HEALTHCARE FLIMFLAM

9 12 2007

The Democratic front runners have prostituted the language again. “Univeral health care,” according to all three of them, now means subsidizing the insurance companies rather than actually providing health care for everyone. They’ve dropped the phrase “single-payer” from their vocabulary, largely at the behest of the insurance companies that support them. Hillary Clinton, for example, had taken over a million dollars in camaign contributions from the insurance industry back last summer, before the campaign had even heated up.

Ironically, this approach—mandating that people buy private insurance and subsidizing the purchase with government money—is the same program Republican candidate Mitt Romney pushed through in Massachusetts. This has not prevented Romney from attacking these copy-cat Democratic proposals as “European-style socialized medicine.”

We should be so lucky. None of the plans that Clinton, Obama, and Edwards are proposing will do anything to curb the profit-driven excesses of America’s unique, Byzantine private insurance/medical complex. They don’t even talk about doing that. They want to feed the vampire, not drive a stake through his heart. They ‘re not going to limit what insurers can charge their government-mandated captive audience. They’re not going to regulate the insurance companies’ ability to restrict choice of doctors, hospitals, and treatments, or rein in their profit-driven tendency to deny claims. The limited expansion of Medicare that some of them propose will become an expensive catch-all for seriously ill people that the private insurance companies don’t want to risk their profits on, and the fat subsidies to private insurance companies that would be generated under the Democrats’ plans would only feed their high overhead and do nothing to bring down the cost of medical care.

These plans are not European socialism. They are corporate welfare, another example of what happens when government is run for the benefit of big business, aka “fascism.” And it’s the Democrats that are proposing it. Magic! Presto chango! They will invoke the warm feeling of “healthcare for all” and thereby funnel billions into their corporate sponsors’ pockets! More of your blood goes to the vampires! Wow! What a trick!

Of course, the Republicans aren’t even that faux-compassionate. Their proposed solution is limited to tax breaks to help people buy health insurance, and if you don’t pay enough taxes for that to make a difference to you, tough beans, you don’t deserve to live. If that makes you want to vote for a Democrat, ”’cause they’re a little better, anyway,” please be informed: you have been hypnotized!

Let’s look at what these proposals really mean. The typical cost of full health insurance for a family of four in the US is $12,000 a year, which is about the gross take-home pay of somebody who makes minimum wage. Median family income in the US is about $43,000 a year, which is not really that much more than minimum wage, because if, as is usually the case, both partners work, that means the average is about $21,000 per person, which works out to about ten bucks an hour—like I said, not that much more than minimum wage, and clearly not enough to afford 12k a year for health coverage.

Under the typical Democratic candidate plan, how much would a median-income family be expected to pay for health insurance? We have two models to work from. One is Mitt Romney’s Massachusetts program, which, he boasts, brought the per person cost of health insurance down from $350 a month to $180 a month. So, for a family of four, that would be an insurance bill cut from $1400 a month—above the national average I just quoted—to $720 a month, about 20% of their pre-tax income. Still not very affordable.

Or we can go from the claim that the average Democratic proposal will pay $2400 per year per person, which is estimated to be half the typical cost of insurance by some reckonings. It’s also about what countries such as France, Canada, and England pay for health care per person per year. (That’s a 2001 link…I had a more recent reference, but lost it…sorry!) Here, it’s less than half what people pay. Well, we all know how poverty-stricken and uncivilized they are in Canada and Europe. Backwaters of medical technology, y’know? But, I digress….So, if the subsidy pays a family about ten thousand dollars a year, does that leave them two, four, or ten thousand dollars to make up out of their own pockets for government-mandated private insurance? You must pay the corporations money or be penalized!? Yow, I’m still digressing….on the lower end, an additional payment of $160-$320 dollars a month might be affordable, except that the reality of most families’ budgets is that they are already going into debt just to survive, and don’t have room for another $160 dollar a month payment.

And, speaking of going into debt, these dim Dems are living in la-la land to think that the government is going to have money to give the insurance companies. When Cheney and Bush started the Iraq war, and the Democrats bought it, they started a fire that was guaranteed to burn up any possibility of increased spending on social needs in this country. I think the Junta did that on purpose, but I’m sorry, Hillary, there ain’t no $110 billion to spend on that. We’ve about maxxed out our Chinese and Saudi credit cards on that war you voted for, dontcha know?

Well, if we can’t afford to spend any more money on healthcare, then how in the world can we afford universal single-payer healthcare?

We can afford universal single-payer healthcare because we’re already paying too much for healthcare. If we cut out the corpulent corporate middlemen, there’s plenty of money already in the system to take care of everybody. According to Physicians for a National Health Program, ”private insurance bureaucracy and paperwork consume one-third (31 percent) of every health care dollar. Streamlining payment through a single nonprofit payer would save more than $350 billion per year, enough to provide comprehensive, high-quality coverage for all Americans.” Health insurance would be covered by prorated taxes instead of flat-rate insurance premiums, and everyone except the extremely wealthy would end up paying less for health coverage.

Single-payer health coverage is part of the Green Party platform, but the only Democratic candidate who endorses it is Dennis Kucinich—and the party bosses are trying to figure out how to take his seat away from him. Most Americans support single payer healthcare, but our current major political parties are too in thrall to their corporate masters to listen to the people they claim to represent. Time to ring some changes.

music: Rumors of the Big Wave, Echo of a Scream

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