A practical mind on the health care speech
Have you ever seen a more polarized congress by facial expression?
Never mind them. What was proposed and what is acceptable, and more importantly what is possible?
The president makes his case for immediate action on crisis. The crisis is that uninsured or underinsured americans will die, and that our deficit will go out of control. I have no doubt that the former is true. As for the deficit, I don't buy it unless you want to argue that Medicare and Medicaid will one day take more of the federal budget than all other programs ...added together. Of course the president specifically said he is not going to touch those programs.
The president proposed that law will ensure that insurers MUST accept you nomatter your history. That is good. Left unsaid is that for this to be encompassed premiums MUST rise or the money to accrue the payments for people already sick must come from elsewhere. Physics.
The president then went on that no insurance company will be able to drop you if you get sick. Terrific. A go. Your insurance must be able to go with you (unless you get equal or better at the next job). Fine. Whatever. I think we all agree.
Next, he dealt with the uninsured, or underinsured because of affordabililty. Key issue. His proposal centered on a national exchange allowing small businesses and individuals to band together and get the great prices. Somehow. Details? Don't know? Subsidized? Paid for how? Never the less, on principle a national insurance exchange among all 1300+ companies in the business is a great idea ...but here is the great divide between parties, for what the republicans want is a NATIONAL FREE MARKET of all those companies with the result like that of cell phones plans, plummeting prices for consumers and better choice for all.
Do both. That is your compromise. Minimal costs.
The president then went on about tax credits and leaving no one uninsured as a moral proposition. Why not no one without a job as a moral proposition and thus seeing that they have insurance in that manner? Where does that end? Where is THAT in the constitution?
He admitted that while he favored a public option, it was on the table and mentioned the tort reform which WOULD decrease costs of service.
My question is, WHY is the democratic party not rushing to allow a free national market of insurance? Who benefits from restricted trade? Why won't the republicans ADMIT that such free trade alone CANNOT guarantee low (enough) insurance costs for all to be insured? Why won't the democratic party ADMIT that malpratice insurance costs are so high hospitals close obstetrics depts and doctors just LEAVE the practice and ADMIT what that means?
Why doesn't the president event MENTION the consequences of 49 million more customers with the same numbers of doctors and nurses?
What are the details of how illegal aliens will be prevented from entering the roles? NATIONAL IDENTITY CARDS FROM THE IRS? How?
How on earth are you going to save 900 BILLION dollars to fund the ideas you presented? I simply do NOT believe the federal govt can do better at eliminating waste.
DON'T BUY IT.
That means that this program, given the mass disbelief I feel is extant in the nation which reflects mine (and that has NOTHING to do with party or prez), is going to have a very hard time, unless we all believe it can be funded, nomatter WHAT it says.
We don't have faith in the govt creating such a program which works because we don't have faith in the govt. We look at Medicare/Medicaid and see patients being taken care of (though many doctors do not want Medicaid patients) but a system whose own inefficiencies and costs will break the system.
If the end result of too many people and not enough doctors, nurses, and equipment MUST BE RATIONING, then this needs to be said. And we need to have that debate, and settle that issue and resolve the problem (it CAN be solved).
In short I heard a few good things, with the possibility of a larger compromise but the costs not dealt with realistically.
Most happily of all, he finally shut up in time for us to see Jorge Posada hit the game winning 3 run homer in the bottom of the 8th.
And Joe Wilson of South Carolina WAS WAY OUT OF LINE.
WAY WAY OUT