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guillaumeb

(42,641 posts)
Sat Sep 8, 2018, 01:59 PM Sep 2018

Now that President Obama supports Medicare for All,

can we agree that even President Obama now recognizes that only a single payer system can really solve the problems of the US healthcare system?

https://slate.com/news-and-politics/2018/09/obama-medicare-for-all-is-good.html


The US healthcare system is a capitalist controlled system that monetizes what should be a right. And that is health, and health care. The US system commodifies health so that the 1% can literally profit by often denying health care, and by often grossly overcharging what it does provide..

The US healthcare system is ranked 37th while its war spending is ranked 1st.


And these rankings shows our political priorities better than any rhetoric about rights and progress.

In spite of all of the misleading rhetoric purporting to show that Medicare for All is unaffordable, it is the current profit based system that is unaffordable.

149 replies = new reply since forum marked as read
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Now that President Obama supports Medicare for All, (Original Post) guillaumeb Sep 2018 OP
Can we distinguish between the overall support of an idea, and the support for a specific plan.. JHan Sep 2018 #1
Lulzd. Voltaire2 Sep 2018 #2
Translation: "You make an excellent point that I cannot refute or rebut." NurseJackie Sep 2018 #6
I've seen that "word" (i.e., combination of letters) used quite often here lately. George II Sep 2018 #14
I use it sometimes, sarcastically. JHan Sep 2018 #43
Lulzd George II Sep 2018 #45
haha ;) JHan Sep 2018 #47
By that same poster. Now it's predictable. Cha Sep 2018 #63
Right. Thing is I was being tongue in cheek because Obama has supported the concept a while now. JHan Sep 2018 #22
I guess it's just coincidence that the first major universal healthcare legislation has been dubbed: George II Sep 2018 #44
++++ JHan Sep 2018 #48
Or Romneycare, as it was known in Massachusetts. guillaumeb Sep 2018 #72
That was state legislation, not Federal legislation. George II Sep 2018 #80
Agreed, and I think we agree on much about this topic. guillaumeb Sep 2018 #82
So what? you're just trying to smear ACA/Obamacare with Cha Sep 2018 #117
I am simply noting that the ACA was Romneycare, and the GOP still opposed it. guillaumeb Sep 2018 #139
.. but Obama said in 2008-2009 that he supported single payer IF he could start with a clean slate. Cha Sep 2018 #130
+1 betsuni Sep 2018 #131
funniest thing I've ever ever heard you say NurseJackie. I'm going to have to go back JCanete Sep 2018 #57
Methinks you have a (not so) secret admirer! George II Sep 2018 #61
I'm irrestable. Like catnip. NurseJackie Sep 2018 #64
Hmmm..... guillaumeb Sep 2018 #71
We should. guillaumeb Sep 2018 #70
In my view it isn't ....necessarily.. JHan Sep 2018 #81
Excellent ending. And absolutely correct. eom guillaumeb Sep 2018 #83
Didn't Obama start with single payer for ACA? JaneQPublic Sep 2018 #3
Yep, he's been talking about "Medicare for all" for a decade or more, what he said yesterday... George II Sep 2018 #9
No actually this is the first time he explicitly endorsed Voltaire2 Sep 2018 #16
See my post #8 on this terminology. So I guess you're disappointed in John Dingell Sr.... George II Sep 2018 #31
Yes, that avoids incurring the wrath of those who will ehrnst Sep 2018 #58
Lulzd. Voltaire2 Sep 2018 #60
Whatevs. ehrnst Sep 2018 #67
His address was one hour and four minutes long, mentioned universal health care for a few seconds... George II Sep 2018 #118
Yep. He wanted it but GOPers and some Dems did not. Iliyah Sep 2018 #37
No, he didn't. In fact, 2009 he stated why he would not put Single Payer forward ehrnst Sep 2018 #30
Thanks, I now remember this.../bookmarking. JHan Sep 2018 #62
Single payer has always been the goal. joshcryer Sep 2018 #69
He did. guillaumeb Sep 2018 #73
Turncoat Joe Lieberman screwed us on single payer, because it might effect his wife's part time job Meadowoak Sep 2018 #129
I don't believe medical care is a right. KentuckyWoman Sep 2018 #4
Since we all agree basic medical care should be a right, the Bronze plan is it. Fred Sanders Sep 2018 #5
Medicare isn't even a bronze plan- whereas M4A as proposed is definitely a platinum plan ehrnst Sep 2018 #32
The current system is expensive. Blue_true Sep 2018 #19
Yep, the time for starting it was the Truman administration. ehrnst Sep 2018 #35
I agree that the best approach will be a retrofit of an existing system. Blue_true Sep 2018 #107
All of those states have medicare KentuckyWoman Sep 2018 #78
What an excellent ending. eom guillaumeb Sep 2018 #103
You make a point. Blue_true Sep 2018 #105
states can't start single payer because they can't run defcuits like the feds can questionseverything Sep 2018 #90
Well, maybe you should have told Vermont, Colorado and California before they tried to. Blue_true Sep 2018 #101
If we can stop pretending that Democrats have not been for universal healthcare sinceway before 2016 ismnotwasm Sep 2018 #7
I suggest some "Democrats" google John Dingell Sr. George II Sep 2018 #13
Obama was in favor of "Medicare for All" (not with that specific name) since his.... George II Sep 2018 #8
That's the part that annoys me ismnotwasm Sep 2018 #10
It is all done to elevate one person to god status. Blue_true Sep 2018 #23
Yeah ismnotwasm Sep 2018 #24
Yep. sheshe2 Sep 2018 #50
See #30. guillaumeb Sep 2018 #74
Yes, and that proves my point. Thank you. George II Sep 2018 #76
I am confused. #30, speaking of Obama's views: guillaumeb Sep 2018 #79
dont be confused, they are busy re writing history questionseverything Sep 2018 #86
We can all rewrite history by our actions. guillaumeb Sep 2018 #88
Nowhere in those paragraphs does it say that Obama was NOT in favor of what is now called.... George II Sep 2018 #134
He also said: guillaumeb Sep 2018 #140
Definition of "IF"....take your pick: George II Sep 2018 #145
He said the magic words Medicare-for-All. betsuni Sep 2018 #91
Obama has ALWAYS supported universal healthcare, Hortensis Sep 2018 #11
This is his first explicit endorsement of Medicare for All. Voltaire2 Sep 2018 #18
You are wrong. What became the ACA started out as an attempt to get Single Payer. Blue_true Sep 2018 #25
Nope. At best the ACA was going to have a public option. Voltaire2 Sep 2018 #29
Even Sanders said pushing for Single Payer then was a bad idea. JHan Sep 2018 #46
Yes. sheshe2 Sep 2018 #53
Apparently Obama had a barrel of pixie dust to make it all happen. JHan Sep 2018 #56
Ha! sheshe2 Sep 2018 #59
apparently not for the public option either questionseverything Sep 2018 #84
The bill with public option passed the House. Lieberman wouldn't vote for it in the Senate. betsuni Sep 2018 #87
actually it was lincoln,lieberman and baccus i believe that killed it in the senate questionseverything Sep 2018 #89
What about Ben Nelson of Nebraska? He was a big holdout. nt Blue_true Sep 2018 #111
Then why does he call it a new idea? melman Sep 2018 #40
Did you listen to him, or did you hear what you wanted to hear. Blue_true Sep 2018 #49
Hey! It's You! ismnotwasm Sep 2018 #55
It's a word game. How many in this discussion have said he never supported..... George II Sep 2018 #94
That's because "Medicare for All" is a relatively new terminology for what he's been supporting.... George II Sep 2018 #33
Universal health care has been part of our party platform for 60+ years. Garrett78 Sep 2018 #12
The obstacles. Blue_true Sep 2018 #28
when we had our chance at a good healthcare bill questionseverything Sep 2018 #85
lol. Pray cite examples where the shanny Sep 2018 #109
1993. The best chance prior to the ACA. Blue_true Sep 2018 #114
There were people in Congress acting like children? shanny Sep 2018 #115
The children were far left voters that sat out the 2010 midterms. Blue_true Sep 2018 #119
Oh. I thought we were talking about universal health care shanny Sep 2018 #123
His support for that concept is no more useful than is my support for it. MineralMan Sep 2018 #15
So you have as much influence as Obama? Voltaire2 Sep 2018 #20
No, I do not. However, Barack Obama no longer holds any MineralMan Sep 2018 #21
He is a hugely influential leader. Voltaire2 Sep 2018 #26
If it helps us elect Democrats, I'm all for it. MineralMan Sep 2018 #27
Reread his post, he did not say that at all. Blue_true Sep 2018 #36
Lulzd. ehrnst Sep 2018 #132
... betsuni Sep 2018 #133
Indeed. He's getting out everyone to vote - and not getting into specifics. ehrnst Sep 2018 #38
Anyone who says that is a complete idiot. MineralMan Sep 2018 #42
Indeed. (nt) ehrnst Sep 2018 #52
+1 Power 2 the People Sep 2018 #92
What "misleading rhetoric" concerning costs are you referring to? ehrnst Sep 2018 #17
Yep. France has a hybrid system, Germany has many systems.. JHan Sep 2018 #41
Now? SHRED Sep 2018 #34
The intent is to elevate one past all others. Blue_true Sep 2018 #39
And they apply their purity standards very selectively. JHan Sep 2018 #51
Yep. That enrages me too. nt Blue_true Sep 2018 #54
Yeahbut, yeahbut, yeahbut.........he's never said he supports "Medicare for All" before... George II Sep 2018 #65
See #30 guillaumeb Sep 2018 #75
Medicare is NOT single payer dansolo Sep 2018 #66
Medicare is a start. guillaumeb Sep 2018 #77
Medicare For All 100% is single payer SkyDancer Sep 2018 #93
I read Bernie's plan dansolo Sep 2018 #135
He's very clear in how it will be funded SkyDancer Sep 2018 #147
Medicare Parts A & B are single payer, aren't they? Honeycombe8 Sep 2018 #99
No, it's not single payer. greatauntoftriplets Sep 2018 #126
Oh, you mean Obamacare? And before that, Hillarycare? This is not new--for DEMOCRATS. nt Hekate Sep 2018 #68
Thank you. Their muddling is obviously intentional. nt R B Garr Sep 2018 #110
Message auto-removed Name removed Sep 2018 #95
Wow, a second post! johnp3907 Sep 2018 #96
I was just on a jury for that BumRushDaShow Sep 2018 #97
I was on one... Honeycombe8 Sep 2018 #98
Yes BumRushDaShow Sep 2018 #100
What's that? Honeycombe8 Sep 2018 #102
MIRT "Malicious Intruder Removal Team" BumRushDaShow Sep 2018 #104
User name was a bit of a giveaway! johnp3907 Sep 2018 #106
I didn't even see the user name BumRushDaShow Sep 2018 #108
It was Malignant Narcissist. johnp3907 Sep 2018 #112
Bwah! BumRushDaShow Sep 2018 #113
The "lefter than thou" cost Dems single payer. gulliver Sep 2018 #116
Mahalo, gulliver, for the reality on ACA/Obamacare.. Cha Sep 2018 #120
Perhaps we can all agree that Will Pitt was a jerk for calling President Obama every foul name in still_one Sep 2018 #121
The lie that Obama was against Medicare for all or public option is very very stubborn. betsuni Sep 2018 #125
I know still_one Sep 2018 #127
I just read through a long thread about this on SplinterNews betsuni Sep 2018 #128
My memory isn't what it used to be Blue_Tires Sep 2018 #122
Yes, but when the votes aren't there, you do what you can do. As Bernie Sanders said: betsuni Sep 2018 #124
This thread is just comedy gold. Cuthbert Allgood Sep 2018 #136
That's not what people are saying ismnotwasm Sep 2018 #137
It is an interesting thread. guillaumeb Sep 2018 #141
I sincerely doubt that he didn't understand the GOP ismnotwasm Sep 2018 #143
Considering how blatant the racism was, and is, guillaumeb Sep 2018 #144
I agree that he went for a compromise. Cuthbert Allgood Sep 2018 #148
And I have read the same thing this year, but opinion is turning guillaumeb Sep 2018 #149
If THIS is considered... CanSocDem Sep 2018 #138
Exactly. guillaumeb Sep 2018 #142
Affordability can come in steps ismnotwasm Sep 2018 #146

JHan

(10,173 posts)
1. Can we distinguish between the overall support of an idea, and the support for a specific plan..
Sat Sep 8, 2018, 02:08 PM
Sep 2018

to implement it?

NurseJackie

(42,862 posts)
6. Translation: "You make an excellent point that I cannot refute or rebut."
Sat Sep 8, 2018, 02:23 PM
Sep 2018
Lulzd.
Translation: "You make an excellent point that I cannot refute or rebut."

JHan

(10,173 posts)
22. Right. Thing is I was being tongue in cheek because Obama has supported the concept a while now.
Sat Sep 8, 2018, 02:48 PM
Sep 2018

The next thing we'll hear :

"Oh so "establishment democrats" are "Finally waking up" to the need to expand health care"

As if it's not something they've been working on for decades.

And Obama's support was as broad as anyone else's. Including mine.

George II

(67,782 posts)
44. I guess it's just coincidence that the first major universal healthcare legislation has been dubbed:
Sat Sep 8, 2018, 03:10 PM
Sep 2018

"OBAMACARE"!

guillaumeb

(42,641 posts)
82. Agreed, and I think we agree on much about this topic.
Sat Sep 8, 2018, 06:33 PM
Sep 2018

But Romneycare was expanded and became the framework for the ACA.

We both know that if President Obama had proposed single payer it would have never been passed.

But at this point, with polls showing strong support for a variant of single payer, Obama's public support and reminder is excellent.

Cha

(297,692 posts)
117. So what? you're just trying to smear ACA/Obamacare with
Sat Sep 8, 2018, 08:14 PM
Sep 2018

"romneycare".

President Obama got a good foundation of healthcare with what he could get votes on at the time. It helped a lot of people who would otherwise not have healthcare. From what I hear saved lives, too.

guillaumeb

(42,641 posts)
139. I am simply noting that the ACA was Romneycare, and the GOP still opposed it.
Sun Sep 9, 2018, 12:20 PM
Sep 2018

Romneycare was a Heritage Foundation proposal that by design allowed the for profit insurance companies to keep profiting at the expense of patients.

No matter that the ACA contained certain aspects that favored patients, it was and is designed to allow insurance companies to profit from health care.

Cha

(297,692 posts)
130. .. but Obama said in 2008-2009 that he supported single payer IF he could start with a clean slate.
Sun Sep 9, 2018, 06:05 AM
Sep 2018


Damn straight! the newcomers leave out the strong foundation details and the good job that President Obama did getting this through barely. Must Not give him credit under any circumstances.
 

JCanete

(5,272 posts)
57. funniest thing I've ever ever heard you say NurseJackie. I'm going to have to go back
Sat Sep 8, 2018, 03:25 PM
Sep 2018

to all of our conversations now that I have a decoder for what lol's mean. Or is this specifically what Lulzd means?

NurseJackie

(42,862 posts)
64. I'm irrestable. Like catnip.
Sat Sep 8, 2018, 04:37 PM
Sep 2018

♪♫♬ He's got me under his skin.
He's got me deep in the heart of him.
So deep in his brain that I'm really a part of him.
He's got me under his skin. ♪♫♬




guillaumeb

(42,641 posts)
70. We should.
Sat Sep 8, 2018, 06:13 PM
Sep 2018

And if we agree that a single payer plan is better, we already have Medicare. That is a specific, currently existing plan.

JHan

(10,173 posts)
81. In my view it isn't ....necessarily..
Sat Sep 8, 2018, 06:32 PM
Sep 2018

Single Payer that is.

It's not the only avenue available. I prefer the French system, where there are some parallels with Obamacare. I'd rather us build on what we have.

In any case the first order of business is gaining control of Congress. And we'll have to keep control of it for a sustained period. Conservatives will continue to use the courts to undermine current healthcare programs. So this is going to be a long journey, there are no quick easy fixes and it should not be sold as such.

JaneQPublic

(7,113 posts)
3. Didn't Obama start with single payer for ACA?
Sat Sep 8, 2018, 02:16 PM
Sep 2018

But when even some Dems wouldn't go for it, the plan got compromised down to the bill that finally passed.

Maybe I'm remembering the events wrong, but we shouldn't be surprised Obama might bé OK with MFA.

George II

(67,782 posts)
9. Yep, he's been talking about "Medicare for all" for a decade or more, what he said yesterday...
Sat Sep 8, 2018, 02:32 PM
Sep 2018

....wasn't an epiphany.

Voltaire2

(13,174 posts)
16. No actually this is the first time he explicitly endorsed
Sat Sep 8, 2018, 02:42 PM
Sep 2018

“Medicare for All” using the exact phrase “Medicare for All”. It is a big deal.

George II

(67,782 posts)
31. See my post #8 on this terminology. So I guess you're disappointed in John Dingell Sr....
Sat Sep 8, 2018, 02:56 PM
Sep 2018

....and then his son John Jr. and then Jr.'s wife Debbie, because they never used the term "Medicare for All" even though they have collectively been pushing for universal healthcare since the 1940s?

As the saying goes, "what's in a name?"

Barack Obama's opinion on the subject hasn't changed in more than a decades, but now he's "come around" just because yesterday he used the nom-du-jour?

 

ehrnst

(32,640 posts)
58. Yes, that avoids incurring the wrath of those who will
Sat Sep 8, 2018, 03:26 PM
Sep 2018

foam at the mouth at the mention of any other name for expanding health care access, including Universal Health Care.

His goal is to get out the vote for Democrats, not to endorse specific legislation - he includes it in a list of things that are "good ideas."

He was also calling out Republican leaders to stop enabling the destruction of our democracy.





George II

(67,782 posts)
118. His address was one hour and four minutes long, mentioned universal health care for a few seconds...
Sat Sep 8, 2018, 08:19 PM
Sep 2018

....and that's all some got out of the entire thing.

 

ehrnst

(32,640 posts)
30. No, he didn't. In fact, 2009 he stated why he would not put Single Payer forward
Sat Sep 8, 2018, 02:55 PM
Sep 2018

(He is mistaken when he says that "single payer is the kind of system that you have in most industrialized countries around the world" - I think that he was simplifying it for people, and didn't want to get into the various systems that countries use to get to universal health care.)

“Healthcare is one-sixth of our economy, so it is a complicated and difficult task. Congress is going to have to work hard, and everybody is going to have to come at this with a practical perspective as opposed to being ideologically pure in getting it done… Why not do a single-payer system? … A single-payer system is like, Medicare is sort of a single-payer system, but it's only for people over 65, and the way it works is, uh, the idea is you don't have insurance companies as middle men. The government goes directly and pays doctors or nurses.

“If I were starting a system from scratch then I think that the idea of moving toward a single-payer system could very well make sense. That's the kind of system that you have in most industrialized countries around the world. The only problem is that we're not starting from scratch. We have historically a tradition of employer-based healthcare. And, although there are a lot of people who are not satisfied with their health care, the truth is that the vast majority of people currently get health care from their employers, and you've got this system that's already in place.

“We don't want a huge disruption as we go into healthcare reform where suddenly we're trying to completely re-invent one-sixth of the economy. So what I've said is, let's set up a system where, uh, if you already have healthcare through your employer and you're happy with it, you don't have to change doctors. You don't have to change plans. Nothing changes. If you don't have healthcare, or you're highly unsatisfied with your healthcare, then let's give you choices. Let's give you options, including a public plan that you can enroll in and sign up for. That's been my proposal.



https://www.npr.org/templates/story/story.php?storyId=106969104

JHan

(10,173 posts)
62. Thanks, I now remember this.../bookmarking.
Sat Sep 8, 2018, 04:23 PM
Sep 2018

It's a very nuanced take with an emphasis on improving what already exists as best as possible.

joshcryer

(62,276 posts)
69. Single payer has always been the goal.
Sat Sep 8, 2018, 05:16 PM
Sep 2018

Obama famously was bashed because he didn't let single payer wonks at the table during the negotiations. The ACA barely passed on its own merits. Single payer didn't have the votes then. And it won't have the votes until we have Congress and the Presidency back, if then.

Meadowoak

(5,560 posts)
129. Turncoat Joe Lieberman screwed us on single payer, because it might effect his wife's part time job
Sun Sep 9, 2018, 04:49 AM
Sep 2018

I think she was a receptionist in a doctors office. IIRC

KentuckyWoman

(6,694 posts)
4. I don't believe medical care is a right.
Sat Sep 8, 2018, 02:18 PM
Sep 2018

I do believe basic life saving medical care is a right, but not ALL medical care.

All the rest falls under the heading of what is the most frugal, practical way to deliver medical care to all of our people. We should be treating it the same way we treat police, fire, basic food production, the basics of the transportation system, the power grid, education etc. Medicare for all works in this regard. The system is already there.

The mantra it would be too expensive is deliberate bullshit. If someone really wants to prove Medicare for all is too expensive then they would include every single solitary dime we (as an entire society) currently spend on medical care vs every single solitary dime we will spend once we have Medicare for all. Look at the totals. The end.

 

ehrnst

(32,640 posts)
32. Medicare isn't even a bronze plan- whereas M4A as proposed is definitely a platinum plan
Sat Sep 8, 2018, 02:56 PM
Sep 2018

including dental, vision, rx....

I agree that like public school, it doesn't need all the bells and whistles, but it needs to provide the foundational skills to go on to post secondary education/training.



Blue_true

(31,261 posts)
19. The current system is expensive.
Sat Sep 8, 2018, 02:44 PM
Sep 2018

But there are millions of Americans that are locked out of it. When they do require care, it is a catastrophic event that struck them. There are millions of seriously sick people that do not use the medical system at all, so their costs are not part of the current expense of the system. When healthcare for all is implemented, those people come into the system for what will most likely be expensive medical care. So the problem becomes the startup costs, Vermont, Colorado and California failed to implement Single Payer for this reason. Once the large startup costs, which can last 10-15 years are past, then the system begins to save a ton of money and continue to do so. Canada implemented Single Payer piecemeal, Europe implemented it after being leveled by wars, when societal systems lay in ruins. The USA would have to implement a system that is 10 times larger than Canada's in a developed economy, that dramatically adds to the difficulty, as Vermont, Colorado and California found out.

 

ehrnst

(32,640 posts)
35. Yep, the time for starting it was the Truman administration.
Sat Sep 8, 2018, 03:02 PM
Sep 2018

That was when the rest of the industrialized world was starting - from scratch.

We now have to do a retrofit, at a time when technology and advances have made all medicine more comprehensive and expensive, which is far more difficult than expanding with medical advances and containing costs.

Blue_true

(31,261 posts)
107. I agree that the best approach will be a retrofit of an existing system.
Sat Sep 8, 2018, 07:54 PM
Sep 2018

Anything else is prone to failure and it will be another 6-7 decades before another effort is made.

KentuckyWoman

(6,694 posts)
78. All of those states have medicare
Sat Sep 8, 2018, 06:24 PM
Sep 2018

The infrastructure is already there. No one will need a stand alone single payer system. The people who process claims now for insurance companies could just as easily process claims for medicare. The civil servant tests are pretty easy.

The only fighting words is where the money comes from and how we move it around for the people currently on sold for profit health insurance.

Blue_true

(31,261 posts)
105. You make a point.
Sat Sep 8, 2018, 07:51 PM
Sep 2018

If a system is built upon what already exists, then maybe it can work. But Bernie and people that back him are not proposing that.

Even if a system is built upon what exists, people will need to be let in gradually to control costs. For example, people 55 or older can be brought into the Medicare for all system while younger people stay on the ACA or private insurance. Ten years after the first expansion and after initial issues have been ironed out, people 44-54 can be brought in, a decade later, 30-43 brought in, a decade later everyone is brought in. The method front loads the system with typically the people prone to sickness and it takes into account that we are starting 6 decades after smaller nations started their systems.

Blue_true

(31,261 posts)
101. Well, maybe you should have told Vermont, Colorado and California before they tried to.
Sat Sep 8, 2018, 07:42 PM
Sep 2018

You would have saved them time and a headache.

ismnotwasm

(42,014 posts)
7. If we can stop pretending that Democrats have not been for universal healthcare sinceway before 2016
Sat Sep 8, 2018, 02:24 PM
Sep 2018

And, if we can agree that once the dust settles, what is called ”Medicare for all” will have morphed into something different than Medicare as it is.

George II

(67,782 posts)
8. Obama was in favor of "Medicare for All" (not with that specific name) since his....
Sat Sep 8, 2018, 02:28 PM
Sep 2018

2008 Presidential campaign, probably even years before.

Just because he mentioned it again yesterday (not with that specific name) I'm amazed that some are inferring that he FINALLY has come around (i.e., "Now that President Obama supports Medicare for All" and "...even President Obama now....." )!





ismnotwasm

(42,014 posts)
10. That's the part that annoys me
Sat Sep 8, 2018, 02:32 PM
Sep 2018

Ones who Ignore everything else, all the work others have done, all the contributions made—especially by women, specifically, Hillary Clinton who was trying in back 1993,and people of color, especially President Obama who literally changed the healthcare landscape. All because of a catch phrase.

Blue_true

(31,261 posts)
23. It is all done to elevate one person to god status.
Sat Sep 8, 2018, 02:48 PM
Sep 2018

To do that, they simply ignore any and all inconvenient facts, or they fight you with meaningless historical pictures and notes that don't remotely tell the whole story.

guillaumeb

(42,641 posts)
79. I am confused. #30, speaking of Obama's views:
Sat Sep 8, 2018, 06:27 PM
Sep 2018


No, he didn't. In fact, 2009 he stated why he would not put Single Payer forward

(He is mistaken when he says that "single payer is the kind of system that you have in most industrialized countries around the world" - I think that he was simplifying it for people, and didn't want to get into the various systems that countries use to get to universal health care.)

“Healthcare is one-sixth of our economy, so it is a complicated and difficult task. Congress is going to have to work hard, and everybody is going to have to come at this with a practical perspective as opposed to being ideologically pure in getting it done… Why not do a single-payer system? … A single-payer system is like, Medicare is sort of a single-payer system, but it's only for people over 65, and the way it works is, uh, the idea is you don't have insurance companies as middle men. The government goes directly and pays doctors or nurses.

“If I were starting a system from scratch then I think that the idea of moving toward a single-payer system could very well make sense. That's the kind of system that you have in most industrialized countries around the world. The only problem is that we're not starting from scratch. We have historically a tradition of employer-based healthcare. And, although there are a lot of people who are not satisfied with their health care, the truth is that the vast majority of people currently get health care from their employers, and you've got this system that's already in place.

“We don't want a huge disruption as we go into healthcare reform where suddenly we're trying to completely re-invent one-sixth of the economy. So what I've said is, let's set up a system where, uh, if you already have healthcare through your employer and you're happy with it, you don't have to change doctors. You don't have to change plans. Nothing changes. If you don't have healthcare, or you're highly unsatisfied with your healthcare, then let's give you choices. Let's give you options, including a public plan that you can enroll in and sign up for. That's been my proposal.



https://www.npr.org/templates/story/story.php?storyId=106969104

guillaumeb

(42,641 posts)
88. We can all rewrite history by our actions.
Sat Sep 8, 2018, 06:56 PM
Sep 2018

We can change the conversation, change and challenge the framing, and change the course.

And, we can vote in November, and we can do our best to convince others to vote also.

George II

(67,782 posts)
134. Nowhere in those paragraphs does it say that Obama was NOT in favor of what is now called....
Sun Sep 9, 2018, 10:24 AM
Sep 2018

..."Medicare for All". Did I miss it?

In fact, in the second quoted paragraph he actually does say he is favor of it.

guillaumeb

(42,641 posts)
140. He also said:
Sun Sep 9, 2018, 12:33 PM
Sep 2018

“If I were starting a system from scratch then I think that the idea of moving toward a single-payer system could very well make sense.


And that is faulty reasoning. There was and is no reason to start from scratch. It takes the political will to expand Medicare to cover everyone.

George II

(67,782 posts)
145. Definition of "IF"....take your pick:
Sun Sep 9, 2018, 01:13 PM
Sep 2018

1 a : in the event that
b : allowing that
c : on the assumption that
d : on condition that

In the context of his statement, I don't understand your critique of it.

betsuni

(25,630 posts)
91. He said the magic words Medicare-for-All.
Sat Sep 8, 2018, 07:07 PM
Sep 2018

If he had said Medicare for everybody it would not count. Must be the exact words or he never wanted health care for everybody, never occurred to him. He said Medicare-for-All and MAGIC. Open Sesame! NOW he wants health care. Like if someone wants to raise the minimum wage to $14.50. Does this mean they want the raise the minimum wage? No, it does not. If must be FIFTEEN DOLLARS. This is the magic number.

Hortensis

(58,785 posts)
11. Obama has ALWAYS supported universal healthcare,
Sat Sep 8, 2018, 02:32 PM
Sep 2018

but did you miss the REST of his speech?

EVERY kind of national healthcare program is on the brink of being declared UNCONSTITUTIONAL. Including Medicare itself. Not just ACA, VA, CHIPS, etc.

Get it?

Abortion is on the brink of being declared UNCONSTITUTIONAL.
Social Security is on the brink of being declared UNCONSTITUTIONAL.
Emissions control regulations are on the brink of being declared UNCONSTITUTIONAL.
Most labor laws are on the brink of being declared UNCONSTITUTIONAL.

The New Deal, Fair Deal, Great Society, civil rights acts, net neutrality, EPA, etc., etc., etc., are ALL on the brink of being declared UNCONSTITUTIONAL.

PROGRESSIVISM in government is on the brink of being declared UNCONSTITUTIONAL.

GOVERNMENT OF, BY AND FOR THE PEOPLE is in grave danger.

Please get it: The anti-tax, anti-regulation, big money classes are one more congressional term and Supreme Court justice away from being able to put an end to ANY government organized healthcare system for probably another generation. And far more. Every personal right and freedom we have is in grave danger.

We must stop them. There's no one else. The Democratic Party is the one.

Obama: I’m here today because this is one of those pivotal moments when every one of us as citizens of the United States need to determine just who it is that we are. Just what it is that we stand for. And as a fellow citizen — not as an ex-president, but as a fellow citizen — I’m here to deliver a simple message, and that is that you need to vote because our democracy depends on it.

Blue_true

(31,261 posts)
25. You are wrong. What became the ACA started out as an attempt to get Single Payer.
Sat Sep 8, 2018, 02:51 PM
Sep 2018

Call it what you will, Medicare for All, Single Payer, Universal Heathcare Coverage, it all boils down to the same system.

Voltaire2

(13,174 posts)
29. Nope. At best the ACA was going to have a public option.
Sat Sep 8, 2018, 02:55 PM
Sep 2018

Obama explicitly set out to try to craft a bipartisan universal healthcare bill, and it was never a comprehensive universal single payer government run health insurance system.

questionseverything

(9,660 posts)
84. apparently not for the public option either
Sat Sep 8, 2018, 06:38 PM
Sep 2018

not even with 60 dem senators and controlling the house

<rolls eyes>

betsuni

(25,630 posts)
87. The bill with public option passed the House. Lieberman wouldn't vote for it in the Senate.
Sat Sep 8, 2018, 06:51 PM
Sep 2018

He was the 60th vote.

questionseverything

(9,660 posts)
89. actually it was lincoln,lieberman and baccus i believe that killed it in the senate
Sat Sep 8, 2018, 06:59 PM
Sep 2018

the 60 vote threshold was always artificial

we just weren't smart enough to get rid of it when we had control

ya notice the repubs no longer need 60 votes to confirm a sc judge right?

I don't blame Obama really, I think he thought it was the best we could get at the time but while he MIGHT of personally supported some kind of single payer he NEVER campaigned on it and I get tired of the peops here trying to re write history

Blue_true

(31,261 posts)
49. Did you listen to him, or did you hear what you wanted to hear.
Sat Sep 8, 2018, 03:17 PM
Sep 2018

Single payer, or Medicare for All are end states, we won't get there in a single leap because of politics. Unless you are willing to kill every single republican, some right leaning independents and any voters that replace them, then politics is a reality and President Obama seemed to have touched on that reality. Start the process in November by going out to vote for democrats and encourage family and friends to vote for democrats in November ALWAYS do the same every future election.

George II

(67,782 posts)
94. It's a word game. How many in this discussion have said he never supported.....
Sat Sep 8, 2018, 07:24 PM
Sep 2018

....MEDICARE FOR ALL before yesterday, like he had a wondrous epiphany. He hasn't changed his position from what it was a decade or more ago, but now he's supporting "Medicare for All"!

As George Gershwin wrote:

"You like tomato /təˈmeɪtə/ / And I like tomahto /təˈmɑːtə/"

Enough of the games, please. We have more problems in this country to waste time parsing words and worrying about terminology.

George II

(67,782 posts)
33. That's because "Medicare for All" is a relatively new terminology for what he's been supporting....
Sat Sep 8, 2018, 02:58 PM
Sep 2018

....for many many years.

As they say, "I see what you're doing!"

Garrett78

(10,721 posts)
12. Universal health care has been part of our party platform for 60+ years.
Sat Sep 8, 2018, 02:32 PM
Sep 2018

The idea that there's some great divide within our party over this issue is a fabrication.

When it comes to universal health care coverage, it's always been a question of how we get there and what form it takes. Through the years, we've taken steps in the direction of universal coverage, but there are numerous obstacles in the way and progress has always been a lengthy, hard struggle.

Blue_true

(31,261 posts)
28. The obstacles.
Sat Sep 8, 2018, 02:54 PM
Sep 2018

Republicans and the far left. They come at the issue from different angles, but the results are the same, they obstruct or delay progress.

questionseverything

(9,660 posts)
85. when we had our chance at a good healthcare bill
Sat Sep 8, 2018, 06:49 PM
Sep 2018

with the public option Obama campaigned on. it was Lincoln,lieberman and some other conserva dem that held it up in the senate not the far left or repubs

 

shanny

(6,709 posts)
109. lol. Pray cite examples where the
Sat Sep 8, 2018, 07:56 PM
Sep 2018

"far left" obstructed or delayed progress on universal health care. I'll wait.

Blue_true

(31,261 posts)
114. 1993. The best chance prior to the ACA.
Sat Sep 8, 2018, 08:03 PM
Sep 2018

2010 by acting like children in the midterms, a time when we could have solidified the gains from the ACA by protecting democratic seats and keeping statehouses and legislatures.

Blue_true

(31,261 posts)
119. The children were far left voters that sat out the 2010 midterms.
Sat Sep 8, 2018, 08:19 PM
Sep 2018

Because they felt that a long list of historic accomplishments was not enough. Foolish people.

 

shanny

(6,709 posts)
123. Oh. I thought we were talking about universal health care
Sat Sep 8, 2018, 11:15 PM
Sep 2018

proposals in 1992. What do the children of the far left in 2010 have to do with that?

MineralMan

(146,331 posts)
15. His support for that concept is no more useful than is my support for it.
Sat Sep 8, 2018, 02:39 PM
Sep 2018

He is no longer President. As you may have noticed, we now have Republicans in charge of all three branches of government. Medicare for All is not even under consideration.

The focus should not be on what President Obama supports, but on how we can get anything at all that resembles Medicare for All. Yammering about it here will accomplish nothing in that regard.

Until we can move the nation in a more progressive direction by electing people who at least will consider such a proposal, any time spent on promoting it is a waste of energy, frankly.

We need to win some elections. That's the first step. Let's do that, shall we?

MineralMan

(146,331 posts)
21. No, I do not. However, Barack Obama no longer holds any
Sat Sep 8, 2018, 02:48 PM
Sep 2018

office in the government. He has an opinion that is the same as my opinion, but has zero authority in making that opinion the law of the land. That's exactly the same amount of authority I have.

I can't think of anyone who is a progressive Democrat who does not want universal healthcare. I do. President Obama does. My House representative does. My senators do. I imagine you do, too.

None of them or us can move an inch in that direction, however, at this time. Not an inch. Until Democrats regain control of the Congress and White House, we will not be able to seriously consider that option as a real possibility.

Voltaire2

(13,174 posts)
26. He is a hugely influential leader.
Sat Sep 8, 2018, 02:52 PM
Sep 2018

Come on, you’re better than this. Of course it is a huge deal that Obama just endorsed Medicare for All. In a way you all should be relieved, as his mainstreaming of this issue removes the taint of Voldemort from it. Now we can all agree with Obama that this is an issue we can win with.

MineralMan

(146,331 posts)
27. If it helps us elect Democrats, I'm all for it.
Sat Sep 8, 2018, 02:54 PM
Sep 2018

Beyond that, Obama is powerless, actually. If he can help Democrats win offices, then more power to him.

Until we accomplish that simple step, it's all just rhetoric. Democrats. Elect them. Period!

Blue_true

(31,261 posts)
36. Reread his post, he did not say that at all.
Sat Sep 8, 2018, 03:02 PM
Sep 2018

We need to electorally crush republicans and do that for the next two to three decades before we see a fully developed progressive society. Some people get that, others get sidetracked chasing shiny object bullshit. We need to take back the country's leadership and HOLD IT, that process starts on November 6, 2018. Republicans understand the importance of the election in less than two months, some on our side are doing their usual divisive diversionary bullshit. President Obama has LONG supported universal access to Heathcare, call it what you want, the fact is that he was for it since watching his mom die from cancer and often not getting proper treatment because she could not afford it.

 

ehrnst

(32,640 posts)
38. Indeed. He's getting out everyone to vote - and not getting into specifics.
Sat Sep 8, 2018, 03:03 PM
Sep 2018

He says "It's a good idea," because for him to say anything other than that would be to invite the wrath of the "single payer or I won't vote" crowd.

MineralMan

(146,331 posts)
42. Anyone who says that is a complete idiot.
Sat Sep 8, 2018, 03:07 PM
Sep 2018

I'm sorry, but saying "single payer or no vote" is just plain stupid. This is all a process. The process goes on whether a person votes or not. Our vote plays a role in influencing that process.

If someone says that to me, I say they're an idiot who doesn't understand anything out how things happen in this country.

I'm sick of it.

 

ehrnst

(32,640 posts)
17. What "misleading rhetoric" concerning costs are you referring to?
Sat Sep 8, 2018, 02:43 PM
Sep 2018

Most developed countries use a mixture of public and private payers to get to UHC.

Especially the ones that do it at the federal level.

And I think that Obama is doing the right thing by following non-controversial talking points. The midterms are coming up, and all need to be saying what it takes to get everyone to the polls.

The GOP has similar success with talking up overturning Roe, and getting rid of Planned Parenthood as the plan to reduce abortion, even when they know that neither will do that at all. Telling the base what it wants to hear to get out the vote works.

JHan

(10,173 posts)
41. Yep. France has a hybrid system, Germany has many systems..
Sat Sep 8, 2018, 03:07 PM
Sep 2018

And France is considered to have the best healthcare system in the world ( last I checked).

Blue_true

(31,261 posts)
39. The intent is to elevate one past all others.
Sat Sep 8, 2018, 03:05 PM
Sep 2018

So they must ignore history, they must ignore that a man wanted full coverage for everyone because he watched his poor mom die as a child. Honestly, them and their purity bullshit sickens me.

George II

(67,782 posts)
65. Yeahbut, yeahbut, yeahbut.........he's never said he supports "Medicare for All" before...
Sat Sep 8, 2018, 04:38 PM
Sep 2018

....the Holy Grail of Universal Healthcare.

dansolo

(5,376 posts)
66. Medicare is NOT single payer
Sat Sep 8, 2018, 04:39 PM
Sep 2018

And Medicare for All doesn't mean Bernie's plan, because Bernie's plan, contrary to the name, is not Medicare as people understand it.

guillaumeb

(42,641 posts)
77. Medicare is a start.
Sat Sep 8, 2018, 06:22 PM
Sep 2018

And it can be changed in ways that will make it a single payer plan. Medicare as a brand is familiar. People like Medicare. It needs reforms, it needs to have the Bush Administration changes eliminated and the age restriction eliminated as well.

 

SkyDancer

(561 posts)
93. Medicare For All 100% is single payer
Sat Sep 8, 2018, 07:16 PM
Sep 2018

and is NOT Medicare in its current form.

I highly suggest you read the plan because this is going to be a huge campaign issue in 2020.

dansolo

(5,376 posts)
135. I read Bernie's plan
Sun Sep 9, 2018, 10:51 AM
Sep 2018

I also read Bernie''s proposed funding for his plan. If he wants a single payer plan that pays for every single medical expense, then he damn well better be clear about how he will fund it. His funding proposals only cover half the cost. He has completely avoided mentioning where the rest of the money will come from. If it truly will cost less than people currently pay now for healthcare, then why won't he include any mention of it? It is because his plan will becomea lot less popular once you start telling peolle that their taxes will also have to increase a lot to pay for it.

 

SkyDancer

(561 posts)
147. He's very clear in how it will be funded
Sun Sep 9, 2018, 03:05 PM
Sep 2018

Why are you so concerned about how it will be funded?
We can offord a shit ton of $ for the MIC while people are literally dying from not having health insurance or even able to afford their meds.

Peoples lives are more important than the conservative argument of "how are we going to pay for it!"

The time has come to end people's suffering in this country over what every other first world country considers a basic human right.

greatauntoftriplets

(175,750 posts)
126. No, it's not single payer.
Sun Sep 9, 2018, 01:08 AM
Sep 2018

You buy Part B from an insurance company (in my case, it's Blue Cross Blue Shield of Illinois) and pay a monthly premium. There are also co-pays. Part D prescription coverage is extra and also purchased from an insurer.

Response to guillaumeb (Original post)

BumRushDaShow

(129,491 posts)
97. I was just on a jury for that
Sat Sep 8, 2018, 07:33 PM
Sep 2018

and MIRT moved so fast, I couldn't finish the jury duty! It gave me an error-mid process.

BumRushDaShow

(129,491 posts)
100. Yes
Sat Sep 8, 2018, 07:38 PM
Sep 2018

I got an error when I tried to complete the action. And then found out that MIRT got it before I was done.

Honeycombe8

(37,648 posts)
102. What's that?
Sat Sep 8, 2018, 07:43 PM
Sep 2018

What's MIRT?

My vote went through. I don't see that the other one is listed there as "removed," if there were two. So maybe one was auto removed but the first one wasn't, or something like that.

Good.

BumRushDaShow

(129,491 posts)
104. MIRT "Malicious Intruder Removal Team"
Sat Sep 8, 2018, 07:48 PM
Sep 2018

There are DUers who apply for and may be selected to join that "team" to patrol all of the groups and forums looking for trolls. They have their own subforum and special access to be able to determine if there are socks and whatnot. The poster who mentioned something about "2nd post" may have just seen a post count, where the 2nd post was in this thread (and a first post had already happened elsewhere).

Also edit to add - if a Jury had voted to hide, then it would have shown "Post removed". But when MIRT gets to them, you see that "Message auto-removed" designation.

BumRushDaShow

(129,491 posts)
108. I didn't even see the user name
Sat Sep 8, 2018, 07:55 PM
Sep 2018

(you can't when in jury duty). That sucker was gone by the time I was about to hit the button with my selection. The error was "You are not currently serving on a jury.".

But what it wrote was pretty nasty. I still have it up in a tab.

gulliver

(13,195 posts)
116. The "lefter than thou" cost Dems single payer.
Sat Sep 8, 2018, 08:09 PM
Sep 2018

Obama, Pelosi, and a lot of dedicated Dems got us the ACA. We didn't have sufficient voting power to get single payer (or even a public options) at that time. We barely got the ACA. The reason we didn't get more was partly due to unified Republican opposition of course. But the Dems didn't have big supermajorities in Congress, and we needed that to prevent filibuster and to allow for some votes straying. We were just a little too weak. For that, the "lefter than thou" deserve a slice of the blame.

Cha

(297,692 posts)
120. Mahalo, gulliver, for the reality on ACA/Obamacare..
Sat Sep 8, 2018, 08:36 PM
Sep 2018

It's despicable how some try to rewrite history to suit their agenda.

still_one

(92,409 posts)
121. Perhaps we can all agree that Will Pitt was a jerk for calling President Obama every foul name in
Sat Sep 8, 2018, 08:42 PM
Sep 2018

book, and refusing to vote for the Democratic nominee in 2016

President Obama was NEVER against Medicare for all, or a public option, what he did recognize was WE DIDN'T HAVE THE VOTES in Congress to pass it at the time, and we had a very short window to pass something or nothing.

We still don't have those votes.

Some couldn't seem to accept that, and refused to vote for the Democratic nominee in 2016






betsuni

(25,630 posts)
125. The lie that Obama was against Medicare for all or public option is very very stubborn.
Sun Sep 9, 2018, 12:45 AM
Sep 2018

No matter how many times it is explained, like talking to a fence post.

betsuni

(25,630 posts)
128. I just read through a long thread about this on SplinterNews
Sun Sep 9, 2018, 02:45 AM
Sep 2018

Whole thing was people correcting all the misinformation-trolls over and over and over about the ACA and Obama. That site is an anti-Democratic troll magnet. The normals providing facts are saints. It must be done.

Blue_Tires

(55,445 posts)
122. My memory isn't what it used to be
Sat Sep 8, 2018, 08:45 PM
Sep 2018

But I seem to recall that's what he spent a considerable amount of 2009 and 2010 trying to bring to reality??

betsuni

(25,630 posts)
124. Yes, but when the votes aren't there, you do what you can do. As Bernie Sanders said:
Sun Sep 9, 2018, 12:41 AM
Sep 2018

"I believe in a Medicare-for-all single payer program but it ain't going to happen right now. We don't have the support in the Congress for that. So while we continue that long term struggle, right now we need to improve the Affordable Care Act and that means a public option available in every state in this country which gives people a wide variety of options but makes sure that there is competition in every community in the country. In my view it means lowering the age of Medicare from 56 down to 55 ... ."

Bernie is right, that's why he abandoned his Medicare-for-all position after the election and adopted Hillary's position of adding a public option to the ACA and lowering the age of Medicare. I don't know why people still get mad at Obama for changing his position on health care due to political realities. It's what politicians do!

Cuthbert Allgood

(4,965 posts)
136. This thread is just comedy gold.
Sun Sep 9, 2018, 10:52 AM
Sep 2018

It's amazing seeing people go from "Medicare for all is just ponies--get real" to "Obama always wanted and fought for Medicare for All."

Good stuff. You can't make it up.

ismnotwasm

(42,014 posts)
137. That's not what people are saying
Sun Sep 9, 2018, 11:04 AM
Sep 2018

I personally think Medicare for All is a meaningless catch phrase and a shit idea, if it ever came down to actual legislation. Medicare as it IS, is fairly inefficient, although recent years and some belt tightening including bundling, HCPS scores and the upgraded coding system probably helped. Medicare for ALL would need a lot of work.

What would emerge wouldn’t be “Medicare” at all, we just need to call it something , and it would most likely have to start with single payer.

What people are saying, is Democrats have been fighting for universal Healthcare for a long time. It’s been part of the Democratic conversation for a long time. The conversation didn’t start in 2016.

guillaumeb

(42,641 posts)
141. It is an interesting thread.
Sun Sep 9, 2018, 12:34 PM
Sep 2018

My take is that Obama pushed for what he saw as an acceptable compromise, but he totally missed, or ignored, the fact that the GOP had no interest in any compromise.

Cuthbert Allgood

(4,965 posts)
148. I agree that he went for a compromise.
Sun Sep 9, 2018, 05:39 PM
Sep 2018

Too quickly and too far in my opinion, but I clearly wasn't in the room.

It's amazing that so many that said universal single payer is just promising unicorns in 2016 are now acting like everyone has always been for it.

guillaumeb

(42,641 posts)
149. And I have read the same thing this year, but opinion is turning
Sun Sep 9, 2018, 06:16 PM
Sep 2018

and single payer is seen as the only real alternative to a corporate based, profit driven system.

 

CanSocDem

(3,286 posts)
138. If THIS is considered...
Sun Sep 9, 2018, 11:24 AM
Sep 2018


...every time a question of 'cost' is discussed, the answers will be different.

"The US healthcare system is a capitalist controlled system that monetizes what should be a right. And that is health, and health care. The US system commodifies health so that the 1% can literally profit by often denying health care, and by often grossly overcharging what it does provide.. "

K&R

.

guillaumeb

(42,641 posts)
142. Exactly.
Sun Sep 9, 2018, 12:37 PM
Sep 2018

The US can afford a trillion dollars every year of war spending disguised as a defense budget.

The GOP can add trillions to the deficit by giving tax breaks to the billionaires,

but there is an argument about whether the country can afford single payer.

ismnotwasm

(42,014 posts)
146. Affordability can come in steps
Sun Sep 9, 2018, 01:14 PM
Sep 2018

Because just as with the ACA, once everyone is fully insured we will NOT have enough healthcare workers. I stay out of many arguments, but this one point gets ignored and it makes me crazy. Hospitals are already under-reimbursed for care provided by Medicare, yet without Medicare, hospitals won’t function at all. As it is, people still show up to Emergency as their primary care providers.

This is why I wanted a public option, why I still want one. A combination of public and private insurance, along with, say, more incentive grants (we have incentive grants for poorer areas and for areas like psych in nursing). There are also other avenues, nursing leaders are already working on it.

What I’m trying to say, is payment and how to pay for is, yes, a big huge deal—one that could be solved by shrinking our military budget but that’s most likely not going to happen in significant enough numbers, even with a Democratic majority—but it’s not the only or most immediate problem. I wish this conversation was broader. I hate catch phrases, because they don’t convey the entire picture.

What the average person think M4A looks like is show up to the doctor, get diagnosed with, oh, appendicitis check into a hospital to get a laparoscopic remove along with the nursing care medication, radiology and post-surgical teaching and follow up—and it’s all paid for by the government. Sounds good right?

Unless the lap turns into open surgery and you develop peritonitis and go into septic shock including respiratory failure, requiring a 3 month stay instead of a 2 day, along with extensive rehab needs. Your price tag has just increased exponentially. So, fine the government pays for this as well, kismet.

What I’m trying to say to “cost” includes a lot of variables and there are no hard numbers, even though Medicare now bundles costs—so much and no more for a hip replacement for instance. Hospitals that take on more of the underserved—like the one I work on, get a little bit more money because we do it. A M4A plan would theoretically remove the need for this, right? Except it won’t. Things will get paid for, but it’s my belief that difficult to care for patient, whether by diagnosis or behavior will still land on certain hospitals, because we will have the resources to care for them, (talent, diagnostics equipment, number of staff) whereas a country hospital in a small county would not.

I’m not being as clear as I would like, I want to convey that as fucked up as our system is, a wholesale Medicare expansion will have to come with a variety of “fixes” and absolutely have to a provision to get the number of healthcare workers we need to par. It also needs powerful focus on preventative care. It also needs, yes a viable way to pay for it. The drug companies need an entire separate rant.

I want universal healthcare. We discharge people that the streets, because their home is their car or van. We find shelters. We do emergency dialysis on renal patients who missed their dialysis for one reason or the other. We take care of junkies. We takes care of adults who have been in and out of the system since the day they were born. We take care of people who have half their livers removed to save their lives or who need intricate valve and aortic repair because of complex aneurysms. We take care of plastic reconstruction surgeries for the disfigured.

We do so much, we are distanced from the cost of it all, or we were, but now cost is brought into everything.

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