A blog about politics.

Health Care: Which Chart Scares You More?

House Minority Leader John Boehner, borrowing a tactic from the health care wars of 15 years ago, has put together an arresting graphic "to expose the truth about the Democrats' health care plan to the American people." Over at TNR, Jon Cohn has responded with one that looks at how things work now. I'm posting both of them below. Which is scarier?

THE BOEHNER CHART OF WHAT THE HOUSE DEMS' PLAN WOULD LOOK LIKE

boehnerchart

JON COHN'S CHART OF WHAT THE CURRENT SYSTEM LOOKS LIKE:

cohn chart

(You can click on the images to enlarge them.)

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  • 1

    the boehner chart looks scarier; the Cohn chart uses soothing pastels, and mostly 'non-threatening' thin dotted lines and small arrows. And the Cohn chart is designed to explain the system -- colors actually mean something, and grouping is done to make the chart more understandable. Boehner's use of color (and shapes) appears to be completely arbitrary.

    As a journalist, you should be pointing out these differences, and explaining to the public how Boehner is using this graphic in an intellectually dishonest manner, rather than simply saying "here's a graphic, and here's another one -- you decide!".

    • 1.2

      You are perfectly correct, but this is journalism today. Ms. Tumulty's response is simply snotty and condescending---also true of journalism today.

    • 1.3

      Charts aside, pretty colors aside, public relations spin aside -- it seems to me that you have to ask a few very basic and important questions:
      1) Do we understand all the consquences and implications of the proposed changes?
      2) Are we willing to take that risk because it is so bad right now?
      3) Do we really understand the cost of the proposed changes?
      4) Will the changes deliver better quality of care

      I submit that we don't know the answers to these questions. We do know that at its current rate health care cost growth is unsustainable. There has been little to nothing put on the table that will provide sustainable cost containment other than Congressional will to hold down reimbursements.

      Finally, before we change the entire system we need to have meaningful effective inititiatives that prove we can contain costs to the general rate of inflation, otherwise we will go deeper and deeper into debt.

      Follow the debate at http://www.ilovebenefits.wordpress.com

  • 2

    Ask Bernie's staff to prepare a single payer chart. Ask Boehjner whether he supports the much simpler, much cheaper single payer plan.

    The republicans have yet to make either a single coherent argument against the public option, or offer an alternative to the current system. That they are treated by the press as participants in a policy debate is yet another instance of false balance. They opt out, but still get equal time.

    • 2.1

      Amen.

    • 2.2

      But part of the problem is our revered president has yet to put personal skin in the game on the public option, and Rahm Emmanuel is doing the traditional "Chicago Pol bad compromise" thing that those of us who grew up in Illionois learned to expect so frequently.

      I have written the President about this several times. If about 5 million others also do so, who knows? --it might have an impact.

    • 2.3

      I've read some coherent arguments against it, it's just that they're nauseating. For example, the book "Catastrophe" has a whole chapter on health care that goes something like this: A public option would insure more people at a lower cost. This is bad, because the number of doctors and nurses is not keeping pace with the population growth. Since there aren't enough doctors, the system will have to use rationing, and that system will be the government, by virtue of having the cheapest program. There are two conclusions: Government bureaucrats will be making all the health care decisions, and the people who currently have insurance will see the quality of care degrade as the system becomes over stressed.

      No one really seems to care about the government part -- a single payer system isn't on the table, and the argument that the system will become single payer because that's what wins out in the marketplace is very dangerous ground.

      The real concern is the lack of doctors when we get all those new people insured, and that's a serious problem. Of course, it's a problem anyway -- I have insurance, but I still have a hard time finding a primary care physician when I move to a new area. Even if I never found a doctor, though, there are still so many advantages to having insurance that an argument that boils down to "I don't want you to have any if it makes things less convenient for me" is enough to make me throw up a little.

  • 3

    Boehner's chart is pretty and his has pictures in it. Cohn's kinda of sucks with all the words and stuff in little boxes. And what's with that lame ass "you" seal?

    BTW, do they have wallet sizes for those of us who want to share with family and friends?

  • 4

    The Boehner chart has connection lines "jumping over" each other to evoke the image of an electrical diagram, which I'm sure most folks find instinctively confusing.

    Also, Boehner forgot the dragons and sea serpents along the margins.

    SwampGang: No feeding Thursday, waddaya say?

    • 4.1

      I'll be givin' it a go, kbang...be countin' be in.

      Arrgh!

    • 4.2

      I swore off weeks ago. I'm getting more tasks accomplished, my blood pressure's back in the normal range and a persistent rash has cleared up.

  • 5

    "The republicans have yet to make either a single coherent argument against the public option, or offer an alternative to the current system. That they are treated by the press as participants in a policy debate is yet another instance of false balance. They opt out, but still get equal time."

    True and yet their arguments are the ones that seem to be gaining traction.

  • 6

    They both be too confusin' t' follow, bu' th' Boner's be more likely t' scare people - mission be accomplished.

    Arrgh.

  • 7

    I have been searching for a while for that original 1994 chart that Bob Dole used in his State of the Union response. Does anyone know whether that chart is online somewhere?

  • 9

    The best illustration would be a bag of money representing what health care costs now (including the uninsured) and another bag of money showing what the Democratic plan costs.

    Under the bags would be the estimated costs for the upper class, the middle class, and the poor. If there are cost savings in the new plan along with covering more people (including those in the middle class who can get royally screwed if their job does not aid in providing health care), then the new plan is better than what we have now.

  • 10

    I am disappointed that Boehner's chart lacks the distinctive orange that the man himself favors. Other than that, if you follow the magic arrow, it actually looks relatively easy for doctors to get to patients.
    .
    The Cohn chart, on the other hand, looks like the spec for some sort of nuclear reaction. When you consider the impact of Boehner-care (sorry, non-socialized medicine) on most individuals and families, this seems grimly appropriate.
    .
    And yes, no feeding today. We need to curb troll obesity.

    • 10.1

      Is it pronounced "bah-ner" or "bo-ner"? Makes a bit of difference when explaining "Boehner care."

  • 11

    Cole's is scarier...Why? Because Boehner's is a fictitious representation of what may (or may not) happen when health care form is passed. Kind of like using stories about the boogeyman to keep your kids from getting out of bed in the middle of the night. Cole's, on the other hand, represents the reality of the current mess of a system (insurability tied to empoyability, denial of coverage for expensive or "experimental" treatments, doctors having to get permission from insurance beauracrats to provide treatment, etc.) that we have right now. Kind of like scaring your kids about the dangers of crossing a busy street without looking both ways...

  • 12

    I like that Boehner's chart refers to me as a consumer for health care, I think that sums up the Republican view of Health care right there. A product they sell to those who can afford it.

  • 13

    Looking at the Cohn chart makes me feel like I am a sea turtle about to be strangled in a tangled drag net.
    -
    I am actually sorta impressed with the Boner. The republicans are slowly starting to figure out how to make flow charts. Remember that flowchart they included in that budget with no numbers?
    http://www.fivethirtyeight.com/2009/03/real-republican-road-to-recovery.html

  • 14

    They are finally mastering Viso.

  • 15

    Good for Cohn, and good for KT for showing us the comparison. Is there any explanation for the blue-faced and obviously white consumers and the African-American nurse in the Boehner Bunkum? There is a flavor of subliminal racism here.

  • 16

    KT - Wanting to avoid wasting money on Washington turf wars, don't you think culture and linguistic competency training ought to be under the jurisdiction of the Office of Minority health, as it appears now Boehner doesn't have it connected to funding stream -- standard GOP incompetentancy.

  • 17

    I'm feeling increasingly pessimistic about the Health Care bill Congress will eventually produce. In fact, I doubt Congress can produce an effective bill when it needs to weigh industry interest vs. public interest (and no, they are not the same). When I read stories like this (link):

    "The nation's largest insurers, hospitals and medical groups have hired more than 350 former government staff members and retired members of Congress in hopes of influencing their old bosses and colleagues, according to an analysis of lobbying disclosures and other records.

    (snip)

    The hirings are part of a record-breaking influence campaign by the health-care industry, which is spending more than $1.4 million a day on lobbying in the current fight, according to disclosure records.

    (snip)

    Overall, health-care companies and their representatives spent more than $126 million on lobbying in the first quarter, leading all other industries, according to CRP and Senate data. PhRMA led the pack in spending and employs 49 former government staff members among its 136 lobbyists, according to The Post's analysis. Dozens of other former insiders are employed as lobbyists by Pfizer, Eli Lilly, the AMA and the American Hospital Association, each of which spent at least $3.5 million on lobbying from January through March.

    ..there can be no doubt that the system is broken. (For 1st Q lobby spending by industry and firm, read here- link) Absent serious campaign finance reform, I fear nothing will change (Obama?). There will be no great American leaders while our political system rewards those who help themselves.

  • 18

    OrangeMan's chart is about as useful as one of those electronics manuals written by someone who failed ESL – and that's exactly what Boehner intended. It's no surprise the Republicans have supplemented their verbal dishonesty with a visual component.

  • 19

    Why is TIME's Halperin using the completely unsourced and phony Associated Press number that the House bill cost $1.5 trillion instead of the CBO estimate of $1 trillion?
    How disgraceful.

  • 20

    Ignoring the information and just looking at the chart it's really stunning how much more placid Cohn's chart looks. all those soothing pastels. And the boxes are in rows and almost look organized,despite the loopy connectors. So Boehner's looks discordant and kinda scary.

    Agree with Basilbrush about the not so subtle racism. There seems to be an attempt to give the health care consumers different facial features, but they're all white. Is he trying to suggest that if the government's running health care "we" (and of course "we" are white) will get inferior care because it will be offered by (shudder) blacks?

    On the other hand, he could just as easily have made all the consumers black and made the health care provider white, and made it look like with the President's plan "we" were going to be paying for a lot of health care to blacks. Hard to say. But it was not accidental - of that we can be sure.

  • 21

    I have to say, that if Boehner is supposed to be the poster boy for the benefits of our current health system, someone should ask him how he ended up so orange that he glows in the dark. Is this really the health care Americans deserve? An Orange Revolution, perhaps?

  • 22

    The Boehner chart lost me at "Federal Mandates for Website Design." That drove home the point that what I was looking at was probably a scare tactic, and not really worth deciphering. What a shame to spend all that time creating the chart without making it useful for furthering the discussion.

    • 22.1

      Th' lack o' usefulness an' scare tactics be th' entire POINT o' th' thing!

      An' it might o' been clear t' ye tha' it were simple scare tactics, bu' I be b'lievin' thar be plenty out thar who WILL be scared, an' flock t' their respective health insurance premium collection corporations fer salvation fr'm th' evil tax monster, exact as presented by th' Boner.

      I don't be underestimatin' th gullibility o' th' American Public.

      Arrgh.

  • 23

    Did George Hamilton pull that chart off a 5 1/4 in. floppy disk that he found collecting dust in the House archives, where it has been sitting since the health care reform fight in and box styles all over the place. It looks like it was produced by a 15-year-old experimenting with CorelDraw in his high school desktop publishing class circa 1994.

    I am, however, impressed by his use of PC-graphics. An African-American female doctor....a Benetton-like group of "consumers". Not bad, Coppertone.

    All that said, St. Tropez Tan's is much more fun and friendly and colorful. It looks like the health care version of Chutes & Ladders of Candyland. I may pick it up for my kids this Christmas. Don't get stuck in the Health Insurance Exchange Trust Fund Swamp!

    • 23.1

      Did you notice the black female doctor was the only one connected to cultural and linguistic training -- not sure if its for her or her patients.

  • 24

    Aren't these the same people who produced a chart that extrapolated the national debt by drawing a random 45-degree line to infinity, and another chart showing what the debt would look like in when converted to a stack of dollar bills?

    It's truly frightening that these people are tasked with governing the nation.

  • 25

    Glad TNR did this since in a vacuum the Boehner chart makes the future look hideous. In context with the other chart,, it creates an entirely different impression ... and hopefully, conversation.

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