Who needs a public option anyway?

One of my republican friends asked me"who needs a public option, anyway?"over a beer the other evening. He was responding to my shout of dismay over Ms Sibelius statement that the public option was "not really necessary" to health care reform.

So who needs a public option?

People who are currently uninsured, of course. Most of them are not uninsured by their own choice, but by the choice of an insurance company. A few may have elected to remain uninsured even when eligible, due to cost of premiums, etc . Many younger colleagues fall into this latter group, which has the effect of raising insurance rates for everyone else (since the remaining population are older and higher risk)

People who cannot afford to lose their insurance. Many people maintain are locked in to their insurance because of conditions that would be considered 'pre-existing' by a new insurer. Even if able to be covered by a new insurer, their premiums would likely be higher, or their coverage would carry many more restrictions. Health costs are already high - who would choose to voluntarily increase their expenses while reducing benefits?

And people like me. I have a job. I am in reasonably good health, and have decent employer-based health insurance for myself and my family. But I am effectively locked into my current employment. I would love to start my own business, but I cannot afford to be without healthcare. Private healthcare is so expensive, my baseline operating costs would be simply exorbitant. The risk of starting a business is already high. The penurious cost of private healthcare makes a high risk venture, insanely high.

In my travels I meet a great many people - and many people feel equally locked into employment: "I'd love to quit this job and go do X but I can't afford to give up my healthcare".

Lack of a public option is killing America's spirit of entrepreneurship. It's killing the goose that laid the golden egg. The ability of common Americans to start their own ventures without hindrance is central to the spirit of independence and vitality that made this country an economic powerhouse in the 19th and 20th Centuries. The fact that republicans are most viscerally against a public option demonstrates that they are not "for business", but are simply and solely for "big business".

Continue ReadingWho needs a public option anyway?

12 Reasons why the U.S. government should not mandate clean water or clean air.

12 Reasons why the U.S. government should not mandate clean water or clean air.

1. Clean air and clean water are not a right. As such, they not the responsibility of government. 2. Government efforts to mandate clean air and clean water do not in practice guarantee universal access clean air and clean water. Many countries have laws to require clean air and clean water but don’t actually have clean air and clean water. 3. Eliminating the profit motive will decrease the rate of innovation regarding clean air and clean water. 4. When a government mandates clean air and clean water, it slows down innovation and inhibits new technologies from being developed and utilized. This simply means that technologies regarding clean air and clean water are less likely to be researched and manufactured, and technologies that are available are less likely to be used. 5. Publicly-mandated clean air and clean water leads to greater inefficiencies and inequalities. Government agencies promoting clean air and clean water are less efficient due to bureaucracy. Universal clean air and clean water would reduce efficiency because of more bureaucratic oversight and more paperwork. 6. Converting to a national clean air and clean water system could be a radical change, creating administrative chaos.

Continue Reading12 Reasons why the U.S. government should not mandate clean water or clean air.

Who would Jesus insure?

Who would Jesus Insure?

That was the slogan on a placard that stole the show at a tea party attended by Michael Krantz yesterday:

[T]he Medicare recipients who want nothing to do with government-run health care [were] one of the more amusing right-wing cliches of this long hot August. There were no doubt plenty of them yesterday among a crowd that was predominantly older, overwhelmingly white and, I'd wager, heavily evangelical, a combustive demographic that didn't exactly cotton to the gutsy girl who kept pacing around trying to yell "Health care for everyone!" loudly enough to drown out the repeated death threats and off-topic anti-abortion catcalls that greeted her homemade "Who Would Jesus Insure?" sign. Her question, in fact, was quite a bit more piquant than the ones I was asking.

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Did Obama fall for Big Pharma sales hype?

Did you hear that Obama has been cutting some secret deals with Big Pharma after his campaign filled with promises that health care reform would be a big open book? I don't quite know what to think of this. Maybe Obama is leading Pharma on, and he's gonna stab them in the back at the last minute. That ploy has the advantage of freezing the Pharma advertising money in place for now. This is important because Pharma has enough advertising money to destroy what's left of health care reform. So three cheers for the possibility that Obama is a shrewd guy who is keeping his enemies close to keep them at bay, at least for now. I'd give that about a 2% chance of being the case. What I'm assuming is that Obama knows that the system is so utterly corrupted by legalized bribery (campaign contributions) that Congress is incapable of giving us real health care reform. That's why Obama is unwilling to promote the single payer system that most Americans want. In this more likely scenario, Obama has already given up on any meaningful health care reform. Instead, he's working hard to spin the illusion of health care reform, and the final plan will actually be a few trinkets and whistles. Maybe the government will subsidize dentists to give out candy to their patients. Maybe it will be nothing at all, but all of the Congressional Leaders will nonetheless pose and smile with their 3,000 page health care reform bill that no one will have actually read and for good reason. As many progressives are arguing, with increasing volume these days, why not take the profit out of health care insurance? Why not essentially expand medicare to all Americans? The experts I trust say that single payor is the only legitimate reform. Everything else is throwing tax money at a corrupt and inefficient system. I wasn't a big fan of single payor until I started learning how many other countries are making it work. The benefits are many (In addition to the obvious improvement that sick people won't be thrown on the street, employed people won't be locked into terrible jobs just for the insurance). Really, why should we have for-profit health insurance any more than we might have for-profit fire departments and for-profit libraries? Except that we have a for-profit Congress and a for-profit military (e.g., Blackwater and all those private soldiers earning $100,000 to be in Afghanistan). It's getting downright un-American to be duped into doing something because it's RIGHT. But I'm still obsessing about the deal Obama cut with Pharma. We heard how Pharma would save Americans $80 Billion over the next 10 years. Did you see what the written deal is: It's "up to $80 Billion." pharma-memo Now what is Obama thinking? When I see that a store is offering "up to" 80% off, I know (because I'm not a total idiot) that this means the store might be offering 2 items at 10% off and everything else at 0% off. That's the meaning of "up to." Signing an agreement with "up to" is stupid, truly idiotic. My question (which I raised in the beginning of this post) is "Who is the one being stupid?" I'll be watching for some happy 11th hour excitement when Obama tells Pharma to fuck off, that we're enacting single payor and that for its loyalty and naivete, Pharma will be rewarded with tax breaks of "up to" 100%, which means negative 37%. Take that, assholes. That's what you get for trying to cut secret deals with my President. If only. Epilogue: For those of you who are pissed that Obama is a communist, note that Blue Cross just tried to raised its rates by 56% in Michigan.

Continue ReadingDid Obama fall for Big Pharma sales hype?

Maddow and Olbermann counter-attack the elites opposing health care reform

Who are those "average citizens" disrupting town hall meetings on health care reform? Rachel Maddow exposes them and the people who finance them:

Who are the people and organization who are actively buying our elected representatives on the issue of health care reform? A visibly angrier than usual Keith Olberman calls them out, specifying the names and the obscene payments of cash:

Continue ReadingMaddow and Olbermann counter-attack the elites opposing health care reform