cretins parroting the same bullshit about Michelle Obama needing to seem patriotic, because Democrats have to PROVE they love America...not like Republicans who love America but hate 50% of the people in it!

This is the McCain-Bush health plan!

Bush last year: "I mean, people have access to health care in America. After all, you just go to an emergency room."

http://www.thecarpetbaggerreport.com/archives/11414.html

The Bush proposal:

One of the most promising ways to make private health insurance more affordable is by reforming the Federal tax code. Today, the tax code unfairly penalizes people who do not get health insurance through their job. It unwisely encourages workers to choose overly expensive, gold-plated plans. The result is that insurance premiums rise, and many Americans cannot afford the coverage they need.

http://www.whitehouse.gov/news/releases/2007/01/20070120.html

It's those "expensive, gold-plated plans" that are at fault. to elaborate on the Bush idea, go for the junk plan with the highest deductibles, co-pays and exclusions, and it won't cost you nearly as much. For instance, if you have an existing condition, select the plan that excludes that condition and your premiums will be more reasonsable. No gold plating on my plan, and it only costs $19.99 per month.

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For instance, if you have an existing condition, select the plan that excludes that condition and your premiums will be more reasonsable.
And, of course, most of your expenses will be out of pocket, making it hardly worth having insurance in the first place. In my case, those add up to ~$300/mo. Freakin' brilliant.
No gold plating on my plan, and it only costs $19.99 per month.
What is that, permanent travel insurance? The cheapest, no frills one I could find was about 10 times that.

Health Care: You can't have it, my friends.

More and more, the McCain camp's message seems to be "I spent five years in a POW camp. Quit being such pussies."

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Hey, a couple threads back Redshift asked if anybody knew morse code.  Got any Prohias left in ya?  :-)

There you have it, the proposed domestic policy of the McCain Campaign, "don't tell us about lies or damn lies, we have statistics!" I'm already imagining the revolutionary new ways he'd use to solve unemployment, income disparity, discrimination, educational underachievement, heck - even incarceration rates!

I suddenly realize how McCain will balance the budget... he'll just have the GAO filled with hacks who cook the books and then lay off the rest of the federal branch. Oh, except for Homeland Security and the Military... he'll need them to keep down social dissidents (aka pinko commie liberals).

This is golden. Better yet is the argument that if you just don't call the uninsured "uninsured", then they aren't uninsured!

They have learned the lessons of the Bush administration well.

Must be a psychological benefit. I'm not uninsured, because I say I'm not uninsured. Feel much better now....

As a surgeon, I can tell you that the care you receive on an emergency basis in an emergency room is not the same as real medical insurance. There's no such thing as emergency chemotherapy, for instance, or emergency mammograms. There's no emergency health screening, or emergency vaccines. Patients without insurance get palliative care, not health care. If you show up to the ER with cancer, you get pain pills.

You're right. Real health care is preventive.

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If you are insured, it is far more likely that you will be admitted or referred for additional services.

The fact that McCain, Bush, et al. never need to go to an ER pretty clearly shows they have no idea that this is the case. The fact that they expect hospitals to just suck it up and provide so much uncompensated care is also disgusting (because it hurts access for all the rest of us non-heroes).

My father retired early and was one of those people trying to hold out for Medicare. He developed GI pain and went to the emergency room where he was told by a professor doctor at an elite institution that there was nothing wrong with him, without conducting a single test. My mother got the bill for her "services" some months later on the same day my father was finally diagnosed with terminal cancer (by a first-year resident at a community hospital who hadn't yet learned to do wallet biopsies).

I counselled my mom to write a scathing letter explaining why that was one bill super duper university hospital better never try to collect.

It's been nearly 15 years. It still makes me angry and it's even worse now than it used to be.

Speaking as a family doctor, AMEN!, dashingmd.

Did that prison guard draw a Blue Cross in the dirt for McCain?

So wrong, but oh so right. :)

HA-HA

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Yeah, it was called "Faith-based" Health Insurance. Pray for healing. I see a big opportunity for Benny Hinn - you can be healed through the TV by Dr-Rev.

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Oh ouch! I love it . . .

I see... so instead of addressing the problem we sweep it under the carpet by ignoring and suppressing the statistics. Fascinating. Either claim there isn't a problem (economy) or hide it. McPTSD's lunacy must be contagious, because everyone around him is nuts too.

The level of arrogance in McCain campaign has yet again reached a new level. How can some voters not see this???????????

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Um, seriously?

We don't have a health care crisis in this country because we've just renamed some category such as "uninsured" to.....what, exactly?

Freaking hilarious.

Obama-Biden? Please use this, even if the "advisor" gets tossed overboard. Please.

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"All of the funds" - as in, if you have to go on your bended knees to your in-laws or some other family member and beg for help? That counts - ?

Holy shit - that has to have pissed off Parkland Memorial Hospital more than I can say - that's our county hospital in Dallas and it is slammed with people using it as a clinic.

Slammed.

Tena, you beat me to the punch. See my post below.

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The real problem with this analysis is that it is utterly heartless, and reveals that conservatives don't give a rat's ass about anyone without money. This is why it has the potential to be significant -- gaffes can have major legs if they give an opening to talk about something that everyone in the press already knows is true.

It's not heartless, it is colossally stupid.

Let's spend hundreds of thousands of dollars tending to emergencies that could have been solved with a $10 shot at you family physician's office.

How many emergency rooms treat skin cancer, John?
And ow about Diabetes. Great you have diabetes and no health insurance, just go into shock and have someone bring you into an ER. Let's just hope it's not tool ate. Ha Ha Ha.

Callous is beside the point this just proves that McCain cannot be trusted to understand health care. Period.

Holy f#ck!

I get what he's trying to say -- that if someone with high blood pressure falls on the floor with a heart attack, they'll be taken to a hospital somewhere -- but the fact that someone would seriously articulate this in response to a question about healthcare is mindboggling. It's not just the lack of preventative care driving up health care costs for the entire nation (which is a very valid criticism). It's the fact that anyone who's hospitalized without health insurance may as well sign over the deed to his house and car to that hospital. Medical costs are the leading reason for bankruptcy in this country. Not to mention that health care is so costly that many small businesses simply can't afford to offer it to their employees.

The only reasons that these guys wouldn't get this is because they're very happy with the quality of healthcare that they can afford, and could give a damn about the rest of the peons in this nation. Just more countryclub economics. Of course, that's not elitism as long as it's coming from a Republican.

I'm sure all of the county hospitals struggling to make ends meet will be very happy to hear about this plan....as well as the all of those taxpayers who support these hospitals.

Good grief....does ANYONE in the McCain campaign frickin' understand economics?

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As I said - Parkland in Dallas, and that was an interview with the Dallas Morning News, has one of the best ERs in the world - their burn unit is legendary. But they are totally slammed by people using it as a clinic. It's a huge problem that has been in the papers for years now, and on the TV news.

That interview has to have taken the breath away from Parkland and was really stupid for another reason. Dallas has become a major health care center. UT Southwestern Med school has all kinds of facilities in Dallas these days. Medical research is one of our prime economic bases any more. In other words, the whole fucking city knows what's going on, for the most part, and the enormous hospital complex down there around Parkland has got to be full of people who are madder than all hell about this.

Yay!!!!!!!!!!!!!!

The level of stupidity boggles the mind, doesn't it?

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On an ever increasing scale on a daily basis.

Oh, my f*cking god.

Obama's going to win.

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McSame is toast. Count on it.

Stupid dumb ass yee haw guffawing white bread GOP machine!

Move 'em on, head 'em up,
Head 'em up, move 'em out,
Move 'em on, head 'em out
Rawhide!
Set 'em out, ride 'em in
Ride 'em in, let 'em out,
Cut 'em out, ride 'em in
Rawhide.

I loved Rawhide.

Keep movin', movin', movin',
Though they're disapprovin',
Keep them doggies movin' Rawhide!

Don't try to understand 'em,
Just rope and throw and grab 'em,
Soon we'll be living high and wide.

Oh, is that it?, Mr. healthcare for life on the taxpayer's dime? Let the sick shake?

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The more I think about this, the more I see that statement as utterly worthy of Grover fucking Norquist.

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McCain routinely opposes SCHIP and other policies that help expand insurance and health care. We should be hammering on this issue, which dovetails nicely with the portrait of him as a heartless out-of-touch, rich old guy who has little clue what real folks have to deal with.


OT - looks like Obama might finally be getting some bounce. Gallup tracking has him up 48-42, a five point jump from yesterday.

http://www.gallup.com/home.aspx

OT - looks like Obama might finally be getting some bounce. Gallup tracking has him up 48-42, a five point jump from yesterday.

National polls don't mean anything and it's a ridiculous waste of time to get wrapped up in the daily fluctuations in these polls.

(Inside voice: YEE-HAW!!!!!!!!!!!!!!!!!!!!!!!!)

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co-sign, both halves of the comment.

:)

Uh yeah, that's a big old bounce, ain't it?

Note this result includes respondents who had the opportunity to watch the convention Monday (w/Michelle speaking) and Tuesday (Hillary's night). Tomorrow's results will include respondents who were able to see last night's Big Unity Fest w/Bubba, Kerry, and Biden. I'm expecting another jump.

GOBAMA-BIDEN!

And just how in hell is the Census Bureau supposed to know all about everyone finances and assets they can sell to pay the bills. Oh, excuse me, they just tap in the NSACIAFBI database that already has all that although the public and the Congress has been informed. Cheney is taking it with him when he leaves so he can accurately know who to cleanse after the coup of 2009 o whatever.

And not only that, but if they're also hungry- s'ils n'ont pas de pain, qu'ils mangent de la brioche!

Oops, I see somebody already beat me to that one...

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WTF? They're supposed to go to some European restaurant? We're Merkins - don't speak no furrin languages here!

Wow!
mcCain's advisors are some real doozy's

So not only are we a nation of whiners when it comes to the economy but we all should accept ER care for health care?

Unbeliiievable.

Talk about 'out of touch'

this type of stuff just demands an ad.

On the economy, (quote Graham) on healthcare (quote the idiot above) then follow it up with McCain saying $5M is rich and that he doesn't know how many homes he has.

Call the ad...Out of Touch

"Hey you, writhing in pain in the ER waiting room for 14 hours! Can't you read the sign? NO WHINING!"

This sounds like an excellent plan to me. And since his latest die-hard supporter is an ER nurse, I suggest we all show up at her hospital when she is working.

Hey, do you think they take appointments? Cause I've got this problem. Everytime I hear about McFucks future policies, I shit myself.

You are not uninsured, you are a "state subsidized patient."

Voila!

So what if quality is diminished and costs rise? The very act of parsing eliminates the need for criticism!

Yep, just categorized it by income
and call it

low income insurance
just like
low income housing

or

public assistance insurance
like
public assistance housing

I cannot understand how so many people are considering voting for McCain. It is quite sad.

All those folks didn't like the brown crayon in the crayola box for skin color.

This is very off topic, but didn't Justin Rood work for TPM several years ago? I ask this because he has a piece up right now on abcnews which blames Biden and only Biden for the bankruptcy mess. What's most unfair about this smear is that nowhere in the article does Rood point out that every single Republican in the Senate, including McCain, voted for the bankruptcy bill in question while Obama voted AGAINST it.

Well of course he wouldn't tell you how Obama voted or the GOP...that would make his article fair and balanced. Rood wanted his piece to be a slam on Biden.

Just like they always say McCain voted against the Bush/Cheney energy bill without telling you he did that because of all the funding for alternative energy wind and sun in the bill. Which was why Obama voted for it, as it was the largest expansion funding for alternative fuel.

The Senate legislation is always a double whammy. Whichever way you vote, it is written so the other side can slam you on it.

For instance, recall how Edwards attacked Obama in the debate by saying you voted against LIMITING interest rate to 30%?? Of course, Obama was not given the opportunity to reply that 30% was way to high when coupled with eliminating the right for consumers to declare personal bankruptcy while all the creditors and corportations continue to charge that high interest and can still declare bankruptcy.

Hillary has the nerve to say that she voted FOR it but hoped it WOULDN't pass...she actually said that!

Obama replied, why not just vote NO instead, if you do not want it to pass.

Again, this stuff always comes back down to character and judgment.

The difference between democrats and republicans is that republicans would have no problem putting the words of this stupid mofo in the mouth of the Democratic candidate. I'm not so sure the reverse is true.

John McCain doesn't think people need better or more affordable health care, they can always just go to teh emergency room, problem solved.

Make McCain own it, or admit his advisers are stupid mofo's. Strike that. make McCain own.

"So, there you have it. Voila! Problem solved."

I glanced at the source article, thinking this was the reporter saying this and not the actual advisor...nope, it's the advisor. Jebus.

headline ought to read: MCCAIN ADVISOR SOLVES HEALTH CARE PROBLEM

hahahaha

Even our corporations, which are increasingly crumbling under unsustainable health-care costs for their employees, understand that the status quo simply does not even make good business sense.

I know tracking polls are well, tracking polls but Obama is 48-42 today. So that means he had two huge nights on Monday and Tuesday. Expect something even bigger--I would say--tomorrow.

Also--not to rag on Greg and Eric but can we blare this on the front page like the tied one was a couple of days ago?

Off topic alert:

Anyone notice the Gallup daily tracking poll?

Obama up 48-42

Given it's a 3 day tracking poll, a 7 point swing in 2 days is huge.

I know, national polls don't matter. Still, be happy.

I'm indeed happy. I'm sure Greg is on it (or one of those other people who work here).

Yeah, I just came here to spread that news as well. Of course, national tracking polls don't . . .

Oh, who the f**k am I kidding. Momentum, baby!

Happy days are here again
The skies above are clear again
Let's sing a song of cheer again
Happy days are here again!!

Thank you, Hillary!

Even better, the 2 point lead for McCain on Aug 26 was the low point for the 2 days prior, meaning Aug 25 was Obama's worst polling day.

That day is still in the 3 day average now, so once we see it drop off and the poll results for last night figured in, I'll bet Obama will be up by 10.


Viola! I have no point, just like to say it!

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Cello to you too.

Don't you see: we need our national budget for preventive war, not preventive health care. Purely a guns and butter issue.

So, basically, "quitcher whining. You'll get your care if you collapse. Can't pay for it? What, are you incapable of writing a check? What? How can you not have enough cash on hand to pay for open heart surgery? That's tough. Hate to see anyone take a capital gains hit by liquidating part of their portfolio early or surrender some bonds before they reach maturity, but debts must be paid, you know."

Reminds me of Katrina when all the Republicans were like "what the fuck is wrong with these morons? Why didn't they throw some bottled water and jerky into their SUV's and get the hell out of there? Just too stupid to live, I guess."

This advisor sure knows his stuff. Even talks like that other expert, Paris Hilton: "Problem solved!" What malice he shows to people who don't have health insurance. What a depraved indifference to the tens of millions of Americans without health care.

Can we forward this to that PUMA up in Wisconsin that thinks McCain is against overturning Roe v. Wade? I recall her being a nurse....

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Also--not to rag on Greg and Eric

Aw, go ahead. It's healthy. ;)

[blogger worship is just so - ick.]

you are right Tena--Come on Greg and Eric. Don't just putt up the bad ones. Give us the good ones too!

This is the "catsup is a vegetable" school of Republican thought.

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To me it's the "shrink it until you can drown it in the bathtub" school of Republican thought.

:)

Or, "Don't worry about the levees, they'll hold just fine."

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I think you could be closer to it than I am - :)

I get more of a "let's balance the budget by not including sundry costs like, oh, the war" flavor from this one...

That great plan could have only come McCain. Uninsureds going to emergency rooms is not free. We are all pay for it higher through health care costs for the rest of us. McCain should not be held responsible for this plan because he was a POW don’t you know.

I would personally like to put McLame and his advisers in the emergency room.

Everyday McCain makes George Bush look like Enstein.

My God, the McCain operation is so threadbare that it's a wonder it can even move an inch. This has to be the most lame-brained comment about American healthcare ever. Will it get the attention that it deserves? The Obama people should not leave it to chance: Time for a new ad, boys, to run in every single consequential battleground state. Make'em choke on this stupidity.

Oilbama proves he is the worlds biggest Celeb when he accepts his party’s nomination atop an enormous, Greek-columned stage - built by the same cheesy set team that put together Britney Spears’ last tour.

You're a clown, the kind that makes me laugh/creeps me out.

Wait, you bought a ticket to see Britney Spears?

I saw this earlier today and shared it with my co-workers. Needless to say we are all completely disgusted by the complete lack of understanding this interview demonstrates. Absolutely no compassion here for those who can't afford it. Apparently in Goodman's view the problem isn't lack of healthcare, the expense, the horrible policies in place by the hc corporations. Nope, the problem is that it's being reported. God forbid, the truth get out! Phill Gramm and Goodman should be dragged out into the street and, well, insert what you will.....

Greg: Can you pass on the message to Eric, Obama up by 6 points on Gallup daily tracker today?

Not that it means anything, but Eric may have to find red meat in other places.

What is up with the Media claiming Michelle Oilbama is a great beauty? Since when is a
flatchested fatassed sourpussfaced woman considered a great beauty?

You're gonna lose, asshole! How does it feel?

Totally off topic and completely sexist. I don't think you would know real beauty if it slapped you in the face. Michelle is gorgeous.

Look at you go! Trolling your little heart out!

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You are cracking me up today!

Dude, who let Barbara Bush on the internet today?

I know you'll disagree but Michelle will be the most beautiful, intelligent and real first lady in decades.

Congrats for being both sexist and racist, and for displaying utter lack of taste. Now go back to your basement.

And an E.R. instead of health insurance. Has this asshole seen the bills that come from an E.R. visit without insurance?

How could one who can't afford insurance be able to afford an E.R. bill for something catasrophic.

I am seething!

These rich, elitist, out of touch asshole CANNOT be allowed to run this country again. No way. No how. No McCain.

I'm on the ground in September getting out the vote, and I'm not stopping until we WIN this thing!

Wow, where does McSame find these advisers? Yeah, everyone use the ER... great idea. As is described in the name, the ER is only for EMERGENCIES. As someone who works in public health, I would like to call this idiot's attention to all of the necessary PREVENTIVE care that one cannot receive in the ER. To significantly improve overall health in the US, we need MUCH more emphasis on preventive care. This includes everything from regular check-ups to nutrition advice to cancer screening. By the time your health problem reaches the level that you can be treated in the ER, you're screwed. But it's obvious John Goodman and McSame don't really care about the uninsured. They would prefer to pretend they don't exist.

Seems to me that repug$ aren't aware of the word accountability. Emergency room service is not a free public service. Someone will have to pay of the services rendered. Or is an emergency room visit McCain's concept of free medical care to be paid for the the government?

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The sad part is that the costs are borne by those without insurance but some savings/equity to tap into.

I had a recent hospital stay that is going to cost me out-of-pocket about $3000--I have pretty good insurance. The amount paid to the hospital by the insurance company is $4500, so the hospital, docs, etc. are getting a total of $7500. The amount billed--therefore the amount that would be owed by an uninsured patient--exceeds $150,000.

The uninsured but solvent are subsidizing all those "free" emergency room visits, as well as those of us who's insurance companies are able to extort those low "contract rates" from hospitals/doctors.

But I guess you'd need some basic understanding of economics to grasp this.

And these people want to be in office?!

Jeez, is that a raccoon on Goodman's head? Where do they get these clowns?

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What's that on your head, Doofus? Do you go to Mitt's hair stylist?

As a nurse, I am so hapy to learn that ER's are magical places where everything is FREE. No Insurance? No problem. Just go tot he ER and someone (??!!) will pick up the tab.

Or.. we could have universal basic coverage, so that you don't have to use the ER for your head cold. Or your eye infection. Or your pap smear. Of course, you probably caused your own maladies and are failing to take responisibity for them.

Of course John and rethugs enjoy unlimited coverage in everything from health to home insurance. (What do you think home insurance on 8 homes costs, anyway?)

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I don't think the McLame's know what the taxes are because like all filthy rich people - they don't pay any.

Thanks for that! Built in DNC ad.

What a dork.

This is really delicious coming on the heels of the tire inflation thing- they were screaming "Obama's energy plan is to inflate your tires!"

And now we have a real McCain adviser, one of the architects of his "health care plan", seriously telling you that you have insurance because you can go to the ER. And unlike the BS about Obama's energy plan, this redefinition of "insured" really does seem to be the essence of McCain's health care plan.

These fucking people are way too stupid to realize how stupid they are. President Blutarsky pulled something similar when he brought up the "you can always go to an emergency room" riff during July, '07. Anyone with the vaguest glimmer of insight about public health policy knows that people's default-use of emergency rooms as primary care sites is an indicator of health care system failure that's so conspicuous and so frequently commented upon as to be a cliche. To bring it up as if it's the fucking dawn of time and nobody ever discussed it before - missing the entirely obvious point that it's a disastrously inefficient use of resources that bespeaks a failure to provide a primary care infrastructure - only shows how miserably motherfuckingly stupid these people are.

President Blutarsky

Classic.

What scares me is how much McCain is hanging in there, in spite of transparently stupid statements such as this.

This seems too good to be true. Phil Gramm. The number-of-houses imbroglio. And now this. McCain is so obviously out-of-touch with the economic plight of most of America. When will start to be reflected in the polls? What more do people need?

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Khodges and colinf - Boo and Hoo

Tena, not sure I understand. did I err?

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No, except that you are mistaking polls for the American people.

Polls don't reflect anything, IMO, other than the intent of the pollster.

Sorry - I just don't get worrying about abstract shit all the time.

I think you're all giving Goodman too little credit. But he's not taking his idea far enough. The solution is to have the Census Bureau define all the sick people as healthy. Then we don't need health insurance.

Bingo!

I suggest an ad with a couple sitting in the intake office of ER explaining that they have no insurance card and have no cash for the visit to the ER. The patient is a very sick child who is in their arms while taking in the sneer of the Intake person! This is the health insurance plan of McShame!

Here is an isssue that I think most people understand and that Ob needs to hammer McNuts on.

ER is not primary care and universal health care must begin with primary care.

ER, for too many, is not for emergencies. Too many go there because it is the only place they have to go to get ANY health care.

This misuse only exacerbates the the whole health care and insurance problem, and it is, once again, contemptuous of McFuckhead to throw it out there like we're too stupid to know how so many of us are forced to live our own lives.

It shows how out-of-touch he really is and he should not get away with it.

Jesus tapdancing Christ! Do I really need to go into my last experience with emergency rooms? To make it really short, I have insurance, and I still find emergency rooms a poor substitute for actual health care. For one thing, you have people like me with my busted leg and the other guy ahead of me who just had a heart attack clogging up the place so that if you're there with cold symptoms or something else the doctor you don't have might have dealt with more efficiently, you're in for a long wait. Hope you brought a book.

Man, MCCain 2008 - the campaign that just keeps on giving. It's a Macacca moment for ol' Johnny boy on healthcare. His buddy just opened his mouth as wide as Texas and stuck both feet in.

Is McCain truly in charge here? It looks like a bunch of loudmouth loose Republicans cannons just rumbling around bashing into things.

It also amazes me how little compassion Republicans have for others. It shouldn't by now, but there it is.

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O I really learned to hate what happens in ERs when my mother was in her last years. She was taken to one unconscious from blood loss. They strapped her onto a gurney and left her in the hall for 18 hours.

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ERs are only required to provide care regardless of ability to pay. They are not required to provide FREE care.

...adding, hospitals don't always abide by the first rule. Witness the video in the documentary "Sicko" where a private hospital used a taxicab to dump a patient, complete with IV drip, near a public hospital, hoping they'd see her before she wandered off.

Obviously, McCrankeypants has never been to an emergency room.

I've got an idea, I'll send him down to Parkland in Dallas on a Wed. afternoon after he has had to take a day off his crappy-paying job to get his kid some meds. "Oh, crap, its the third time the damn kids been sick this month and my boss says I'm missing too much work...oh, well."

Goodman could use an emergency room to kill that rodent on top of his skull.

My thought exactly. This needs to wind up in a commercial.

HEAD... IN... SAND.

Everytime I get worried about this election, someone in the McCain camp opens their mouth.

And what's with the GOP hostility towards the Census anyway? Newt came up with a "new contract with america" and one of the ten items was "get rid of the Census". Whuh?

Could they pick a more innocuous target? Let's get rid of Readers Digest too!

they want the census gone, so that they can re-draw congressional lines based on..........their feelings.

"And right now I kinda feel like... I don't know... how about election fraud?"

Wow, Thanks Goodman.

So, all my wife had to do was:

1. Go to the Emergency room, complaining of a sore throat.

2. Get diagnosed with Thyroid cancer.

3. Get her thyroid removed by the Emergency room staff.

Got it! Thanks!!!!

As a doctor, I have to say that Goodman is in the same class as Douglas Feith, a finalist for "Stupidest F***ing Man in the World."

GM,Ford Other Businesses Drop Health Insurance for Workers/Retirees - Say President McCain's HHS to Cover Care in Emergency Rooms

Crisis in American Healthcare as Emergency Rooms and Hospitals Go Broke, Close as Patient Load Explodes

Hospital administrators said they have seen a torrent of patients who believe the McCain administration is covering their insurance. Yet, the McCain HHS says they don't have 'a dime extra' to spend on claims sent to the federal government by hospitals or doctors.


Shorter Goodman:

The answer to no health insurance is Guns

As in: Get one. Blow your brains out. Decrease the surface population.

What a true disgrace McCain and his campaign are. This is NO JOKING MATTER. The American people are being hit hard right now when it comes to medical insurance and McCain and his campaigns answer is the 'Emergency Room'. I guess McCain'ts answer for the hungry is the 'Food Shelter'. I guess McCain's answer for high gas prices is 'walk'. I guess McCain'ts answer for our poor educational system is 'just read more'.

I guess McCain'ts answer for not knowing how to solve the problems America faces is the fact that he was a POW. I'm sorry Mr. McCain, but that’s not good enough. America needs more than just a good soldier, America needs a wise leader and that person is Barack Obama.

We can spend $10 Billion a month on a war, but our nations health its people and the issues we face-- is no big deal, it’s just 'mental'. At least that's what John McCain thinks.

No Way. No How. No McCain. (Thanks Hillary!)
Bush = McCain
McCain is more of the same (maybe even worse).

Health Care Advisor: "People should just shut up and go to the emergency room."

Economic Advisor: "America is a nation of whiners."

Foreign Policy Advisor: "Let's kick Russia out of the G-8"

McCain: "Don't talk to me. I'm cranky."

This from the bio of Goodman that appears at the National Center for Policy Analysis website:

"Dr. Goodman is the author of nine books, including Lives at Risk: Single-Payer National Health Insurance Around the World"

The Republicans don't care about your life, your health care, your job or lack of one, or your future, they only care about using their positions of power to line their own pockets.

I'm just thinking of my experience. For about ten years I had a painful digestive condition. Thought it was bad diet. Didn't see a doc because I couldn't afford to.

Then one night I passed out due to massive internal bleeding.

Thankfully I had my "insurance" of emergency room care. There, after they stuck tubes down me and up me, I was hospitalized. They found out I had a chronic illness -- something that I could've taken care of and controlled if I could've afforded regular doctor visits and the $300 a month for medication. (luckily my love agreed to marry me in an awkward hospital proposal, and I got on her insurance the following month).

I'm starting to think that this wasn't the boneheaded remark I initially thought it was. A sizeable part of the population doesn't think there's a health care crisis. Even among those that acknowledge the problem, many are opposed to the federal government paying for it.

Could this just be McCain's way of signaling that he's not going to increase federal spending on this, while at the same time trying to appear like he's got some semblance of a solution?

Ironically, these are the same folks will suffer a massive tax increase under McCain's plan when the premiums paid by their employer become taxable income which for most will only partially offset by the proposed tax credit. So you scare them off with tax increase.

Methinks you're being too kind. It is hard to see this as anything other than a "Let them eat cake!" proclamation that makes the repugs look even more out of touch than they already did. Almost EVERYONE is touched in some way by the inequities of our health-care "system."

I am wondering. Has John McCain ever paid for health insurance? He was a military son, so probably the government covered him. In the military, the government covered him. In the POW camp, the North Vietnamese government covered him. When he was an elected official, the government covered him. (And for the neo-con objectors, perhaps the North Vietnamese medical coverage was not all that different from some people's HMO's.)

I guess if you have never had to write a check for health coverage, you really have no idea of what it really costs.

And all the government sponsored health care is picked up the taxpayers.

Yeah, he is adamantly opposed to the government covering anyone else's healthcare, but tax payers have been paying for his healthcare for all of his life!

Yeah, he is adamantly opposed to the government covering anyone else's healthcare, but tax payers have been paying for his healthcare for all of his life!

We are only starting to realize the full extent of his disability.

Remember when Bush admin. officials classified hamburger assembly at McDonalds "manufacturing?" Same thing. If you eliminate the term, there is no problem.

According to Exra Klein, Goodman is also the godfather of "Health Savings Accounts," another (non)-genius Repug plan for the uninsured.

Goodman just said out loud what most republicans silently think.
I have a challenge for him and for anyone who thinks that his statements are even remotely true:

Go to the Emergency Room the next time you're not feeling well and tell them that you don't have health insurance and let me know how that works out for you.

I'm an Irish immigrant and I cannot for the life of me understand why anyone, ANYONE, would vote for McDumbass (other than the fact that they don't want to vote for a 'scary black man' of course).

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Goodman is off message. Instead of "Voila! Problem solved," he should have said "POW! Problem solved."

McCain even paid off his ex-wife with the promise of covering her healthcare for life. He left for Cindy (18 years younger) after the wife suffered crippling injuries in a car accident and was no longer attractive.

McCain even paid off his ex-wife with the promise of covering her healthcare for life. He left for Cindy (18 years younger) after the wife suffered crippling injuries in a car accident and was no longer attractive.

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Oh my god. It gets worse. Here's Goodman's own website and the source for the quote:

http://www.john-goodman-blog.com/uninsurance-problem-solved-by-executive-order/

I particularly like this little tidbit: "Also, anyone who already has a job can probably land one with employer-provided coverage (if needed), possibly in return for a pay cut."

In other words, if you'd just take some job that pays squat, but offers insurance, you'd be all set! And this would be easy to do because everybody knows there are gazillions of jobs with insurance available.

Doesn't this all sound familiar?

"Are there no prisons?

Are there no workshouses?"

Now it is "Are there no emergency rooms?"

"Voila! Problem solved."

My Youtube response:

A John McCain Christmas Carol

Too bad he isn't also McCain's economic advisor. That way there wouldn't be any homelessness either.

"So I have a solution. And it will cost not one thin dime," Mr. Goodman said. "The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American -- even illegal aliens -- as homeless. Instead, the bureau should categorize people according to the likely source of shelter should they need a place to sleep.

"So, there you have it. Voila! Problem solved."

When the McCain campaign says that they dismissed Mr. Goodman "earlier this summer," they mean "earlier today," which is also "earlier this summer." The hits just keep on coming with these guys.

What in the heck is this Goodman person smoking? I'm a little surprised we haven't heard from any hospital administrators or CFOs yet. Hospitals have four basic sources of revenue: government payers, commercial payers, private payers, and miscellaneous revenue. Miscellaneous might be anything from endowments to pop machines, but it is minor in comparison with payment for services. Commercial payers are insurance companies, both individual and employer-paid policies. Private payers are of two kinds: the rich, who can actually pay cash for services, and the rest of us, who will either go broke paying for services or default on our medical debt. Government payers include Medicare, Medicaid, TriCare, VA, and Federal employees plans such as the one John McCain enjoys.

When a person visits the emergency room for any reason, be it emergency or non-emergency, SOMEBODY is going to pay. First of all, the hospital will bill any known payers. Second, the hospital will bill the individual, who may or may not be able to pay. If the person can't pay all or any portion of the bill, SOMEBODY is still going to pay. Guess who that is?

In addition to the usual "government" payers, there is a little program called Disproportionate Share Hospital (DSH) payments. Hospitals who serve a large number of Medicare, Medicaid, or indigent individuals are eligible for a direct influx of federal funds. For 2008, the DSH allotment distributed through state Medicaid programs exceeds $10 billion. The intent of these payments is to reimburse hospitals (mostly large and urban hospitals) for some portion of their uncompensated indigent care. These funds are hidden in the Medicaid and Medicare budgets and are not often brought to light. And guess who pays for DSH? Taxpayers.

Of course, DSH payments alone don't compensate most hospitals for the losses they incur from uncompensated care. Where will the revenue come from? Well, the primary source is inflated billing to commercial insurance and private payers. Thus, insurance payments increase and ALL of our insurance premiums rise. These insurance costs are somewhat offset for the employer by tax deductions. So, who foots the bill for that? Other taxpayers.

But also, many public not-for-profit hospitals rely on local taxation from city, county, or hospital district taxes, or university funds or other state funding sources. These taxes are actually intended to offset the costs of indigent care. And guess who pays for that? Taxpayers, of course. Are we seeing a pattern here?

The thing that drives me insane is the right-wing mantra of "no socialized medicine." Well, guess what? SOMEBODY is going to pay for health care, and that SOMEBODY is all of us! In addition to our own personal payments and the increasing cost of health insurance, we taxpayers pay gazillions of dollars every year for not only the classic government health care plans, but for all the other hidden taxes and fund transfers that creep through the system like fungal rhizomes.

So, this Goodman idiot, in addition to his ignorance of the nature and desirability of preventive and comprehensive health care that does not rely on emergency room abuse, is also abysmally ignorant of the fact that we ALL are going to pay for the uncompensated care that hospitals would experience under his plan.

Sheesh.

the wheels on the bus go round and round

and then the pow throws you under the bus

john "double talk express" mcsame

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Josh linked to Jonathan Cohn's post on TNR's The Plank blog:

[John] Goodman runs a conservative policy think-tank...

Amazing what can be passed off as thinking to credulous conservative suckXXXX... sponsors, as long as it steers clear of being pointy-headed.

P.S.  The so-called think-tank is the National Center for Public Policy Analysis.

Access is an interesting point. I sure wish Obama would point out that a family making $25,000 to $30,000 a year, disqualifying them from medicaid, can not afford to buy insurance and then wait for a tax credit at the next year.

Tax credits only help those making enough to afford it anyway...

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