There is only one reason Republicans are against any single payer proposal. That isn't because they don't work, the system that doesn't work very well is the one we have. It is because their largest donors are the insurance and pharmaceutical industries and they are the ones who will lose the most if we devise a more just and equitable system.
We are the world's wealthiest nation yet our health care delivery system is 37 th below a host of single payer systems in other developed nations, Our failing health care system provides Americans with the shortest life span, highest costs and highest infant mortality rate in the industrialized world. In America health care isn't rationed based on need like in many single payer systems our health care is rationed by ability to pay. The Republican solution to single payer is much more of the same.
In a poll by NBC and The Wall Street Journal 76% of Americans support a single payer system. As a study of bankruptcy filings show, 60% of those in bankruptcy court are forced to file because of health care costs under our current broken system.
The Republicans unveiled yet another plan, ( they currently have five competing plans in both the House and Senate.) They all share one feature, no real plan for insuring the 47 million people who have no health insurance. This is the party long on ideas short on substance and details.
It also contains another another standard piece, deducting your taxes, in this case the cost of your health insurance, so that you can pay this money to some greedy corporation. This is similar to their bright idea to take social security and give it away to the same Wall Street corporate thieves who drove this economy into the ground.
The current Republican model is essentially based upon the following three ideas:
It would redirect much of the money from medicaid to allow individuals to buy health savings accounts.
Encourage high deductible health insurance plans
Tax employer health benefits to pay for their plan. They want to tax Middle Class health benefits to pay for this. Notice how they tax the Middle class to pay for benefits to the rich?
The fact that bears repeating, not just for Republicans but for the Obama administration, is that the system has failed whether we are talking about the financial system that Geithner is recapitalizing or the health care system that Republicans would like to enrich. You change failed systems and I don't mean cosmetic alterations to keep the current system in place while fooling the public into believing real reform has happened.
The first lie of this debate is that bureaucrats not doctors make the decisions in single payer. It is actually bureaucrats in the private insurance agencies who decide if big Insurance companies pay for your care. In single payer you and your doctor make all the decisions. All single payer is is a way to finance the system.
Medicaid takes about three cents out of every dollar for administrative costs, while it is about thirty three cents for private insurance. How much could we save from cutting that red tape. Maybe the line from this debate should be we don't want private enterprise coming between us and our doctors and we sure don't want any corporate bean counters making medical decisions.
As the Website, A World Without Spin in an article by awwboss states, " The problem with the argument against single payer is that the biggest argument for it is wages. The average person isn't making $500,000.00. The average person isn't making $170 dollars an hour. The average person isn't some insurance exec who makes millions of dollars. But the problem in the U.S. is that this isn't an argument or a debate. The system is held up by politicians being bribed by insurance and pharmaceutical companies. So the problem really is a political one. And unfortunately the average citizen does not have a platform to change that. They are relying on the very people being bribed to change the system."
You could say that about why reform of Wall Street is also little more than the audacity of hype as well.
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Comments
Thanks for the cogent analysis. You're right, the Republican model of health care reform would do nothing for people who currently cannot afford health insurance. If you can't pay premiums, how could you pay the high deductibles that "calamity" insurance requires?
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