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