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Posts Tagged ‘Health Care Reform’

Do We Want Health Care or Not?

So, my friends, what were we thinking? Did we really think that extending health care coverage to all Americans would be easy? Did we really believe that those who reap g’zillions of bucks from our ‘health’ (read: ‘sick’) care system were going to give it all up without a fight?

Of course those who benefit from the status quo are attacking the Public Option. Of course they are falsely claiming that Medicare reimbursement for end-of-life discussions are “death panels”. Of course they are disrupting town hall forums – some even carrying firearms. It’s not an element of reform they oppose; it’s reform itself.

The special interests and protectors of the status quo acted worse when America was on the brink of passing Civil Rights and Voting Rights legislation. They spread lies and fear when America was contemplating women’s suffrage too.

Maybe it’s us, and not opponents of reform, who have failed to grasp the magnitude of this moment. We are on the verge of bringing about health care reform 60 years in waiting. Yes, we’re going to have to fight for it. I worry that a little rough stuff has discouraged some progressives.

As Frederick Douglass famously said, “Power concedes nothing without a demand. It never did and never will.” It’s easy to figure out who the “Power” is. The 10 largest health insurers took in $13 billion in 2007 with CEOs earning an average $12 million a year, according to Health Care for America Now.

Health Care Reform, Time to Go All In

It is time to go all in to support comprehensive health care reform. The stakes have gotten prohibitive. Republicans have essentially bet the House on it. Obama, for all intents and purposes, has wagered the White House agenda. The insurance and drug companies are pouring in dough.

This month will be telling. The debate in congressional districts across the country in August will go far in determining what kind of reform we get, or whether we get any reform at all.

The opposition — well financed by the insurance and drug companies and by the rabid right — is mobilizing now to stop reform.

The insurance and drug companies have sought to dilute reform on the inside the process while helping to fund front groups trying to torpedo it on the outside.

Their tactic this August is clear. Run Astroturf campaigns and mobilize the zealots to disrupt congressional town hall meetings, spew anger and invective against the “government takeover” of health care that will “kill your grandmother.” Intimidate legislators, cow decent citizens, sow fear and confusion.

Legislators learn that if they vote to disembowel reform they’ll be amply rewarded with campaign contributions. If they vote to support it, they’ll face the fury of the wingnuts and the Astroturf activists. Cynical but effective politics. (For a fact check on the big lies, go to the Campaign for America’s Future page here)

Every American has a direct stake in this debate. Every citizen faced with soaring health care bills, every one of the 14,000 who lose their health insurance each day, every one of the millions frozen in jobs for fear of losing health insurance, every family that faces bankruptcy because someone got sick, every one denied coverage or cut off of coverage because he or she fell sick, every parent losing sleep over a child entering the workforce without insurance, every senior gouged by unconscionable prescription drug prices, every worker who simply can’t afford adequate coverage for her or his family.

If the insurance industry and the Republican right manage once more to frustrate reform, all of us will pay part of the price.

Not Everything in America Has to Make a Profit

How about this for a New Rule: Not everything in America has to make a profit. It used to be that there were some services and institutions so vital to our nation that they were exempt from market pressures. Some things we just didn’t do for money. The United States always defined capitalism, but it didn’t used to define us. But now it’s becoming all that we are.

Did you know, for example, that there was a time when being called a “war profiteer” was a bad thing? But now our war zones are dominated by private contractors and mercenaries who work for corporations. There are more private contractors in Iraq than American troops, and we pay them generous salaries to do jobs the troops used to do for themselves ­– like laundry.

Prisons used to be a non-profit business, too. And for good reason –­ who the hell wants to own a prison? By definition you’re going to have trouble with the tenants. But now prisons are big business. A company called the Corrections Corporation of America is on the New York Stock Exchange, which is convenient since that’s where all the real crime is happening anyway.

The CCA and similar corporations actually lobby Congress for stiffer sentencing laws so they can lock more people up and make more money. That’s why America has the world;s largest prison population ­– because actually rehabilitating people would have a negative impact on the bottom line.

And finally, there’s health care. It wasn’t that long ago that when a kid broke his leg playing stickball, his parents took him to the local Catholic hospital, the nun put a thermometer in his mouth, the doctor slapped some plaster on his ankle and you were done. The bill was $1.50, plus you got to keep the thermometer.

But like everything else that’s good and noble in life, some Wall Street wizard decided that hospitals could be big business, so now they’re run by some bean counters in a corporate plaza in Charlotte. In the U.S. today, three giant for-profit conglomerates own close to 600 hospitals and other health care facilities. They’re not hospitals anymore; they’re Jiffy Lubes with bedpans.

America’s largest hospital chain, HCA, was founded by the family of Bill Frist, who perfectly represents the Republican attitude toward health care: it’s not a right, it’s a racket. The more people who get sick and need medicine, the higher their profit margins. Which is why they’re always pushing the Jell-O.

Because medicine is now for-profit we have things like “recision,” where insurance companies hire people to figure out ways to deny you coverage when you get sick, even though you’ve been paying into your plan for years.

When did the profit motive become the only reason to do anything? When did that become the new patriotism? Ask not what you could do for your country, ask what’s in it for Blue Cross/Blue Shield.

If conservatives get to call universal health care “socialized medicine,” I get to call private health care “soulless vampires making money off human pain.” The problem with President Obama’s health care plan isn’t socialism, it’s capitalism.

Follow the Money in Health Care Debate

Congress appears ready to confront one of the nation’s most contentious issues — health care reform — and arguments will fill the air in the coming months.

Much of the discussion so far has focused on President Obama’s proposal for a government-sponsored health plan that he says will reduce costs. Insurers and doctors argue it will limit patient choice. Drug companies warn that the quality of care could be compromised.

Roughly $2.5 trillion is at stake, the amount the nation spends each year on health care, nearly a fifth of the American economy.

How that money is divided up — or prevented from rising at its current pace — is at the center of the debate. Many doctors, insurance companies and drug companies say they fear that their revenues could shrink significantly and patient care could be threatened.

As Congress gets closer to finalizing any legislation, the opinions of the many stakeholders are likely to become more strident and self-interested.