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Momma said wonk you out

MCCAIN VS. SEBELIUS.

McCain's body language was tense and confrontational, his voice tight and angry. All questions were framed in the form of a condescending dismissal and most replies were sharply interrupted. His demeanor was reminiscent of nothing so much as a lovelorn teenager's barely controlled confrontation with their crush's new girlfriend. It wasn't so much a conversation as a failed attempt at humiliation. Much of their exchange centered around the role of the employer in the health care system. But the back-and-forth was animated by McCain's efforts to relitigate the final months of the presidential campaign.

"Would you agree," McCain asked, that executives of firms receive more lavish health benefits than their employees?

"Well Senator," replied Sebelius, "I certainly agree that in the marketplace that the self employed or small employers are often priced out. There's no question that employer based health insurance is the backbone --"

"My question," interrupted McCain, "is do you agree or disagree that employer based health insurance is much more generous to upper level management?"

"I'm not familiar with the differentials in the health insurance system," Sebelius relied. "In a state employees system or a manufacturing operation workers have good benefits and they don't differ from the benefits of the executives in those systems."

"Would you support removing the tax exclusion and substituting a removable tax credit of, say, $5,000 for families so they could go out and purchase their own health insurance in a policy of their choice?"

"Well, Senator, I support what the President has articulated an--"

"You know," McCain sharply interrupted, "we are asking for your views."

"I support what the President has proposed," Sebelius icily replied. "That if Americans have health insurance that they like they should be able to keep it. Dismantling the current employer based system to me is not the most effective strategy for reaching full coverage given how many Americans currently rely on it."

McCain's next round of questions played out much the same way: "Do you support a government-run health system," he demanded. Sebelius disputed the premise. McCain asked again. Sebelius asked him to clarify. McCain interrupted a third time. Finally, Sebelius ended the questioning. "If the question is do I support a public insurance option side by side in an insurance exchange with private options," she replied icily. "Then yes. I do."



COMMENTS

McCain is still the military jet-jock in breadth of interests and knowledge. An example of a pol so pampered by his (mostly GOP) Senate buddies and natioanl media (NBC/Meet the Press, I'm looking at you) that he thinks he's still relevent and contributes.

What a sad bunch of quacks the GOP senate team has become. The dregs. Cold dregs.

Uh, McCain? You lost the election.


If McCain wants to villify employer based insurance, he's a little late to the party. And he doesn't understand how it works.

Actually, I'm a bit bummed that Sebelius didn't know the answer to this. Plan options don't vary by employee. Some plans offered by a big employer might have more expensive plans that might be picked up by the higher paid employees, but everyone typically has the same options for actuarial purposes.

Now, you might have law firms or high-end employers with ridiculously comprehensive plans for everyone, but that's a different question. Those plans cover things like egg-freezing and IVF that Walmart employees couldn't even dream of seeing covered.

Actually, there are companies that offer better packages to executives than say, Directors on down. It's a part of their compensation package.


yeah, thinking further about this I realized my non-executive status might leave a hole in my knowledge, sadly...

This man has had the benefit of taxpayer-funded healthcare since the day he was born. He will never be denied due to a preexisting condition or an inability to pay premiums.

What a total jerk.

McCain has been covered by not one and not two and not three and not four but FIVE different government provided health programs:

1. CHAMPUS (child of active military personnel)

2. Active duty military providers

3. VA/post-active military treatment

4. FEHB (Federal Employees Health Benefits)

5. Medicare (or FEHB retiree program which is actually more generous than Medicare).

WTF does he know about employer provided health insurance?

In most organizations, the management gets the same benefits. They most likely USE more benefits (lots of studies on this -- psych, infertility, speech therapy for kids, etc.) but they are in the same plan.

I am sure there are some executives that get higher benefits, but they aren't necessarily treated for tax purposes in the same way -- in other words, platinum benefits might actually already be subject to taxation as income. It depends a lot.

Leaving aside McCain's grumpiness and general cluelessness, do executives get better benefits than the rank and file? Much of this depends on how you define "benefits", but I suspect that in this context they were referring to medical benefits.

With medical benefits there are nondiscrimination rules which, though not terribly stringent, generally put a damper on special benefits for executives. The use of special "top hat" type plans has been on the wane for years.

As a timesaver for any post concerning Senator McCain you should consider copying and pasting the first four sentences of the first paragraph and begin again with them. They paint an accurate picture.

He is not relitigating the election because no one really knew what Obama would do. Hope and change, yes we can, America we can do it. That was Obama during the election. Had he said, "I will have Pelosi write the stimulus bill and it will include perks for the son of David Obey, " what would have happened. During the election he was not clear when he would attempt to implement government run healthcare. Had he said, right now, no matter how the economy is doing, what would have happened? It remains to be seen whether public support will be as great for his initiatives as it was for him, himself.

McCain knows exactly what he is talking about related to "executive" health plans. He is a member of one of the most generous, as a member of Congress. His coverage beats that of all other classes of beneficiaries of the federal government, from Medicaid, to military, VHA, Medicare, or employee benefit health plan.

"During the election he was not clear when he would attempt to implement government run healthcare. "

What part of "We have 3 priorities - Health Care, Education and Energy" did you not understand?

During the election he was not clear when he would attempt to implement government run healthcare.

Since it's not clear to me that he is, in fact, attempting to implement government-run healthcare, rather than expanding access to and improving existing government-run programs, as well as establish better review of healthcare quality, I'd also like to point out that his stump speeches were also maddeningly unclear on when you would stop beating your wife.

Had he said, right now, no matter how the economy is doing, what would have happened?

Um, a majority of the country would have shouted "Kick ass!" and started high-fiving?

McCain has been covered by not one and not two and not three and not four but FIVE different government provided health programs

Make that six--as a military retiree, he's eligible for Tricare for Life as long as he's enrolled in Medicare Part B...

Why do you repeatedly say Sebelius is "icily" responding?

She doesn't suffer fools like McCain and when pressed gave the warmest of warm sunshine answers from the progressive perspective, "If the question is do I support a public insurance option side by side in an insurance exchange with private options, then yes. I do."

That's hot.

When executives are earning 300 times the salary of employees their company supplied health insurance is irrelevant.

McCain is wrong on most things but the employer based system is flawed. When someone becomes so sick he/she can't work. Their rates go up (Cobra) and after 18 months they lose their insurance.

We can do better.

YEA McCain!! Sebelius supports and condones Torture by withholding insulin to incarcerated diabetics. Sebelius like to tortures those who can't fight and McCain bless his heart gave her what she desevers. We don't want her here in Kansas either that is why our Senators are supporting her in this. She needs to get out of poltics altogather.

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About Ezra Klein

Ezra Klein is an associate editor at The American Prospect. An archive of his articles for The American Prospect can be found here.

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