It’s difficult to describe how disappointed I am with our government right now, especially congress. We elected a Democratic majority last November, and a “progressive” Democratic president. We all wanted change. What we have so far with regard to health-care reform is at best just a tepid shift from the status quo.
Here’s what Howard Dean wrote about the Senate bill in yesterday’s Washington Post:
Any measure that expands private insurers’ monopoly over health care and transfers millions of taxpayer dollars to private corporations is not real health-care reform. Real reform would insert competition into insurance markets, force insurers to cut unnecessary administrative expenses and spend health-care dollars caring for people. Real reform would significantly lower costs, improve the delivery of health care and give all Americans a meaningful choice of coverage. The current Senate bill accomplishes none of these.
Real health-care reform is supposed to eliminate discrimination based on preexisting conditions. But the legislation allows insurance companies to charge older Americans up to three times as much as younger Americans, pricing them out of coverage. The bill was supposed to give Americans choices about what kind of system they wanted to enroll in. Instead, it fines Americans if they do not sign up with an insurance company, which may take up to 30 percent of your premium dollars and spend it on CEO salaries — in the range of $20 million a year — and on return on equity for the company’s shareholders.
He’s right. We are never going to get an affordable health-care system in this country as long as it remains a monopoly run by greedy insurance companies. The only way we can make significant cuts in medical expenses is to first do away with the obscene profits, and second have the government negotiate prices for services. Giving the people the choice of a government-run public option would be a great start in that direction, but that idea is dead in the water.
Today I read Paul Krugman’s column, and he thinks we should push through passage of this bill even though it is very weak. Here’s what he has to say:
A message to progressives: By all means, hang Senator Joe Lieberman in effigy. Declare that you’re disappointed in and/or disgusted with President Obama. Demand a change in Senate rules that, combined with the Republican strategy of total obstructionism, are in the process of making America ungovernable.
But meanwhile, pass the health care bill.
…
At its core, the bill would do two things. First, it would prohibit discrimination by insurance companies on the basis of medical condition or history: Americans could no longer be denied health insurance because of a pre-existing condition, or have their insurance canceled when they get sick. Second, the bill would provide substantial financial aid to those who don’t get insurance through their employers, as well as tax breaks for small employers that do provide insurance.
…
Look, I understand the anger here: supporting this weakened bill feels like giving in to blackmail — because it is. Or to use an even more accurate metaphor suggested by Ezra Klein of The Washington Post, we’re paying a ransom to hostage-takers. Some of us, including a majority of senators, really, really want to cover the uninsured; but to make that happen we need the votes of a handful of senators who see failure of reform as an acceptable outcome, and demand a steep price for their support.
The question, then, is whether to pay the ransom by giving in to the demands of those senators, accepting a flawed bill, or hang tough and let the hostage — that is, health reform — die.
Okay, I get it, but I don’t like it. Neither does our fellow contributor Mr. N.J. Barnes who sent me an email this morning:
I actually believe now it’s going to fail. Incredibly, incomprehensively fail. Thanks to Nelson. Thanks to Liebermann. Thanks to the Republicans being good at parliamentary stalling and pr even as they are brain-dead in every other way.
It’s actually likely to fail.
You know, this country and the GOP deserve each other. They really do.
Yes… the Grand Old Party. The obstructionist Republicans. They ruined our country while they were in power, and they continue to ruin it even when they are in what is supposed to be controllable minority. (Read more about that in Krugman’s column.)
Anyway, the Senate health-care bill leaves a very bad taste in my mouth. I kind of liken it to buying a very good bottle of Bordeaux a year ago and storing it in the cellar to improve it with some bottle age. Now it’s time to open it and enjoy it, but it doesn’t pass the sniff test. The bottle is corked and the wine tastes like shit. Krugman says drink it anyway. Dean says select a different bottle. I have to agree with Dean.