Saturday, December 26, 2009

Congressional Mess with Health Care Bills

To begin with, I clearly want to state that I fall into that category of feeling we need a universal health care program. Our present system is too expensive, inadequate, and unjust for an ever increasing number of people. Insurance companies, pharmaceutical companies, medical equipment suppliers, and large corporate hospital organizations are taking unfair advantage of their favorable positions at the expense of the American people. The self-regulating, free market system, so revered in this country, is a failure in health care. The only entity with enough power to make it equitable in coverage and cost is the federal government.

The two bills – one from the House of Representatives and one from the Senate – are so different in content that I find it almost unimaginable that they can be successfully blended into one in a conference committee. But, we are about to see it happen and the result should be fascinating. But, whether the bill gets enacted into law is certainly not a foregone conclusion.

Polls clearly indicate that the majority of the people have moved from overwhelmingly supporting a universal health care program a few months ago to opposing these bills. This is a real conundrum for me. I suspect there are a variety of reasons:
1. Some have succumbed to the litany of false claims and fear mongering that opponents have exposed them to – like death panels, issue of public support of abortion, claims of exorbitant costs, suggestions that there will be reduction in benefits for Medicare, etc. All it takes for some is hitting one “hot button” they feel strongly about, whether it is accurate or not, and they make a 180 degree turn.
2. Some have bought into the idea that these changes need to be made in a “slow, deliberate, careful” manner, one at a time. In the meantime, what happens with the 40+ million people with no coverage, the “cherry picking” coverage practiced by the insurance companies, and the exorbitant increases in cost of medical care? It appears that some people haven’t thought through how all these things are related to one another and that the one problem at a time approach makes no sense at all.
3. Some in our society have the attitude that if they have adequate coverage for themselves today, they don’t need to concern themselves with those that don’t – pretty self-serving and shortsighted in my opinion.
4. Some are opposed because this national system would result in federal government involvement and/or fairly high level of government control. These are the ones who don’t think the government can do anything right and the free market, private ownership, capitalistic system can do everything better even though history has clearly demonstrated that this naïve theory is out-dated and inaccurate and will eventually lead us into a plutocracy.
5. On the other hand, I assume that some people are upset that the bills fall short of a true “single payer” universal health care system and may end up not even including a public option feature where competition would keep costs more equitable. I share in this remorse; but, I don’t want to “throw the baby out with the bathwater.”
6. Some have chosen to ignore that the present bills have many provisions that would solve many of our health care problems:
(1) Will cover 30 million people now without insurance plus those with
inadequate coverage.
(2) Will curtail practice of denial of health care coverage because of pre-existing
condition.
(3) Will make health care more portable from job-to-job and/or state-to-state.
(4) Will provide small businesses, families, and individuals the chance to buy
health care at reasonable costs.
(5) If the money crunchers are right, it will be deficit neutral over the next 10 yrs.
Plus, many other provisions that will improve health care coverage.
7. Some have bought into the claim by the opposition party that they have been left out of the system (not true) and that they have a much better plan to solve these problems. The truth of the matter is that their plan is a figment of their imagination. They don’t have one that anyone has seen or read, they just keep making the claim.
8. The most recent criticism results from the realization on the part of the American public of just how messy this legislative process is. It’s like many are aware of this for the first time and are outraged. It has been this way for years under both Democratic and Republican Congresses – it’s not new. Harry Reid and Nancy Pelosi are simply operating within the system that exists, not one they created and yes, it is a “deal making,” complicated, “stupid rule” dominated system. Votes are bought and sold, special interest and lobbyist activities have disproportionate influence, and partisan politics reign. The mentality is, let’s do all we can to make the other side fail and look bad so we can win the next election and gain power.

It is a shame and it is our collective fault – we keep electing them. Whether we get some kind of universal health care program or not out of this mess, I would like to see the 2010 election be one of the most important in history. I’d like to see the American electorate vote out of office almost every U.S. Representative with 3 terms or more in office (6 years) and almost every U.S. Senator with 2 terms or more in office (12 years). Instead of concentrating on unseating the relatively new Congressmen, we need to eliminate the ones who have created/or perpetuated the present process that make legislation so ugly. And, make it a clear mandate that they are to go to Washington to make significant changes in the legislative process. If we do this over the next 3 election cycles, we have a chance of seeing the legislative branch of government establish its rightful place as an honored institution representative of the people.

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