The Debate Over Universal Healthcare Is Coming

Tuesday afternoon at Tapped, Ezra Klein posted a fantastic summary of a Boston Globe article detailing the particulars of the modern healthcare debate. He focuses on the fact that the consensus has shifted away from fixing employer-based healthcare, as was the case in the nineties, and towards some sort of new paradigm.

...while the media has spent some time outlining the old system's slow-motion destruction, the drawing of the battle lines for the fight to replace it have been vastly underreported. It's here that Kendall's article shines. Conservatives have settled on an individualized concept of health care, most often expressed in their advocacy for so-called consumer-driven health plans (Health Savings Accounts, Health Reimbursement Accounts, and so forth). In the future they envision, health care would be an individual responsibility; if you screwed up and lost big, or just had a run of bad luck, well, that's life. Liberals, conversely, want to make health care a community burden, be it through massive expansion of currently existing federal pools (think Medicaid, Medicare, SCHIP, and FEHBP) or the creation of a wholly new, state-run insurance program. This way, your personal decisions and circumstances would have little to no effect on your coverage; the healthy would pay for the sick and the young would subsidize the old.

Ezra points out that the new deal between GM and the UAW, cutting $1 billion in retiree healthcare benefits, is a perfect example of why the old consensus is no longer tenable: in a globalized environment, "corporations cannot keep assuming medical responsibility for their workers while remaining competitive." Setting aside important questions about the necessity of worker concessions to save corporate profits -- Nathan Newman asks, "Where are Investor Givebacks at GM?" -- this will unfortunately continue to be the norm.

As Matt Yglesias pointed out (also at Tapped), workers at all levels are seeing their promised benefits cut, even when globalization is not an issue. A Los Angeles Times piece on the declining power of the labor movement points to a wage freeze and increased healthcare premiums for police officers in a town in Michigan. But even though 'police officer' is not a job that can be outsourced to Mexico or China, healthcare is increasingly seen as an outrageous cost that can be cut to boost the bottom line. It's terrible public policy to leave something as important as healthcare on the table as a bargaining chip.

Again, this is another area where the claim that the Democrats are devoid of ideas rings hollow. This weekend, the Universal Health Care Action Network is holding their national conference, New Opportunities for Organizing for Affordable Health Care for All. One of the interesting things about UHCAN's approach is that they're at the forefront of making the values-based case for universal healthcare, working with the United Church of Christ on a Faith Project, highlighting the moral injustice of healthcare as a privilege and not a right.

I think one of the lessons we learned from our win in the Social Security privatization battle is that the Republicans have hit an ideological ceiling with the American people on issues like this. People may have loved the rhetoric of 'welfare reform', but when it comes to a social safety net for the middle class, they're not giving any ground.

So when it comes to debating Republican healthcare proposals versus Democratic solutions, I think we've got a good chance of getting our agenda passed. After all, universal healthcare has been a Democratic cause for well over fifty years. The failings of the private market in this area are now obvious to everyone paying attention -- even to much of the market itself.



Display:


This is an issue (3.00 / 2)

of national competitiveness.  We are one of the only first world economies that does not have national health care.  As a result, a US company is at a severe cost disadvantage.

In addition, high premiums are slowing down hiring.

by Bonddad on Wed Oct 19, 2005 at 01:27:21 PM EST

Exactly (none / 0)

Why aren't GM and Ford and similiar companies screaming for universal, government run, healthcare?  It would save them billions of dollars each year.
by Geotpf on Wed Oct 19, 2005 at 06:06:20 PM EST
[ Parent ]

Re: This is an issue (none / 0)

I agree.  To me, this is one of the most important issues facing this country today and for a long time going forward.  More important than Iraq long term and equal to the general political issue of a strong economy (truthfully, the two are very linked together).  

Of course paying for it will be the issue.  My question, if we removed the SS tax cap, how much would we need to keep social security solvent?  Could we keep the same tax percent, remove the cap and split it among SS and UHC?  Would there be enough in there to cover?  If so, then the majority of tax payers would not see a decrease to their paycheck, something that would go over big.  Maybe figure what companies are paying for healthcare and then put a tax for half that amount, to entice their support?  

by yitbos96bb on Wed Oct 19, 2005 at 06:08:09 PM EST
[ Parent ]

Outsourcing Sanity (none / 0)

"'[P]olice officer' is not a job that can be outsourced to Mexico or China."

True. These jobs could be outsourced to KBR or Blackwater, however. How long do you think it will be before they try?

Sorry. A little slightly off-topic snark, I know, but would anyone here be shocked if it actually came to pass?

by Tod Westlake on Wed Oct 19, 2005 at 01:33:03 PM EST

Re: Outsourcing Sanity (none / 0)

"These jobs could be outsourced to KBR or Blackwater..."

Scary as hell and it wouldn't even be surprising. I'd love to see the Republicans try it, though. People would go nuts at that prospect of little unaccountable Abu Ghraibs popping up in every town.

by Scott Shields on Wed Oct 19, 2005 at 01:47:16 PM EST
[ Parent ]

They could (none / 0)

But they won't.

Why?

Because mercenaries get paid more than cops do, that's why.  It only happens in Iraq because there is a shortage of volunteer soilders, they are unaccountable, and the Bush administration doesn't actually care about costs, at least in no logical way.  But no city government would be willing to pay more for less.

by Geotpf on Wed Oct 19, 2005 at 06:08:31 PM EST
[ Parent ]

Re: They could (none / 0)

Yes, but the pay scale in Iraq is proportional to the risk these mercenaries are undertaking. Private contractors used in American cities would not have to be paid anywhere near this scale. I would also suggest that any job could be welcome given the state of our stagnant economy, especially one that allows you to legally carry a gun and crack some skulls -- even if it's only paying eight or ten bucks an hour.

You bring up a good point, however. Just don't be so sure that they can't figure out a way to make this work should they decide to do so.

Anyway, it's only a hypothetical bit of cynicism on my part.

Or is it? Here's an article from something called American Police Beat which highlights what I am suggesting, though it's only for traffic cops at this point:

Cops Replaced By Civilians To Cut Costs

by Cynthia Brown

The most recent effort to use private security guards instead of sworn law enforcement officers comes from Dallas, when 31 blue-clad guards - the uniforms look very similar to the ones worn by Dallas traffic officers - hit the streets on bicycles and on foot after three weeks of something called "training workshops." The security guards will be patrolling in downtown Dallas. They earn $12.50 an hour. Observers say the public could easily confuse the security guards on bikes as Dallas police officers.

Hey, at least these chuckleheads don't have guns.

by Tod Westlake on Thu Oct 20, 2005 at 07:26:24 PM EST
[ Parent ]

Re: They could (none / 0)

The thing that doesn't get talked about is liability.  It is very difficult for prisoners to sue the government.  They can sue private contractors.  

Every time prisons have been outsourced they end up with huge lawsuits and liability.  It's not a good business to be in.  Unfortunately, it also always hold true that abuses are rampanant - remember the old study with Psychology students -they made half guards and half prisoners and abuse seems to always follow.  Add in for profit companies skimping on service to make a buck and it's a recipe for disaster.

by kevin19611 on Sun Oct 23, 2005 at 10:40:42 PM EST
[ Parent ]

Re: They could (none / 0)

Yet the Prison Industrial Complex continues to mushroom (hat tip to TalkLeft), with more and more prisons turning to contractors to manage correctional facilities. And while I completely agree with you that any rational government would take into account potential liability when turning over to a non-governmental agency the care of inmates, that hasn't always happened. In fact, the trend is toward legislation which would curtail the rights of prisoners.

This trend is a governmental gravy train for the companies and elected officials who are involved. What makes you think they would suddenly start to care about their own liability? They certainly haven't up to this point. And with the courts stacked in favor of law enforcement, I fear these companies have little to worry about when it comes to litigation by inmates or inmates' rights organizations.

Again, you make an excellent point, however. If you or I were running the show, we would stop to consider these things. I'm not so sure the Kleptocrats currently in charge can see anything beyond profit, profit, profit. They don't care if the prison system goes to hell -- as long as the cash keeps rolling in, that is.

This "privatization" trend could easily happen to law enforcement.

It's funny, actually. You have unintentionally forced me to reconsider what was intended to be a flip remark and I now think that what I'm suggesting is not only possible but inevitable -- as long as the idiots who are currently in charge remain so. Hopefully they won't be for too much longer.

p.s. Sorry about the glacial response. Busy with much school work, these days . . . .

by Tod Westlake on Wed Oct 26, 2005 at 10:59:49 AM EST
[ Parent ]

Frame healthcare as an unfair tax on business (3.00 / 2)

If the Dems were smart, they could have taken the wind out of the conservatives sails 10 years ago by framing employer provided health insurance as an unfair tax and onerous burden on business.  By co-opting the pro-business platform of the republican party with this issue, they might have had a better chance of creating universal coverage in the Clinton years. Let's see if they can wise up now.
by samdinista on Wed Oct 19, 2005 at 01:42:36 PM EST

Re: Frame healthcare as an unfair tax on business (none / 0)

Lots of people don't like big corporations, and they figure that a tax on them is one that I don't have to pay.  So I think the way you frame the issue depends who you're talking to.

When you're talking to Republicans or business leaders, yea, that's a good way to put it.  But if you're talking to Church-goers, for example, it might be best to talk about "love thy neighbor" and such.

Rudy Giuliani hates firefighters. And puppies.
by Fran for Dean on Wed Oct 19, 2005 at 01:50:47 PM EST
[ Parent ]

Re: Frame healthcare as an unfair tax on business (3.00 / 2)

...and when you're talking to union workers, you talk about how GM has to pay $1500 per car on a worker's healthcare, and how they are cutting back on benefits because of that high cost.
Rudy Giuliani hates firefighters. And puppies.
by Fran for Dean on Wed Oct 19, 2005 at 01:52:08 PM EST
[ Parent ]

Re: An unfair tax on jobs (3.00 / 1)

Employer-paid health inurance
is an unfair tax on JOBS.

Employers in Europe don't pay
this heavy tax alone -- the cost of
national health insurance is paid
by taxes from a variety of sources.

Of course the JOBS tax falls hardest
on employees of a certain age. Medical
premiums are age based and that cold
fact drives age discrimination at work.

Older people do have more medical
bills, not surprisingly. By refusing to
hire older workers, and pushing out
its older and more senior employees
through "early retirement" and other
devices, an employer can greatly cut
its "health insurance " JOBS tax.

When that happens, the employee is
left to pay 100% of the JOBS tax until
she is age 65.

Wonder why Democrats have not
enjoyed good support among those
Boomers age 45-60 ? Wasn't Bush's
margin highest in this key demographic?
Well, we ignore their greatest concern --
the unspeakable fear of losing one's
job forever.

Simple solution: Lower the age for
Medicare coverage from age 65 to
age 50. We'd need a new dedicated
tax to fund added Medicare coverage.
So put all estate taxes in a Medicare
lock box  Then estate taxes would
not be a "death tax" but a health tax.
Try to cut that, Georgie Porgy.

by Woody on Wed Oct 19, 2005 at 02:21:48 PM EST
[ Parent ]

Re: A Tax we already pay (3.00 / 1)

The issue of paying for healthcare could be framed as the tax you already pay.

50% of all health care spending is by the government - we have government health care, it's just that average working people don't get to use it.  

Add in the 20% of health care spending that comes from individuals and we are paying for health care twice.  And as we are learning from GM, etc - even when employers pay - we are really paying through lowered wages and cost shifting.

People feel the pinch of paying more for their insurance every day.  And it is the cause of 50% of personal bankruptcies.  i think the case can be made that creating a health insurance tax or adding to social security or medicare tax would just be changing how we pay for it - not whether we pay it.

by kevin19611 on Thu Oct 20, 2005 at 01:14:03 AM EST
[ Parent ]

Enough is Enough (2.00 / 2)

"Concentrated power is not rendered harmless by the good intentions of those who create it."
Milton Friedman
I for one, am tired of having so much of my economic freedoms being determined by politicians in Washington, the majority of which I never get the chance to vote for and even the ones I do vote for I am such a insignificant part of a pool of people that I might as well not vote for.  Let's not add another thing the federal government controls and eliminate any control we have over our lives.  
by Freedom Fighter on Wed Oct 19, 2005 at 02:16:10 PM EST

Re: Enough is Enough (3.00 / 2)

I suppose you'd rather your economic freedom be determined by a profit-driver corporation, the directors of which you will never have the slightest say in, and whose primary interest is in getting as much from you as they can?

I'll take someone who wants my vote over someone who wants my money.
 

by spandrel on Wed Oct 19, 2005 at 02:24:58 PM EST
[ Parent ]

Re: Enough is Enough (none / 0)

With a corporation I can choose whether to use their services or not, I have options, unless government somehow bars competition.  Competition drives down price and gives me the choice of which services I want relative to the cost of those services.  
If you give your vote for someone that implements new government programs then you ARE giving them your money and it will probably end up costing you more than if you had more choices avaliable to you.  

by Freedom Fighter on Thu Oct 20, 2005 at 01:28:50 PM EST
[ Parent ]

Health care is why I solidly support Hillary. (1.00 / 1)

She's made the largest effort of anyone so far.  I wish her plan would have passed.  The system couldn't be worse in all respects as it is today.  

HRC never gets enough credit for doing what she did and taking the loss and not letting it ruin her.  If we get the Congress and HRC is 2008, I bet we get comprehensive health insurance in this country.  It'll be a battle royale, though.

McCain is defining Obama, and Obama is neither defining himself, nor McCain. This is awful.
by jgarcia on Wed Oct 19, 2005 at 02:30:16 PM EST

Re: Health care is why I solidly support Hillary. (none / 0)

Hillary's plan in 1994 would not allow states to adopt a single-payer system.  That was wrong.

Nominating HRC is a surefire way not to acheive universal healthcare.  Anything proposed by HRC will be derided as "Hillary Care" by the GOP.  I predict that HRC would not even propose universal healthcare because of what happened in 1994. We need a new candidate offering a new approach to healthcare -- possibly Russ Feingold.  

by whodat527 on Wed Oct 19, 2005 at 02:48:19 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (1.00 / 1)

I knew as soon as I made my post, that HRC would get attacked.  No different than if I made this post at freerepublic or redstate.

The Clinton hatred is a little tiring.  Btw, where the fuck were all the Democrats in 1994 to do something about health care when they had the majority and the Clintons went out on a limb?  IIRC, I didn't hear a fucking thing from any of them.  They didn't even put forth and vote on an alternative plan.  You can disparage the Clinton plan all you want, but where was the alternative?  

Btw, weren't both Russ Feingold and John Edwards still in diapers when Hillary came out with her health plan?

McCain is defining Obama, and Obama is neither defining himself, nor McCain. This is awful.
by jgarcia on Wed Oct 19, 2005 at 03:24:37 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

If you're going to complain about people attacking Democrats (which is a valid complaint that I agree with), I suggest that you don't yourself attack other Democrats in the process.
Rudy Giuliani hates firefighters. And puppies.
by Fran for Dean on Wed Oct 19, 2005 at 03:44:10 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

The Feingold and Edwards comments were snarks.  Not meant to be serious.  Wow.

People should lighten-up, especially with the frothing-at-the-mouth hatred of Mrs. Clinton.

McCain is defining Obama, and Obama is neither defining himself, nor McCain. This is awful.
by jgarcia on Wed Oct 19, 2005 at 04:11:57 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

sorry, didn't catch the snark
Rudy Giuliani hates firefighters. And puppies.
by Fran for Dean on Wed Oct 19, 2005 at 04:23:49 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

That's okay.  : )

I actually like ALL Dems (except for Joementum).  And that is why I can't for the life of me understand the white-hot hatred of HRC by some people in the netroots.

McCain is defining Obama, and Obama is neither defining himself, nor McCain. This is awful.
by jgarcia on Wed Oct 19, 2005 at 04:29:50 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

What has HRC done as a US Senator to advocate a move toward universal healthcare? Has she offered any specific proposals?  Does she support the Feingold-Graham bill?

"The Feingold-Graham bill requires Congress to act on a bill that provides health coverage to at least 95% of Americans in ten years while not increasing the national deficit."

http://www.wispolitics.com/index.iml?Article=35875

by whodat527 on Wed Oct 19, 2005 at 04:40:29 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

Um sorry, you're absolutely wrong. While Hillary was getting bitched around by the Right-wing noise machine and supporting Un-Democratic things like NAFTA as 1st Lady, Russ Feingold was in the Senate opposing NAFTA, GATT, while laying out a comprehensive defecit-reduction plan that may very well have given the Clintons the legacy of "Balancing the Budget".

Please, know what you're talking about first before you say he was "in Diapers".

Edwards, now, wasn't even a Senator yet (but nor was Hillary).

by KainIIIC on Wed Oct 19, 2005 at 05:51:15 PM EST
[ Parent ]

Feingold was a senator at the time (none / 0)

And Hillary's job then was to bake cookies (First Lady (or Gentleman, for that matter-ask Geena Davis's husband on Commander in Chief) is not an actual job).
by Geotpf on Wed Oct 19, 2005 at 06:10:51 PM EST
[ Parent ]

Re: Health care is why I solidly support Hillary. (none / 0)

feingold came in with bill and hillary in the '92 election. and you didn't rebut the assertion that the clause in hillary's health care proposal to forbid states to enact single payer care was a boneheaded idea. democrats in many states were pushing for healthcare in '94, including both washington and vermont, and there were competing congressional plans as well. it is true that the inability to settle on one plan was the fault of more than just hillary, the clinton white house does bear more than a little responsibility for the botch job.
by wu ming on Thu Oct 20, 2005 at 12:45:38 AM EST
[ Parent ]

Are there any concrete proposals out there? (none / 0)

I'm curious how universal coverage would work. UHCAN does't seem to detail a plan.
by crazymoloch on Wed Oct 19, 2005 at 02:34:25 PM EST

David Gill (3.00 / 1)

David Gill is an emergency room physician from Clinton, IL.  He's running for US House in the IL-15 district, and his main issue is universal health care.  Check out his current diary over on dailykos: Will the will of the people be served?
Rudy Giuliani hates firefighters. And puppies.
by Fran for Dean on Wed Oct 19, 2005 at 02:48:01 PM EST

Simplest solution to Universal Healthcare (none / 0)

What do people think of this solution for universal healthcare (I rarely see this solution seriously discussed):

Make health insurance mandatory for all citizens, similar to how car insurance is required for all drivers.

The government can subsidize all or part of the premiums, for plans which offer a certain level of coverage, especially for those individuals under a certain income level.

Two benefits to this are market principles can continue to function about as well as they do now (we keep our good doctors?) and very little extra government bureaucracy is added.

by Scott Teresi on Wed Oct 19, 2005 at 02:51:53 PM EST

Re: Simplest solution to Universal Healthcare (3.00 / 1)

Why don't we just eliminate the private insurance company bureaucracies altogether and move towards "Medicare for all" or a single-payer system?

Under your plan, what if the private insurance companies refuse to cover people with pre-existing heatlh problems? We don't need the government creating a slush fund for HMOs that try to cherry-pick their customers.  

by whodat527 on Wed Oct 19, 2005 at 03:00:09 PM EST
[ Parent ]

Re: Simplest solution to Universal Healthcare (3.00 / 1)

we already have a system where private insurance companies cherry pick - it's called medicare and medicaid.  anyone in the insurance field (or common sense) will tell you that the older people get the more they cost in claims;  likewise people with disabilities; and the poor.

these groups aren't covered by private insurance - but by government health programs.  Private companies cherry pick by covering those with jobs under 65.  You could reduce the per participant cost of medicare in an instant if we add all the 20 somethings in the country into the same risk pool as all those over 65.

by kevin19611 on Thu Oct 20, 2005 at 01:19:09 AM EST
[ Parent ]

The debate is already here (3.00 / 1)

courtesy of Dennis Kucinich who nails the frame on this one:

The American people are already paying for universal health care; they're just not getting it.

It is time to take the profit out of health care coverage, time to provide for the American people, not for the insurance companies.

Bingo! Former President Clinton's mistake was in reasoning that he could pass universal healthcare if only he left the healthcare mafia intact. We already know how that turned out. The climate is ripe now to wage war on these people in the court of public opinion. The key will be to keep a full court press on the propaganda mill which has thus far been successfully utilized to defeat similar proposals in the past.  

 

by Seldom Seen Smith on Wed Oct 19, 2005 at 04:34:39 PM EST

Health care is popular, spending increases are not (none / 0)

If Democrats want to gain ground on this issue, they will have to come up with a way to fund it without adding to the budget burden.

Any candidate proposing a tax increase is going to lose, and lose big.  Just ask Walter Mondale.

With the Bush deficits piling up, the national debt is going to be ten trillion dollars when he leaves office.  Annual interest payments on the debt will be in the $400 billion range, or higher.

Baby boomers are going to start retiring in 2008, increasing the strain on Social Security and Medicare.  They have big surpluses now that Congress is simply spending.  When those surpluses go away, the overall budget is going to get even tighter.

Spending cuts are going to have to come from somewhere, but where?

 

by Lex on Wed Oct 19, 2005 at 04:59:06 PM EST

Tax the Rich (none / 0)

As has been demostrated here and elsewhere, the reduction in revenues brought on by Republicans passing out pork to fatcats and millionaires is what has caused our fiscal crisis.

They've starved the government and now want us to go along and slash the government in response. You suggest this is what is needed just as they'd like.

We need to recover the revenues taken away when the treasury was raided on behalf of Bush's millionaire cronies and corporate pals, not slash government programs such as medicare and social security.

Raise taxes on the rich!

by Curt Matlock on Wed Oct 19, 2005 at 06:55:00 PM EST
[ Parent ]

Impact (none / 0)

I am very much in favor of UHC and have been for years.  My question is what the impact will be on the economy.  The health insurance industry would crumble and lots of people would be out of work, and what about the privately owned Hospital corporations?  Is there a way to do it, without devestating the economy by destroying a sector of the market?  Or will we just have to bite the bullet?  

We know the Health insurance agency and the private hospitals are going to fight UHC tooth and nail... The private hospitals fees will drop and the Health insurance industry will crumble.  With the billions of dollars at stake, this will be a nasty fight.  

by yitbos96bb on Wed Oct 19, 2005 at 06:20:19 PM EST

Boo Hoo on the insurance companies (none / 0)

As for the hospitals, if it was done right, they would be nationalized (but not closed) and few if any people would be laid off.  Maybe some people in the billing and marketing departments.  Or you could leave them as is, and just have the government paying the bills.
by Geotpf on Wed Oct 19, 2005 at 06:43:36 PM EST
[ Parent ]

Re: Boo Hoo on the insurance companies (none / 0)

Yeah, but no way that Universal Health Care would pay the private hospitals (such as Frist's family hospitals) what they fleece us with now.  You bring up a good point though about employment there... However, I bet those CEOs fight as hard as possible to keep UHC from happening.
by yitbos96bb on Thu Oct 20, 2005 at 12:26:10 AM EST
[ Parent ]

Re: Boo Hoo on the insurance companies (none / 0)

Hospitals already get a huge percentage of their revenue from the government.  50% of all health care spending is government related through medicare, medicaid, or public employees' health plans.

Also witness the huge scandals that rock these companies are usually tied to medicare fraud.  Government is already the payer of last resort.

as private insurance gets more aggressive in squeezing hospitals, we may be able to split them from the insurance companies.  

The real concern is if/when government uses its bargaining leverage to control cost - especially if it pools the numerous ways it pays together.  The government's leverage is divided through the veteran's program; federal employees have several private insurance plans to pick from; every state has a different plan; medicare; medicaid; CHiPs; and so on.  

Put them all together into one pool and there would be huge savings in administrative costs; but more worrisome for hospitals and other health care providers is the leverage in setting prices.  

Nursing Homes talk about making money on medicare while losing on medicaid - no one asks why these two programs pay such different amounts.  In part because of fear the lower number might win out.  Also because of state vs. federal shares of the cost and opening a huge can of worms.

by kevin19611 on Thu Oct 20, 2005 at 01:29:56 AM EST
[ Parent ]

Re: Boo Hoo on the insurance companies (none / 0)

Thanks for the info.  I was unaware that the hospitals got that much income from the government.  
by yitbos96bb on Thu Oct 20, 2005 at 11:26:39 AM EST
[ Parent ]

Re: What impact ? (none / 0)

Do it in stages over a 10-year period
so everyone can adjust.

Start by extending Medicare to age 60,
the next year or so to age 55, then
down to age 50,
add all children to age 6,
then to age 12, then to age 18.

That lets the private insurance
companies do what they want
to do anyway -- cherrypick their
clients, limiting their exposure
to the young and employed.

Meanwhile, the hospital industry
lives off Medicare already. Can't
they survive with more Medicare
clients?

And if the private insurance
companies by then can't provide
inexpensive group coverage to
the young and employed, that
will be clear by the end of the
10-year phase-in. In that case,
extend Medicare to cover
everyone of every age.

Hey, Medicare is not the perfect
health insurance plan. But it covers
the basics, and everyone undersands
how it works.

I could stand to see a little tinkering
with Medicare, like adding some $10
or $20 co-pays. If the patient refuses
to pay $20 for a lab test, then the test
is not worth $20 to me as a taxpayer,
much less $100.

Hillary's plan was so damn complicated
no one could explain it, and no one
bought it.

And meanwhile let's improve Medicare
for everyone. And / or leave a role for
private employer plans as Medicare
wrap-around plans covering what
Medicare does not cover well -- mental,
dental, prescription drugs, etc.

by Woody on Thu Oct 20, 2005 at 01:33:53 AM EST
[ Parent ]

And in a second mid-term election (none / 0)

Given that the second mid-term of a Presidency is the ideal time for a reversal of power, can you imagine a better scenario for actually pushing universal healthcare?

Especially after Katrina and after corps began hacking away benefits to cut overhead?

This couldn't be more perfect.

by jcjcjc on Wed Oct 19, 2005 at 10:37:58 PM EST

Coming we hope and long overdue (none / 0)

Michigan is sitting on a 7.0% unemployment rate and has since NAFTA started its thing.   GM stock is junk bond rated - think about that - GENERAL MOTOR'S STOCK IS JUNK BOND RATED.  So, you'll forgive me if I don't want to spend money to rebuild, yet again, after another hurricane.  How many times can we rebuild the same damn place when other things have never been invested in even once.  

Wages are down, access to paid health care insurance is disappearing, pensions are gone unless it is an unmatched 401K, social security is being threatened, medicare is going broke, high paying jobs including hi tech are going overseas.   So keep on voting for Republicans and conservatives and keep on shopping at Walmart.   Soon, we all be competing for the best "mud hut" in the compound.

by oakland on Thu Oct 20, 2005 at 05:55:24 AM EST

My Favorite Healthcare Quote (none / 0)

"If we as a nation cannot change the demand for medical care by being more accountable for our own health and being more judicious in our use of medical services, no system can provide affordable care to all citizens."  
Scott Ideson-Local President of Blue Cross Blue Shield

by Freedom Fighter on Thu Oct 20, 2005 at 01:36:12 PM EST


You are not logged in.

In order to post a comment, you must be logged in. If you have a member account, please log in to comment.

If not, you can make an account right here. It's quick and free.