OK folks, here we go. I’ve been avoiding this issue for a while, seeing what the Obama administration might make of it and how far the GOP would go to kill it, but now, with I, Rantibus slowly drawing to a close, I thought I’d better enter the fray because, quite frankly, I’m sick and tired of hearing and reading all the bulls__t.
One of the nice things about having time on your hands is that it gives you the ability to do your homework. I’ve always tried my best to provide honest, factual information in my posts, so if anyone wishes to check or contest my figures, please feel free.
First, there’s the Right Wing shibboleth that “no one in America dies for lack of health care,” to which I call bullshit! An article by Steve Stemberg in USA Today cited a 193 page report by the Institute of Medicine (the second of six proposed studies) “Care Without Coverage - Too Little, Too Late,” which examined 30 million working-age Americans whose employer does not provide them with health insurance and are also unable to qualify for governement medical care. It found that over 18,000 Americans die each year for lack of health insurance which could have provided timely diagnosis and appropriate care 18,000. (another source puts this figure at 22,000 but I can’t verify it) This figure included up to 600 women with breast cancer.
The report also pointed to the fact that uninsured sufferers of colon and breast cancer stand a 50% higher chance of dying,
A total of 37% ininsured trauma victims are likely to die due to being less likely to receive the full range of required services and care,
About 25% of adult diabetics without insurance limit their checkups to once every two years, thus risking blindness, amputations or death.
“Waiting Lists! Look at Canada and Britain! You’ll die in the ER waiting for a doctor to look at you.”
Well, I happen to be Canadian, and I can tell you from personal experience, including having been in a car accident a couple of years ago, that this, too, is BS. I also once worked as an ambulance medic and apart from Friday and Saturday nights when the ER got stacked up with drunks having fights and accidents, you aren’t going to die in the ER. Some septagenarian Senator recently stated in Congress recently that one out of five Canadians die due to our socialized system, to which lie I reply - “Show me the dead Canadians.”
It’s also axiomatic that ReThugs always leave out countries with socialized systems such as France, Germany, Japan, Brazil, Switzerland, etc. I lived off and on in France for four years and their health care service is easily the equal, in technology and care, of the US system (provided you’re ensured) and superior insofar as it is completly accessible. (And don’t give me the Lady Di argument. Princess Diana passed away because the French paramedics are required to stabilize patients before transport.) I was once working on a movie in Romania and had a stuntman injured on set. He was taken to the hospital where he went straight in - could’ve even gotten an MRI that very afternoon. There are waiting lists for certain diagnostic procedures in Canada, and for certain types of surgeries. But the main reason for this is that Canada is a nation of only 32 million people with no where near the number of hospitals as the US with a population of over 305 million. And besides - would you rather wait for two weeks for a CAT scan or MRI or not get it at all? Canadian health care is government subsidized so that everyone gets appropriate treatment and they aren’t bankrupted by the hospital like the uninsured or those whose insurance is cancelled when the HMO decides their cancer was a “pre-existing condition.” Canadian health insurance is free if you’re below a certain income level and those who have to pay, pay at rates incredibly lower than the average US citizen. There is no “pre-existing condition” nonsense since the system understands that those with pre-existing conditions are the very people who need coverage. You also get coverage through your unions. Canadians have no problem chosing who their doctor will be, and it has a defacto two-tier system. You can opt to go out of the country if you want and the government will even pick up part of the tab.
Senator James Inhofe (who, on Oct. 5th, 2005, cast the deciding ballot to vote down the Health Care for Veterans Ammendment that had passed in the House 398-19, and also voted against repealing the disabled veteran’s tax) recently proclaimed in Congress that under the Canadian system the mortality rate “is 25% higher for breast cancer, 18% higher for prostate cance, you know, they say why in the world would you emulate a system like that. This is life-threatening.” There’s one small problem with his statistics - they’re all bullshit.
Here are a few real statistics taken from a recent study by the World Health Organization. In Canada, the digestive disease deaths per 100,000 are 17.4. In the US it’s 20.5. Infant mortality rate per live birth is 5.08. In the US, it’s 6.3. Intestinal disease death rate, 0.3 - US, 7.3. Repiratory disease child death rate in Canada is 0.62. In the US, it’s 40.43. Heart disease death rate is is 94.9 to the US’s 106.5. And so on and so on… Does that sound like a system that’s allegedly killing people left and right?
There is another factor to the US HMO racket. Many Americans get driven into poverty after a serious illness especially if that illness caused them to lose their job because nobody will hire you afterwards because of the huge (in some cases, up to a million dollars) surcharge that the insurance company will extort from the company’s group health insurance plan.
Here is a fact: the 2006 per capita health care spending in the US was $6,714. In Canada, for that same year, it was $3,678. This isn’t surprising when you consider the fact that up to 60% of monies paid into HMOs go for administrative fees. Those same HMOs collectively employ around 400,000 people whose sole job it is to turn down claims. Some even give bonuses to employees who turn down the greatest number of claims. In 2007, $776 BILLION was spent on health insurance - roughly what it costs to fight the war in Iraq for one and a half years. A family with an income of $50,000 now spends 25% of that income on their family health care insurance. Health care spending in the US is now 17% of the GDP. The LA Times also ran a story in which it stated that one hospital admitted that roughly 35% of its overall profits were made on only 2% of it’s patients - the uninsured. One of the reasons ininsured people go bankrupt after nonelective surgery or catestrophic illness is that they are routinely charged at a rate approximately 3 to 5 times that of an insured person. That is usury at its most disgusting. It’s been observed that it’s not that the US has no healthcare system, its that its primarily function seems not to be delivering health care services but screwing every dime they can out of the suffering. Health care is not supposed to be about corporate profit, unless, of course, you’re a Republican.
“America has the best health care system in the world!”
Probably true - if you’re insured. If not, you may as well be in Bangladesh. Overall, the US system is rated 37th in the world. That’s not something to be proud of. The US now has fewer hosptial beds, fewer doctors and a higher infant mortality rate than it did in 1973. Huzzah! Let’s all celebrate! Don’t forget to save your gravey-soaked trenchers and table scraps for the poor… It also seems axiomatic that those who delight in making this grandeose claim have either never been out of their own country or have never had any contact with another Western 1st world nation’s health care system.
“Why would you trust the government to administer a health care plan? The government can’t do anything right!”
Well, if that were the Bush administration we were talking about, I’d have to agree. But the US now has adult leadership again. So, the Right Wing believes the government is an ineffectual, bumbling, incompetent entity? Strange, considering the number of ReThugs constantly trying to either get into it or stay. (of course, they have full insurance coverage - which YOU, the taxpayer, pay for)These are the same people who are being protected in their homes by a police and fire department, the FBI (and the armed forces and homeland security, protecting us from all those terrorists we created in Iraq by invading…) who travel to and from work either on government-made and maintained roads or in a plane whose safety is largely in the hands of the FAA, a government agency. Oh, and if you’re a disabled veteran, if the VA isn’t a prime example of socialized medicine, then I don’t know what is.
“Obam’s health care plan will increase our taxes and hurt small businesses!”
Crapola. HR 3200 would raise the taxes on one percent of the American taxpayers - the rich sh_tpokes who barely pay taxes right by a staggering 1.5% which might - might - rise to an equally staggering 3% over several years. Also, the Center fon Budget and Policy Priorities reports that only the top (ie: richest) 4% of businesses will be affected by the surcharge, and HR 3200 creates venues where small business can recover their outlays. As for “slowing down the economic recovery,” it’s consumer spending coupled with public-sector investment that revives a flagging economy. Private investment does not jump-start a spate of consumer purchasing; it follows it.
“Obama’s health care bill will outlaw private insurance!”
Bullshit.Bear with me - here’s how things work. For employer-provided health insurance that meets the requirements and stipulations of federal law, the regulations that govern this program exist under the Employment Retirement Income Security Act, ERISA. Private programs, on the other hand, are regulated under state control as mandated by the McCarran-Ferguson Act of 1945. HR 3200, the Health Care bill, simply moves regulation of private health insurance from McCarran-Ferguson to ERISA. Now, to prevent legal problems from transfering jurisdiction from Mc-Ferg to ERISA, the bill provides for all future individual insurance to be issued through a new entity, the Health Insurance Exchange. (This provision can be found beginning on page 72 of HR 3200) This also doesn’t touch either small or large-group plans. To say it outlaws private insurance tells me you either didn’t read the bill or didn’t understand it, but either way, that’s balls.
And, of course, the biggie: “A government-run health care system will be far too expensive!” That’d be news to the Congressional Budget Office. They reported recently that the Health Care bill, HR 3200″ America’s Affordable Health Care Choices Act, will be deficit-neutral for 10 years, may even produce a $6 billion surplus. Net Medicare and Medicaid savings would be approximately $465 billion. Most importantly, the bill provides comprehensive reforms for health care delivery that will lower the future growth of health care costs. It also reinvests in both Medicare and Medicaid, closing the “donut hole” in Medicare’s drug benefit and puts a potential 21% reduction in physician fee schedules, helping to put payments on a sustainable basis for the future.
The entire plan will cost around $1,042 trillion. That’s no chump change. But considering the Bushites spent at least $2 trillion to kill over 4,500 Americans and Lord knows how many hundreds of thousands of Iraqis, do you think maybe it’s time that the taxpayer’s dollar was used to save American lives for a change?
Currently, a family now pays anywhere from $400 to $500 a month with, say, a $250 deductible for an HMO plan. The government option will be about $286 a month. It wouldn’t jack up your coverage at a whim for no apparent reason, nor would it deny you due to pre-exisiting conditions.
The government-run program reduces, not increases its costs.
Then, naturally, there’s the sacred cow of Free Enterprise, which, of course, can do everything best. That, obviously, is why the government option would be anywhere from 30 to 40% cheaper than the corporate insurance paradigm, and much more comprehensive and fair. The public option plan will not make choices for you. Business owners themselves would have the discretion to buy into a Health Exchange which would contain both the private and public plans. A report from the Lewin Group (which is entirely owned by the mega-health insurance company United HealthGroup) suggested that 144 million Americans might end up leaving private insurance companies because their employers would drop it in favor of the government public option which would be far cheaper. This is the main reason HMO and private insurance lobbyists are cranking up the heat on Congressmen. Their corporate masters stand to lose tens of billions when the public option becomes available. So much for their CEO’s fifth vacation house…
The Free Market, next to the dollar, is the Republican God. But it’s not appropriate for health care. When people’s very lives are on the line, you can’t have some egregious, pelf-puffed creature like Dr. Prem Reddy,who owns 8 hosptials in Southern California, who is of the opinion that the peons “simply deserve only the ammount of health care they can afford.” (No doubt he would also be glad to let them “eat cake.”)
The problem here is that health care technologies have become so expensive that user payment is almost impossible uless you’re Bill Gates. Advocating a “free market” system for health care is a right wing ideologue fantasy since it divorces payment from cost. A rough equivalent would be if you were to fly with an airline that insisted the your individual ticket cover the entire fuel cost for the flight and a substantial portion of the overall cost of the plane. You have to have what one author defines as “risk pools,” where payment comes from the collective pool, not the individual.
In the 19th century, people who bought fire insurance for their homes had a symbol, usually a cast-iron ornament unique to the insuring company, which would be afixed to a prominent place on the front of their house. When firemen responded to a blaze, the first thing they did was check for the ornament. If they didn’t find one, there was a very good chance they’s simply pack up and let the place burn. No insurance, you see… That’s the America invisaged by private insurance companies and Dr. Reddy. The problem is that fires can spread.
Let’s try to wrap this up. The facts are that the majority of Americans (over 70%) want a single payer system. They are also willing to pay more taxes to achieve it. The majority of MDs favor a single payer system, and the American Medical Association wholeheartedly endorses it.
So why does the GOP hate it so? Why do Right Wing mavens like Bill “Always Wrong” Kristol want to, In his own words, “drive a stake through its heart and kill it.” Because it’s just a political game to them. They have their health care plans - that you paid for - and they could give a damn about you. It’s about extracting revenge on Obama for having the temerity to win a democratic election. Idiots like Senator DeMint rave about “breaking” Obama without a single thought about his uninsured onstituents. They are apparently afraid, as James Pethoukoulis at US NEWS AND WORLD REPORT once commented, “Whereas the Investor Class is more conservative than the rest of America, creating the Obamacare Class would pull America to the Left. Michael Cannon of the Cato Institute … puts it sucinctly in a recent blog quote. ‘Blocking Obama’s health care plan is key to the GOP’s survival.’” So, there you have it, folks. The Republicans, as a party, have no answers to the question of health care reform except to leave a venal, exploitive, inefficient and unacceptably expensive system in place. (this is a party, remember, that presented an alternative budget in a document that contained no numbers) They are so seething with rage that a Democrat had the temerity to win a Presidency that they now consider their right and due that they are willing to allow people to die, go bankrupt, lose their homes, etc, to extract revenge on the President. It is childish, petty and unpatriotic.
Of course, there’s also Senate Majority Leader Harry Reid, who has stated that he’s fine with no bill being voted before the August recess. Well, according to the statistics I’ve cited, here’s the math on what will happen in those three weeks.
143,250 Americans will lose their health insurance coverage.
53,507 people will file for bankruptcy becaues they can’t pay their medical bills.
1,265 people will die as a direct result of lack of health insurance.
Give him a call at 202-224-3542 and let him know that’s not “fine” with you.
At least 48 million Americans have no health insurance coverage whatsoever. That’s roughly one in every seven people. Another 25 million are underinsured and are still being bankrupted by medical costs due to ridiculously low caps set on treatments of life-threatening diseases such as cancer. The Rethugnicans think that’s alright.
Someone once asked Ghandi what he thought of American civilization. He replied “I think it would be a good idea.” What do you think?