THE HEALTHCARE SCARE

So Obama promised on numerous occasions that: “If you like your healthcare plan you can keep it. Period.” He often repeated this while campaigning for President and then after he was elected. Bad mistake, as it turned out, since perhaps millions of people will lose their healthcare plan due to implementation of Obamacare. Couple that with the disastrous incompetence of introducing Obamacare on-line, and you have Republicans, like sharks smelling blood in the water, circling around their prey, ready to pounce. I suppose if Obama had said that most people would be able to maintain their healthcare plans, this entire kerfuffle might have been avoided. In any event, before we let panic and hysteria reign supreme, I felt it would actually be helpful if we looked at the facts and the reality surrounding the whole healthcare stew that exist in America today. You know what facts are; those pesky and annoying items that always seem to interfere with ideology.

The first fact to acknowledge is that we are the only civilized country on Planet Earth, (and perhaps in the universe) that doesn’t provide its citizens with universal healthcare. Republicans, and other assorted right-wingers point to healthcare systems in Canada, Great Britain, France, Germany, Italy, Spain, China, Japan, India, and everywhere else, and declaim these systems as “socialized medicine.” Oh, the horror. We must never allow the evils of socialized medicine to take root in the U.S., they staunchly proclaim. Except that it already has for major segments of our society. Like the military, for example. Republicans hold the military in such high esteem, that it has not been a problem bestow upon them the “evils” of socialized medicine. Here’s how it works. The military healthcare system is called TRICARE, and it’s available to all active AND retired military, their spouses and their young children. All are eligible to obtain free medical treatment at VA hospitals or from private doctors. Currently, this comes to just under 10 million people who don’t have to worry about obtaining healthcare. Plus, if one has ever served in the military, they’re allowed to obtain medical care at VA hospitals for a small co-pay. Why is socialized medicine a given for the military, but such a big deal about making it available to the civilian population?

Next comes Medicare for all those pain-in-the-ass seniors, who, as everyone knows, are just leeches on society. While not as good as TRICARE, it’s still not bad. It pays an estimated 80 percent of usual doctor bills, and almost 100 percent of hospital charges. It doesn’t cover stuff like eye glasses or hearing aids which are an increasing necessity in many senior’s lives. Normally, when one has Medicare, one has to also acquire a supplemental healthcare plan to cover the stuff Medicare won’t pay for. My supplemental costs about 3 times more than my Medicare premiums; but, between the two, I don’t have to worry about any billings from doctors or hospitals. So we’ll say that Medicare is semi-socialized medicine. Except if a senior decides to belong to an HMO, where everything is paid for and no supplemental is required. Then it’s fully socialized. There are, however, certain disadvantages to belonging to an HMO, which you can learn about on Google. In any event, there are currently 49 million people receiving Medicare benefits. The list of those with Government healthcare support keeps growing.

The next category of Government provided healthcare is Medicaid, a health plan for the poor. Medicaid is generally not considered a worthy plan because the Government is extremely parsimonious in its funding. Medicaid is a joint federal and state funded venture and both have been reluctant in providing the resources needed to keep the system afloat. Many doctors will not accept Medicaid patients because of stingy reimbursements. Still, if you’re poor, and can’t afford health insurance, it’s better than nothing. Currently, 70 million people rely on Medicaid for their health benefits. There’s also CHIP, the Children Health Insurance Program; essentially, Medicaid for youngsters, which enrolls another 7.6 million people. So we’re now up to about 136 million Americans receiving health insurance benefits from the Government. (Better not alert the Tea Party nut cases, or they’ll develop a case of the heaves.)

An estimated113 million Americans receive their health insurance from private employers or as employees of governments at the federal, state and local levels. These are generally safe from the mandates of Obamacare. So where’s the problem with all these cancellation notices and rate hikes. It comes because 5 percent of the population, or about 15 million people have to buy health insurance directly, because, for one reason or another, they are not part of a group plan. Which is always an unfortunate position to be in. Most of these cancellation notices are occurring because many of these self-insured health plans do not meet minimum medical requirements specified by the Government. Or, in other words, these plans are a piece of crap; and the only thing saving the butts of those purchasing such plans is that they remain healthy enough to not require serious medical attention in the first place. Eventually, over time, if Obamacare is allowed to develop and evolve, those buying self-insurance will be able to obtain decent plans at reasonable cost.

But, if Republicans want to howl that Obama lied, they’re free to do so. Imagine, a politician in Washington lied. I don’t think my heart can take it. Where’s my defibrillator? Although I seem to recall those famous words uttered by George Bush, the Elder: “Read my lips, no new taxes.” That notorious line was proclaimed about a year before he signed legislation raising our taxes. Or how about the right-wingers favorite President, Ronald Reagan, lying to us for over 2 years about the Iran-Contra scandal. (Those not familiar with Iran-Contra can also check it out on Google.) Or how about the infamous: “I did not have sex, not even once, with that woman, Miss Lewenski.” Bill Clinton is now revered as a saint in Democratic circles, despite the utterance. It was he, more than anyone, that saved Obama’s butt, in the 2012 election. Or how about George Bush, the Younger, telling us we had to go to war with Iraq because Saddam had weapons of mass destruction. It was only later that we found no WMDs existed in Iraq. Or better yet, take the man considered our greatest President, Abraham Lincoln. In trying to secure enough votes to pass the 13th Amendment outlawing slavery, lying was the least of his sins. Lincoln used bribery, blackmail, threats of political or bodily harm, coercion, and bunches of other bad stuff, but he got the job done and was hailed as a hero. Perhaps there’s a lesson to be learned from that.

 

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