Health Care is a Right

Whatever happens to Obamacare it will be a success.

Obamacare has planted the seed that health care is a right.  That is a seed that will grow and that all politicians will have to support.

So we lost. Stay the course.

The voters have spoken. They've made it clear they are angry and are more interested in punishing someone rather than understanding the issues.

The president inherited the worst economy in decades and voters blame him and Democrats for not fixing it in 2 years. Do they really believe if it were at all in the president's power or Democrat's power to turn the economy around they wouldn't have done it? Instead, voters decided to give control back to the party that led us into this mess. Remember, Republicans and the Tea Party only got serious about budget deficits when it became a good way to attack the president.

Back in the early days of the last presidential campaign, before the economy tanked, I had a letter published in the local paper explaining to Senator McCain that you can't really cut taxes when you are running a deficit as he promised to do if elected. You can't really cut taxes when you are running a deficit, you are just deferring payment until some time in the future. Your tax reduction plus interest will be paid by someone later. Where were the Tea Partiers back then?

Were voters watching while the Republicans did everything to block the president for the last 2 years? Where were all the great ideas from Republicans to turn the economy around? Republicans didn't have any ideas or at least not any they would make public. By the way, if they had or have any great ideas, why didn't they offer them when they did have power in the first six years of the Bush administration?

Republicans have had no incentive to help make the economy better. If they had worked with Democrat's the past two years to make the economy better and they were successful, would Republicans have made such large gains in this week's election? Not likely.

Republicans have no incentive to help make the economy better over the next two years. They rightly believe that if the economy stays bad for the next two years, President Obama will be a one term president. Pay attention over the next two years. Are Republicans trying to help or just stalling for two more years?

The Republicans goals for the past two years have been to make things look as bad as they could and they lied whenever they needed. Remember death panels? A total lie. And either Republicans knew it was a lie or they are just stupid. Would you really vote for someone that stupid?

Republicans railed against the bail out of banks, automobile companies and the stimulus bill. A large number of voters believed the bail out was Obama's. Of course the bailout was passed under President Bush. People are crying about losing jobs, especially good paying manufacturing jobs. How much worse would the economy be if we had lost the automobile industry? Republicans act like helping the automobile companies was complete folly. Why?

All we hear from Republicans is how worthless the stimulus bill was. Of course economist tell a different story. And most people are unaware that many Republicans actively worked to get stimulus money to their states or districts. They never said it out loud, but there is a paper trail of letters they wrote asking for money and saying how many jobs that money would generate. We are not talking about a few Republicans. We are talking about dozens and dozens. The list is very long. The stimulus bill generated or saved millions of jobs. Republicans have been lying about it for political gain.

Republicans brag that they stopped “cap and trade”. Of course, many of these Republicans were for cap and trade until it became politically advantageous to be against it. We need to address global warming. It is real. The Department of Defense identified global warming as a national security threat years ago.

The Republican goal for the next two years will be to look like they are doing something, but hoping Democrat's will block them so they can get even more power in 2012. Be are smart voter. Pay attention. Whenever either party obstructs or is uncooperative, are they doing it for principle or political gain? Voters want jobs. Let us see who is working to make jobs and help the economy and who is not.

Republicans are saying the the President and Democrats need to heed the election results and cave into all Republican ideas. Do you remember the Republicans acknowledging the election the President and Democrat's won in 2008? Did they cooperate with the new president even a little? Not hardly. Hell, many of them still won't admit he is the president.

President Obama is too smart to think that Republicans will do anything that will make him look better. It is not in their self interests.

Republicans act like the entire country is behind them. But there are millions of people who want the president to stand up for his and our principles. We should stay true to our beliefs. If we lose again in 2012 so be it. I would rather lose defending my principles than lose trying to work with a party that has no incentive to cooperate.

Pop-Top Health Care

Health care reform took another step forward last night with the passage of a bill in the House.

I don't know if we will ever get a bill or if it will cost a lot of money or if it will accomplish what I hope needs to be done. I hope it passes, but I don't have a lot of hope. If a bill passes and becomes law, flawed as it will be, at least we will have a framework which future generations can build on. Assuming they have more guts and foresight than current and previous generations.

Personally, I believe a single payer, government run system would be better, but we are not good at legislating big, contentious issues like health care. Isn't that a good reason for government to stay out of health care? Yes, except everyday we live with evidence that the alternative is worse.

I try to listen to lots of different ideas so I was interested in listening to stories about health care systems in other countries. Contrary to what you often hear, I think most people in these countries are satisfied with their health care systems. I heard about one country on NPR (National Public Radio, if you don't listen to it, you should) where you can call and talk to health care professionals day or night, and if your condition warrants it and you can't come in, they will send a doctor to make a house call. Amazing.

In the U.S., I believe we pay about twice as much per person for health care as other countries with government sponsored health care. We do benefit from some of the best health care in the world, if you can afford it.

But two other anecdotes really bother me.

I believe it was the man in charge of health care in Great Britain who said that no one in his country ever goes bankrupt trying to pay for health care. In the U.S., health care bills are the number one cause of personal bankruptcy. He also pointed out the people in Great Britain never have to worry about losing their health care because they lose their job.

In my office we have containers to recycle soda cans. Someone recently added old gallon milk jugs and asked people to tear off the pop-top tabs and put them in the jug to help pay the medical bills for a very ill two year old girl. I heard an official from a foreign country comment on NPR that they were taken aback the first time they saw such an appeal in the U.S.. He was shocked that a parent in the United States of America had to resort to begging to get money to pay for health care for their seriously ill child. That was unheard of in his country.

Think about, some parents in the United States have to beg for health care for their sick children!

The news this morning talked about a few Democratic members of Congress who threatened to stop the health care reform bill unless harsh anti-abortion language was added to the bill. The language was added to gain their votes. Abortion is a serious ethical issue and I understand that people can have strong beliefs on both sides of the issue, but this move really bothers me. Supporters of a woman's choice could take the same stand and refuse to vote for the bill unless the abortion restrictions are removed (the Hyde Amendment would still apply).

I have a question for people who think the current health care system is fine or would rather not have reform if they can't have their personal needs satisfied.

What do you think when you pass the milk jug begging for help for a sick child?

Simple Universal Health Care Plan

Universal health care will involve rationing, but as I explained in a previous blog, our current health care system already has rationing. In fact, health care will always involve rationing because in an advanced technological society, the cost of unlimited, advanced health care options for everyone will always exceed our ability to afford them.

I have a proposal. When a person is born, they are given a health care fund. For this discussion, let us say it is one million dollars. They can use this money for all their non-elective health care needs. Preventive care, medicine, surgeries, mental health, dental, etc. All these costs would be deducted from the balance of their account. When the money runs out, their access to further health care is ended, although they can continue to receive hospice care until they die.

In addition, starting at age 21, the balance in their account goes down every year on their birthday. On each birthday starting at age 21, the balance in their fund goes go down by 15,000 dollars.

Ideally, this would be the entire system, but we could add incentives as long as they are objective and consistently applied. For example, once a year you could take a fitness test. Those who don't smoke, keep their weight down, exercised and could pass the test, would have their balance reduced considerably less than the standard 15,000 dollars. I know this doesn't seem fair to people with unpreventable conditions, but life is not fair. But people who actively work to keep themselves healthy may decrease overall health care costs, freeing money to increase the lifetime allowance or decrease the annual reduction. This would benefit people who can't qualify for a fitness allowance reduction.

People would be able to buy supplemental insurance, but the premium would greatly exceed the cost to provide this benefit. The additional money would be used to help pay for the system and thus make insurance available to everyone.

Universal Health Care and Rationing

In the current debate over a national health care system, we have heard a lot about how this will lead to rationing. The truth is that we have a lot of health care rationing under the current system.

Anyone who isn't rich or have a job with health care benefits suffers from rationing.

Elective surgeries, experimental procedures and procedures that are considered to be ineffective are usually not covered by health insurance. This is certainly rationing and who determines what is covered? The health insurance company. Or in some cases, your employer, who opts for a less expensive plan.

If you are not covered by health insurance at work and you have the money and you haven't already been diagnosed with a serious condition, you can sign up for any number of insurance plans. Every plan has limits (rationing) and you pay more for less rationing. For example, many of the lower cost options for women do not have any maternity benefits.

Rationing is often used as another term for "cost control".

Another complaint against universal health care is that people don't want to pay for other people's health care. They accept the shared costs of insurance, but object to paying for people who don't contribute any thing to the cost of the insurance. I believe these people think it is a matter of fairness.

But, of course, people without health insurance go to the emergency room and the cost of that care is passed along to people who use health care and can pay.

But even for many people with insurance, the costs are not shared fairly. Every employer plan I've been in charges different fees to the employee depending on how many people are covered. Covering just the employee costs the employee a lot less than covering the employee and a spouse. A family plan costs the employee even more except a family plan is the same cost whether the family has one child or ten. How is that fair?

Life's not fair, so why should paying for health care be fair? Health care costs must be controlled and that will inevitably lead to what some people will call rationing.

So lets have a discussion of the best way to create a health care system that is "fair" and affordable. "Rationing" will be one of the tools we use to achieve this.