In his first address to the state legislature, new Governor Eliot Spitzer showed how much less than advertised he really is. Never mind the “reform” mantra – Spitzer is talking about baby steps that seem geared to preserving the status quo indefinitely.
The centerpiece of the governor's program is supposedly health care reform. He grandly spoke to the Leg about “a comprehensive strategy to restructure our health care system.” But the details show no movement toward that goal.
Instead, Spitzer would do things like these: enroll more eligible people in Medicaid, extend coverage to a half million now-uninsured children, close twenty or so hospitals statewide, emphasize home care rather than institutionalization when appropriate, and use the state’s bargaining power to reduce drug costs. All okay, considering how bad things are for people now shut out of the system – but certainly nothing like a “restructuring.”
Any program worthy of that term would begin with a state single-payer insurance system, which would cover everyone immediately and comprehensively (and much more cheaply). Single-payer is a classic “elephant in the room.” But now we should rewrite the cliché as “donkey in the room,” since the task of ignoring the obvious solution has now fallen to the ascendant Democrats, both in Albany and Washington.
Intriguing footnote: Today’s Democrat and Chronicle has a story about the City of Rochester’s mistakenly paying out close to $200 grand in health insurance premiums for dead people. It’s tough, say city officials, to keep track of retirees and dependents and remove them from the rolls as they expire. Anyway, now that the errors have been found, the Blues/Excellus will reimburse City Hall for the premiums.
A happy ending? Not exactly. This sort of bureaucratic mess, which would be impossible under single-payer, is what happens every day in the labyrinthine world of health insurance, and we all pay for the waste, most of which is never detected – and most of which winds up in the paychecks and dividends of the profiteers, among whom are the million-dollar Blues execs.
Someday we may even have a governor who goes after these Blues-suited pirates. But for now all we’ve got is Eliot Spitzer and his “reforms.”
P.S. and partial retraction: Just after I posted the above, a message came from Metro Justice organizer Jon Greenbaum pointing out a much more progressive feature of Spitzer's reform agenda. The message is below; call MJ at 325-2560 for more information.
"In his State of the State Address, Governor Spitzer told the people of New York that Clean Money Clean Elections is one of his main objectives this year.
To neutralize the army of special interests, we must disarm it. In the coming weeks, we will submit a reform package to replace the weakest campaign finance laws in the nation with the strongest.
Our package will lower contribution limits dramatically, close the loopholes that allow special interests to circumvent these limits, and sharply reduce contributions from lobbyists and companies that do business with the state.
But reform will not be complete if we simply address the supply of contributions. We must also address the demand. Full public financing must be the ultimate goal of our reform effort. By cutting off the demand for private money, we will cut off the special-interest influence that comes with it.
"Everybody who showed up at one of his campaign stops, sent an email, wrote a letter to the editor, signed a postcard, spoke to a community group, helped with our video- it ALL helped nudge Spitzer closer to taking this courageous stand.
"Now we need to tell our legislators to do the same!" – Jon Greenbaum