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xchrom

(108,903 posts)
Sat Mar 31, 2012, 07:44 AM Mar 2012

America Needs Healthcare, Not Health Insurance

http://www.alternet.org/economy/154779/america_needs_healthcare%2C_not_health_insurance/

In Friday's New York Times, Paul Krugman argues that the Supreme Court conservatives grasping for reasons why Congress lacks the power to do anything that they don’t like have forgotten an important distinction: the one between a judge and a politician. We're not sure this is correct. It's always been the case that for all of their lofty protestations of being "above politics," the Supreme Court has been political, whether it be the Warren Court or today's Roberts Court.

That said, we're not sure the Supremes are wrong to question the constitutionality of a private health insurance mandate that Krugman seems so keen to defend, asking: "Is requiring that people pay a tax that finances health coverage O.K., while requiring that they purchase insurance is unconstitutional?"

Historically, Krugman has been one of the most eloquent critics of the insurance-based model. Yet he makes the mistake common to many progressive defenders of Obama’s healthcare bill: He conflates two distinct issues and thereby masks the fundamental flaw underlying the entire approach. Private health insurance is not synonymous with healthcare. There is a big difference between levying a tax for a public good (i.e. healthcare) versus forcing people to buy a service from a private health insurance company, which is by no means synonymous with healthcare.
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America Needs Healthcare, Not Health Insurance (Original Post) xchrom Mar 2012 OP
yeah but our politicans need health insurance corporations for the bribes they pay nt msongs Mar 2012 #1
Yes - part of the issue is persistence in using the term "insurance" dipsydoodle Mar 2012 #2
The only reason why the Democrats supported it was because that was all they could afford. Selatius Mar 2012 #3
Which is why it should be done by subterfuge izquierdista Mar 2012 #7
Outstanding Post. bvar22 Mar 2012 #15
exactly. magical thyme Mar 2012 #21
Which raises the question: Lydia Leftcoast Mar 2012 #23
yes. KG Apr 2012 #35
+1 nt Selatius Apr 2012 #32
They tried to take the easy way out kenny blankenship Mar 2012 #9
Correct. The layer of administrative leeches in the insurance industry geckosfeet Mar 2012 #4
The spectacle of so-called "progressives" begging to pay the vampire insurers bread_and_roses Mar 2012 #5
It is quite surreal isn't it? I remember in '93 when progressives blocked such Dragonfli Mar 2012 #19
That's what I've been saying all along. hobbit709 Mar 2012 #6
Yes you have, and you are still correct! /nt Dragonfli Mar 2012 #17
Health care versus profiteering from illness and injury Maineman Mar 2012 #8
+1 freshwest Mar 2012 #12
I think you may be missing the point of why Krugman is defending this program. I was born when jwirr Mar 2012 #10
But Social Security was NEVER corporate welfare Lydia Leftcoast Mar 2012 #22
Social Security was NOT a law forcing people to invest in Wall Street for their retirement n/t eridani Mar 2012 #26
Social Security at its inception was NOTHING like this bill. Don't even TRY to compare the two HiPointDem Apr 2012 #33
And we also need to do away with the phrase "access to health care". Atypical Liberal Mar 2012 #11
and the term "affordable care" bread_and_roses Mar 2012 #13
Health insurance companies are parasites. We need nationalized health care. Comrade Grumpy Mar 2012 #14
OK, because you asked, "You Are a Commie!" You are also correct. Dragonfli Mar 2012 #18
DU rec n/t TransitJohn Mar 2012 #16
This is an excellent analysis. Uncle Joe Mar 2012 #20
Are we fer it just cuz they're agin it? freedom fighter jh Mar 2012 #24
One of my Facebook friends (definitely not a conservative) raised this question: Lydia Leftcoast Mar 2012 #25
Good point! freedom fighter jh Mar 2012 #27
That's a VERY good point. The fact that they want to continue collecting the tax, then force us HiPointDem Apr 2012 #34
Let us hope so. HCR is even now being advanced as a reason to eliminate Medicare eridani Mar 2012 #28
kick n/t slipslidingaway Mar 2012 #29
I can't say I like the idea of having to purchase insurance from one of those damn sleezy companies. Alameda Mar 2012 #30
Its sad to live in a country magic59 Mar 2012 #31

dipsydoodle

(42,239 posts)
2. Yes - part of the issue is persistence in using the term "insurance"
Sat Mar 31, 2012, 07:52 AM
Mar 2012

particularly with respect to pre-existing conditions. "Insurance" which covers the likelyhood of an event cannot as such be applied to a definite event other than at a disproportionate cost.

Selatius

(20,441 posts)
3. The only reason why the Democrats supported it was because that was all they could afford.
Sat Mar 31, 2012, 07:52 AM
Mar 2012

The sheer amount of resistance and money that the pharmaceutical companies and health insurance companies along with right wing media would throw against the Democrats is quite a formidable challenge if they proposed something like a strong Public Option or expanding Medicare to everybody, not to mention the fact that millions of dollars worth of donations came from these industries to the campaign coffers of some of the Democrats. You typically don't anger the wealthiest donors if you want to stay in your seat for re-election or land a cushy job in the private sector working for those wealthy donors.

This is just how our election system works.

 

izquierdista

(11,689 posts)
7. Which is why it should be done by subterfuge
Sat Mar 31, 2012, 09:46 AM
Mar 2012

You know, the way ALEC pushes through all manner of stuff on their agenda. Instead of some "signature health care reform bill", Obama and the Dems in Congress should have been submitting riders to appropriations bills lowering the Medicare eligibility age, adding spouses and dependent children to VA benefit eligibility, and expanding Medicaid so that it flowed like crack-filler into the bottom of the safety net. Pretty soon, there would be a de facto single payer system. All that would be left is to reorganize it into one department. It's amazing what you can get done when no one is paying attention to what you are doing.

bvar22

(39,909 posts)
15. Outstanding Post.
Sat Mar 31, 2012, 01:54 PM
Mar 2012

Please allow me to repeat:

"[font size=4]Instead of some "signature health care reform bill", Obama and the Dems in Congress should have been submitting riders to appropriations bills lowering the Medicare eligibility age, adding spouses and dependent children to VA benefit eligibility, and expanding Medicaid so that it flowed like crack-filler into the bottom of the safety net. Pretty soon, there would be a de facto single payer system."[/font]
--- DUer izquierdista, March 31, 2012






You will know them by their WORKS,
not by their excuses.
[font size=5 color=green]Solidarity99![/font][font size=2 color=green]
--------------------------------------------------------------------------------------------------------------------------------[/center]

 

magical thyme

(14,881 posts)
21. exactly.
Sat Mar 31, 2012, 05:59 PM
Mar 2012

and they should have been throwing all kinds of crap in the GOP /right wing faces to keep THEM distracted and on the defensive.

Lydia Leftcoast

(48,217 posts)
23. Which raises the question:
Sat Mar 31, 2012, 06:26 PM
Mar 2012

Are the Dems not doing this because they are inconceivably stupid and inept or because they've been irredeemably corrupted by bribes and threats?

kenny blankenship

(15,689 posts)
9. They tried to take the easy way out
Sat Mar 31, 2012, 10:10 AM
Mar 2012

answering a cry for reform with a sweetheart deal for industry. Sucker the people, succor the Insurance Mafia. Hey let's go for it: the system is so rotten now, the rubes won't even know they've been cheated! They'll thank us as even the bribes keep rolling in! But if the SCOTUS rules as widely expected now, the Democrats will have fallen into a trap of their own lazy devising.

geckosfeet

(9,644 posts)
4. Correct. The layer of administrative leeches in the insurance industry
Sat Mar 31, 2012, 07:54 AM
Mar 2012

is simply amazing. It is a layer of phone calls and paper work a mile thick between providers and patients.

bread_and_roses

(6,335 posts)
5. The spectacle of so-called "progressives" begging to pay the vampire insurers
Sat Mar 31, 2012, 08:43 AM
Mar 2012

would be one of the funniest things I've ever seen if it weren't so pathetic and so very deeply corrupt.

Dragonfli

(10,622 posts)
19. It is quite surreal isn't it? I remember in '93 when progressives blocked such
Sat Mar 31, 2012, 04:25 PM
Mar 2012

crap legislation from making it to the floor for a vote, because they were, you know, progressive, unlike the proponents of a nearly identical plan: Newt Gingrich, Bob Dole, and the heritage foundation that provided the blueprint for this corporate welfare at the expense of the sickest among us.

Maineman

(854 posts)
8. Health care versus profiteering from illness and injury
Sat Mar 31, 2012, 10:03 AM
Mar 2012

Health care should be about health, not profit.

I am paying for my own health care right now: health food, natural whole food supplements, exercise equipment, health newsletters, books, etc.

The basic concept of health insurance is nonsense except for cosmetic stuff which should be totally optional.

jwirr

(39,215 posts)
10. I think you may be missing the point of why Krugman is defending this program. I was born when
Sat Mar 31, 2012, 10:29 AM
Mar 2012

the Democrats first tried to get a health care program passed in the 1940s and failed. Many continued to try and failed. The bill we have now is not perfect just like Social Security was not perfect in the beginning. But if the gets overturned - are we going to be waiting another 57 years to get one started again?

Lydia Leftcoast

(48,217 posts)
22. But Social Security was NEVER corporate welfare
Sat Mar 31, 2012, 06:25 PM
Mar 2012

It was always a government-administered program.

If FDR had taken the Obama approach, he would have required everyone to invest in a private pension fund (a la Pinochet's Milton Friedman-inspired program in Chile).

If LBJ had taken the Obama approach to the Civil Rights Act, he would have required African-Americans to buy permits to patronize formerly segregated facilities, institutions, and businesses.

The claim "The Social Security Act/Civil Rights Act wasn't perfect initially either" talking point is just that, a bogus talking point using false analogies.

 

HiPointDem

(20,729 posts)
33. Social Security at its inception was NOTHING like this bill. Don't even TRY to compare the two
Sun Apr 1, 2012, 02:24 AM
Apr 2012

cases. It's ridiculous.

Social Security AT ITS INCEPTION taxed payrolls to provide old age and survivors' benefits. It was pretty much what it is now. It NEVER had any private component.

"January 1, 1940 Monthly benefits first became payable under old-age and survivor's insurance to aged retired workers and their dependents and to survivors of deceased insured workers. The Federal Old-Age and Survivors Insurance Trust Fund was established as a separate account in the United States Treasury to hold the amounts accumulated under the old-age and survivors insurance program. Basic provisions for hearing and review instituted by the Social Security Board under authority to establish procedures, hold hearings, and take testimony in relation to determination of rights to old-age and survivors insurance benefits (Office of Appeals Council)."

 

Atypical Liberal

(5,412 posts)
11. And we also need to do away with the phrase "access to health care".
Sat Mar 31, 2012, 10:30 AM
Mar 2012

Just because you are standing next to a hospital building does not mean that you have "access to health care" if you can't afford to pay for it.

bread_and_roses

(6,335 posts)
13. and the term "affordable care"
Sat Mar 31, 2012, 01:41 PM
Mar 2012

there is no way any individual can know in advance what level of expense his/her own health care will require - thus no way to know exactly which of the varied insurance products offered will suit. And no way to know if they are "affordable" for that individual. The whole premise as applied to an individual is meaningless.

Not to mention that if you are poor or working poor you can not afford that ANY percentage of your own income go toward health care - you have NO percentage to spare for it without taking it out of the food/rent/utility/child care/transportation pot. You can't even afford co-pays.

 

Comrade Grumpy

(13,184 posts)
14. Health insurance companies are parasites. We need nationalized health care.
Sat Mar 31, 2012, 01:54 PM
Mar 2012

Call me I commie; I don't care. I want the US to join the ranks of civilized countries.

freedom fighter jh

(1,782 posts)
24. Are we fer it just cuz they're agin it?
Sat Mar 31, 2012, 07:49 PM
Mar 2012

For so long we have fought the Republicans because they are corporatist. Now the SCOTUS justices that we are so used to fighting are questioning the corporatism in the ACA, with questions like "Where will government power end?" and we root for corporatism.

Where indeed?

Is it OK for government to require you to buy a very expensive corporate product? If you can be required to spend 20% of your income on insurance (and an individual policy can easily come to that), then why can't you be required to spend money on sending your kids to private school, or whatever?

Is the ACA really a step in the right direction? Is it really better than nothing?

Lydia Leftcoast

(48,217 posts)
25. One of my Facebook friends (definitely not a conservative) raised this question:
Sat Mar 31, 2012, 08:20 PM
Mar 2012

If the Supreme Court strikes down the compulsory purchase of insurance from private companies, does this not also make the Republican proposal to replace Medicare and Social Security with private options un-Constitutional?

freedom fighter jh

(1,782 posts)
27. Good point!
Sat Mar 31, 2012, 08:42 PM
Mar 2012

If they really want to give us control of our retirement money, why not just stop collecting it -- why not leave it with us -- rather than force us to buy stock at prices that are inflated by the requirement for everyone to buy?

 

HiPointDem

(20,729 posts)
34. That's a VERY good point. The fact that they want to continue collecting the tax, then force us
Sun Apr 1, 2012, 02:26 AM
Apr 2012

to put it into private accounts that THEY select, just shows you how corrupt their entire "It's YOUR money" schtick is.

eridani

(51,907 posts)
28. Let us hope so. HCR is even now being advanced as a reason to eliminate Medicare
Sat Mar 31, 2012, 08:44 PM
Mar 2012
http://www.pressherald.com/news/GOP-Medicare-plan-borrows-from-and-repeals-Obamas.html

But if Obama is re-elected and his health care law is upheld by the Supreme Court, Wyden sees Medicare exchanges and a premium support system as the basis for a deal to reduce health care costs. He said Democrats would be hard pressed to argue against the idea if it is working for people under 65 as a result of the health care overhaul.

Alameda

(1,895 posts)
30. I can't say I like the idea of having to purchase insurance from one of those damn sleezy companies.
Sat Mar 31, 2012, 10:20 PM
Mar 2012

I'd like to see something more like the Dutch system where we are allowed whatever modality, or combination there of we want. I get medicare, it costs me almost $100 a month, but I still have to pay for my acupuncture, homeopathy and whatever alternative treatments I choose.

I developed a patch of eczema, after joining a health club to use the swimming pool (a suggestion by another doctor) I didn't know what it was, so I went to another "regular" doctor and they wanted to give me steroids and topical steroid creams. That doctor only spent 8 minutes with me. There was no discussion of my life style,, diet or anything. In fact no actual test were done. It was, what seemed to me a flash judgement. The regular doctor after my questioning her prescription, made an appointment with a dermatologist. It took 3 and a half months to see the dermatologist. When I got into the room, he strutted around and again wanted to give me the steroids. I asked if there was anything else and was told no. Take it or leave it, so to speak. At that time my health insurance was costing me almost $700 a month, plus $30 office visit fee. I canceled that insurance. Now I only have Medicare plan A and B. for those who don't know a lot about it, plan A is hospital and is "free", plan B is office visits and costs around $100 a month.

I kept on with my traditional Chinese Medicine, which composed of acupuncture, diet, herbs, chi gong and tui na. My eczema vastly improved. When I'm off my diet or stressed I get patches, but nothing like before. I know the steroids would only have provided symptomatic relief, but no cure. The side effects would have caused skin atrophy and thinning....and who knows what else? I pay for each visit to for TCM.

My medicare does not pay for any of that. If I used "regular" medicine it would pay some of it.

 

magic59

(429 posts)
31. Its sad to live in a country
Sat Mar 31, 2012, 10:44 PM
Mar 2012

where profits dictate our well being, our healthcare. Its a sick society that is causing unnecessary suffering of many for the monetary benefit of a greedy few.

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