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.

POW.
August 28, 2008 12:48 PM | Reply | Permalink
When John McCain was a POW he didn't have health insurance!
August 28, 2008 12:54 PM | Reply | Permalink
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.
August 28, 2008 12:57 PM | Reply | Permalink
Kinda like being in an HMO.
August 28, 2008 1:00 PM | Reply | Permalink
nice!
August 28, 2008 1:09 PM | Reply | Permalink
And he couldn't go to the emergency room, so he was really uninsured, not like those whiny poor people.
August 28, 2008 12:58 PM | Reply | Permalink
Or as McCain put it when Elizabeth Edwards pointed out he had government health care plan his whole life
August 28, 2008 1:31 PM | Reply | Permalink
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.
August 28, 2008 1:36 PM | Reply | Permalink
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."
August 28, 2008 1:45 PM | Reply | Permalink
Isn't that a similar tactic the Bush administration used to 'create' manufacturing jobs?
August 28, 2008 5:21 PM | Reply | Permalink
On the contrary, didn't he have access to the emergency room at the Hanoi Hilton?
October 6, 2008 12:59 PM | Reply | Permalink
A Noun, a Verb and POW.
He's not an advisor.
Corrections forthcoming.
August 28, 2008 3:22 PM | Reply | Permalink
Yes. The Ministry of Truth will get right on that.
August 28, 2008 4:28 PM | Reply | Permalink
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.
August 28, 2008 12:48 PM | Reply | Permalink
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!
August 28, 2008 1:00 PM | Reply | Permalink
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.
August 28, 2008 1:40 PM | Reply | Permalink
I agree with novice. They will.
Especially when McCain lets slip that he's thinking about J. Goodman as the next secretary of health.
August 28, 2008 3:53 PM | Reply | Permalink
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.
August 28, 2008 4:28 PM | Reply | Permalink
I think this is the McCain campaign's equivalent of "Let them eat cake."
August 28, 2008 12:49 PM | Reply | Permalink
Some days, it seems like the McCain campaign is nothing but one big cake-serving operation. (GOP Motto: Letting them eat cake since 1980!)
August 28, 2008 1:01 PM | Reply | Permalink
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.
August 28, 2008 1:42 PM | Reply | Permalink
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.
August 28, 2008 12:49 PM | Reply | Permalink
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 ???)
August 28, 2008 9:59 PM | Reply | Permalink
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."
August 28, 2008 12:53 PM | Reply | Permalink
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!
August 28, 2008 1:52 PM | Reply | Permalink
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
August 28, 2008 12:54 PM | Reply | Permalink
The Bush proposal:
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.
August 28, 2008 3:31 PM | Reply | Permalink
August 28, 2008 4:48 PM | Reply | Permalink
Health Care: You can't have it, my friends.
August 28, 2008 12:54 PM | Reply | Permalink
More and more, the McCain camp's message seems to be "I spent five years in a POW camp. Quit being such pussies."
August 28, 2008 12:54 PM | Reply | Permalink
Hey, a couple threads back Redshift asked if anybody knew morse code. Got any Prohias left in ya? :-)
August 28, 2008 1:02 PM | Reply | Permalink
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).
August 28, 2008 12:54 PM | Reply | Permalink
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.
August 28, 2008 12:55 PM | Reply | Permalink
Must be a psychological benefit. I'm not uninsured, because I say I'm not uninsured. Feel much better now....
August 28, 2008 12:57 PM | Reply | Permalink
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.
August 28, 2008 12:56 PM | Reply | Permalink
You're right. Real health care is preventive.
August 28, 2008 1:47 PM | Reply | Permalink
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.
August 28, 2008 1:52 PM | Reply | Permalink
Speaking as a family doctor, AMEN!, dashingmd.
August 28, 2008 6:18 PM | Reply | Permalink
Did that prison guard draw a Blue Cross in the dirt for McCain?
August 28, 2008 12:56 PM | Reply | Permalink
So wrong, but oh so right. :)
August 28, 2008 1:01 PM | Reply | Permalink
HA-HA
August 28, 2008 1:02 PM | Reply | Permalink
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.
August 28, 2008 1:20 PM | Reply | Permalink
Oh ouch! I love it . . .
August 28, 2008 1:53 PM | Reply | Permalink
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.
August 28, 2008 12:57 PM | Reply | Permalink
The level of arrogance in McCain campaign has yet again reached a new level. How can some voters not see this???????????
August 28, 2008 12:57 PM | Reply | Permalink
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.
August 28, 2008 12:57 PM | Reply | Permalink
"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.
August 28, 2008 12:57 PM | Reply | Permalink
Tena, you beat me to the punch. See my post below.
August 28, 2008 1:05 PM | Reply | Permalink
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.
August 28, 2008 12:57 PM | Reply | Permalink
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.
August 28, 2008 1:07 PM | Reply | Permalink
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.
August 28, 2008 12:57 PM | Reply | Permalink
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?
August 28, 2008 12:59 PM | Reply | Permalink
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!!!!!!!!!!!!!!
August 28, 2008 1:12 PM | Reply | Permalink
The level of stupidity boggles the mind, doesn't it?
August 28, 2008 1:29 PM | Reply | Permalink
On an ever increasing scale on a daily basis.
August 28, 2008 1:37 PM | Reply | Permalink
Oh, my f*cking god.
Obama's going to win.
August 28, 2008 1:01 PM | Reply | Permalink
McSame is toast. Count on it.
August 28, 2008 10:03 PM | Reply | Permalink
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.
August 28, 2008 1:01 PM | Reply | Permalink
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.