Health Care, Obamacare

GENETIC PREDISPOSITIONS: PART II

When I was young, (yes, electricity had already been discovered and was in general use) there was term often used by newspapers and other media to disparage or otherwise shame certain members of society. That term was “being on the dole” and it came to signify those unfortunates that were having a tough time financially and required governmental assistance to get thru the transactions of day-to-day living. That phrase originated in England in 1917 and was in reference to benefits being “doled” out by the government to generally poor souls that couldn’t otherwise provide for themselves. Since the U.S. at the time, had a hard-core, laissez-faire, capitalistic type of thinking ingrained into most people’s psyches, having to receive government assistance was considered especially shameful. The mark of a slacker, one too lazy or otherwise too indolent to provide for themselves. Indeed, according to newspapers that were published in those days, no criminal’s deeds were as heinous as that of someone “being on the dole.”

With the advent of FDR’s New Deal, however, the use of that term began to lose it’s luster. It turned out that with the creation of Social Security and Medicare legislation, virtually all seniors were eventually “on the dole,” so to speak. More social programs regarding veterans benefits, student loans, housing and other government assistance came into being, so it seemed almost everyone “was on the dole” at some point in their lives, and that inglorious phrase was eventually tossed into the dustbin of history. It was to some degree revived in a new form during the Ronald Reagan administration in the 1980s. The term “welfare queens” suddenly came into existence as racist code to denote single black mothers who were supposedly having babies out of wedlock in order to receive larger government welfare checks. When it was pointed out that the preponderance of welfare payments were being made to white people, that derogatory phrase also faded from the public forum. But the on-going efforts of the fortunate to stigmatize the unfortunate in some shape or manner continues on unabated.

This is kind of a long way around to come to the main point of how genetics is often the determining factor in the way our lives will unfold and the destinies in store for all of us. Some time back I wrote a piece called “Genetic Predispositions” which still receives “views” years later, and I thought I would update the original with additional insights. In the original, I cited some extreme examples of how one’s genes are often the determining factor of the life being led. How, due to genetic malfunction, some fetus brains are bathed in an overdose of serotonin while in the womb. Hence, when these individuals grow into adulthood, they cannot derive pleasure or comfort from those activities that normally satisfy most of us, and thus, are often likely to turn out to be brutish rapists or serial killers to satisfy their lusts. Even when the brain develops normally, genetic make-up is usually the name of the game.

Those whose DNA is formed with a talent for fiscal matters often do the best in our capitalistic society. Bankers, Wall Street brokers, hedge fund managers, entrepreneurs etc. often accomplish the most financially, and are able to lead the most luxurious materialistic lives. Not that such bountiful materialism necessarily translates into lifelong happiness and serenity. Just ask those who knew Elvis Presley, Marilyn Monroe, Michael Jackson or Whitney Houston for starters. All four of whom had not only acquired immense riches, but, also millions of adoring fans and worldwide fame; but still managed to kill themselves at a fairly young age. On the the other hand, those whose DNA thrusts them into the artistic side of human performance usually receive the short end of the stick from a capitalistic oriented society. Very few writers, artists, musicians, etc. receive just compensation for their efforts and often live in poverty throughout their lives. This could also result in early demise. Think Vincent Van Gogh or Edgar Allen Poe, neither of whom caught a break as far as public recognition of their talents while they were still alive, and who also died at an early age

Most of the rest of us are somewhere in the middle, living anywhere from relatively lower middle class, to reasonably comfortable lifestyles, depending on the talent programmed into our DNA. But what I didn’t mention last time are the environmental factors that one grows up with, that also have a huge influence on our future lives, and must be considered along with genes as one of life’s determining forces. An Irish poet put it best when he wrote that “They fuck you up your Mum and Dad; they fuck you up real good.” Those coming from abusive or dysfunctional homes where parents might be alcoholics, druggies, or child molesters, hardly have a chance in life, no matter how strong their genes may be. Some hearty, brave souls do manage to escape an horrendous upbringing, however, and go on to thrive in life.

It the end it virtually all comes down to a matter of genetic inheritance and environmental upbringing. I think, though, that genes are more of the determinant factor. As for me, at this stage of my life, I’m quite content to be “on the dole” and receive my government benefits.

Categories: A malfunctioning psche, Economics, Health Care, Obamacare, human affairs, politics, Ronald Reagan, the Depression | Tags: , , , , , , , , , , , , , , , , | Leave a comment

THE UN-TRUMP

As the Trump Administration lurches from one pending disaster to the next, the latest being the ill-conceived firing of FBI Director James Comey, one would think that the Democrats would have at least several young, ambitious, potential candidates to challenge The Donald in the next scheduled mud-wrestling challenge. Sadly, the Democrats appear to be too demoralized and apathetic to even enter the arena. They’re truly in a state of shambles. There seems to be no Young Lochinvar to ride in from the west on his trusty steed to save the country from the machinations of a demagogic president and his henchmen. But if there were such a bold, brazen Democratic senator for example, he or she might want to pursue the following path to a likely victory come the next election. He or she could start out by visiting college campuses and deliver the following speech.

“Good evening fellow students of LSU. I say fellow students because I am an alumni of this fine institution, being an under-graduate not that many years ago. Let me start off by saying that I am the Un-Trump. I live in a state of reality and sanity, rather than in a parallel universe of delusional paranoia. I don’t indulge in pathological narcissism, and I don’t try to cover-up wrong-doings that might of occurred on my watch with serial mendacity. I don’t indulge, every other day, in Twitter tirades against perceived critics or enemies, with all the fervor of an adolescent teen-ager whose ego has been absurdly bruised. I would not continue on the campaign trail long after the election is over, in a pathetic attempt to boost my sagging poll numbers. I would not enlist the help of Russia or any other country to hack my opponents computers or otherwise spread false news to assist my election effort. I would not attempt to bar peaceful citizens of any country, or nationality or religion from entering the U.S. for legitimate reasons. And if I am elected your president, I would not have members of the Alt-Right white supremacist movement as my closest advisors in the White House. To the contrary, I would employ the strongest of civil rights advocates. As I’ve said, I am The Un-Trump.

“And one other matter above all else. I surely would never build that hideous 2000 mile monstrosity on the Mexican border that will become known as the Trump Wall, if it does become a reality. Erecting such a barrier would not only be the biggest boondoggle in U.S. history, costing tens of billions of dollars in taxpayer money, its effectiveness in keeping out criminals or terrorists would range between negligible to non-existent. And that’s one of the reasons I’m appearing before you tonight. I need your help in assuring that the Trump Wall never becomes a reality. If, in fact, it appears that construction is about to begin on this fiasco, who among you will join me at the Mexican border to stand in the way of the tractors and earth-movers. In civil protest and disobedience, Ghandi-style. If a few thousand of us come down to the border and stand in the way of construction crews, this wall will not be built. Perhaps, if as many as 10 or 20 or 50 or even 100 thousand people show up to block construction, this hideous wall will never see the light of day. They couldn’t possibly lock up that many protesters. But remember, this would be an act of civil disobedience, with emphasis on “civil.” There can be absolutely no violence on our part, which would only serve to discredit such a protest. It must be 100% civil, the way Ghandi employed such tactics to free India from British colonial rule.

“In coming weeks I plan to visit more college campuses and other venues to elicit as much support as I can to block this impending insanity. So I ask, one more time, who will join with me in this act of conscience. Let me see a show of hands. Ahh, good. I see most of you are willing to support me in this crusade. It bodes well for the resistance. If it keeps growing, we can end all this craziness within a few short years. Remember, above all else- I am the Un-Trump.”

Alas, it appears, however, that there is no such young Democrat on the horizon that has that kind of energy and inventiveness. You might say Bernie Sanders; but he would be about 78 come next election, which really is too old. Elizabeth Warren is a possibility, but she’s not exactly a spring chicken herself. Lacking a Young Lochinvar, all you young people are faced with the bleak likelihood of enduring the Trump insanity for 8 long years.

One other thing. The crude vulgarity that Trump employed to fire James Comey was beyond comprehension, even for Trump. Comey had to learn about being dumped from a third party source as he was about to give a speech. It was obviously in retribution for the ongoing FBI investigation into the Trump team’s collusion with Russia to alter the final election results. The unceremonious firing was ironic also, since it was Comey that handed Trump the election victory on a silver platter. It was Comey, who 12 days before the election, stated that the FBI was re-opening it’s investigation into Hillary Clinton’s emails processed on a private server in Clinton’s basement. If Comey had kept his mouth shut, Hillary would now be sitting in the Oval Office. And for that, the thanks that Comey received from the president this past week was to be sacked as if he was the janitor in the J. Edgar Hoover building in Washington D.C.

Categories: A malfunctioning psche, Brexit, Donald Trump, Alan Greenspan, Donald Trump, Hillary Clinton, Bernie Sanders, Ted Cruz, John Kasich, presidential polls,, Economics, Health Care, Obamacare, human affairs, Israeli-Palestinan Relations, Joe McCarthy, McCarthyism, World War II, Viet-Nam, Anti-Communist Witch Hunts, Army-McCarthy hearings, Islamic Jihadist terrorism, Soviet Union, Red China, politics | Tags: , , , , , , , , , | Leave a comment

FRANCE CHOOSES SANITY

How come the French were able to act so rationally when it came to their run-off presidential election held yesterday, while the United States behaved so badly in its presidential balloting held last November. How come France, by a two-thirds vote margin, was able to elect the candidate of moderation and common sense instead of the one pushing an agenda of white supremacy, economic supra-nationalism, and favoritism toward Russia’s tyrant Vladimir Putin, while we in the U.S. did just the opposite. Perhaps it’s something in the drinking water; or the outstanding quality of French wines.

In yesterday’s presidential run-off election in France, independent moderate Emmanuel Macron easily defeated National Front far-right candidate Marine Le Pen to win a 5 year term. At age 39 Macron is the youngest president in French history. His campaign rested on reviving France’s sclerotic economy which has been virtually on life-support since almost the end of WWII. France’s unemployment rate is more than double that of the U.S., and its economic productivity and growth rates are less than half of that in this country. Marine Le Pen’s demagoguery regarding those issues, however, never caught fire during the French campaign the way Donald Trump’s demonizing of those matters in the U.S. gave him an unexpected victory. Le Pen promised, if elected, to pull France out of the European Union, renounce the euro in favor of the franc, deny entry to Muslim immigrants fleeing into Europe from the Mid-East, and cozy up to thuggish Vladimir Putin in Russia while dis-engaging from NATO and the EU. Almost an exact female replica of Donald Trump. She called herself a “nationalist” as Trump’s key advisor, Steve Bannon, has described himself. In both cases, the term “nationalist” was code for white supremacist.

Of course, Le Pen was fighting a huge uphill battle to begin with. Her father, Jean Marie Le Pen, who had founded the National Front party in the 1970s, was notoriously bigoted, especially toward Jews. He was a Holocaust denier exhibiting a distinctly fascist profile. Marine tried to scrub off her party’s bigotry, but her whitewash job didn’t work as well with the French electorate as it did here in the U.S. with Trump’s demagoguery. Perhaps the fact that France suffered for five years under the heel of a fascist tyranny until liberated by the Allies a mere 72 years ago might have been a factor. A five year span when virtually every French Jew was rounded up by French quislings and sent to Nazi death camps. In any event, Macron won handily as Hillary Clinton should have done in the U.S. election, except for monumental Democratic incompetence and blunders.

So now, instead of living with a Clinton Administration of moderation and rationality, Americans are forced to cope with the right-wing agenda and hysterics of the Trump follies. Jeff Sessions, the arch-typical white southern bigot from Alabama that Trump made his Attorney-General, wants to deny the growing number of states that have legalized marijuana, the right to do so. He would still have the Feds go after and prosecute marijuana sellers as well as buyers. (Whatever happened to the GOP’s insistence on “states rights.”) And forget about anything resembling civil rights enforcement coming out of the Justice Department. Meanwhile the top priority of the moment for Trump and his Republican Congress is to repeal and replace Obamacare. They shoved such a bill through the House, which is long on repeal and minutely short on replace. So what if the poor that can’t afford health insurance become gravely ill. I guess they should just curl up in a ball and die somewhere, so as not to bother us righteous folk that do have health insurance. Some 20 million people that were able to sign up for Medicaid under Obamacare, as minimal as that is, are now in jeopardy of losing that coverage under the Republican proposed legislation. Supposedly, the GOP plan will be drastically overhauled when the Senate takes it up.

And the beat goes on. Next up on the Trump agenda is income tax overhaul. The proposed legislation is once again distinctly Republican. Heavy tax cuts for the rich, with a few crumbs tossed to the middle and lower classes. Trump in this instance is following Ronald Reagan’s formula of large tax cuts for the upper classes while substantially increasing our military and defense spending. The same formula that started us on the road to the $20 trillion budget deficit this country now so sublimely endures. How does that line go- the more things change, the more they stay the same.

Trump, always the comfortable occupant in his parallel universe of delusional paranoia, recently said words to the effect that a government shut down is needed in this country, and is long overdue. Current appropriations to keep the government running expire on September 30 of this year. Congress must appropriate and the president must sign new legislation to keep the government operating for the new fiscal year starting October 1st. Trump has threatened to veto any new appropriations that don’t contain funds to build his myopically insane border wall with Mexico, or don’t slash funding for agencies that he considers useless such as the National Institutes for Health, or the Environmental Protection Agency and a host of others.

These and many, many other examples are the consequences of a Trump versus a Clinton regime in the White House. The consequences of less than a hundred thousand votes going the wrong way in Pennsylvania, Michigan, and Wisconsin. Anyway, congratulations to the French for finally doing the right thing. After the Brexit vote in England, and the Trump victory in the U.S., it seemed like the end of Western civilization as we know it; but France has shown that it doesn’t have to be so. Perhaps we should all move to France.

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THE ACCIDENTAL PRESIDENT

It’s late 2015 and Donald Trump is having a small gathering at his penthouse at Trump Towers in Manhattan. His family is there including his children and grandchildren, as well as some friends and associates his known over the years. The conversation invariably begins to dwell on politics and how the upcoming 2016 primaries are starting earlier and earlier. Suddenly, Donnie Jr. loudly comments that- “You know, Dad, you could take another run at it. It’s not too late to get your name on the ballot for the Iowa caucuses.” “Right,” replies Trump. “Because it worked out so well for me in 2012.” But Donnie Jr. is persistent. “The only reason that went bust was because you let Corey talk into running as a “birther.” (He’s referring to Corey Lewandowski, Trump’s campaign manager in 2012, and the first half of the 2016 campaign.) “That was a losing issue from the beginning. There just wasn’t enough true believers in the Republican base to convince that Obama was secretly born in Kenya. Besides this time, you would be running against Hillary, a much weaker candidate than Obama ever was.”

“This time you can focus on the stuff that has the Republican base all in tizzy,” continues  Donnie Jr. “Like all the Mexican illegals pouring over the border. Most Republicans really hate that. And ISIS terrorism and the flood of Moslems coming into this country as well as Europe are certainly issues to rile people up. Look at the recent attacks in Europe and California. Both of these areas could give you plenty of traction in the primaries.” “I don’t know Dad,” injects Ivanka, speaking for the first time. “Aren’t there like 20 guys running for the nomination. How are you going to stand out from the rest.” “By being different than rest, and politically incorrrect” declares Steve Bannon,” a close associate of Trump over the years, and head of the Alt-Right propaganda outlet called Breitbart News.  “I mean, look who he would be running against. Jeb Bush? Give me a break. Not only has his time come and gone maybe a dozen years ago, but I don’t believe the country is ready for still another Bush in the White House. Ted Cruz? Outside of Texas, his drawing power is diddly-squat. Rubio? Too young and inexperienced. The rest are just political pigmies.”

Trump turned to Melania seated next to him, and said- “You know, the kids pretty much run the business on a day-to-day basis as it is. It’s not like I don’t have the time.” “But you would be out campaigning for about the next year,” she protested. “I’d still make time to come home to you, every now and then,” Trump replied. Melania did not look pleased, but said nothing. Turning to everyone else Trump declared that- “If I did do this, I’m not going to spend a lot of my own money, I’ll tell you that. It will be a like a take it or leave proposition. This is who I am, take it or leave it.” And the rest, as the cliche goes, is history.

Trump entered the Republican primaries with 16 other potential candidates. His ratings alongside the others stood at about 5%. That’s when he decided to be as politically incorrect as possible, as Steve Bannon had advised. He denigrated Senator John McCain’s service to his country when he was captured and held prisoner by the Viet-Cong in the hellish “Hanoi Hilton” for 6 long years. Trump stated that he- “liked people that weren’t captured.” (I’m still trying to figure out in what universe that’s a coherent statement.) When Megyn Kelly, Fox News host, was critical of him during a debate, Trump stated that “she had blood coming out of her whatever.” He said that Mexico was deliberately sending us “their rapists and murderers,” and promised to build a 2000 mile long wall to keep them out. He said he would bar Moslems from entering the country, and would “bomb the shit out of ISIS.” (I’m still waiting on some action concerning that last promise.) But the more outlandish the Trump remarks were, the more his poll numbers shot up. From 5% to about the 35-40% range.

Because Trump’s comments were considered so utterly vile, NBC fired him from their “Celebrity Apprentice” show. Macy’s fired him from being one of their spokespersons. But a large chunk of the Republican base really liked what they heard. Every white supremacist organization from the KKK on down considered Trump “their kind of guy.” The “Bikers of America” flocked to the Cleveland Convention Center to provide the necessary protection and muscle to assure that for the first time in their lives, they would have a kindred spirit occupying the White House. To this day, the large and growing white supremacy movement in the U.S. maintains nothing but adoration for Trump and his cohorts.

Despite his demagogic appeal to white racists and bigots, Trump still would have lost the election had his campaign not suppressed the voter turnout amongst blacks, Latinos and other minorities that normally vote Democratic. As I’ve said many times, elections are often decided more by the people who stay home and fail to vote, then by the numbers that do cast a ballot. The Trump campaign cast Hillary in such a derogatory light, that many voters that would have normally turned out for her were too discouraged to make the effort. Also, of course, if we didn’t have this unfathomable electoral college system, Hillary would be occupying the Oval Office today.

I wrote last time about the upcoming French presidential election (this Sunday), where the female version of Donald Trump is trying to use the same tactics of voter suppression on her opponents base. Marine Le Pen, the candidate of the far right, who hopes to become the new French president, is telling her opponent’s base voters that it’s not worth their effort to come out and cast a ballot on Sunday.  It would be much more pleasant for them to take a liesurly stroll in the park. Interesting to see if that tactic will work a second time.

Categories: A malfunctioning psche, Brexit, Donald Trump, Alan Greenspan, Donald Trump, Hillary Clinton, Bernie Sanders, Ted Cruz, John Kasich, presidential polls,, Economics, Health Care, Obamacare, human affairs, politics, Uncategorized | Tags: , , , , , , , , , , , , , , | Leave a comment

A TEST OF PURITY

Back in the day, there used to be a commercial that proclaimed that Ivory soap was about 99 and a half percent “pure.” (The other half of one percent was presumably alien DNA.) That commercial rang a bell in my mind as I watched the fiasco of the proposed Republican legislation in Congress to repeal and replace Obamacare go down in flames last week. It seems that for a hardcore of about 30 looney-tunes GOP right wing representatives in the House that call themselves the “Freedom Caucus,” the replace part of the proposed bill was still far too generous. Why some poor soul, somewhere in the country, who was desperately sick and couldn’t afford health insurance, might actually receive a bit of medical treatment on the government’s dime under the Republican plan. Can’t have that. How does that kind of scenario benefit the rich? So, despite extensive lobbying by Trump and his consiglieri’s, this hardcore band of 30 right-wing whackos would not budge in their opposition to House Speaker Paul Ryan’s proposed bill because it still contained some minimal benefits to assist the unfortunate. Only total repeal would meet their objections. In the end, Ryan had to pull the bill  off the House floor in order to avoid an embarrassing defeat. Obamacare, as muddled as it is, still remains in place.

First a few rather obvious observations. Trump, who, essentially believes in nothing but the enhancement of his own ego, couldn’t care less about the details of the proposed legislation. During the recently concluded campaign, at one point he promised “health care for everyone.” That promise quickly dissolved with the morning mist as Republican insiders and contributors to his campaign reminded him that such action sounded an awful lot like universal health care, which has been a Democrat initiative over many decades. So Trump, in the end, was willing to settle for repealing Obamacare, which he had described as “absolutely horrible,” and perhaps replacing it with some inexpensive token gesture. Ryan and his Republican cohorts would have gone along with that, but the problem was, that there is also about 30 so-called “moderate” Republicans from competitive districts who would have faced daunting re-election prospects in 2018 if the Republican plan didn’t contain at least some substance in the replace part of “repeal and replace.” In the end, the two Republican factions could not reconcile their differences, and legislative disaster loomed ahead like the massive iceberg appearing before the Titanic.

Make no mistake- the Ryan plan was still all about removing the poor from government health care subsidies. About 20 million previously uninsured poor have been allowed to sign up for Medicaid in 31 states since Obamacare took hold. (The other 19 states, all hardcore Republican in the South and Mid-West, essentially gave the middle-finger to those unable to afford health insurance. Their philosophy is that if you’re too poor to afford to be covered, and you become seriously ill, just quietly curl up in a ball somewhere and die. But please don’t bother us good, God-fearing folk that can afford insurance.) In any event, the Ryan plan would have put the kibosh on any further expansion of Medicaid, even in states willing to do so, and slowly begin whittling down the number of newer enrollments. There would have been a total reduction in government health care subsidies to the poor, along with a reduction of taxes on the rich. Hey, one needs to get his or her priorities in proper sequence. But even these cut backs were not enough for the so-called “Freedom Caucus” who still feared that someone somewhere would be receiving a government handout.

As I discussed in a recent piece, the only legislation that would provide universal health care to all would be a single payer system run by the government. Every civilized country in the world provides its citizens with such blanket coverage. Even tyrannical, despotic governments such as Cuba or N.Korea provide universal health care. In France, its system is so extensive that a nurse comes to a woman’s house for up to five days after she’s given birth to a newborn child. Yet, somehow, we can’t afford that level of coverage for all Americans. Many years ago, I personally knew a man that moved to Canada so as to take advantage of its state provided  medical system. Although he was only middle-aged, he had a number of serious life-threatening, health-related issues, and could not afford insurance or related doctor’s bills. In Canada, at that time, one had to be a resident for 18 months before they qualified for the state-sponsered system. He sweated it out for 18 months, receiving barely minimal medical treatments for his conditions, that he could hardly pay for; but he did survive and was finally able to receive the necessary care for his ailments, free of charge. Under whose moral value code is it necessary for an American to move to Canada in order to attempt to save his life.

I lay the blame for opposition to something as sane and rational as universal health care in this country, to the poison that’s been pouring out of electronic media for the last 30 years, by crypto-fascists such as Rush Limbaugh, Sean Hannity, Ann Coulter, Laura Ingraham, and a host of other, similar, far right, looney-tooners. Americans have been sold a bill of goods over the last 30 years that everything that’s governmentally sponsored is inherently evil. It wasn’t always thus. In the 1970s, Republican president Richard Nixon proposed a form of universal health care to Congress, and that time it was the Democrats that fucked it all up because they felt it wasn’t extensive enough. So much for politics in this country.

In any event, a band of Republican far right-wingers in the House was enough to sink a very bad piece of legislation to begin with, and deprive Trump of the victory his ego so voraciously craved. The bill just wasn’t pure enough for the “Freedom Caucus” to support. It certainly wasn’t as pure as Ivory soap.

 

Categories: A malfunctioning psche, Brexit, Donald Trump, Alan Greenspan, Donald Trump, Hillary Clinton, Bernie Sanders, Ted Cruz, John Kasich, presidential polls,, Economics, Health Care, Obamacare, Huey Long, Franklin Roosevelt, Great Depression, The Kingfish,Donald Trump, human affairs, politics, Uncategorized | Leave a comment

THE HEALTH CARE DEBACLE

So, a professional sky-diver is in the plane, thousands of feet in the air, and is told by the crew that it’s time for his jump. Wait a minute, he replies, where is my parachute. Oh, we’ll design that for you after you exit the plane, says the crewman. Think he would be inclined to  make that jump? But that’s been pretty much the GOP position on getting rid of the despised Obamacare health insurance plan and replacing it with a Republican brand on the label. For 7 years, since passage of the Affordable Health Care legislation in Congress in 2010, Republicans have been desperately trying to repeal and supposedly “replace” it with something better. Except that for these past 7 years the GOP hasn’t been able to put forth a feasible and rational plan for replacement. Until this week, when House Speaker Paul Ryan issued something resembling replacement in his proposed legislation to repeal and replace Obamacare, that no one is happy with, including a large segment of his own Republican Party.

Just to be clear, I was never a big fan of Obamacare. The legislation was way too long, detailed and cumbersome. It consumed over 2000 pages in written length from the start, which can never be a good thing.While the intent of the Affordable Care Act was admirable, i.e., to provide universal health care so that even the poor could receive quality medical treatment when sick, the methods devised under Obamacare were just too bureaucratic and crushing to function smoothly. Too many hoops had to be jumped through to make it work. The most rational method of providing medical treatment to all Americans regardless of their financial circumstances, would have been to establish what’s called a single payer system, run by the government. A system that every first world country on the planet already employs. Except us, of course.

Under single-payer, if you get sick, you visit the doctor or hospital of your choice. Same thing if you need a medical check-up. If you have a toothache or need a cleaning you make an appointment with your dentist. No insurance to buy, no forms to fill out. The hospital, doctor or dentist would then submit the bill to the government for services rendered. The government would then turn those bills over to designated insurance organizations who would reimburse the health professionals performing the services in question. No fuss, no muss. A system, as I’ve said, used in Canada, and throughout almost all of Europe and Asia. But how would we pay for all of this without levying harsh new tax burdens, you might ask. Again, not a problem.

The way its done in those countries embracing universal health care is to establish about a 5-10% value-added tax, which is like a sales tax on manufactured goods, usually at each step of the manufacturing process. Won’t this add significantly to the cost of purchasing such products? No, not really. While the actual cost of manufacture may increase, these costs would be more than off-set by U.S. companies not being required to offer health insurance for their employees. The savings to companies in no longer providing health coverage for their workers would be dramatic and probably exceed the increased costs of manufacture. That’s why, for example, Japanese auto companies such as Toyota and Nissan can often out-compete their American counterparts such as G.M., Ford and Chrysler. They incur no health insurance costs.Today about 190 million Americans receive their health insurance from the companies they work for. That huge burden on U.S. commerce would be lifted under a single-payer system.

But, of course, legislating such a simple health care system would be far too rational for the U.S. political arena to cope with. Instead, the Ryan plan’s replace part of “repeal and replace” mumbles something about providing “tax credits” to those too poor to afford health insurance premiums. Never mind that nearly half the country pays no income tax. I suppose that some sort of negative tax system would have to be established, similar to the Earned Income Tax benefits that now go to low income wage earners. And even these would phase out in about 2 or 3 years. The very heart of Obamacare that has had the Republican establishment so upset all these years, is that it provides the poor with cash subsidies that enable them to purchase health insurance. As flawed as the law is, about 20 million people who previously had no health plan,  have signed on to Obamacare since its enactment, many through Medicaid. But a large part of the GOP establishment is dead set against health care subsidies and enhanced Medicaid enrollments. A group of about 50 GOP hardcore right-wingers in the House are calling the Ryan plan “Obamacare Lite” and  are refusing to support it, because it provides some minimal subsidies. Some Republicans in the Senate are also unhappy. After all, they reason, the poor are used to getting the short end of the stick anyhow. What harm would there be with another poke in the eye. The fun just never ends.

One other thing. Our esteemed President Trump, (that phrase still claws at the very fabric of the universe) made some comment the other day that he didn’t know that health care could be so complicated. Who knew? Who knew that water insists on running downhill instead of uphill? Who knew that the sky was blue instead of orange. Who knew that standing in the rain without an umbrella will get you wet? Who could know such things?

Categories: A malfunctioning psche, Brexit, Donald Trump, Alan Greenspan, Economics, ELVIS PRESLY, MARILYN MONROE, MICHAEL JACKSON, WHITNEY HOUSTON, THE STATE OF HAPPINESS VS. UNHAPPINESS, Health Care, Obamacare, human affairs, politics, Redstone Arsenal, NASA, Black Lives Matter, Recent Cop Killings | Leave a comment

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