You don’t incrementally become pregnant, and you don’t incrementally reform health care and health insurance.
Health care reform is a mess now with multiple proposals and distortions, and if you reform it incrementally, it will be an bigger mess later.
Do it once; do it right.
Regardless of what the conservative naysay, it is documented by last count of the US Census (2006), that 47 million citizens were without any form of health insurance.
On the campaign trail, Obama offered many variations of his health insurance plans, but now, apparently, his bold plans have been whittled down to an means to reduce health care premiums for individuals and families, to reduce waste in the medical establishment, and to establish electronic record keeping and sharing. Somewhere in there has been added a Co-op plan that will be owned by Co-op members but actually run by the insurance companies.
Certainly, this President campaigned on reaching across the aisle, but what doesn’t he understand he understand?
He has extended his hand, only to have the fingers chewed off. The opposition is not going to negotiate on this bill; it is far past time for offering the Republicans anything that might make then even interested in a bill. They have said repeatedly that they want Obama to go down on this one.
Friday’s New York Times indicates that Maine’s Senator Olympia Snowe may be the only Republican voted to be had in the Senate, and her vote is wavering for a comprehensive bill. She seems wedded to the watered down bill the grouo of 6 is producing: “It might not be everything everybody wants; it might be too much for some, but it just be might be enough to start a strong foundation.”
In my humble opinion, THIS was Obama’s problem in offering a general outline to Congress and then allowing them to create the final shape of the bills.
Could you imagine if the Pat’s coach, Bill Belichick, suggested how he hoped the offense would play the game, and them sent the offense out on the field to play for the entire game with only that general outline?
Chaos.
It is the end of August and we still don’t know what is in either the House or Senate bills.
But that did not happen with the financial bailout bills in February. Obama and his administration crafted the policy and the bills and ram rodded them through Congress. If he had not, we would still be in the depths of the recession we were in February, and still be without a rescue bill.
When Obama comes back from vacation he has approximately a month to take the lead as he did with the financial bail out.
He needs to do the kind of arm twisting that LBJ did to get Medicare through a recalcitrant Congress; he needs to make deals with the blue dog democrats, but he must also remind them that, after all, they ARE democrats, and their final loyalty is to their party.
Obama right now needs to go big and bold.
He needs to say that extending Medicare with Part D to all those without health insurance and eventually to all Americans by 2014 is the American way of providing universal health care.
Socialism you say?
Tell that to your conservative, Republican father, mother, grandfather, grandmother AND to me.
We hardly think of it as socialism.
We paid in; we are simply getting it back out.
(Sure, there may be an accounting shell game with the pay out, but this shell game goes back to before Christ; one generation has always paid for the one older.)
As a previously overpaid Mainer, I paid in more than I am likely to get back, but I hardly care since part of that goes to another, maybe even another Mainer.
If I paid that into the plate at church for the work of the church, and if part of it went to another family, would that be socialism?
Or if a small part were returned to me when I was unable to work, would that be socialism?
Nope, it would just be the way Mainers take care of each other.
So, show me how Medicare is “socialism.”
And if you can, have your conservative Republican grandmother sit down and tell her that she should refuse her Medicare health insurance (and return her Social Security income payments) because if she doesn’t, she is benefiting from socialism. (BTW, to confuse the issue, 70% of seniors think Medicare is a privately run benefit.)
Oh, and, if your grandmother or great-grandmother lived through the depression, she probably wept when Roosevelt died because he and his policies probably put food on her table and maybe gave a job to her husband or children.
Socialism is in the eye of the beholder.
My rock solid Republican grandmother, Mable Waldron Hayward, wept uncontrollably when Roosevelt died. She owned and lost her female owned Portland feed and grain store in the depression, and the President’s “socialist” programs helped to retrain her husband and her brother.
In fact, Medicare is probably the one US government program besides the Interstate highway system that works the way it should.
Admittedly, now I have a variant of Medicare, a Medicare Advantage Plan which I believe is the Medicare of the future (admittedly, with a sharply reduced pay out to the carrier companies), but vanilla-flavored Medicare worked just fine for me too.
Is there fraud in Medicare? Sure there is, but it is not coming from within the governmental body that administers Medicare. It is coming from the greedy doctors and medical supply houses that overcharge Medicare, and most often, they are caught by computer programs.
There is also fraud in private health insurance, but typically of the very same kind both from within and from without.
Sure, Medicare is currently is under-funded, and that is why doctors and hospitals don’t like it; but if everyone were on Medicare, including the 47 million without any health insurance, (124,000 in Maine in 2006), then there would no longer be any write-offs for unpaid emergency room and hospital visits or doctors visits.
Simply put, doctor’s and hospital’s uncollectible receivables would drop to zero. Additionally, the Government would be able to negotiate reasonable brand name drug prices with the Pharms and we would have the low prices that exist in Canada and Europe.
How many Americans want a national health care system?
How willing are people to have the US Government extend Medicare to all?
A CNN poll in May 2007 found that 64% agreed with the question, “Do you think the government should provide a national health insurance program for all Americans, even if this would require higher taxes.”
A December 2007 Yahoo/Associated Press poll found that 68% of respondents approved a single payer “program like Medicare that is run by the government and financed by taxpayers.”
A January 2009 Grove Insight poll indicated that 60% of Americans prefer expanding Medicare over a private alternative.
And how satisfied are those with Medicare/Medicare compared with those with private insurance or HMOs? From the Grove Insight poll, the favorable/unfavorable ratings are:
Medicaid: 44% favorable, 15% unfavorable
Medicare: 41% favorable, 20% unfavorable
HMOs: 36% favorable, 32% unfavorable
Private insurance: 29% favorable, 38% unfavorable
And why, from a dollars and cents point of view, should Obama push this?
From the LA Times:
“By almost every measure, Medicare is cheaper and more effective than private plans, according to government and academic research. Medicare spends 2% on overhead; private insurers typically spend 25% to 27% for overhead and profit.”
Big and Bold
Obama needs to go Big and Bold on health care. He campaigned on being a compromiser, about reaching across the aisle, but his outreached hand has been bitten too many time with zero votes coming from the Republicans for his financial restructuring plans.
Big and Bold
This must be Obama’s own plan. On return from vacation Obama must take the reigns and clear up the confusion. He must announce assuredly that we already have Medicare, that it works, and that it will be the public option.
Harry and Louise are already calling for health care reform; Obama simply needs to do what he has not do to date and act like a leader.
This time the truth can prevail over fear mongering by the special interest groups.
Big and Bold
Franklin Delano Roosevelt went big and bold in 1935 with the passage of the Social Security legislation.
Lyndon Baines Johnson went big and bold in 1965 when he signed the Medicare legislation.
Obama has one chance to do it, and that chance is NOW.
And when he announces it, we, who have been strangely silent through this disgusting month of August, must loudly make our voices head that this course of action is right, that universal health care is a right of all.
This President was NOT elected on our silence and this program WILL go down if we REMAIN silent.
Shall we be the silent majority that allowed Universal Health Care to die?
Our founding fathers were clever and Big and Bold men.
Our founding fathers did not compromise on Liberty and the Bill of Rights. In my humble opinion, included in those rights if written today would be access to universal health care without the likelihood that by doing so would cause one to go into bankruptcy.
Obama cannot compromise on health care with a public option, even if that means he will be a one term President.
He has one chance to get it right.
Peter B. Hayward
A Maine Armchair Philosopher™
Copyright © 2009 Peter B. Hayward. All Rights Reserved
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