Tag Archives: health care

The utility of experts.

I haven’t been following the Democratic primary contest very much on this blog, as it receives so much coverage elsewhere it seems massively redundant for me to comment on it as well. When it becomes a substantive policy discussion, however, it certainly warrants comment. When Elizabeth Warren released the explanatory document on her version of Medicare for All (M4A), it was greeted with derision by supporters of the more “moderate” candidates. Morning Joe, of course, rolled out their resident fiscal policy expert Steve Rattner, who deployed a series of charts and graphs that demonstrated beyond a shadow of a doubt the very thing that the recent George Mason University study made clear: health care in America is expensive.

Be afraid. Be VERY afraid.

Rattner used a pie chart to show what portions of total health care cost would be picked up by M4A, then a line graph to illustrate how much higher federal spending would be if such a plan were implemented. He was attempting to make the point that the federal government would have to spend a third again as much as it currently does, and that …. shudder …. that’s a lot! What of course neither he nor his Morning Joe colleagues mentioned was that this money is being spent by us anyway … and that the current result is more than 80 million people uninsured or under-insured, half a million medical bankruptcies a year, and assorted other disasters. In other words, the current system is a massively costly failure.

M4A, on the other hand, would cover everyone. It would eliminate much of the cost to families and individuals, and decouple health care from employment. There would be no more medical bankruptcies, and (icing on the cake) it would cost less than what we’re currently collectively spending. With the right funding plan, it would cost individuals below a certain income level less than what they’re paying now. We can disagree over how that will play out, but M4A is the only way to ensure that health care is a right, not a privilege. When I hear the middling candidates so beloved of Morning Joe complain about single payer, it reminds me that none of them ever had to deal with inadequate health coverage. I have, and it’s a massive pain in the ass. Even the so-called good plans that people supposedly love so much are massively complicated and involve all kinds of hidden expenses.

This fight for M4A won’t be easy. We need to be ready for it.

luv u,

jp

Week that was (again).

Man, this week has been a clusterfuck. Not sure exactly where to begin, but I guess the best option is just to dive right in.

The Zombie Rises. Repeal and replace is back again this week, this time advanced by GOP senators Graham and Cassidy, and it’s the predictable formula. They basically want to block grant the program, including the Medicaid portion of it, which is the Republican’s favorite target just lately. According to a study cited by the Washington Post, 34 states would lose funding, and the states with Medicaid expansion and relatively generous benefits would be the biggest losers. It will also throw millions off of their coverage – no surprise there. The only thing that can stop this now is, well … us. Call, march, occupy, whatever you can manage. Delay this vote until after 9/30 and it will be dead for a while longer, at least, and that’s the best we can manage under the circumstances (i.e. good enough).

Active crime sceneHurricane Maria. What a horrible storm, and the fact that it took such a cruel path through an already distressed group of islands is heartbreaking. Puerto Rico, already flattened by international finance, has lost power entirely, perhaps for weeks or even months. Their grid is 44 years old, due to such a constricted colonial financial situation. Where is the outrage for the ill-treatment of these working Americans, Trump supporters? Crickets.

Mexico Quake. There’s a sickening regularity to this recent crop of disasters; a hurricane coinciding with an earthquake in Mexico. Again, suffering piled on top of suffering among a populace singled out by our president as the source of all of our woes. And as is so often the case, the lack of public investment in communities makes the disaster more serious than it needs to be. Such an outrage.

Hello, World! Speaking of the source of all of our woes, Donald Trump made his “debut” at the United Nations General Assembly, and duly threatened North Korea with total destruction. Withered talking heads like Joe Scarborough and David Ignatius found some encouraging themes in this poorly-wrought mad man’s tirade, but that’s just residual affection for the American empire. Trump waved the bloody shirt and threatened the world from that podium, and the threat was lost on no one. No doubt about it: Cheney’s back in charge.

Vietnam Revisited. I could write a whole column about Ken Burn’s latest effort to retell history, but suffice it to say that he appears not to have strayed much from the mainstream “bungling efforts to do good” narrative. Another lost opportunity to clarify this loathsome episode.

luv u,

jp

Victory dance.

Okay, can we all agree on something, people? Try this: the President of the United States is a remarkable dolt who knows nothing about anything outside of – perhaps – real estate and licensing his trademarks. His grasp of American history is tenuous at best and indicative of illiteracy at worst. He always seems to return to the subject of slavery and the Civil War, perhaps because he is surrounded by crackpot white supremacists who fill his empty head with their hateful opinions and convenient factual inaccuracies. The comments about Andrew Jackson are just the latest example, though when he talks about people like “Sharpknife” Jackson he seems actually to be talking about himself.

Spot my useless congressmember.It’s not at all surprising that Trump thinks that he himself could have prevented the Civil War. As a master-level narcissist, he thinks himself capable of anything. And even when he can’t accomplish anything, he celebrates and brags about it like he did. This week, when the House of Representatives passed their latest version of the Affordable Care Act repeal and replace debacle, Trump had the GOP House caucus come to the White House for a little victory dance. (My own representative, Claudia Tenney, could be seen in the second row, right behind the doltish Kevin McCarthy, taking selfies with another Republican congresswoman. Watch for that in an opposition campaign ad next year.)

Okay, so maybe that just proves that Republicans – including the massively overrated pseudo-wonk Paul Ryan – never watched Schoolhouse Rock and maybe they really just don‘t know how a bill becomes law. (They haven’t passed a real lot of them since taking control of the House.) Or maybe this is just Trump’s way of rubbing our faces in the fact that he got his way this time. It’s the kind of tactic Trump is famous for, of course. I suspect if he ever stopped bragging about himself, he’d fly around the room like a toy balloon someone let loose. The facts don’t matter – this is an attitudinal presidency, running on gall and braggadocio, tossing steaks out to the base pretty much every week.

It’s not a joke. The policy implications of this president will be enormous, maybe irreparable. We’re obviously going to have to fight for every inch, and this week the prize went to them.

luv u,

jp