Today, President Obama and some other Smiley Gladhands will sit around and pretend to get something done.
This is not a shot at Obama as much as it is a shot at the “health summit” that is taking place today. Basically, with the whole thing being broadcast on television, it is doubtful that anyone — Democrat or Republican — will step up and push for something novel. Repubs think they are being set-up; Demos are trying to prove that their counterparts are not interested in health care. It is as predictable as the sun rising in the east (well, unless you are at the North Pole; or the South Pole for that matter) and Kim Yu-na winning the gold tonight (so why bother watching).
But what will happen is a continuing trend, one that according to a Kaiser poll suggest that U.S.ians see clearly. According to that poll, 59 percent of U.S.ians believe that party politics are being played at the expense of getting shit done. Additionally, 58 percent of people would be either “angry” or “disappointed” if Congress stopped attempting to reform health care. Of those people, most (68 percent) would blame both Repubs and Demos equally!
Point? People want reform in health care. What is interesting is according to this poll, the numbers are split between support and opposition (43 percent for each); although there are more who strongly oppose (32 percent) than strongly support (24 percent). Predictably, looking at party lines produces familiar results.
Of the top five reasons why people support legislation, three of the top five are related to actual reform (number one is extending health care to those who cannot access it or afford it). Of the reasons why people oppose it, only one is directly related to reform (as in they are not going “far enough in expanding coverage or controlling cost”).
Here is the point. People want reform but do not believe that it will happen or that the government is not going about it the proper way. And I agree completely.
Among friends, including those who are against nationalized health care, I have stated that the method (and speed) that Congress has attempted to “change” health care in the United States is doomed to fail. Reform is necessary, but it is being brought about the wrong way.
Additionally, both sides of the government (Demos and Repubs) are playing politics rather than getting anything done. They are more concerned about their own necks and position of power rather than looking out for their constituencies. Anyone who campaigns simply on the fact that they do not support the health care bill, even if it is not adequate, is only attempting to use that to prop themselves up.
Of course I am not claiming they need to support a bill that is flawed. But few, if any, are offering any counters to the bill. Just “vote for me; I did not support the health bill.” It is not any different than Gladhands claiming “vote for me; I am not Bush,” or even “I did not support the stimulus bill.” Offer solutions rather than typical political rhetoric!!!
Here is the issue with health care; it is in the hand of companies. In a capitalist system, the point of any company is to make money! Cut costs and raise revenue in order to maximize profits. So (health) insurance companies are more interested in their bottom line and remaining in the black rather than covering people. Health insurance, and by extension “health,” is a commodity to be bought and sold and thus a profit can be made.
For all the people who worry about so-called “death panels” and government approval (or disapproval) being made on health decisions, insurance companies already do the same thing! Deciding not to cover pre-existing conditions or not to cover a procedure because it was deemed not necessary or you went to a non-affiliated doctor is what these companies already do. Reform is needed.
Additionally, frivolous lawsuits need to be addressed, not just in relation to the health care “industry” but throughout U.S. society. Protection from lawsuits is one reason why health costs are so high. Granted, there are many doctors who botch surgeries or are addicted to meds that they drive up costs themselves. But doctors and health care professionals need to be protected from frivolous lawsuits. This would bring down some costs.
Furthermore, there has been a lot of wrangling over uninsured U.S.ians. The number fluctuates depending on which political party or talker is citing the figures. Some point out that the high numbers are inflated by undocumented immigrants milking the system, people choosing not to carry insurance, or people who would qualify for Medicaid but choose not to use it.
But the larger issue (and related to reform rather than expanding coverage) is not uninsured people but underinsured U.S.ians. According to a report by the Commonwealth Fund, in 2007 there were over 25 million U.S.ians who have health insurance that does not adequately cover costs. This means that they are left paying the gap, leading some to bankruptcy.
This is where the greatest strain in the U.S. health care system exists. When people cannot pay their health bills, the burden is often shifted to others. And while the number of underinsured people is from 2007, that represents a 60 percent increase from 2003. With the economy affecting everyone, this number likely increased as more people “downsized” their coverage to a more affordable, but inadequate, plan.
So can government-run health care solve all of the problems? Not completely. There will still be gaps and issues beyond the cost (if people want to bitch about the cost of health care, it would still be cheaper than fighting two wars!). Nevertheless, companies are making money off of people’s health! The allowance of this scheme is abominable!
In a capitalist society, the government’s role is to provide services that are socially necessary but not necessarily profitable. Thus, health care is a social necessity and should, in some form, be in the hands of the government. Allowance for people to purchase private insurance or pay for services themselves should exist, as it does in other countries with nationalized health care.
The first emergence of expanded social services from the government occurred during the depression of the 1930s. Before this time, there was little government regulation beyond things such as subsidized railroads. It was Reagan and others some 50 years later who attempted to dismantle the so-called “welfare state.” It made sense, the U.S. was prospering.
But we face another economic catastrophe and the time for health care reform is now. However, the United States is far too large to have a sweeping, nationalized health care system. Some states need more services than others. Here is where the U.S. can take a cue from India.
India, another federal state, places the onus on the individual states to provide adequate health care for its citizens. This is important due to the number of people living in India, the world’s second most populous country. While there are mixed results (with many Indian states in the south having comparatively more success than northern states), the U.S. can take a cue from India. Government-sponsored health care needs to be more localized, at least down to the state scale, rather than at the national scale. States know more about what they need and can control it more. What Alabama needs is likely completely different than Massachusetts.
The point of all of this is that reform is necessary and an option to enter into state-sponsored health care needs to be on the table for U.S.ians. If the government is to be involved, it needs to be state governments and not the federal government. But as things stand now, insurances companies will continue to make a profit off of something that should not be commodified.
People are angry and want reform. But politicians will continue to do the only thing they have ever known — blame the other party and continue to play partisan politics. Meanwhile, their constituencies are beginning to realize that politicians, many funded by insurance companies, are the ones to blame for the failure to pass reform regardless of their party affiliation.
People are angry! But, many seem unwilling to actually step up and challenge not just the health care industry in the U.S., but also the two-party system in this country that continues to filibuster the people they are supposed to be serving.











