A Central Payer for the American Health Care System: Creation

Subsequent to my last essay, http://equalhealthcare.org/2013/12/a-central-payer-for-the-american-health-care-system-introduction/, in which I introduced the following figure,  Structure for American Health Care with Central Payer,

I received via Twitter, a cogent question. The conversation is reproduced here:

Rebel Bill ‏@Rebel_Bill Dec 4
@garthkirkwood I don’t trust government to wall that $2 Trillion off, do you?

Garth Kirkwood ‏@garthkirkwood Dec 4
@Rebel_Bill @garthkirkwood Thanks Bill. No, not at present. Future elections must result in a Congress that creates a proper structure.

I am saying that we must elect politicians who will create a structure which serves the American people and which they must then leave alone to do its job without their interference and without their looting, diverting of accumulated money thus destabilizing the system. Is this possible? Is it possible to elect politicians who will function as true civil servants and remove their own personal agendas of ideology, power accumulation and re-election from their work? I don’t know. But, if we can’t, then our country and its people will be stuck with the absolute farce of Obamacare and the equally farcical non-accomplishments of previous congresses regarding our health care system.

So, politics and politicians are necessary. I have known this, but I have not previously read or heard this stated as eloquently as Charles Krauthammer did in his book, Things That Matter (ISBN: 978-0-385-34917-8). I paraphrase and quote from the Introduction–page 2:

  • While science, medicine, art, poetry and other wonderful pursuits may promise purity, elegance even transcendence, they are fundamentally subordinate and must bow to the sovereignty of politics.
  • You can have the most advanced and efflorescent of cultures. Get your politics wrong, however, and everything stands to be swept away.
  • We must know politics because of its capacity, when benign, to allow all around it to flourish, and when malign, to make all around it wither.

It’s quite clear that the politics regarding the American health care system is not just destructively wrong now but has been so for decades and that our health care system is withering. Who bears responsibility for this? The politicians who have served in Congress, the federal employees, operatives and lobbyists who have taken over the process of writing legislation, and us, who continue to put up with it. However, the latter group, i.e., us, has an excuse: When both major political parties support self aggrandizing, rhetoric spouting mouthpieces, who are afraid to step out of ideological line, what choice do we have except to not vote at all, which assures their ongoing existence. Perhaps the TEA PARTY will lead us out of this quagmire. However, they will need to be 24 hours a day vigilant to not fall into the same traps.

So how do we get our politics right?
  1. Elect better people, who truly wish to serve the public and who despise the concept of sucking the government teat!
  2. Demand from the candidates written oaths that they are going to try to accomplish defined, detailed agendas set forth by the American public at the grass roots level far prior to election day. And after election (6 months to 1 year), when that doesn’t happen because of lobbying, deal making or just ineffectiveness in the grand swamp (Washington, DC), the guilty politicians are unceremoniously removed from office and forced, under penalty of perjury, to tell exactly why they were unsuccessful in accomplishing what they took an oath to do as candidates.
  3. The rooting out of the pernicious, dangerous evil clarified by the removed politicians on an ongoing basis until this abscessed swamp is drained of every ounce of pus.
A poem for my current views on politicians and their interaction with the media:
Zoos’ birdhouse chatter
Of chatterbox magpies;
Park benches’ head bobbing
Pigeons pecking for grain;
We inhale parasitized air.
R. Garth Kirkwood, MD
doctork@equalhealthcare.org