Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts

A HEALTHCARE STRATEGY FOR THE AGES

Every once in a while, you do something that is so stupid that even your best friends wonder if your head is screwed on straight. And sometimes, rarely but sometimes, things turn out better than you could ever have imagined. You stepped in the poop and only through good luck and the grace of God you came out smelling like strawberries.

Many of us wondered why Obama didn't push for Medicare For All when he had the votes in Congress back in 2009. Single-payer healthcare had been proven throughout the industrialized world to provide better health outcomes, had been proven to be cost-effective - half the cost per capita of the American insurance-based system. How could Obama cede America's first stab at universal healthcare to an industry that had strangled the life out of the American economy for far too long? Insurance exchanges? Subsidies for insurance companies?

Madness.

Crazy.

Crazy like a fox...

If there are not enough votes for Medicare For All, get as many people covered as possible. Cash in as many chips as you can. Even lure in the insurance companies. But get people covered. And guess what. Once people get coverage, they don't want to lose it.

So, for seven years the Republicans screamed REPEAL. More recently, REPEAL AND REPLACE. Now? HOW DO WE FIX THIS THING. And there really is only one way to fix the ACA. The states - those places that the Republicans are fond of calling the labs of democracy - the states that went for expansion of Medicare are leading the way.

MEDICARE FOR ALL

Obama. Smarter than all of us.

RANDOM THOUGHTS #10 - CONFEDERATE FLAG, JONI MITCHELL, SUPREME COURT

CONFEDERATE FLAG
To be clear, the followers of the Confederacy were insurrectionists, traitors. And they were racists. The Confederate States Constitution explicitly institutionalized slavery. And the Confederacy lost the Civil War. So...

If the Confederate flag is, as many Southerners like to proclaim, symbolic of their heritage, of who they are, then they are traitorous racist losers. But if they want to identify themselves that way, who am I to argue? Just don't fly that rag in a place of honor in public.



JONI MITCHELL
David Crosby says that Joni has suffered an aneurism and cannot speak. I send my best wishes. The soundtrack of my life has been dominated by two women - Joni and Grace Slick. Grace for those times that I needed a kick in the pants. Joni for the quiet times.

Peace and Love, Ladies!



SAME-SEX MARRIAGE
Historic SCOTUS Week #1

SCOTUS really had no choice. Why? Because the country is clearly divided in a way that could not stand. With an estimated 70% of the population living in states where same-sex marriage has been to some extent institutionalized, married gay and lesbian couples from those states would increasingly find cause for action in those states that refused to recognize those marriages and denied, for instance, such rights as hospital visitation or intestate inheritance. The only parallel that comes to mind in American history is the organization of the country into free states and slave states.

Forget Scalia's rant. Scalia thinks that the debate isn't over until his side wins. But SCOTUS did not subvert democracy with this ruling. The scales had already tipped. Hundreds of thousands of legally married gay and lesbian couple exist. If tomorrow, several thousand of them move en masse from Massachusetts to South Dakota - a state whose Constitution bans same-sex marriage, civil unions, and any marriage-like contract between unmarried persons - have those legally married couples in essence given up their rights? Or is it incumbent in our federal system to protect those rights? 30% of the country had failed to get on board before this week. Should that 30% have been allowed to define the rights of the other 70%? As a nation of laws, one of our legal system's duties is to protect the minority from the majority. But in this case, majority rules.

OBAMACARE
Historic SCOTUS Week #2

SCOTUS held that the purpose of the ACA was clear, that denying subsidies to those who lived in states opting for federal exchanges clearly subverted the intent of Congress, and that, even as written, the Act could be construed as including the federal exchanges. (That last a direct swipe by Roberts at Scalia's childish dissent.) If you write 500 page bills, there will almost certainly be typos and/or internal inconsistencies. If you write five page bills, people will argue endlessly over the details. You can't win. Except in this case, we did. Congressional intent was clear and two-thirds of the Court acted responsibly.


RANDOM THOUGHTS #9 - FELONIOUS PARENTING, RACHEL DOLEZAL, OBAMACARE

FELONIOUS PARENTING
I recently read a news story that left me dumbfounded. It seems that an 11-year-old Florida boy came home to a locked house, didn't have a key, and so he spent an hour and a half shooting hoops in the back yard while he waited for his folks. No big deal, right?

Wrong.

A neighbor called police. When the parents arrived, having been delayed on their return from work by traffic, they were arrested for felony neglect. Cuffed and strip searched. As I understand it, the boy and his younger brother (who was in proper day care) were removed from the home in favor of a relative who quickly asked the state to take over their care. The two boys would have ended up in foster care had the eldest not asked to see the judge and begged to be sent back home. The boys were then only allowed back with their parents under strict guidelines.

My parents were felons. I never knew.

There were even aggravating circumstances in my case. My parents let me drink water straight from the garden hose. For years, I walked a quarter-mile by myself to my school bus stop. And after school, if I wanted to go into town to visit friends, I had to walk a mile, part way along a state highway. In fact, the only rules that I can remember regarding after-school and summer playtime was that I "be safe" and make it home in time for dinner. Often, my parents didn't know where I was and who I was with.

My parents were felons. I never knew.

RACHEL DOLEZAL
Makes me crazy. She's black if she says that she is? Really, Whoopi? Really?

I'm sorry, but facts is facts. Snoop is black. Eminem is white. That doesn't say anything about their music or their audience. But two plus two equals four and not some number approximating four.

There may very well come a day when the preponderance of the population is so racially diverse that it would be well nigh impossible to assign such rigid categories as we do today. Indeed, having worked in an agency that collected demographics on thousands of heads of households over many years, I can attest to the fact that the category 'Mixed Race' has grown from a side note to nearly a plurality. But until we are all the color of coffee (light with two sugars, please), there's reality and there's fantasy. Let's not elevate someone whose reality is as confused as Dolezal's to the level of a game changer.

OBAMACARE
I expect that I will be writing more about healthcare after the Supreme Court publishes its decision on the legality of subsidizing the federal exchanges. But there's one thing that's been simmering among some folks that I know that needs to be addressed - the cost of insurance under Obamacare. Many of my friends oppose Obamacare based on those increased costs. I have three quick comments.

First, prior to Obamacare, healthcare costs in the US were increasing at double-digit percentage rates year after year. Healthcare inflation was a primary driver in increases in the cost of living. How quickly we forget.

Secondly, increases in cost to folks already insured was inevitable given the increased numbers of newly insured, particularly since people with pre-existing conditions could no longer be denied coverage. There were simply not enough young, healthy, and uninsured new signups to keep rates low.

Finally, if you want to address the cost of health insurance, it's time that we addressed the cost of healthcare. Why do we spend twice as much per capita on healthcare in the US than they do in just about every other modern industrialized economy? And having done so, why are our outcomes so far down the list? For a country that is supposed to be a meritocracy, why do we tolerate higher infant mortality rates, higher child mortality rates, and lower life expectancies than our European cousins?

Laundry in Paradise

Adam and Eve’s defiant, irresistible urge to take a bite out of that particular apple led to one very unfortunate result. I’m not talking ...