Tag Archives: medicare

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

Payback time.

The election is barely past us and corporate America is already knocking on our door for the rent.

Speaking of timing, former Sen. Alan Simpson and former Clinton Chief of Staff Erskine Bowles, co-chairs of the president’s commission on deficit reduction, have agreed we should gut Social Security, Medicare. Well, there’s a surprise – both have an execrable history of animosity towards these quite successful social programs. (Simpson’s contempt for elderly people is palpable and disgusting, and he never misses an opportunity to toss a rhetorical brick at them.) Of course, their proposal also calls for tax cuts for the rich and for corporations. Again, no surprises there.

This is just the latest chapter in the attack against the poor, working class, elderly, and infirm that has been underway for decades in this country. Time and time again they have sought to undermine Social Security, to loot its trust fund, and to convert it into something it was never intended to be – an instrument for the creation of private wealth. Social Security is a supplemental guaranteed retirement program and, as such, an extremely successful one. It has kept elderly people (at least the ones who did not retire on a mountain of money, like Simpson) out of poverty for seven decades. Likewise, Medicare has not only made the elderly more financially secure, but it has also improved their quality of life in demonstrable ways. Not for nothing that these are the most popular social programs in America.

It may mean little to Simpson, Bowles, and many who share their views that people they don’t know will have to work until 68 or 70 and do without adequate cost of living adjustments in their old age. It sure as hell matters to me, and I imagine to many others as well. Social Security is not on the brink of bankruptcy – far from it. They just want to use its revenues to cover our government’s bad decisions with regard to financial regulation and foreign policy – decisions that have cost trillions of dollars over the last decade alone. Now we are being asked to pay for those criminal actions. There can be only one answer to that.

Don’t know, but we may have to take a page out of France’s book. If it takes standing in the street to protect the lives and livelihoods of ordinary people, it’s goddamned worth it.

luv u,

jp

Political Rants

Contact with America.

First item: the Democrats are among the most exasperating political parties on Earth. They seem to have an innate sense of how to alienate their core voters, casting over the side any item of legislative action – the public option, Medicare expansion, don’t ask don’t tell, the fight over middle class vs. top 3% marginal tax rate reductions, etc. – that is remotely popular.

That said, let’s look at their opponents. Probably a good idea, since there’s an election coming up. And these folks look pretty grisly. Oddly, they picked what looked like a Home Depot lumber department to announce their “Pledge To America”, a lobbyist-written document full of stuff that would make, well, lobbyists very happy. (Perhaps the choice of venue is their way of telegraphing the kinds of jobs they plan to create. How do you look in an orange vest?) Rather than talking about what’s in the document, let’s look at what they didn’t put in there… but which they advocate none the less:

Privatization of Social Security. It’s no secret that most if not all G.O.P. legislators are in favor of converting Social Security into a glorified 401(k) plan with private accounts. This has long been their goal, given their hostility to the very notion of the social contract that is at the heart of that very successful program. They will, like W. Bush and others (including, amazingly, more than a few Democrats), appeal to individual greed in hopes of building support for ending this guaranteed supplemental income that has lifted elderly people from poverty for the past seventy years.

Gutting Medicare. They hate this one, too, no matter what they tell you. The Republicans want to move to something more like a voucher system, so that old and sick folks can go out and buy coverage on the open market – so easy to do when you’re old and sick. Is Medicare losing money? I would expect so, since it only covers (wait for it) old and sick people. If they want it to be solvent, why not expand it to include everybody… including those who don’t need a lot of care? I’m just saying.

Dismantling the Veteran’s Administration medical system. Same deal – vouchers instead of reliable care. This has been shamefully advanced by John McCain, whose beer-heiress wife will pay his medical bills if needed, no doubt.

Nothing particularly new in this list. And there are those amongst the Democrats who would jump right on board with most or all of it. But if the Republicans fail to gain a majority, they would never have the opportunity to do so… so let’s save them (and us) from themselves.

luv u,

jp