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Founder of the Internet Law Center
    Santa Monica, California

Host of Cyber Law & Business Report
      On WebmasterRadio.fm


          Past Co-Chair of the California
           Bar Cyberspace Committee

                                Former Asst. General Counsel and
                                       Director of Privacy
                                    and Governmental Affairs
                                     and Anything Else That
                                     Would Help Me Set the
                              Guinness Book Record for Longest Title

                                   ValueClick – Westlake Village
CAMPAIGNS                         LOBBYING   PUNDITRY

1978 – Senator Claiborne Pell
1980 – Kennedy for President
1982 – Senate Campaigns in RI and CT




1992-1998 – Co-Founder
and National Co-Chair
Democratic National
Committee Saxophone Club
CAMPAIGNS           LOBBYING                 PUNDITRY




                        1980
             Lobbied RI Gen Assembly on
                  State Health Plan

                      1985—1988
             Legislative Assistant with DC
                    Lobbying Firm




                     2004-2007
               Lobbied Washington and
            Sacramento on Tech Legislation
CAMPAIGNS   LOBBYING        PUNDITRY




                        2004 – Present
                       Political Columnist
                       Won 3 LA Press Club
                             Awards




                           2008-2009
                            Filibanter
(78 Seconds)
Round 1
American Association of Labor Legislation
                1912-1919
 KEY PROVISIONS          SUPPORTERS                      OPPONENTS

Compulsory                                         Organized Labor
                     The Progressive Party
program
providing                                                Business
                   Amer. Medical Association
medical,
maternity and                                  Insurance Companies
death benefits
for those making
under $1,500
($27,000 in
current dollars)       California
                                                Red Sox won
                      Proposition
                                               4 World Series
                        (1919)                  ‘12, ‘15, ‘16 and ‘18
                       Defeated
                      27% - 73%
Round 3
Member of the Asscoiated Press .
                                                        Aenean commodo ligula eget dolor.
                                                       Aenean. Aenean commodo ligula eget
                                                       dolor. Aenhswse. Cejhciebce fcdcdcd.




Est. 1869           Wednesday, November 24, Way Back                         Price 6d




FDR Signs Social Security Act
           1920
AMA House of
Delegates “declares its
opposition to the
institution of any plan
embodying the system
of compulsory
contributory insurance”
                               FDR Dodges Fight with AMA, Strips
                                Health Care Coverage from Bill.
Harry Truman’s
                                78 Seconds
                                              Senator Taft:

• Wagner-Murray-Dingell single         • I consider it socialism. It is to
  payer plan first introduced (1943)     my mind the most socialistic
• Truman Backed Wagner-                  measure this Congress has ever
  Murray-Dingell (1945)                  had before it.
• House Committee Chairman
  Refused to Hold Hearings             • Walked out of Senate hearing
                                         after saying plan came right
• Universal Declaration of Human
  Rights                                 out of Soviet constitution.
AMA RECORD FIGHT
• SPENT $19MM IN
  CURRENT DOLLARS

• WOULD BE HUGE
  EVEN BY TODAY’S
  STARDARDS

   Where AMA ‘45 Spending Would Rank in Lobby Spending in Modern Age
    YEAR       RANK       YEAR        RANK        YEAR       RANK
  1998          4th     2002           2nd        2006         5th
  1999          1st     2003           3rd        2007         6th
  2000          2nd     2004            2nd       2008         8th
  2001          2nd     2005            6th     2009-2010      11th
Round 6
GREAT SOCIETY TIMES
www.dailynews.com   THE WORLD’S FAVOURITE NEWSPAPER                 - Since 1879



                 LBJ Signs Medicare (1965)
            Canada Passes Medical Care Act (1966)
                                                 1933-1992
                                 • DEMS controlled both
                                   houses of Congress -- 50 years
                                 • DEMS controlled House -- 56 years
NIXON-CARTER
     KENNEDY




                                                    BUSH

• Negotiations with
  Nixon (1974)

• Hawaii Prepaid
  Health Care Act
  (1975)              • COBRA (1985)
• Confrontation       • Catastrophic
  with Carter           Health Insurance
  (1978-80)             (1988)             • Repeal of Catastrophic
                                             Health Insurance (1989)
Round 9
KEY PROVISIONS



Employer
                      SUPPORTERS
Mandate to
Provide
insurance
                     Organized Labor
Cost Control        Progressive Groups
through HMO        Business Roundtable
managed care.     Chamber of Commerce
                    American Medical
                        Association
                                                     OPPONENTS
                   Health Ins. Industry
                        Association
                                                Business Roundtable
                                               Chamber of Commerce
                                          Nat’l Federation of Independent
                                                     Businesses
For it, before they were against it . . .
Year           1935   1945       1965       1994     2010
Senate Then      70     57         68          57      59
        After    73     45         64          48      51
        Diff     +3    -12         -4          -9      -8
House   Then    322    243         295        258     256
        After   334    188         248        204     235
        Diff    +12    -55         -47        -54     -21
NEXT            WON    WON        LOST       WON    WON/LOST
PRES                                                  ???
                             AVERAGE LOST
                       6 SENATE & 33 HOUSE SEATS
Round 12
PCT IN
 HMO/PPO PLAN

1993 – 47%
2010 – 77%
Average Health Insurance
       Premiums and                                                                                      $13,375
 Worker Contributions for
                                                                       131%
Family Coverage, 1999-2009                                            Premium
                                                                      Increase

                                                                                                            $9,860
                                    $5,791                              128%
                                                                       Worker
                                                                     Contribution
                                     $4,247                           Increase

                                                                                                            $3,515
                                     $1,543

                                       1999                                                                   2009

                                                                                                                 Employer Contribution
Note: The average worker contribution and the average employer contribution                                      Worker Contribution
may not add to the average total premium due to rounding.

                                                                                30
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009. http://ehbs.kff.org/pdf/2010/8085.pdf
180%
                                                                                                                                              159%
         160%
                                                                                                                                              138%
         140%

         120%

         100%

          80%

          60%
                                                                                                                                              42%
          40%

          20%                                                                                                                                 31%

            0%
                    1999      2000       2001       2002       2003       2004       2005       2006        2007      2008       2009         2010




                                                                                                  Health Insurance Premiums
                                                                                                  Workers' Contribution to Premiums
                                                                                                  Workers' Earnings
                                                                                                  Overall Inflation



Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. http://ehbs.kff.org/pdf/2010/8085.pdf Bureau of Labor
Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, Seasonally
Adjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).
18%                                                                                                           69%
                                      Under 65, Covered
                              68.3%
 17%                                  By Employer                                                              68%
               67.9%

 16%                                    67.1%                                                                  67%
                                                                                             15.8%
                                                                                   15.3%               15.3%
 15%                                             65.7%         15.1%                                           66%
                                                                         14.9%
                                                     14.7%

 14%           14.0%                    14.1%                                                                  65%
                              13.7%
                                                               64.4%
 13%                                                                     63.9%                                 64%
                              Uninsured
                                                                                   63.5%
 12%                                                                                          62.9%    62.9%   63%

 11%                                                                                                           62%
           1999        2000           2001      2002         2003      2004      2005      2006       2007

Source: U.S. Census Bureau.
Health Care Reform Dashboard

                                      290-
  50.7M                 22K
                                     350,000


UNINSURED          PREVENTABLE        DEATHS
                   DEATHS PER YEAR   SINCE ‘94




 $6,772                $24,291          2M



FAMILY INS,
                    FAMILY INS,        HEALTH
PREMIUM
                    PREMIUM (2016)   RELATED BKS
(2000)
2003
* Medicare Prescription Drug Benefit
* Maine’s Dirigo Health Reform Act

                   2006

* “Romney-Care”
* Vermont “Catamount Health”
Round 13




THRILLA
Clinton Lessons
•Failed to Give Congress Input in Drafting
•Had Final Bill too late
•Should have done Welfare Reform before Health Care
•Byrd Rule
•Incremental Reform
•Get a Dog
Lessons Learned?
• Failed to Give Congress Input in Drafting
    – Obama “subcontracted out” drafting to Congress
• Had Final Bill too late
    – Obama – no bill yet to defend during “Town Hall summer”
• Should have done Welfare Reform before Health Care
    – Same mistake, should have led with Jobs
• Byrd Rule
    – Lesson Learned
• Incremental Reform
    – Began administration with S-Chip covering 10M uninsured children
• Get a Dog -
Passed House 245-189



                Increase
                 Deficit
               $210 Billion
DC DISTRICT COURT
4TH   & 6TH CIRCUIT – CONSTITUTIONAL

11TH CIRCUIT - UNCONSTITUTIONAL
6th Circuit
Regulating Impact on
Interstate Commerce
Scoreboard
    X

   3         O   X   O

    O

   3             X


                 O   X
Scoreboard
    X

   3         O    X   O

    O

   3         R?   X   R?


                  O   X
Scoreboard
    X

   3         O    X   O

    O

   3         R?   X   R?


             ?    O   X
Internetlawcenter.net




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Politics of health care reform

  • 1.
  • 2. Founder of the Internet Law Center Santa Monica, California Host of Cyber Law & Business Report On WebmasterRadio.fm Past Co-Chair of the California Bar Cyberspace Committee Former Asst. General Counsel and Director of Privacy and Governmental Affairs and Anything Else That Would Help Me Set the Guinness Book Record for Longest Title ValueClick – Westlake Village
  • 3. CAMPAIGNS LOBBYING PUNDITRY 1978 – Senator Claiborne Pell 1980 – Kennedy for President 1982 – Senate Campaigns in RI and CT 1992-1998 – Co-Founder and National Co-Chair Democratic National Committee Saxophone Club
  • 4. CAMPAIGNS LOBBYING PUNDITRY 1980 Lobbied RI Gen Assembly on State Health Plan 1985—1988 Legislative Assistant with DC Lobbying Firm 2004-2007 Lobbied Washington and Sacramento on Tech Legislation
  • 5. CAMPAIGNS LOBBYING PUNDITRY 2004 – Present Political Columnist Won 3 LA Press Club Awards 2008-2009 Filibanter
  • 6.
  • 8.
  • 9.
  • 11. American Association of Labor Legislation 1912-1919 KEY PROVISIONS SUPPORTERS OPPONENTS Compulsory Organized Labor The Progressive Party program providing Business Amer. Medical Association medical, maternity and Insurance Companies death benefits for those making under $1,500 ($27,000 in current dollars) California Red Sox won Proposition 4 World Series (1919) ‘12, ‘15, ‘16 and ‘18 Defeated 27% - 73%
  • 12.
  • 14. Member of the Asscoiated Press . Aenean commodo ligula eget dolor. Aenean. Aenean commodo ligula eget dolor. Aenhswse. Cejhciebce fcdcdcd. Est. 1869 Wednesday, November 24, Way Back Price 6d FDR Signs Social Security Act 1920 AMA House of Delegates “declares its opposition to the institution of any plan embodying the system of compulsory contributory insurance” FDR Dodges Fight with AMA, Strips Health Care Coverage from Bill.
  • 15. Harry Truman’s 78 Seconds Senator Taft: • Wagner-Murray-Dingell single • I consider it socialism. It is to payer plan first introduced (1943) my mind the most socialistic • Truman Backed Wagner- measure this Congress has ever Murray-Dingell (1945) had before it. • House Committee Chairman Refused to Hold Hearings • Walked out of Senate hearing after saying plan came right • Universal Declaration of Human Rights out of Soviet constitution.
  • 16. AMA RECORD FIGHT • SPENT $19MM IN CURRENT DOLLARS • WOULD BE HUGE EVEN BY TODAY’S STARDARDS Where AMA ‘45 Spending Would Rank in Lobby Spending in Modern Age YEAR RANK YEAR RANK YEAR RANK 1998 4th 2002 2nd 2006 5th 1999 1st 2003 3rd 2007 6th 2000 2nd 2004 2nd 2008 8th 2001 2nd 2005 6th 2009-2010 11th
  • 18. GREAT SOCIETY TIMES www.dailynews.com THE WORLD’S FAVOURITE NEWSPAPER - Since 1879 LBJ Signs Medicare (1965) Canada Passes Medical Care Act (1966) 1933-1992 • DEMS controlled both houses of Congress -- 50 years • DEMS controlled House -- 56 years
  • 19. NIXON-CARTER KENNEDY BUSH • Negotiations with Nixon (1974) • Hawaii Prepaid Health Care Act (1975) • COBRA (1985) • Confrontation • Catastrophic with Carter Health Insurance (1978-80) (1988) • Repeal of Catastrophic Health Insurance (1989)
  • 21.
  • 22. KEY PROVISIONS Employer SUPPORTERS Mandate to Provide insurance Organized Labor Cost Control Progressive Groups through HMO Business Roundtable managed care. Chamber of Commerce American Medical Association OPPONENTS Health Ins. Industry Association Business Roundtable Chamber of Commerce Nat’l Federation of Independent Businesses
  • 23. For it, before they were against it . . .
  • 24.
  • 25. Year 1935 1945 1965 1994 2010 Senate Then 70 57 68 57 59 After 73 45 64 48 51 Diff +3 -12 -4 -9 -8 House Then 322 243 295 258 256 After 334 188 248 204 235 Diff +12 -55 -47 -54 -21 NEXT WON WON LOST WON WON/LOST PRES ??? AVERAGE LOST 6 SENATE & 33 HOUSE SEATS
  • 26.
  • 28. PCT IN HMO/PPO PLAN 1993 – 47% 2010 – 77%
  • 29.
  • 30. Average Health Insurance Premiums and $13,375 Worker Contributions for 131% Family Coverage, 1999-2009 Premium Increase $9,860 $5,791 128% Worker Contribution $4,247 Increase $3,515 $1,543 1999 2009 Employer Contribution Note: The average worker contribution and the average employer contribution Worker Contribution may not add to the average total premium due to rounding. 30 Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009. http://ehbs.kff.org/pdf/2010/8085.pdf
  • 31. 180% 159% 160% 138% 140% 120% 100% 80% 60% 42% 40% 20% 31% 0% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Health Insurance Premiums Workers' Contribution to Premiums Workers' Earnings Overall Inflation Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010. http://ehbs.kff.org/pdf/2010/8085.pdf Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2010; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2010 (April to April).
  • 32. 18% 69% Under 65, Covered 68.3% 17% By Employer 68% 67.9% 16% 67.1% 67% 15.8% 15.3% 15.3% 15% 65.7% 15.1% 66% 14.9% 14.7% 14% 14.0% 14.1% 65% 13.7% 64.4% 13% 63.9% 64% Uninsured 63.5% 12% 62.9% 62.9% 63% 11% 62% 1999 2000 2001 2002 2003 2004 2005 2006 2007 Source: U.S. Census Bureau.
  • 33.
  • 34.
  • 35. Health Care Reform Dashboard 290- 50.7M 22K 350,000 UNINSURED PREVENTABLE DEATHS DEATHS PER YEAR SINCE ‘94 $6,772 $24,291 2M FAMILY INS, FAMILY INS, HEALTH PREMIUM PREMIUM (2016) RELATED BKS (2000)
  • 36. 2003 * Medicare Prescription Drug Benefit * Maine’s Dirigo Health Reform Act 2006 * “Romney-Care” * Vermont “Catamount Health”
  • 38.
  • 39.
  • 40. Clinton Lessons •Failed to Give Congress Input in Drafting •Had Final Bill too late •Should have done Welfare Reform before Health Care •Byrd Rule •Incremental Reform •Get a Dog
  • 41. Lessons Learned? • Failed to Give Congress Input in Drafting – Obama “subcontracted out” drafting to Congress • Had Final Bill too late – Obama – no bill yet to defend during “Town Hall summer” • Should have done Welfare Reform before Health Care – Same mistake, should have led with Jobs • Byrd Rule – Lesson Learned • Incremental Reform – Began administration with S-Chip covering 10M uninsured children • Get a Dog -
  • 42. Passed House 245-189 Increase Deficit $210 Billion
  • 43. DC DISTRICT COURT 4TH & 6TH CIRCUIT – CONSTITUTIONAL 11TH CIRCUIT - UNCONSTITUTIONAL
  • 44.
  • 45. 6th Circuit Regulating Impact on Interstate Commerce
  • 46. Scoreboard X 3 O X O O 3 X O X
  • 47. Scoreboard X 3 O X O O 3 R? X R? O X
  • 48. Scoreboard X 3 O X O O 3 R? X R? ? O X
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  • 50.