Categories

Archives

The Conservative Echo Chamber

Looking at the main news stories of the day can make your head spin. Obama’s planned televised pep talk has been churned into a massive indoctrination plot. His adviser on green jobs, Van Jones, resigns for signing a petition, with Congressman Mike Pence saying that, “His extremist views and coarse rhetoric have no place in this administration or the public debate.” Cheney, meanwhile, continues to pardon each new brutality revealed to have occurred during his watch. (Power drills? Condonable? Really?) And on the healthcare front, all indications are to expect major concessionary overtones the next time Obama comes on air.

As the guy on Meet The Press said today: at some point, you just look at some of the headlines of the day and think, “That’s flat out stupid.”

I’d say it’s bizarre, and we’ve been here for awhile. Recent news cycles have been on a rightward spiral since the perceived stall in healthcare reform. It’s the hard right segment of the public that’s framing every debate right now.

On healthcare, I’m feeling more and more ambivalent about said efforts. I had enough concerns about a “robust” public option. But for it to be crippled or completely axed? Expanded Medicare for people deemed unprofitable to insure, operating under the current rules of the game, will result in huge, unsustainable government bloat. So OK – go the incremental route. But make sure to drop the ‘substantial’ from before the Health Insurance Reform banners.

For certain, there would be a much smaller cost of implementing reforms absent any direct gov’t effort to insure more people. Incremental reform for incremental results. The public option fails mostly because it’s an additional cost to the taxpayer, above and beyond their current exorbitant insurance premiums. Place the burden only on the $250k+’ers? Fine, “tax the rich,” but it’s disingenuous way to fund reform. And no plan currently being floated in the mainstream ensures access to everyone. I’ll go ahead and beat the dead horse: a single-payer system paid equitably (based on ability, allowing a progressive curve) would be healthcare paid for by the people using it.

Why can’t we have an honest discussion about the way we already spend our healthcare dollars? Serious reform efforts may mean increased government spending, but hysterically delineating between private and public sidesteps the real issue of out-of-control costs.

Canada’s healthcare expenses under their single-payer system are similarly outpacing inflation – but that’s a worldwide trend, and their’s is to a lesser extent than our private insurance boondoggle. Their government is doing a better job of reigning in costs than our market system. If Americans are so lousy at self-governance that we can’t insure our own citizens, who are we to be dictating terms to Afghans? Hell, we oppose their sole source of real income, poppies. :roll:

Does The Public Option Lead To Something Better?

Michael Moore in the latest Rolling Stone:

If a true public option is enacted – and Obama knows this – it will eventually bring about a single-payer system, because the profit-making insurance companies won’t be able to compete with a government plan and make the profits that they want to make.

Mikey gives Obama too much credit throughout the article. Everything coming out of the White House and Congress indicates that the ‘public option’ will be a severely handicapped one – you can thank bipartisan compromise and that $1.4 million a day in insurance company lobbying for that. Significantly, Obama’s recent mention of the US Postal Service during a town meeting on healthcare portends a far more likely future for the ‘public option’ than leading to single-payer.

The option to purchase a public plan within a market of private health insurance plans would merely provide one more player in our inefficient, dysfunctional, fragmented, multi-payer system of financing health care, that is if the public option even survives the political process. It would leave in place the deficiencies that have resulted in very high costs with the poorest health care value of all nations (i.e., overpriced mediocrity in health care).

Those who believe that the people of this nation would have the wisdom to drop their private plans and join the government program are ignoring history. When Congress authorized private plans to compete with our existing public program, Medicare, many enrollees did just the opposite. One-fifth have left the traditional Medicare program and joined the private plans.

So why should we care? Why shouldn’t they have the right to choose private plans if they want them? We know that those private plans are wasting money, both in their own costs and the administrative burden they place on the delivery system, but what all too many don’t realize is that we are all paying for that waste because of the inherent structural deficiencies in our financing system. Plus we are being deprived of the reforms needed in our health care delivery system that our own single payer monopsony would bring us.

Further reading: Comparing single-payer with the ‘public option’
And for those confused between single-payer and OMFGOSH SOCIALISM…

Martin Feldstein, Harvard professor, talking about stuff he doesn’t understand

Obama has said that he would favor a British-style “single payer” system in which the government owns the hospitals and the doctors are salaried but that he recognizes that such a shift would be too disruptive to the health-care industry. The Obama plan to have a government insurance provider that can undercut the premiums charged by private insurers would undoubtedly speed the arrival of such a single-payer plan.

FiveThirtyEight >> Not All Socialist Countries are Alike

canada =/= UK

Healthcare, Compromised

Overhauling our healthcare system has been part of my agenda for ages now. I’ve never been too optimistic about its chances. As Obama came in and started to say all the right things, I began to have hope. But after flipping through the alternative press, those hopes are again dashed…

My main fear is of severely compromised reform, destined for failure. Getting everyone’s “OK” will mean flawed legislation. Make no mistake about it – single-payer systems are working the best in other countries, and Americans are not as unique as we’d all like to think. Single payer has already been introduced, by Rep. John Conyers. It’s H.R. 676, The United States National Health Care Act. Spread the word – like to the lawmakers supposed to be working for you.

Unconvinced single-payer is the way to go? The case for single-payer, made ad nauseum:

Comment by Dr. Don McCanne, PNHP Senior Health Policy Fellow:

Once again, fiscal analysis shows that the models of reform that build on our highly flawed, fragmented system of financing health care actually increase health care spending while falling far short on the goals of reform. In contrast, the single payer model would provide truly comprehensive care for absolutely everyone while significantly reducing health care spending.

The thing that got me excited and optimistic in the first place is the change in public opinion concerning healthcare. One thing Obama has done well is to make the case for reform in financial terms. Will he follow through with garbage reform when there’s the opportunity for so much more? Say it ain’t so.

The Selling of Single-Payer Features, by Helen Redmond, Counterpunch.org
The sea change in the public’s attitude toward government financed health care, however, has gotten press. A New York Times poll in June found that 72 percent supported a government-administered insurance plan – like Medicare for everyone under the age of 65. That poll also reported 64 percent believed the federal government should guarantee coverage to the entire population, i.e. health care should be a human right. Another interesting number: 85 percent of respondents said the health care system needed to be fundamentally changed or completely rebuilt. This is in stark contrast to President Obama’s position of tepid, incremental reform.