Tag Archives: medicaid

Political Rants

Fighting ground.

Okay, let’s get one thing out of the way at the start: very few people enjoy paying taxes. To that I can only add my own personal observation that the people who seem to complain the loudest about taxes are the ones who can most afford to pay them. They have an excellent means of making their complaints heard, too – it’s called the Republican Party. In fact, in service to those who would pay not a single dime more than the historic low rates they’re paying today, the G.O.P. is creating a default crisis out of whole cloth by linking the authorization of additional borrowing to the conclusion of a draconian budget agreement that will gut the essential social programs they have always sought to defund, privatize, etc.

The two things, of course, have nothing to do with one another in the real world. Raising the debt ceiling is merely addressing financial commitments that have already been agreed upon. It is something the Republicans have gladly passed many times before under their own presidents, as well as under Democrats. They have seized upon it because it offers an opportunity to, in effect, put the entire nation up against a wall until we give up on the idea of not spending our elderly years in penury. (That’s sooooo 1960’s of us.) The Republicans see an opportunity here to realize what they could never accomplish during George W. Bush’s tenure – privatization of Medicare, pirating Social Security, and locking in massive tax cuts from now until perdition. And they sense, perhaps correctly, that the Democrats don’t have enough fight in them to stop it.

I will gladly crib Bernie Sanders, Keith Ellison, and Dean Baker on this – Social Security is not – repeat, not – part of any budgetary problem. It is fully self-funding for the next 25 years with no changes whatsoever. How many programs can make that claim? The G.O.P. and spineless Democrats merely want to pirate the fund to pay for extending Bush tax cuts for the richest people in the country. Regarding Medicare and Medicaid, they are single-payer systems dedicated to the elderly, poor, disabled, and stricken amongst us. The rest of us – those who are relatively young, fit, and almost never need a doctor – are reserved for the profit of private insurers. Single payers systems only pay for themselves when everyone – sick and well, old and young, rich and poor – participates in them. If we want to solve the funding problem, we need to decide whether we can continue to afford contriving a profitable market for companies like BlueCross.

In short, the deficit hawks in the Republican caucuses are blackmailing us into funding tax breaks for wealthy people – including the fuckers who caused the financial crisis – by crippling our already inadequate social safety net.  I say, call their bluff. This is ground worth fighting for.

luv u,

jp

Political Rants

Wunderkind.

Paul Ryan has come up with a remarkable innovation – gradually bring elderly and disabled folks back to the standard of living they enjoyed in the 1930s. Brilliant! Obviously the idea behind moving Medicare to a voucher system is to save the government – and, therefore, the collective “us” – money.  But it’s only a savings if you don’t count the vast, vast majority of elderly people for whom that voucher will be worth very little in terms of health services. This is a very serious issue for anyone planning to become elderly one day. (Note: if you care nothing about the elderly and disabled and plan on jumping off a cliff when you turn 65, the Ryan plan will probably be fine by you.)

I’ve blogged about this before, so forgive me for covering the same ground – it’s just that when a person of influence advances a legislative plan that overtly calls for the dismemberment of Medicare and Medicaid, I feel compelled to repeat myself. This isn’t a question of saving money. This is a question of what we collectively decide is necessary to preserve the well-being of the nation. I’m not trying to appeal to your sense of charity. I’m saying that virtually every one of us is liable to need this type of coverage at some point in his/her life. Like investing in first responders, this is something we all have an interest in preserving.

No matter how much Ryan and his associates claim that is precisely what they are trying to do, don’t buy it. A voucher plan will throw elderly people into the private insurance market – one that is already way too expensive for pre-retirees to afford. What kind of premium will an Excellus ask of a 75 year old with a weak ticker? Seriously… Medicare is there for a reason. Before its existence, elderly people relied on charity, family members, etc., and many had access to neither.

The only reason why wunderkind Ryan and his express can feel comfortable criticizing such vital programs is that Medicare and Medicaid cost so much. They do because they cover those most prone to serious illnesses. If we had a reasonable single-payer system – Medicare for all – the system would also cover those many millions of us who see a doctor once a year and no more. Include them (i.e. us) and the system will finance itself. And frankly, wouldn’t you be willing to trade whatever plan you have (if you have one) for Medicare coverage at a reasonable cost?

Note to Dems: there’s a reason why Medicare is a third rail issue. It’s because it’s freaking necessary.  

luv u,

jp

Political Rants

Health and taxes.

There’s a t.v. ad that runs almost constantly in my area featuring a “regular-guy” type grocery store owner (not many of those left) complaining about the proposed soft drink tax in New York State. At some point in the ad he says, “Taxes never made anyone healthy.” Interesting statement. I guess he’s never heard of Medicare, Medicaid, Social Security, various Health and Human Services programs, and any number of other government services, from OSHA to the FDA, that in some respect help us stay healthier as a result of tax revenues. Yeah, I know the ad is about a “sin” tax, but you can also see how taxes on cigarettes and alcohol have had a positive effect health-wise. In a sense, it’s just a way of having the price of something reflect the true cost. Sure, we want people to be healthier. But we also want to recover some of the cost of their NOT being healthy, like emergency care costs for people who sugar themselves into heart disease, stroke, diabetes, and the like. Don’t we?

I’ve probably been on this rant before, but this is such a fundamental problem in our society that it cannot be said often enough. Nobody likes paying taxes. Nobody likes taking their medicine, either (well, most people don’t), or eating their oatmeal, or washing behind their ears, or doing their homework, etc. But at some point we must put childish ways behind us (1 Corinthians 13:11 – got your bible right here, kids!) and face up to the simple fact that, yes friends, we get what we pay for… and only that. If we want to have a modern society, we have to pony up some cash to pay for it. I think that should be done in the most equitable way possible – those more able to pay pay more, those less able to pay pay less, those not able to pay pay nothing. The usual method. But taking a “taxation is bad” philosophy to its most absurd extreme is just… well… childish and short-sighted.

And yet the philosophy continues to command respect. Somehow people like Grover Norquist and his ilk are still listened to, still asked for guidance. Meanwhile, the nation’s infrastructure is falling apart, our last major investments (beyond maintenance) in roads, bridges, tunnels, rail lines, etc., now decades old. A stiff wind storm knocks out power to whole states. Instead of investing in the future of this country, we’re putting band-aids over compound fractures. The most striking irony is that these programs are being starved by the kind of deficit hawks who constantly claim that they are doing this for our children and our grandchildren, i.e. not leaving them a huge debt. Fine. There’s a solution. Get people to understand that we need to pay for things, and that civilization is not free. That’s the central point of health reform, lackluster as it may be.

It’s just that we’ve reached the point, particularly in places like California, where people want all these services, but they won’t let their representatives raise the revenues to pay for them. Sorry… that will never work for long.

luv u,

jp