According to The Hill’s Healthwatch Blog,http://thehill.com/blogs/healthwatch/other/128585-democrats-tout-new-report-on-uninsured-to-blast-repeal-efforts, the Senate Democratic Communications Center is arguing that, based on a new report from the CDC,http://www.cdc.gov/mmwr/preview/mmwrhtml/mm59e1109a1.htm, Democrats will continue to fight to protect American families who deserve quality health care, while the GOP leaders fight to protect insurance companies. The new report shows that in the first quarter of 2010, an estimated 59.1 million persons had no health insurance for at least part of the year before their interview. HOW NOBLE THOSE WONDERFUL DEMOCRATS ARE!
If they care so much about individuals’ health care, why didn’t the Affordable Care Act (ACA) directly offer a public option? The Democrats couldn’t muster enough votes for this? I wonder why?
Creating a huge increase in the Medicaid population, which the ACA will do, is entirely different than creating a public option. The low levels of payment associated with Medicaid allow the hospitals and insurance companies to engage in the game of increasing premiums and deductibles via the cost shift argument. So, those, who pay taxes and purchase health insurance, will see both payments increase: Good old redistribution of wealth, while leaving in place the resentment for Entitlement populations and thus replanting the seeds for continued socio-economic discrimination. Oh! those WONDERFUL NOBLE DEMOCRATS! They created a bonanza for the health insurance companies. The insurance premiums and deductibles have already started to increase.
Creating a public option with payments set at Medicare payment rates (higher than those of Medicaid) would probably have been the beginning of the end for the insurance companies. I believe that Medicare payment rates are quite adequate for true hospital costs, if these are examined closely and if there is a standardized, appropriate overhead structure in place for all hospitals, as opposed to the entrepreneurship, currently in place, which allows hospitals (for profit and not for profit) to become independent, dollar-driven, business fiefdoms. Oh goodness, we can’t have that! That would be Socialism! Wait a minute! That’s what I thought the Obama Administration and the Obama Congress stand for! So, just why is it that they did not create a direct public option in the ACA?
Those wonderful Democrats are every bit as phony as the Republicans. They don’t want to create true healthcare reform. What they want to do is to make great argument about it, while diverting the public’s attention from their real agendas:
- Maximize the revenues and profit for the companies which finance their campaigns and which lobby them,
- Create a voting block, the Entitlement Population, to enhance their chances for re-election,
- Pay tribute to their puppet-masters’ ideals, redistribution of wealth and others, except those which interfere with their own personal goals.
The Republians are no better. What have they done over the last 50 years , which really benefits the individual person, who just wants to be able to go to the doctor without fearing bankruptcy in the process? If the Republicans are so great, why do we have this healthcare mess? The answer is GREED and POLITICAL RE-ELECTION.
And, I will make a prediction: The Tea Party politicians, whoever they are, will dive head first into the same swamp.
R. Garth Kirkwood, MD