Saturday, July 15, 2017

ObamaCare is a failure. No, Republicans killed it. Now there's really only one solution left.

I'd like to preface this by first saying that after decades of destroying bank accounts, defrauding government and tax payers, disregarding the well being of patients, and the advice of physicians, I think America has had enough of health care being doled out by the for profit health insurance industry. It's profit-over-life risk management. Call it insurance, call it skyrocketing premiums, but don't call it health care.

Some say the Obama administration passed the most comprehensive health care legislation since Medicare and Medicaid. Some have quite a different story. For many, it boils down to their ability to see a doctor when they need to without going broke or bankrupt. I have personal knowledge on this issue.

ObamaCare was an attempt to slow the out of control costs of health care in America. Since insurance companies were calling the shots, President Obama's logical step was to engage them. In his pocket, if he could put it off, was a deal whereby every American would be required buy a health insurance policy if one wasn't provided by their employer. The biggest gift ever to the for profit health insurance industry. A deal they couldn't and wouldn't take because it would require minimum standards of health care for the masses. They couldn't take it because they couldn't do it profitably.

The Republicans saw this Affordable Care Act as an attempt of a government take over of health care. They totally missed that it was really the for profit health insurance industry that would be doing the taking over. That mattered not to Republicans and sadly some Democrats. The Republican's dislike for Obama and his path of cautious optimism became quite obvious, when their mouthpiece blurted out over national television that Republican's sole purpose going forward would be to make Obama a one term president. They then began to obstruct in any manner possible any advancements and implementation of the legislation in every state in America. The thing is, there was so much in it, that according to Nancy Pelosi, that "we won't know what's in it until we pass it." Now that little creation has become the Republican's theme, as they attempt to repeal and replace ObamaCare without killing anyone. By the way, the money they claim they will save will go to the rich as a tax break.

ObamaCare relied on the expansion of the proven health care provisions of Medicare and Medicaid and expanded "health insurance markets". Insurance reneged. They couldn't create new or sustain existing markets without losing profits because now they were actually forced to provide a minimum standard of comprehensive health care. Something they should have already been doing. They are incapable of providing affordable comprehensive health care because it would put their profit at risk.

So yes, in some places and instances, ObamaCare is failing. Just ask states where Medicare and Medicaid were not expanded. Just ask the states who allowed insurance companies to not service their states and who did not sue for malfeasance, fraud and unfair business practices. There was plenty of wrong doing and blame to go around. Obama care was far from perfect. But it was better that what we had. Obstruction by Republicans and those on capitol hill in the pockets of lobbyists, allowed insurance companies to close their markets and purposely engage in supply and demand manipulation of health care access. As premiums continued to rise, profits continued to rise, More Americans were getting insurance because of ObamaCare, but for many, the costs became too prohibitive. And worse, they were fined if they failed to get a health insurance policy. The ACA had it right on that one. The only way to keep health care costs down if for everyone to be in. It just did it the wrong way.

Nothing really changed. People are not getting affordable health care and are still going broke trying or just not trying at all. It's no wonder why insurance premiums have been skyrocketing for decades, long before Obama was in office. Tragically Obama's misguided solution to lower health care costs was to trust the for profit health insurance industry when they were largely responsible for rising costs in the first place. President Obama was more successful helping the less fortunate receive critically needed health care than any President since LBJ. Tragically, and for what ever  his reason, the other path to health care for the masses, single payer, was dismissed as pie in the sky. Obama was convinced by his advisers, members of Congress and industry lobbyists that it couldn't be done.

Single payer/universal health care/Medicare for all, a national health care system was a good idea. It was a great idea. It was the best idea for a national health care system and it could be done but would require the critical step of removing the for profit health insurance industry from the mix. We could have affordable health care for every American in every state, and yet we are here because the for profit insurance industry has convinced our elected officials that health care can not be done any other way and they believed them. They are wrong and they'll go so far as to threatened a vote that will deny millions of Americans health care because of a campaign promise and tax breaks for the rich to prove it. It is unconscionable.

There were some good things about ObamaCare. No preexisting conditions, kids stayed on parent's policies and some expanded actual health care provisions. But in their zeal to repeal and replace ObamaCare, a campaign promise of a disgraced political party, it will place millions of Americans in peril.  Some may actually die and Congress, on both sides of the aisle, remain willfully blind. It will take the strength of conviction and a common sense of right and wrong, and humanity, to break the chains that bind health care to the profit-over-life drivers of the for profit health insurance industry. Those drivers have no place in health care. They should never dictate the course of, or have control over health care in America. The for profit health insurance industry and others like the pharmaceutical industry, are spending billions to ensure they remain in control and our elected officials remain indifferent to facts, criticism and the plight of those needing actual health care.

Our Constitution guarantees Americans the right to life. That should include the health care required to sustain that life. Universal health care, Single Payer, Medicare for All, call it what you will, but it's the only solution we have left unless we want to keep getting killed by the for profit health insurance industry, their skyrocketing premiums, and their profit-over-life drivers that continue to be the scourge of America.

1 comment:


    Above, a nice assessment of the situation.

    It's hard to decide what's clearest and true about Republican attitudes toward ACA/Obamacare in particular, and healthcare insurance in general. Either they are so appalled by our previous president's name that they'll do anything to obliterate it, or they just don't understand how insurance works, with all who may need it paying in for the benefit of all who eventually do. Possibly, the culprit is both.

    (($; -)}™