‘ve figured it out. Either Obama is wicked wise like good old King Solomon, or he’s just willing to have a disastrous hybrid bag of hurt be the required next step to universal health care in the United States.
Here’s what I mean.
The current healthcare proposals (with or without a true public option) are really just adjustments or evolutions of the current way healthcare is funded in this country, and the way healthcare is funded is broken. These proposals will not work. How do I know this?
1. Healthcare insurance companies are not benevolent, and have gotten on board with the plan. I won’t elaborate, but ask just about any doctor in America if they think healthcare insurers are out for anyone but themselves. In other words, if they are for it, it will make them money. There is no other rationale by which they make decisions.
2. Pharmaceutical companies are not benevolent, and have gotten on board with the plan. There’s a lot of FUD (fear, uncertainty, disinformation) associated with pharmaceutical companies, and a lot of it is not accurate, but the bottom line is this. When deciding which study to fund, which results to publish, which research to pursue, and which healthcare plan to back, they are also only on the lookout for their own bottom line.
3. It won’t be fair. No matter how you regulate it, there’s no way so many different payors can be involved and have it be fair. Some will pay more or less. Some doctors will participate in some care plans and not in others, as is the case now with the public (Medicare, Medicaid) and private options. Some things will be covered under one plan but not under another.
4. Costs will go up. Case in point: Massachusetts.
I could go on, but I’m a simple guy and simple points seem adequate. The system is way too broken to use its parts to reassemble a working machine.
So, back to Solomon and splitting the baby. If you don’t know what I’m talking about, the second and third paragraphs of this wikipedia entry spell it out. I think the current hybrid proposals are analagous. They will kill the baby.
Perhaps President Obama and company know this, and are hoping one side or the other will say, “Wait, wait, don’t hurt my baby, I concede, do it their way.” But the reality is that politics in this country don’t work that way and both parties are so infiltrated with lobbying worms that neither will ever try to bother to see through to true clarity.
So, since I don’t think either side will give in (heck, I don’t even think they know what they’re fighting for, just that they’re fighting against each other), I’m left to conclude that President Obama, who is not a moron, knows that this is just the incredibly painful step we have to take to get to the final goal, nationalized healthcare.
From my seat, then, the best path seems obvious. A majority of Americans feel healthcare is a right. I guess I agree (I agree that it’s a part of the sanctity and dignity of human life, but I’m not clear that it’s a right that should be associated with/mediated by the state), and in any event, numbers don’t lie. There are numerous other polls that agree. This is a democracy; majority rules.
So, if healthcare is a right, and the current system is broken (ask any doctor, if you doubt the politicians), then we just need to accept a purely public single payor system. Period. Nothing else will make for universal fair coverage. But can we please just skip this godawful painful stage they’re trying to implement now?
That’s right, a religious doctor who lives in Texas just suggested we go all the way to a single nationalized healthcare system. You read it here first.
Here are a few of the implications that matter to me; again, just a simple list of the seemingly obvious.
Will the lives of doctors change? Probably.
Will the applications to medical school drop? Probably.
Will costs go up? Yes. But recovering the profits of insurance companies and the more outrageous profits of pharmaceutical companies might mitigate this.
Will healthcare get measurably worse in this country? Check out this article comparing outcomes in the US and the UK. It intends to dispel right-wing myths, and is reassuring overall. From a Catholic point of view, though, it still hints at a potentially scary situation in terms of possible “rationing” of care. See the next item.
Will all fetuses with Down be aborted, or will all old people be pushed out on ice floes? Goodness, I hope not, but these are potential risks, and we should fight like hell to preserve the sanctity of life if we allow the government to take over healthcare.
Once it’s available, will everyone avail themselves of healthcare? The Massachusetts story seems to point to folks using their newfound benefits. On the other hand, I was just talking to one of our residents who delivered six babies over the weekend and only one of the moms had any prenatal care. That’s scary, because anyone in this country who’s pregnant can get funded prenatal care with just a minimum of effort. These moms weren’t unable to afford prenatal care. They just couldn’t be bothered. Funding won’t solve that problem.
In the end, I’m worried about the implications of universal healthcare, but I’m also worried about folks who cannot or do not receive healthcare for financial reasons. And, in this country, where we’ve come to the conclusion that healthcare is a right, I think going down this bastardized hybrid path is just splitting the baby. So I’ll be the true mother, who was willing to give up her baby rather than see it split in half. I’m a capitalist and libertarian at heart, but on this issue, I give. Don’t kill my baby. Let’s just bite the bullet and go to a purely public single payor healthcare plan. And let’s knock ourselves out fighting to make it work.