Crawling Out of Health Care Hell

Our current health care mess is more a political debacle than a substantial challenge to the intellect when it comes to solvency.

Morally?

We can do better by providing excellent health care to all Americans while lowering the overall cost, though it may slightly burden the wealthy and middle-class folks in order to reach the prize of truly affordable health care for all.

U.S. Ranks Second to Last in Child Poverty

In the 90’s I taught at a local community college and one of my students – who was abused as a child and neither fully-supported nor fully-educated – struggled her entire life with health issues, racking up hundreds of thousands of tax-payer-swallowed medical bills over the course of her too-short life.

Multiply this situation by millions – many citizens are now hooked on opiates – and one can see how this particular demographic could force a single-payer Medicare expansion into near-future reality.

The benefits of a healthy society are astounding.

The elephant in the room:  personal responsibility.
But we’re a capitalistic society and the dollar reigns supreme.

Furthermore, the concept of personal responsibility never gets addressed.  That fact coupled with the current opioid epidemic begs the question:

Is the practice of medicine really about health?

Source

While I was researching this article, it was obvious that
the “facts” coming from sites linked – in one way or another – to private insurance companies were quite different from those emanating from neutral sources.

The insurance-linked information sites apprised the cost at $32 trillion while the neutral sites announced it would actually lower costs.  The truth often lies at the midpoint, a hefty sum indeed.  But our current direction, and the soon-to-be-announced Obamacare Lite  are simply untenable.

Limiting Congressional health-care benefits to their own
plan for the rest of us
would be a start. But don’t expect a sitting Congressman to write that bill. And now Republicans are replicating the major mistake Obama committed in his first term, which was to push a secret backroom inviable bill into law while briefly holding the majority and babbling they’d better pass it first so “you can see what’s in it” later.

Hello?

Fast forward to today and it turns out that the ACA is actually a step above what the current Trumpcare plan offers the truly needy, a plan that boils down to “the rich get richer”.

Imagine that.

An alternate path – leading away from the debacle of Obamacare/ Trumpcare – is fairly simple and workable: expand Medicare using a single payer plan while dropping Medicaid altogether.

Drew Richardson, a columnist for The News Leader explains the concept: 

“So what is single-payer health care? Essentially it involves expanding the present Medicare system to cover everyone and eliminating private insurance (with the claimed accompanying savings of hundreds of billions of dollars). 

"Additional features would include the absence of means testing, no concern for pre-existing conditions, the restoration of independent doctors and hospitals who negotiate with Medicare and would be chosen freely by consumers and one public agency processing and paying bills.

“Because it would be unneeded with this system in place, the present Medicaid program for the indigent and its associated administrative costs would be eliminated. Proponents suggest that costs could be contained and quality maintained through more efficient review by the single insurer. Costs would be financed through a progressive income tax.”

Sounds good, aye? Well, unless you’re a millionaire and break in to a cold sweat at the clause “costs would be financed through a progressive income tax”.

Like me, you’re probably reading between the lines here.  When “eliminating private insurance” pops out, one’s mind – if the slightest bit of pragmatism is embedded there – questions the odds of cash actually drying up in the UnitedHealth, Kaiser, Humana, Aetna, and Cigna Rivers.

That’s doubtful.  Why?

According to the non-partisan, independent, and non-profit Center for Responsive Politics:

“In the 2012 election cycle, the insurance industry contributed a record $58.7 million to federal parties and candidates as well as outside spending groups. Of the nearly $55 million that went to parties and candidates, 68 percent went to Republicans, who have long been the recipients of most of this category's giving.”

Imagine that.

Admittedly, private insurance companies may suffer at first with a single-payer plan, but people with cash would buy supplemental insurance beyond Medicare basics and sustain the industry;  jobs would shift to government positions aimed at administrating the new system and would therefore mitigate unemployment.

With the GOP in power, we’ll likely get Obamacare Light if they can scrape up the Senate votes, which fattens the coffers of the already-wealthy while neglecting the truly needy.

However, the worm may turn in 2018, and if a new Congress actually functions, we’ll be able to bring down costs and increase quality with a single-payer Medicare expansion while simultaneously closing the income gap.

Source

The average citizen thinks the U.S. should turn to Medicare expansion: 58% back the idea, as well as most physicians.

A moral victory, indeed, if we hang tough and remain vigilant a few months while champagne flows from above and the neglected search for cake in the green dumpster marked US HEALTHCARE.

The Two-Tailed American Taliban

The polarization of America continues at a rapid pace, but we weren’t always at each other’s throats.

Following WWII, soldiers of both political parties returned home to marry, buy homes, spawn babies, and pursue careers. My great uncle William Plum grew up dirt poor in Minnesota where his large family regularly snared deer and headshot rabbits to survive the Great Depression before losing their farm.

Uncle Bill joined the Navy after Pearl Harbor, reached officer status, and returned to take advantage of the G.I. Bill and earned a Ph.D. in physics – at the University of Missouri – before joining the fledgling NASA program. Showing promise, he was assigned to the team building the lunar rover. Here’s a picture of Astronaut Charles Duke standing next to Plum Crater with the lunar rover and earth in the background.

Plum Crater
Plum Crater

I have no idea of Uncle Bill’s political leanings. It doesn’t matter; we’re proud of him.

***

Soldiers returning from battle worked together and built America into the greatest nation in history.

They socialized, drank, attended church together, and cared for each other’s families.

Republican Hillary Rhodhams married Democrat Bill Clintons, Donkeys hooked up with Elephants, and thought little of political boundaries.

There were setbacks (The Cold War, McCarthyism), but centrist America held firm.

Soldiers covered each other’s six during the war; they realized the value of compromise.

Republicans backed LBJ and pushed the Civil Rights Act of 1965 into law despite little help from the Democrats, who later voted in large numbers for George Wallace, though he represented the American Independent Party.  Reagan Democrats shoehorned The Gipper into the Oval Office.

Fast forward to 2017.

Congress is totally dysfunctional – each side refusing to employ compromise and address the growing needs of its representative constituency – while the majority of voters remain solidly in the middle, holding fast to traditional values.

The far right / far left have morphed into close-minded self-aggrandized (nearly) identical twins of dysfunction … forming a virtual rope of the proverbial dog’s tail, now shaking the whole animal into paralysis.

These combined extremes embody The Two-Tailed American Taliban.

The far left became fascistic by embracing extreme political correctness and by ripping down statues devoted to American history. For example, Charlottesville is about to spend $300,000 to destroy Robert E. Lee’s statue.

I can already hear the bitching: Lee led the pro-slavery South!

True.

But here are other facts about Robert E. Lee you may not know.

First, he was offered the Generalship of the Army of the Potomac by Abraham Lincoln because he was a faithful Federal officer, the best in the land.

After wringing his hands for a few days, Lee concluded he could not destroy his native state. Then he worked his way up to leadership of The Army of Virginia with brains and audacity on the field. He treated everyone – black and white alike – with respect. There is a case to be made that Lee was to Davis what Rommel was to Hitler.

Secondly, he exhibited grace and forgiveness after the war. “Before and during the War Between the States I was a Virginian. After the war I became an American“.

Richmond’s St. Paul’s Episcopal Church was the only religious institution left standing in the Capital of the Confederacy following the national conflagration. One Sunday at the beginning of peace, Lee sat in the pews at the end of a service, waiting for communion.

At that moment the large double doors flung open and a black vagrant appeared in the portal. When the man walked to the front and kneeled at the altar, an audible gasp filled the room.

How did Lee react?

He stood up, let his reputation be damned, walked to the altar, knelt, then prayed beside the freed Negro shoulder-to-shoulder, announcing to the world its need for grace and forgiveness.

This is the man whose statue needs to be ripped asunder?

The latest far-left craze is to shell out what would amount to billions of dollars in reparations to the descendants of black slaves. Not indentured servants. Not yellow slaves. Certainly not the race of millions already living in North America who were cut from their mother’s wombs, crammed into concentration camps — an Andrew Jackson invention — death-marched to Oklahoma, systematically annihilated or liquored into submission.

Never-mind the descendents of 600,000 Union soldiers who fought to end slavery.  My relatives Michael and Jonathan Batdorf from Neponset, Illinois ended up in Andersonville after their capture at the battle of Lookout Mountain. Michael’s grave marker is #4618. Thirty-thousand-one-hundred-ninety-two Union soldiers died inside Confederate prisons during the war.

They don’t count.

Similarly, far-right-wing-alt-conservative-nationalists don blinders.

For example, our local state representative panders to Bible thumpers and gun enthusiasts. The remainder of his constituents count for nothing.

Micah Van Huss’s idea of legislation is allowing parents to carry guns to soccer games, defunding diversity grants, establishing the Bible as the Official State Book, granting college students the right to pull pistols on campus, and allowing the ownership of pet skunks.

One cannot make this stuff up. Look for yourself.

Furthermore, modern American far-right-wingers want to eradicate public education, ignore climate change, openly grab women’s genitals and toss pregnant women back into back alley coat hanger abortions.

They want to send hard-working tax-paying Catholic conservative Hispanics back to Mexico after dumping American corn on their market, stealing their agricultural livelihood, and forcing them to migrate to keep their families alive.

Modern far right-wingers want to imprison millions – mostly black males – for using street drugs … while simultaneously chomping opiates … and renaming the WAR ON DRUGS … now that it’s a white problem … “a terrible disease”.

Therefore it is incumbent upon the majority – those of us still banking on commonsense and unity of purpose – to ignore this vicious intertwined tail, bob it, or outvote it.

Voting in large numbers — and bringing our majority to bear — is the only practical choice.

Extremists of both colors appear deaf to fact and blind to logic and run almost entirely on emotion and news slanted to their personal preference.

Historically speaking, the last war the US fought over minority power took more lives than all other US wars put together — until the middle of the Vietnam War.

The majority of sensible Americans retaining principled integrity and common purpose cannot afford one more election thrown to either extremity of the Two-Tailed American Taliban.

Voting is a chore, but it beats the hell out of Civil War.  We need to cover each other’s six once again.

Lamar Alexander: Listening with a Robotic Ear

We all knew the Betsy DeVos nomination was a done deal before the excruciating hearings confirmed our fears and made it clear she held no real experience in the arena she’ll now control.

After all, she’s a member of the billionaire class who bought her ticket the same way many in the cabinet have elbowed past the better qualified.

Listen to that swamp drain … gurgle gurgle.

Here’s my personal story.

One of our US senators, Lamar Alexander, once ran for governor and won the hearts of Tennesseans by walking across the state — from Mountain City to Memphis, over a thousand miles — wearing a red and black flannel shirt and meeting with and listening to folks along the way.

Abe Lincoln, reborn.

But now after fourteen years in Congress he replies to personal letters with pre-programmed robot mail because the office in question — secretary of education — was pre-sold to the highest bidder.

A friend of mine wrote and asked me to pen a note begging LA to rethink the DeVos nomination. So I took several hours, researched a bit, and produced a letter.

For security, I cut and pasted the letter into his website, the current way he’s receiving public mail.  The paper letter never garnered a response.

And his team was smart enough to not send their robot letter back a nano second after my personal letter hit the server.

Their response drifted back the next day. Savvy. As if they’d read it.

Anyway, it’s interesting to follow the order of events. Here they are: the original letter, the robot response, and my follow up at the end. Let’s set this down for posterity, as Lamar Alexander’s legacy rides upon the way our government is behaving at the moment.

***

Dear Senator Lamar Alexander,

My favorite American, Ben Franklin, perhaps the most inventive and prescient of us all, made it clear that he trusted neither the elite, nor the rabble. [1]

You, sir, sit in control of present day American history. With your influence and pen, you may turn a pillar of America freedom – public education – into a pile of desecrated ash.

Or, you may preserve a way of life that has successfully blended the melting pot into the powerhouse of capitalism, prosperity, and equal opportunity known as America, a richly diverse mix of blood, religion, creed, and ambition – all imbued with a love for family and civic pride that sweeps the nation while transcending political parties and narrow ideology.

Ben Franklin Jr High 9th Grade 1955-1956

The egalitarian principle upon which we’ve built our culture – that all people are equal and deserve equal rights and equal opportunities – already cost us the inestimable blood-soaked trauma of the most horrific of all wars, a war where only Americans perished, a war that came to a head at a wall on Missionary Ridge.

And yet, we sit looking on while another wall is erected, a wall pitting the resources of the private education scheme against traditional melting-pot public schools in a land already seething with a discontent for the unending privileges of few at the expense of many.

Senator Alexander, Betsy DeVos is unqualified to serve as the Secretary of Education for three reasons. First, she is a member of the billionaire class who has never worked in a public school, has never earned a degree in education, and never saw her children attend a public school. Experience? Zero.

Second, Betsy DeVos advocates “school choice” privatization schemes. When schools become business-driven for-profit entities mainly rewarding stockholders, they’ll immediately drain resources from public schools, which will wither and become “alternative schools” or in other words, a well-oiled feeder system for the burgeoning for-profit prison system even more than the outrageous present – where 40% of our prison population is comprised of a single racial group equaling only 13% of the general population. [2]

Which rewards for-profit prison stockholders.

prison stock graph

The vicious cash-churning cycle may buy yachts and classy real estate for a few, but it certainly poisons millions of youth while darkening our moral landscape to the point where civil-rights-rebellions are glimpsed on the mall the day after inaugurations.

womens march npr
Read more

Lastly, Betsy DeVos is unqualified for the post because she threatens the loss of civil rights and opportunity for those who won’t be able to scale the elite-inspired walls erected by private for-profit schools.

And once schools are effectively re-segregated, the elite will be ensured a never-ending supply of government-created-Soylent-Green-cash in the form of education-deprived public school self-created “rabble” permanently excluded from the egalitarian dream of equal rights, equal opportunity.

There is precedent. [3]

Following the Civil War, lawmen in the South rounded up black “vagrants” and funneled them through the penal system and instantly regenerated the once-lost-now-found system of slavery-by-another-name. Incarceration.

So the choice is yours. Ben Franklin’s history is set. Yours is about to be written.

The future of the nation depends upon your decision. May God guide your hand in egalitarian Christian [4] love for those whose destiny will be determined by that act.

Respectfully yours,
Michael “Gene” Scott

____________________________

[1] Walter Isaacson, Benjamin Franklin, An American Life, (Simon and Schuster: 2003), p. 112.

[2] Breaking Down Mass Incarceration in the 2010 Census: State-by-State Incarceration Rates by Race/Ethnicity, https://www.prisonpolicy.org/reports/rates.html

[3] T.R. Fehrenbach, Lone Star: A History of Texas, And the Texans, p. 629.

[4] Christian egalitarianism (derived from the French word égal, meaning equal or level), also known as biblical equality, is a Christian form of egalitarianism. It holds that all human persons are created equally in God’s sight—equal in fundamental worth and moral status.

***

Senator Lamar Alexander’s Robot Letter Response

Dear Mr. Scott,

Thanks very much for getting in touch with me and letting me know what’s on your mind regarding President Trump’s selection of Betsy DeVos to become the next Secretary of Education.

Betsy DeVos is an excellent choice. The Senate’s education committee will move swiftly in January to consider her nomination. Betsy has worked for years to improve educational opportunities for all children. As Secretary, she will be able to implement the Every Student Succeeds Act, the new law fixing No Child Left Behind, just as Congress wrote it, reversing the trend to a national school board and restoring to states, governors, school boards, teachers, and parents greater responsibility for improving education in their local communities. Under the new law, the federal government may not mandate or incentivize states to adopt any particular standards, including Common Core.

I also look forward to working with her on the upcoming reauthorization of the Higher Education Act, giving us an opportunity to clear out the jungle of red tape that makes it more difficult for students to obtain financial aid and for administrators to manage America’s 6,000 colleges and universities.

Improving our schools has been one of my top priorities in public service, both as a U.S. Senator and during my earlier service as governor, president of the University of Tennessee, and U.S. Secretary of Education. Better schools mean better jobs, which is why I have worked to support states and school districts in improving education so that our students have the tools they need for success.

We are unleashing a new era of innovation and excellence in student achievement—one that recognizes that the path to higher standards, better teaching and real accountability is classroom by classroom, community by community, and state by state—and not through Washington, D.C. I appreciate your taking the time to let me know where you stand. I’ll be sure to keep your comments in mind as this issue is discussed and debated in Washington and in Tennessee.

Sincerely,

Lamar
LA/BM
***

Thanks, Lamar. You’ve effectively trampled American-forged melting pot education with your Almighty Buck boots while sporting an old flannel shirt turned inside out.

Your legacy is now set in cement for those future Americans who can afford to read it.

 

http://www.startribune.com/sack-cartoon-betsy-devos-confirmed/413094453/
Cartoon by Steve Stack


An Open Letter to Lamar Alexander Concerning the Betsy DeVoss Nomination

Dear Senator Lamar Alexander,

My favorite American, Ben Franklin, perhaps the most inventive and prescient of us all, made it clear that he trusted neither the elite, nor the rabble. [1]

You, sir, sit in control of present day American history. With your influence and pen, you may turn a pillar of America freedom – public education – into a pile of desecrated ash.

Or, you may preserve a way of life that has successfully blended the melting pot into the powerhouse of capitalism, prosperity, and equal opportunity known as America, a richly diverse mix of blood, religion, creed, and ambition – all imbued with a love for family and civic pride that sweeps the nation while transcending political parties and narrow ideology.

Ben Franklin Jr High 9th Grade 1955-1956

The egalitarian principle upon which we’ve built our culture – that all people are equal and deserve equal rights and equal opportunities – already cost us the inestimable blood-soaked trauma of the most horrific of all wars, a war where only Americans perished, a war that came to a head at a wall on Missionary Ridge.

And yet, we sit looking on while another wall is erected, a wall pitting the resources of the private education scheme against traditional melting-pot public schools in a land already seething with a discontent for the unending privileges of few at the expense of many.

Senator Alexander, Betsy DeVos is unqualified to serve as the Secretary of Education for three reasons. First, she is a member of the billionaire class who has never worked in a public school, has never earned a degree in education, and never saw her children attend a public school. Experience? Zero.

Second, Betsy DeVos advocates “school choice” privatization schemes. When schools become business-driven for-profit entities mainly rewarding stockholders, they’ll immediately drain resources from public schools, which will wither and become “alternative schools” or in other words, a well-oiled feeder system for the burgeoning for-profit prison system even more than the outrageous present – where 40% of our prison population is comprised of a single racial group equaling only 13% of the general population. [2]

Which rewards for-profit prison stockholders.

prison stock graph

 

The vicious cash-churning cycle may buy yachts and classy real estate for a few, but it certainly poisons millions of youth while darkening our moral landscape to the point where civil-rights-rebellions are glimpsed on the mall the day after inaugurations.

womens march npr
Read more

 

Lastly, Betsy DeVos is unqualified for the post because she threatens the loss of civil rights and opportunity for those who won’t be able to scale the elite-inspired walls erected by private for-profit schools.

And once schools are effectively re-segregated, the elite will be ensured a never-ending supply of government-created-Soylent-Green-cash in the form of education-deprived public school self-created “rabble” permanently excluded from the egalitarian dream of equal rights, equal opportunity.

There is precedent. [3]

Following the Civil War, lawmen in the South rounded up black “vagrants” and funneled them through the penal system and instantly regenerated the once-lost-now-found system of slavery-by-another-name. Incarceration.

So the choice is yours. Ben Franklin’s history is set. Yours is about to be written.

The future of the nation depends upon your decision. May God guide your hand in egalitarian Christian [4] love for those whose destiny will be determined by that act.

Respectfully yours,
Michael “Gene” Scott

____________________________

[1] Walter Isaacson, Benjamin Franklin, An American Life, (Simon and Schuster: 2003), p. 112.

[2] Breaking Down Mass Incarceration in the 2010 Census: State-by-State Incarceration Rates by Race/Ethnicity, https://www.prisonpolicy.org/reports/rates.html

[3] T.R. Fehrenbach, Lone Star: A History of Texas, And the Texans, p. 629.

[4] Christian egalitarianism (derived from the French word égal, meaning equal or level), also known as biblical equality, is a Christian form of egalitarianism. It holds that all human persons are created equally in God’s sight—equal in fundamental worth and moral status.