Kern Valley Sun
COMMENTARY:
The Kern River Valley’s first public debate on healthcare reform, sponsored by the Democratic Club of Kern River Valley, drew a sizeable crowd Monday night at the Senior Center in Lake Isabella. Due primarily to the efforts of moderator John-Henry Strathmann, who spent the first 10 to 15 minutes of the meeting laying down the ground rules, the crowd maintained an atmosphere of civility throughout the evening.
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On the other end of the spectrum was Gary Amstutz, president of the sponsoring group, who focused on what he wants to see in the way of reform and how it will be paid for. “I’m in favor of Medicare for everyone,” he said. Amstutz railed against the health insurance companies, noting that their administrative costs (estimated at 33% - 35%) continue to drive the cost of health care coverage ever upward. “By implementing a single payer program, with administrative costs estimated at three percent, there would be more than enough money to pay for insurance coverage for all,” he said, addressing a how-will-we-fund-it question.
More than anything else, the evening demonstrated how little the public understands about the various proposals being considered in the U.S. House and Senate. Citizens’ uncertainty and fear were underlying factors in many of the night’s questions.
Dr. Jack Nadler summed up the conundrum with his view, “Are we going to work together to find a solution? Will we take care of each other? Or will we sink or swim on our own, as individuals?” He added, “These are two different philosophies and I think that’s the crux of the problem.”
Because of time constraints at press time, the brief synopsis that appears here will be supplemented with more in depth coverage on our website and in next week’s issue.


Comments
104 comment(s)Brian wrote on Sep 21, 2009 7:04 AM:
You're welcome for the civil post. I always give what I get and you always post pleasantly!
I agree with you that affordable health care should be available to everyone who desires it. Perhaps we only differ on the methods to achieve this. I really believe government, except as a tool of oversight, should not be involved in what should be a free-market enterprise. As I have stated repeatedly, the government is rarely successful managing anything like this.
Health care is too important to push forth on blind faith. "
Ann wrote on Sep 20, 2009 7:56 PM:
Brian wrote on Sep 20, 2009 10:06 AM:
Honestly, Ann, how much more can we pump into services and programs that don't seem to be helping anyone? The vast majority of programs today are money pits of theft and abuse. Don't you think we should fix the programs that are broken before investing in new ones? "
Brian wrote on Sep 20, 2009 10:01 AM:
I'm so pleased that you are happy for me. I'm happy, too, because I worked very hard for a very long time to get what I have.
But to answer your question, "why can America not do what every other single industrialized democracy in the world do for their citizens?"
The answer, sir, lies with Barack Obama and his unyielding desire to spend America into oblivion. Do you feel, Mac, that the money spent on stimulus would have better been spent on health care? If so, speak out against Mr. Obama's policies. "
Mac wrote on Sep 20, 2009 7:43 AM:
To Ann wrote on Sep 19, 2009 7:46 PM:
Ann wrote on Sep 19, 2009 7:02 PM:
Mac wrote on Sep 19, 2009 5:30 PM:
Mac wrote on Sep 19, 2009 5:10 PM:
Is Medicare in trouble? Yeah, it's an expensive program. My question is, why can America not do what every other single industrialized democracy in the world do for their citizens? "
Consitutionalist wrote on Sep 19, 2009 11:56 AM:
Are you against police, fire people, pregnant women and their husbands?
Your political party is.
Some of the Automatic expulsions were:
Pregnant woman
Expectant father
Police person
Fire person
Migrant worker (American citizen)
Varicose veins
Toe fungus
Therapy counseling within 12 months
Symptoms within 12 months that a Doctor has not been consulted for.
Time to have a 3% of cost government program vs. 30% private. "
Brian wrote on Sep 17, 2009 9:02 PM:
I did pretty well from the fourth grade on. My spelling is clearly superior to yours, so I must have done something right.
Thanks for confirming the fact that Medicare is going broke. Our government's failure to properly administer the program is why it, Social Security, and any other government program you can think of is a failure. THAT is a fact.
Why entrust the government to handle health care for us all? Why, Mr. C?
By the way, I'm quite please with my private health care. FACT. "
Constituionalist wrote on Sep 17, 2009 7:44 PM:
What facts from whom? Medicare works great for me and my friends. Will it run out of money sometime in 2020's if not funded correctly? Yes.
But I don't hear you with a fact. Your answer of cut the crap would get you an "F" from the fourth gr4ade on. It has no substance. It is just your wish.
What is broken is private health care that denies one in five request from Doctors. Sarah Palins death squads have been operating in California for the last five years.
Answer that with facts. "
Brian wrote on Sep 16, 2009 8:04 PM:
Cut the crap and read exactly what I have posted. I have posted that Medicare is BROKE AND NOT WORKING PROPERLY. Like every government program out there, there is bloat and waste. You deny that? That isn't my opinion, pal, that's cold, hard facts. Wake up.
Now, cite the source for your numbers. Give me a link that doesn't point to some ignorant left-wing blog or Wikipedia.
If you're going to challenge me, do it with substance and spare us all your ridiculous grandstanding. "
Consitutionalist wrote on Sep 16, 2009 4:50 PM:
Facts for you: Medicare cost 3% to manage, private insurance 20-30%. Private insurance approves higher costs for the same procedures.
The top 6 private insurance, 80% of privately insured Californians have had 22 % of all claims in the last five years denied. So the death squads are already here--in your version of a good idea.
You have failed to answer these facts about three times. Please stop posting if you can't. "
Brian wrote on Sep 10, 2009 6:02 PM:
Please tell me precisely WHY we must ram a public option down the throats of Americans. Explain to me why I should trust a government to initiate a massively expensive plan when Medicare and Social Security are, themselves, on life support. Who in their right mind actually trusts the government with yet another overblow, expensive program? "
Bryce wrote on Sep 9, 2009 3:02 PM:
Brian wrote on Sep 8, 2009 1:55 PM:
With reference to your cited facts, I'll have to respectfully balk at accepting anything at Wikipedia has hard fact. Granted, it may be unfair of me to do that without even looking at the link, but Wikipedia isn't exactly know as the world-authority reference.
As for your recent comments about Obama's "clear mandate", guess again on that one. Polls obviously suggest the public doesn't agree with you on this one. And we'll see how certain you are of this after next year's mid-terms. "
Gary Amstutz wrote on Sep 7, 2009 8:10 PM:
Gail Korner wrote on Sep 7, 2009 2:04 PM:
celia wrote on Sep 7, 2009 9:21 AM:
Some suggestions:"A-Woman" or "You go girl"...and Thanks will do. Thanks to you too.You are good at remembering facts, laws etc.
I think I have the other issue figured out too. You see, a white male of low IQ reading a child's book upside down is not a threat. But get a smart black guy talking to kids about hard work, and OMG it's communism....Wow, I think I was channeling our old friends "truth" and company. I kind of miss them...eh I'll get over it. "
Gary Amstutz wrote on Sep 6, 2009 8:41 PM:
Bob Walker wrote on Sep 5, 2009 4:12 PM:
I tried to say "Amen" to your post, but the word stuck in my throat.
So instead. Thanks!
By the way, the obese guy who was handing out "Obama is a N**i because he wants to talk to school kids" at Vons yesterday, is the same guy involved in the Rep float. Size 65 inch waist easy.
Talk about why we have a health care problem! I asked him what Dubba was doing on 9/11 and he refused to talk to me anymore.
What size dress is a 65" waist anyway? "
celia wrote on Sep 4, 2009 5:15 PM:
Mac wrote on Sep 4, 2009 1:02 PM:
The Truth....... wrote on Sep 3, 2009 11:22 PM:
I am going somewhere else to debate real intelligent people, not just liberals and gays. Goodbye. "
Ann wrote on Sep 3, 2009 9:18 PM:
Bob Walker wrote on Sep 3, 2009 8:08 PM:
. He was honest and straight forward. So much so, I gave him my card and invited him to give me a call to see what we could agree on. The offer is still very much open.
This debate has gotten coverage all over Southern California as the only "decent" debate. Chad was as big a part of that as anyone. "
channeling God wrote on Sep 3, 2009 12:44 PM:
Mac wrote on Sep 3, 2009 12:15 PM:
The Truth........ wrote on Sep 2, 2009 11:27 PM:
Bob Walker wrote on Sep 2, 2009 6:02 PM:
Using your logic, someone who's picture in the paper knows everything about the event they are pictured in?
Here is a hard fact that I do know. John Henry, the independent moderator of the debate, went to the Republican Party a few days to a week before the debate and invited them to come and have half the time. They came, and had half the time. That's what made it a model debate talked about around our state.
There were no precursors that you are parroting. "
Brian wrote on Sep 2, 2009 4:42 PM:
I searched for that OECD report you spoke of and found it. A few points that I would like to discuss...
First, I'm not surprised we live shorter. Of all listed countries, our diets are the worst. We're among the most obese, too. But that isn't the healthcare industry's fault.
Additionally, I found no percentage adjustments to account for population. If it's there, please correct me. Our numbers are higher across the board because we have more people. "
Mac wrote on Sep 2, 2009 10:46 AM:
Frankly, that rant was so incoherent I'm not sure what point you were trying to make. So my rebuttal may have been way off the mark, if so, sorry. " "
The Truth..... wrote on Sep 2, 2009 9:24 AM:
Gary Amstutz wrote on Sep 2, 2009 7:29 AM:
Brian wrote on Sep 1, 2009 10:50 PM:
I appreciate your concern for those without health insurance. I just think the public option is the wrong approach.
My concern is that the current approach by Democratic lawmakers has turned a majority of concerned citizens against any notion of well-intended reform.
Again, I advocate a closer examination of what is wrong with Medicare and Social Security, then look for appropriate fixes. When the shortcomings in those programs have been addressed, then the larger issue of health care for all Americans can be addressed. "
Elaine Fleeman wrote on Sep 1, 2009 10:15 PM:
Mac wrote on Sep 1, 2009 8:07 PM:
Bob Walker wrote on Sep 1, 2009 6:09 PM:
Our "small town" debate has made it to LA TV. Why? Because we are the only debate that they have seen that was civil, where various opinions could be expressed.
Good on everyone! How American of us-even if we disagree. (An American trait) "
Bob Walker wrote on Sep 1, 2009 5:49 PM:
Today’s New York Times, 9.1.09, has an article about Forest Industries, and how they spent millions bribing doctors to prescribe their patented psycho drug, instead of a cheap, and the same, generic.
They illegally paid Drs. to prescribe to kids. This is the norm, not the exception. This doesn't happen in France, with the #1 health care. It can't. We need that oversight. "
Bob Walker wrote on Sep 1, 2009 5:40 PM:
I totally agree with you that Emanuel thinks and feels the way he does.
However, the gang of six is not listening to anyone except their major contributors, Big Pharma. This group of three Rs and three Ds are tasked with telling 300,000,000 of us what our health care is going to be. Senator Grassley the second largest taker of money from big Pharma, has jettsioned the "option" plan. No one speaks to them. "
wanting reform wrote on Sep 1, 2009 9:49 AM:
Mac wrote on Aug 31, 2009 11:52 PM:
Elaine Fleeman wrote on Aug 31, 2009 9:13 PM:
Bob Walker wrote on Aug 31, 2009 8:37 PM:
The ER help woould have been the same under medicare. Every facility takes it as they do the Blue Cross.
You keep looking at yourself. Under private care, 50,000 million Americans have NO insurance. How good can that be?
EVERY insurance company, including two Blue Cross policies I had, excluded my left knee from coverage since I was 17. You policy will exclude soemthing, especially if you really need to use it. (Cancer, and other big ticket items. I've had over twenty private insurance policies during my working years. None were better than medicare. "
Elaine Fleeman wrote on Aug 31, 2009 3:10 PM:
Temecula wrote on Aug 31, 2009 12:31 PM:
Temecula wrote on Aug 31, 2009 12:30 PM:
Brian wrote on Aug 31, 2009 7:15 AM:
Now to answer your question as to what private health care does right.
Choice. Quality. Trust me, it wasn't the Medicare that got my dad whisked through the ER and taken care of Friday night, but the Blue Cross.
Insurance is not created equal. I previously had United Healthcare and it was just okay. My current Blue Cross plan is excellent.
Again, cite for me a big government social program that runs well and isn't messed up. When has government ever successfully managed something like this? "
Brian wrote on Aug 31, 2009 7:10 AM:
I also asked that a big social government program be named that wasn't broke (by broke, I meant not working well, but lack of funds applies, too).
My dad's covered by Medicare as primary, my mom's insurance as a secondary. He benefits from Medicare coverage. You cannot pull the rug out from under seniors who now rely on this (sometimes inadequate) program for their sole medical coverage.
That's why so many of us don't want a nationalized version of this. We'll be stuck with it forever. There are better options, Bob. "
Bob Walker wrote on Aug 30, 2009 7:42 PM:
Medicare. Costs to administer 2-3%, private industry 20-30%
Cost of procedures covered-much less on Medicare than private industry.
Problems in we humans beings-all covered by Medicare, many "turned down" by private insurance.
What does private health care do right?
If you were buying a car, and had a back problem, and needed a car you get into and out of easily and the dealer refused to let you have that one because of your bad back, would you shop there? "
Bob Walker wrote on Aug 30, 2009 7:33 PM:
Even as he vowed to "protect Medicare," Steele denounced it as a "single-payer program" and "a very good example of what we should not have happen with all our healthcare."
This isn't merely demagoguery; it's incoherent demagoguery. After several days of bad reviews, Steele backpedaled and said that he might not oppose all cuts in Medicare spending -- only the ones Democrats have proposed. But he refused to say what changes he would support to stop costs from spiraling out of control. "
Bob Walker wrote on Aug 30, 2009 7:32 PM:
Switzerland, which has much better health care than we do, got rid of for profit insurance companies in the 1990's for the same reason they don't work here.
They were more intersted in profit than health care.
Again, the private option costs around 20% or more, the government ones (both VA and Medicare 2-3 %) That isn't even in the ballpark.
Plus, the Va and Medicare do not refuse service and they cap prices to something reasonable.
That's exactly what you suggest "business" would do if allowed. The are allowed and don't do it. "
Brian wrote on Aug 30, 2009 9:58 AM:
I think we need to see IF Medicare can be fixed before applying that style of care to the nation. What's the rush? For a majority of Americans, the system is working for them. Why upset the apple cart? Fix Medicare and Social Security before initiating another big government program.
Competition in free-market is the answer to corporate bottom-line concerns. Perform better, run cheaper and more efficiently, get preferences with contracts, etc. This can be attacked from a different angle and be successful. "
Mac wrote on Aug 29, 2009 9:39 PM:
Mac wrote on Aug 29, 2009 9:27 PM:
wanting reform wrote on Aug 29, 2009 3:01 PM:
wanting reform wrote on Aug 29, 2009 2:45 PM:
Brian wrote on Aug 29, 2009 10:47 AM:
Actually, I was at Memorial Hospital ER last night. My dad was being treated for severe abdominal cramps and dehydration following a chemo treatment.
He had a heart issue after his first chemo treatment and was rushed by ambulance to Memorial back in July. The care he received in both emergency and especially in ICU then was excellent. Caring and attentive GP.
The care is as good as the doctors and support staff. Not all staff are created equally, which is the true problem with the insurance industry. "
Brian wrote on Aug 29, 2009 7:48 AM:
Please cite for me a government social program that operates smoothly, efficiently, and on the cheap. Competition in a free market is the answer, as it always has been in America. Government intervention and regulation has always been a mark of failure and health care in America is the wrong thing to apply that miserable standard to.
Why not fix Medicare and Social Security FIRST? Nobody will answer that question. "
Mac wrote on Aug 29, 2009 12:40 AM:
I have decent insurance and I have good health. I'm not worried about me. I do worry about people who have pre-existing conditions though. I worry about people who don't have great jobs that don't offer insurance, or people who lose their jobs in this economic climate. There are horror stories out there that simply don't happen in other countries and I think that is a complete shame. It's embarrassing that America can't do better than that. "
Mac wrote on Aug 29, 2009 12:34 AM:
wanting reform wrote on Aug 28, 2009 11:40 PM:
Wantig reform wrote on Aug 28, 2009 11:20 PM:
wanting reform wrote on Aug 28, 2009 11:17 PM:
Bob Walker wrote on Aug 28, 2009 9:17 PM:
Ask IBM retires, Gm retires, etc how much of their "excellent" plans they have left.
In about five years ask Kern County Employees what they have left. Their bennys went up 500% since 2000 and there is no money to pay them. Ditto California state employees. And, given the chance to vote on it, I will vote to cut their benefits down to mine-considering I pay theirs too.
And yours? What company do you work for? How good is their future? And yours? "
Bob Walker wrote on Aug 28, 2009 9:11 PM:
Reality is what Emanuel says to Obama doesn't mean squat.
Three Republicans, and three democrats, the gang of six Senators, are presently determining our lack of health care. No else is allowed in.
Free optional health care has been taken off the table by Republicans. Whether anything else different comes out remains to be seen.
36 other countries with better health care than ours would have taken care of your relatives problem, pretty much for free.
Sad isn't it,the right wing denies us health care. "
The truth....... wrote on Aug 28, 2009 3:16 PM:
Elaine Fleeman wrote on Aug 28, 2009 3:06 PM:
Mac wrote on Aug 28, 2009 12:40 PM:
Bob Walker wrote on Aug 28, 2009 11:47 AM:
France, 15% income tax plus 21 % social security=36% total. No co-pay or insurance costs or out of pocket for life.
Germany is a total of 37%, England a total of 33%.
The USA a total of 32% based on an 18% income tax and 8% Social Security payments. (How does $100,000 income get only 18% tax?) Then add property taxes health insurance and co-pay. "
Brian wrote on Aug 28, 2009 7:49 AM:
It may surprise you both that I was without insurance for a year while changing jobs. I chose not to get COBRA because of the expense. I sought a job with excellent benefits and got it. I don't work in health care. You guys assume too much and too often respond with unrelated points rather than directly addressing my previous statements. I would love to directly debate you, but it's difficult here. "
Mac wrote on Aug 27, 2009 11:04 PM:
Mac wrote on Aug 27, 2009 10:49 PM:
Mac wrote on Aug 27, 2009 10:42 PM:
wanting reform wrote on Aug 27, 2009 10:31 PM:
wanting reform wrote on Aug 27, 2009 10:21 PM:
It sounds to me like you work in health care, if you dont pay anything for care. This will probably affect you greatly. I am fine with paying for my care at a reasonable price. Yes I will end up paying the government for socialized health, but it will be far less than what i pay now. I dont have to pay for insurance either, but still have to pay co-pay and 10% of some bills and when you get a bill for four grand its no fun. "
Bob Walker wrote on Aug 27, 2009 10:03 PM:
What about that don't you get?
You said you chose insurance smartly. Every French citizen chooses smartly at birth, and they have better health care than you do. 36 times better, @ 7% GNP instead of 17%. "
Elaine Fleeman wrote on Aug 27, 2009 9:56 PM:
Brian wrote on Aug 27, 2009 6:48 PM:
No, I don't think the health care system is broke. I think it works as well as the people who manage things. Everyone who needs a procedure or emergency care gets it - why do you think each and every year is a struggle for KMC. And, speaking to your other point, you CAN do the same with health care as schools... KMC versus Memorial - 'nuff said. I have the best insurance money can buy, too, and I don't pay a dime for it because I chose my job wisely. "
Bob Walker wrote on Aug 27, 2009 6:24 PM:
36 government run health care counties have better care than we do.
Call the police in your home town, you get socialized police. When you send your kid to school, it's socialized. The VA is the biggest socialized medical plan in the world. It's the private Insurance companies. "
Brian wrote on Aug 27, 2009 1:12 PM:
For "Mac"... I'm not holding my breath that Medicare will be there when I retire, nor am I counting on Social Security. The government has run those programs into the ground and they are not solvent long-term. Smart people make plans early. I can take care of myself, thank you. I don't need government managing my affairs. "
wanting reform wrote on Aug 27, 2009 1:10 PM:
Mac wrote on Aug 27, 2009 10:12 AM:
wanting reform wrote on Aug 27, 2009 10:05 AM:
Brian wrote on Aug 27, 2009 7:27 AM:
I wouldn't hold up our "free" public schools as a shining example of a great "socialized" program. That comparison is as weak as Obama's example of the post office versus UPS or FedEx. Tell me, why reform the entirety of health care now? Why not fix some other government programs, like Medicare or Social Security first before diving in to something that has immediate and long-lasting impact on the country as a whole? And please cite for me a single government social program that runs properly and isn't broke. "
Mac wrote on Aug 26, 2009 10:51 PM:
Mac wrote on Aug 26, 2009 10:50 PM:
The Truth wrote on Aug 26, 2009 10:35 PM:
wanting reform wrote on Aug 26, 2009 9:57 PM:
wanting reform wrote on Aug 26, 2009 9:52 PM:
Mischelle Sandowich wrote on Aug 26, 2009 7:16 PM:
P.S. I am a very good swimmer! "
Emily Carde wrote on Aug 26, 2009 7:06 PM:
Think about what I'm saying. I'm just a 15-year-old girl, but I can see you're trying to put down anything against your own views. That idea goes against the very principles of newspapers. "
Bob Walker wrote on Aug 26, 2009 6:12 PM:
I also found ou the term "socialized medicine" was invented by a PR firm in 1947 by doctors to defeat President Truman's health bill. Figures. "
Bob Walker wrote on Aug 26, 2009 6:02 PM:
Regarding the speaker talking about Nazis. That is what she did. She also said, "All men are Evil". Most of the conservatives in the audience thought she was in the deep end of the pool without water wings "
Mischelle Sandowich wrote on Aug 26, 2009 4:58 PM:
However, when I arrived there were no formally confirmed opponents. This left the audience (including myself) to become the experts. This did not allow for an honest articulate debate.
P.S. I'd love to do a weekly commentary – The Fringe "
Brian wrote on Aug 26, 2009 4:17 PM:
Thanks for the clarification. However, I am reading the piece online and it is placed under the "Top Stories" heading with other news stories, with a hyperlink beneath that says "More News", so I assumed when I read it this morning that I was reading a news article. Perhaps proper placement for "Commentary" would be under the "Opinion" section.
Also, I would hope to find an objectively written news article serving as a companion piece for the commentary. Does one appear in the print edition, or does this story only merit commentary? "
The Truth wrote on Aug 26, 2009 3:37 PM:
just-an-observer wrote on Aug 26, 2009 1:15 PM:
Editor wrote on Aug 26, 2009 10:45 AM:
I'm reminded of Phyllis Diller talking about the way she looked: 'There's no excuse, but there are a lot of reasons.'
Thanks for bringing it to my attention. "
Editor wrote on Aug 26, 2009 10:33 AM:
To Cathy wrote on Aug 26, 2009 10:22 AM:
Gary Amstutz wrote on Aug 26, 2009 8:37 AM:
Brian wrote on Aug 26, 2009 7:23 AM:
"Some speakers – more representative of the fringe elements, such as Mischelle Sandowich, played the “this will give the government the power to pull the plug on grandma” card..."
Cathy, why did you phrase it that way? As a reporter, it isn't your job to categorize a speaker or speculate on what "element" they represent. Shouldn't you just report on what was said? Do you agree you owe your readers and Ms. Sandowich an apology? "