Brodner's Cartoon du Jour: Mister Doctor
I'm really an insurance company...but I play a doctor on TV.
All week, as the intensity of the health care debate has been ratcheted up, Obama and reformers have had to defend against attacks on reform. These have gotten sharper and more destructive as poll numbers for reform sink, commensurate with many millions spent on coordinated ad and media reframing of the issue, a stunning replay of the Clinton Health Care Debacle. The new frame is: The system will be damaged by what the government does and patients will pay more and get less.
I would like to un-reframe for a moment. The reality is there is no "system." And that's what the insurance industry likes: a chaotic scramble where business always wins...because this is not a "health care" model. It is a business model. So the Big Insurance companies are companies. They make their decisions based on profit for their stockholders and investors. Not patients. The reform, the one Obama so clumsily tried to explain on Wednesday (why didn't he call an illustrator?) is to give a Medicare option to everyone. If Medicare sucks for those under 65, then it must suck for those over 65. So why not come right out and say it?
So Blue Dogs and Red Republicans, glowing in gold dust flowing from K Street, are talking about keeping this a business. Big business.
These corporations are throwing people off the system every day and undercutting the rest of us for health care. This is rationing. And we all know it. The ads, media, and pols want to keep this in the realm of "normal." And it doesn't belong there. It is a public need; a utility. A public utility. That's my frame.
Neocon-man William Kristol declared his recommended Republican solution to health reform this week: "Kill it!" And so the chorus joined in.
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Health Care
Kristol and all the other asshats from the conservative slate may continue to denigrate health care for all Americans. However, I believe that most Americans support some sort of health care for all Americans who can't afford their own health care.
Kristol and the folks who pay him for his regularly scheduled opinions are way off base even within the reThuglican party, who generally support some sort of health care for it's members.
The reason that the
The reason that the Republican electorate has recently turned their tune to favor health-care reform is that the Republican voters have finally recognized, realized and concluded that the present system is unsustainable. The issue then becomes what to substitute it with and who pays. Here there are three major bodies of thought: Republican leaders want to provide the middle and upper-middle classes with support. Democratic leaders (apparently) are lost in the fog and think that further complexity and greater funding will solve the problems. Neither party is ready to break eggs and consequently, no hamlet will be cooked.
The third body of thought is really undefined. It is simply the acknowledgement that existing systems and institutions must be configured and eggs must be broken in the process.
Health Care as a utility
You said "It is a public need; a utility" Health care can be a utility, just like water treatment is a utility. The thing is for health care to be run effectively by the government, it would have to be run just like a utility and treat people like sewage. When sewage comes into a treatment plant, the heavy dead weight material (such as old people and other cases which are not cost effective to treat) gets separated from the treatable sewage and is let sink to the bottom of a pit. The rest of the water left gets treated by microorganisms. Of course, you have a lot of water and only so many microorganisms to treat the sewage water (I wouldn't want that job either). So the sewage waits and waits and waits. And finally, after a long time, you get fresh water (or survivors).
Oh well, it is "free".
sfd
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