Wednesday, September 10, 2014

Affordable Care: Beyond the Rhetoric

Affordable Care:  Beyond the Rhetoric

What a battle it was!  The rest of the world watched in fascinated confusion as we practically ripped our country apart over health care reform.  For a while it even looked like some states were going to secede from the Union over Medicaid expansion.  To paraphrase one international media correspondent – how can the United States be in so much turmoil over a watered down version of reforms that have been successfully practiced by the rest of the developed world for over fifty years?   

I think a lot of the confusion came from the fact that the underlying issues at stake were mostly hidden from the public discussion.  The real battle was over the role of profit in health care and our ongoing struggles with the widening gap between the haves and the have-nots in our nation.  Now that some time has passed, maybe we can take a look at some initial results of the reforms, beyond the rhetoric.

It seems that some of what we all desperately needed has been achieved. Millions of families across the nation, mostly the 90% have-nots, are now discovering that denial of coverage because of pre-existing conditions is a thing of the past. We will not be dropped from insurance companies because we are too sick. Our mothers will never have to pay more again just because they are women. Our teenagers can stay on our insurance until they get out of college.

Even better, the stridency of the media is finally lowering its loudness. We see a little evidence that the bickering madness of our two major political parties will subside a bit on this agenda.  That would allow us to focus on improving provisions of Obamacare to better meet the needs of all our citizens.  For those who can afford it, there continue to be lots of concierge medicine options.  Now there are many more affordable private health insurance options for middle class Americans.

What about those families not able to afford $100 - $150 a month for a policy and for whom Medicaid expansion is not available?  In my opinion, we still need another option.  It could be a catastrophic insurance policy for lower-income citizens that would be financed by public/private partnerships or a public, single payer option.  In other countries they call this public medicine.  Right now, this lack of a public option is the biggest limitation to effective health care in our country.  It leads to all sorts of problems, including sporadic care that doesn’t include prevention (leading to relapse and more expensive chronic conditions), overloading of hospital emergency rooms, and dumping of ill, impoverished people onto our streets. 

It’s time for common sense. Our government was intended by its constitution to be one of the people, by the people, and for the people.  Pressure from citizens across the nation has successfully pushed better provisions into the Affordable Care Act, and that pressure has been bipartisan away from Washington. We can continue. Implementation is having a real affect on our families’ health care access even in Big Horn County. It happened because we worked together. Now we can move together toward the better access, and the more reasonable restraints on privileged profiteering a public option would bring. And it would bring our government back down to its intended role in public policy for the good of all.

It’s time to get informed with the details. Ask in any medical clinic in America for information on the Affordable Care Act. Look up Medicare, Medicaid, Social Security and the Affordable Care Act on line.  Insurance companies have additional information, and are coming on board with new priorities in keeping with the common good of our families. See Kaiser, Aetna or look up “health insurance affordable care act.”  It’s good to see the rhetoric of disdain for people of another party quit rising.  Maybe, just maybe, we can also stop the still rising rift between the top one percent who now own more wealth in American than ninety percent of the rest of us. That rift remains the biggest threat to the good provisions of the Affordable Care Act. And it remains the biggest reason the public option was killed by Baucus and Obama, with full consent by Tea Partiers and Republicans.

The following links are only in my blog edition, for anyone’s use:

Here is Kaiser’s Family Foundation poll on public approval of the Affordable Care Act in total. It reflects a continued decline in popularity across the county of Obamacare, fueling a potential total repeal ideology. But it also indicates the saturation of anti-ACA (Obamacare) on our media. Information in favor of Obamacare is nowhere near as available. But most important, this site does not allude to any of the polls detailing popularity of ACA legislative initiatives individually. So examine this with the proven media-cultivated misperception of Obamacare most Americans have.  http://kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-august-september-2014/

Here is another Kaiser poll indicating the opposite: in fact Americans approve wholeheartedly what the ACA (Obamacare) actually does. But in those polls that attempt to gauge the legislation itself, the words “Obamacare” or “ACA” are omitted. So we need to decide. What is the real Obamacare? The one conjured up by our media? Or what it really amounts to? Check this for what it really amounts to: http://kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-august-september-2014/

And try this:
http://www.washingtonpost.com/blogs/wonkblog/wp/2013/03/22/obamacares-most-popular-provisions-are-its-least-well-known/

or this:

This one, on Republicans, is self explanatory:

One American dies every 12 minutes because they lack health care insurance. "For any doctor ... it's completely a no-brainer that people who can't get health care are going to die more from the kinds of things that health care is supposed to prevent," said Woolhandler, a professor of medicine at Harvard and a primary care physician in Cambridge, Massachusetts.  See the article:

Legal attempts to dismantle Obamacare have been riddled with cherry-picking. http://www.lawyersgunsmoneyblog.com/2014/07/can-squint-see-one-cherry-cornfield-must-cherry-tree

Why Obama care is winning
for dems...except for the fact that they are dems...always apologizing for doing the right thing...always apologizing for moving the nation along...always intimidated by Republicans (who seem to actually question the legitimacy of the Democratic party itself).