Dirt Diggers Digest

You’ve got to hand it to the health insurance corporations and their front groups for knowing how to play hardball. To protect the interests of the industry, they have been willing to spread outlandish allegations about euthanasia, gambling that the ensuing uproar will force nervous Dems to dilute their plan.

It remains to be seen whether the streetfighters ultimately prevail, but for now they have succeeded in reframing the debate. The country has been talking about pulling the plug on grandma when we should be discussing pulling the plug on the likes of Aetna, Cigna and Humana.

Unfortunately, the Obama Administration and the Democratic leadership in Congress have ruled out euthanizing the for-profit health insurance, leaving us with the alternative of a public plan that would compete with the commercial carriers and supposedly “keep them honest,” as Obama likes to put it.

Since the industry doesn’t seem interested in becoming virtuous, it has instead encouraged opposition to the public option. Apart from whatever behind-the-scenes role it has played in the town hall disruptions carried out by the rightwing lunatic fringe, the major insurers are cultivating the fifth column that is undermining the public option from within the Democratic Party. It’s widely known that members of the Blue Dog Coalition have been showered with campaign contributions from the industry. A recent Business Week cover story entitled “The Health Insurers Have Already Won” details other ways the big insurers have cozied up to and co-opted conservative Dems.

I’ve already written about the suspicious role the Lewin Group, owned by UnitedHealth Group but purportedly editorially independent, has played in the reform debate. Business Week describes how UnitedHealth itself feeds self-serving data to “information-starved congressional staff members.” The magazine depicts an especially close relationship between the company and Sen. Mark Warner of Virginia, who “echoes UnitedHealth’s contention that a so-called public option could be a ‘Trojan horse for a single-payer system.’”

The infatuation of Warner and some other Dems with UnitedHealth is all the more baffling in light of the controversy over the company’s Golden Rule Insurance subsidiary, which has repeatedly been fined by state regulators for deceptive practices. Golden Rule was one of the companies singled-out in a recent House Energy & Commerce Committee hearing on abuses in the individual health insurance market.

Business Week reports that the health insurers consider the battle against the public option already won and are now focusing on shaping the terms under which they will be providing new subsidized coverage. They are, the magazine says, pursuing the “aim of constraining the new benefits that will become available to tens of millions of people who are currently uninsured.”

How long will it be before Obama, having abandoned the public option, finds himself pressured by the health insurers and their surrogates to give ground on other aspects of the reform plan, such as the elimination of lifetime benefit caps? Or the prohibition on denying coverage based on pre-existing conditions?

The insurance reform effort will continue its slide toward irrelevance until Obama recognizes that he is engaged not in a boxing match with Marquis of Queensberry rules but rather a knife fight in which anything goes.

As the Yes Men have shown with their impersonations, misrepresentation is sometimes the best way to convey a larger truth. That same lesson has been demonstrated, albeit unintentionally, by the lobbying firm Bonner & Associates, which was just exposed as having forged letters from non-profit organizations to members of Congress expressing opposition to the climate bill. In this case, the larger truth is that much of the support that corporate interests claim for their policy positions is bogus.

The story came to light thanks to the Charlottesville (Virginia) Daily Progress, which revealed that the office of Rep. Tom Perriello had received letters urging him to vote against the climate bill from two local civil rights organizations–Creciendo Juntos and the Albemarle-Charlottesville branch of the NAACP–that were discovered to be forgeries. Additional faked letters were later reported by two other members of Congress.

Soon it was revealed that the letters had been sent out by Bonner, which had been hired by Hawthorn Group to help in its work on behalf of the American Coalition for Clean Coal Electricity (ACCCE), a major coal industry front group. Bonner, which specializes in fabricating what it calls “strategic grassroots/grasstops” campaigns for large corporations, apologized for the phony letters but insisted they were the work of a rogue employee who has been terminated. This has not prevented a firestorm of criticism and calls from the likes of MoveOn.org and the Sierra Club for a Justice Department investigation of the matter.

Environmental groups are entitled to their righteous indignation, but some of this is akin to expressing shock that gambling is taking place in Casablanca.  The entire point of the Astroturf work done by the likes of Bonner is to be deceptive–to give the misleading impression that there is a groundswell of support for the policy positions of big business.

The Bonner firm, founded in 1984 by former Congressional aide Jack Bonner (photo), made its name creating bogus campaigns on behalf of clients such as the banking industry (to fight proposals to lower permissible interest rates on credit cards) and the auto industry (to fight stricter fuel efficiency standards). In 1997 Ken Silverstein wrote a piece in Mother Jones describing Bonner as “a leader in the growing field of fake grassroots” lobbying.

In other words, Bonner is in the business of generating communications to members of Congress that are “real” messages from fake organizations. The current case involves fake messages from real organizations. It’s too soon to tell whether this represents a new tactic by the firm or an employee simply got confused about which aspects of the messages are supposed to be bogus. But either way, firms such as Bonner are helping large corporations co-opt political discourse.

Even more ominous are the supposedly spontaneous disruptions of town hall meetings being held by members of Congress. These confrontations are being carried out by rightwing opponents of healthcare reform–such as the group FreedomWorks–serving the interests of the for-profit medical establishment. It is bad enough when agents of business try to manipulate “civilized” communication with members of Congress; it is much worse when they begin to act like storm troopers trying to intimidate elected officials  from diverging from the corporate line.

Would a consulting company owned by Exxon be considered an impartial source of analysis on global warming, or would such a firm owned by Xe (formerly Blackwater) be regarded as a good judge of federal policy on the use of mercenaries? Probably not; in fact, they would, in all likelihood, be seen as front groups for the interests of their corporate parents.

Then how is it that one of the most influential consulting firms on healthcare policy is the Lewin Group, which is owned by a subsidiary of UnitedHealth Group, the largest of the for-profit medical insurance corporations and thus a very interested party when it comes to the current deliberations in Congress on major healthcare reform?

Lewin claims to be “objective” and “impartial,” but some of its analysis is repeatedly being used in very partisan ways by Republican members of Congress (such as John Boehner and Orin Hatch) and conservative commentators (the Heritage Foundation and Rich Lowry of National Review) to attack the idea of a public option in legislation that would seek to provide coverage to the uninsured. They typically do not mention Lewin’s relationship to UnitedHealth, which will benefit greatly if the public option is eliminated.

Those seeking to shield for-profit insurers from a competing federal plan are trumpeting Lewin research purporting to show that the existence of at least some versions of a public option would result in a mass exodus from employer-provided plans with higher premiums. Lewin claims that some 119 million of the 171 million people covered by employer plans could migrate to Uncle Sam’s offering. Given the assumption that taxpayers will be subsidizing participants in the public plan, such a shift is seen as creating a fiscal disaster for the federal government and the collapse of private plans. The rabidly pro-corporate group Conservatives for Patients’ Rights uses the Lewin research in a TV ad that depicts a public plan as a bulldozer that could “crush all your other choices, driving them out of existence.”

Lewin insists that it has “editorial independence,” but it is difficult to believe that its judgments are not influenced by the identity of its corporate parents. Its immediate parent, by the way, is Ingenix, a major player in healthcare information technology, especially billing systems. Ingenix, of course, also has a vested interest in protecting the for-profit medical bureaucracy.  Ingenix and its parent UnitedHealth have paid out hundreds of millions of dollars to settle class-action lawsuits stemming from investigations spearheaded by New York Attorney General Andrew Cuomo charging that Ingenix promoted a database product that allowed insurers to underpay their members when reimbursing for out-of-network expenses.

Lewin was in existence for three decades when Ingenix and UnitedHealth acquired it in 2007. It’s interesting that before that deal Lewin was often in the news in connection with reports it produced for states such as California, Hawaii and Vermont showing the potential benefits of state single-payer systems. The firm released one such report (for Colorado) after being acquired by Ingenix, but these days Lewin seems to focus more on the hazards of expanded government involvement in healthcare. Lewin Senior Vice President John Sheils (photo) told the Associated Press that “the private insurance industry might just fizzle out altogether” if a public option were enacted.

Sheils insists he is impartial, but he has been aggressive in spreading the word about the potential drawbacks of the public option. He confronted President Obama directly on the issue last week as one of the questioners in an ABC News special whose host, Charles Gibson, seemed determined to bash government involvement in health insurance.

The Lewin Group acquisition added an insignificant amount to UnitedHealth’s annual revenues but it turned out to be a valuable investment for the $80 billion insurance giant. While playing the role of a neutral analyst, the consulting firm is in reality defending the interests of its corporate parents and the rest of the for-profit health insurance business. The most effective business front group is one that believes it is independent.