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PatrickforB

PatrickforB's Journal
PatrickforB's Journal
October 27, 2019

Well, sure. Let's have a bit of history. In concept, a national health care plan dates clear back

to Teddy Roosevelt. It was in the Democratic Party platform in 68 when we nominated the Hube to run against Nixon after Bobby had been killed.

In 72 it was 'a system of universal National Health Insurance which covers all Americans with a comprehensive set of benefits including preventive medicine, mental and emotional disorders, and complete protection against catastrophic costs, and in which the rule of free choice for both provider and consumer is protected.'

In 76, Carter said, 'We need a comprehensive national health insurance system with universal and mandatory coverage' that would paid for by a combination of mandatory employer outlays and public tax dollars.

In 1980, it was 'a comprehensive, universal national health insurance plan.'

In 1984, we backed off even further with Mondale opposing the snake Reagan. We said, "The states must be the cornerstone of our health care policies,” and that the federal government would simply “assure that health care is available to all who need help at a cost we can afford."

In 88, the party platform promoted “a national health program providing federal coordination and leadership” but focused on restraining costs.

In 1992, Clinton defeated HW on a platform that maintained that all Americans should have universal access to quality, affordable health care—not as a privilege, but as a right.

However, after the policy defeat the Clintons experienced after Hillary failed in trying to create a national healthcare system in 93, we backed off again in 1996 to being 'committed to ensuring that Americans have access to affordable, high-quality health care.'

In 2000, the platform evolved to call for us to "take concrete, specific, realistic steps to move toward the day when every American has affordable health coverage” in a “step-by-step” approach. OK, 'all deliberate speed' is how I read that.

Then, in 2004, as we fell prey to the constant Republican screech about how taxes are always bad, the platform changed to say that we want to "help businesses cope with the skyrocketing cost of health care by reforming our health care system and cutting taxes to help small businesses pay for health insurance."

In 2008, the platform stated, "We believe that quality and affordable health care is a basic right” and promised “every American man, woman, and child be guaranteed affordable, comprehensive health care.” On the question of who would run the health care system, however, the Democrats steered clear of a government-run structure, stating: “Health care should be a shared responsibility between employers, workers, insurers, providers and government.”

Now, in 2008 I did observe Hillary Clinton during a debate refusing to answer the direct question about whether she saw healthcare as a right or a privilege. She was also famously quoted as saying, "Give me something I can believe in," when a group of doctors visited her to advocate single payer.

In 2012, Obama won again, and this time the platform was, "We believe accessible, affordable, high quality health care is part of the American promise, that Americans should have the security that comes with good health care, and that no one should go broke because they get sick."

Finally, in 2016, the platform said that Democrats believe that health care is a right, not a privilege, and our health care system should put people before profits. Then, it positioned the party to "fight to make sure every American has access to quality, affordable health care.” And, as I maintain, that change can be credited to Bernie's people on the platform committee to try and smooth over the massive rift in the party that happened during that primary. You and I were on opposite sides back then, if you'll recall.

OK, so now that we've looked at the history of the Democratic platform, we see that Americans are groaning under the tyranny of a for-profit system whose interest directly conflicts with providing the healthcare they need. Along with climate change, this issue must be addressed. Public sentiment has turned in favor of both.


First, here's the source of the history above: https://www.healthaffairs.org/do/10.1377/hblog20190815.209963/full/

As to the Dingells and Wasserman-Schultz, that may be, but they aren't national figures in the same way that a presidential candidate is, and certainly did not represent the party platform, as you have seen above.

Now we are once again fighting the good fight. Shall we have people over profit, or profit over people? Medicare for all is good policy because it would in fact cut costs, particularly of middle class people like me and my wife, who pay in a normal year around $19-20K for crummy, rationed healthcare with financially crippling copays. If we both have to be hospitalized in a single year, for God's sake, we have to cough up $6K. That's supposedly our 'maximum' out-of-pocket, but there is a loophole clause our HMO is inserting this year that states that some types of 'services' may not be included in the maximum. This HMO counts things like hip replacement as 'elective surgery' so they can cut costs by denying post-operative physical therapy.

I cannot say that I love Bernie, but I can say that I love the policies he introduced in 2016, and that he has fleshed out now. What I do love is his advocacy that this nation do the right thing for once and put people over profit.

We both know, George, that there are millions of dollars lined up against even a public option. Big pharma and for-profit health insurance will be fighting tooth and nail with all the dark money they can put forward. We already see this with the media focusing on asking Warren the gotcha question about raising middle class taxes.

Other posts give my counter argument in more detail, but in a nutshell, yes, taxes will rise, but people will no longer have premiums, deductibles, copays and coinsurance, so costs would actually go down. If she answered it like this, though, you know as well as I that ALL the media would trumpet out is 'Warren will raise taxes on the middle class!' The media is, after all, corporate-owned.

Of course, Medicare for All has the additional MORAL advantage of covering the 39 million Americans who don't have healthcare coverage at all as we speak here, now. And the additional 38 million who are considered 'under-insured.'

I mean, the ONLY reason we're even having this debate is fear of the dark money from pharma and health insurance corporations that will poison the debate. We're going to have to raise taxes anyway, and you know this too. The 2017 tax cut for billionaire parasites and corporations was the very height of fiscal irresponsibility, and the next recession will be a doozy, so our party will be forced into raising taxes at a time when the economy is in recession. But we will have to.

And, we will have to go against the very powerful MIC also, because we simply do not need to spend $733 billion on war, and we do not need 200,000 people on the ground in 167 countries. We don't. Silly me, I'd rather have healthcare than a space force.

I am supporting Warren now, by the way, because I did not like that many Bernie supporters refused to back Clinton when she was the nominee. That's not how we should roll. Plus, I think Warren is a bit more well rounded. Certainly from the standpoint of an economist, her policies are great, but she also has that sensibility to individuals Bernie seems to lack.

So there you have it, because I thought you deserved a thoughtful response.
October 13, 2019

Indeed. This is part of the deeper reason behind the systematic union-busting.

Wages have gone down, stagnated, and real purchasing power has gone down along with union membership.

Now, it is a given that you will have to either live with roommates, or you will have to have two incomes just to keep your nostrils above water. In the meantime, you get nickel and dimed. Student loans, planned obsolescence, unaffordable housing and all the rest.

At the same time, companies like Comcast earn huge profits ($11.3 billion in 2018) and their CEOs stratospheric 'salaries,' (For Comcast, the CEO 'earned' $35 million in 2018).

I was watching a movie that had a profound dialog in it. I will paraphrase: "It costs around $95,000 to get someone elected to the US House of Representatives, and the average tenure is 18 years. A Congressman is the BEST investment a company can make."

So, in this system based on lust to amass wealth and lust to amass power, we end up having a massive transfer of wealth to fewer and fewer individuals - billionaire parasites - while the rest of us fight over a smaller and smaller piece of pie. When the top 1% of 'earners' hold 42% of the nation's wealth, when 25,000 people in the world STARVE to death each day, when lies are propagated by big oil and plastics to cast doubt on their environmental impact just so they can keep making massive profits, when big pharma and for-profit healthcare line up billions of dollars in opposition to healthcare for all Americans, then we truly have a problem.

To facilitate this, those who wanted to create this criminal imbalance in the first place realized they needed to dumb down schools, take over the media and make it profit-driven and systematically control information. This is why Arjit Pai took away net neutrality, and why AM radio so proliferated in the 90s. It is why the bought-and-paid-for judges 'decided' in favor of Citizens United, and why the Chicago School of economics invented 'trickle down.'

Sure.

But we all have to do what we can, and those of us who can more easily 'do' should do more. Nothing excuses us each from fighting the good fight every day. We cannot give up, because this cancer of 'free market' shareholder-driven capitalism is in its last gasp and is unsustainable for us as a species. We will either have to rethink the way we organize ourselves, and the way we 'do' economics, or else we will end up extinct and this planet a smoking cinder circling the earth.

Right now, we are such a cancer on this earth that if we went extinct today, EVERY other form of life would be better off.

And that, my friends, is a truly terrifying reality to confront.

October 13, 2019

I have it. You have it. Others here have it.

As to growing it in others, it is for us to impart a sense of common decency to our families and friends through the power of example. That is where the Christians tend to get it wrong - they think success is measured by number of converts, when the truth is that success is measured by the extent to which they instill that essential moral and ethical behavior in those around them by virtue of their own example, and the extent to which they work actively to build better, more tolerant, more cohesive and resilient communities, and by the extent to which they are conscious of our collective stewardship over the earth and all life it contains.

How many of us, I wonder, know influential people in their local area? How many of us keep abreast of local issues and regularly contact our mayor, councilperson or county commissioner about these issues? How many of us keep track of what our state legislature is doing and contact our legislators regularly? Our governor? And how many of us regularly contact our US Senators and Representative by telephone, letter or email? This is how to walk the walk.

It is more than just politics, because it is possible to take a conservative position on an issue and still be a decent human being, just as it is possible to take a liberal position likewise. The problem is that we have to keep our eye on the prize, and the prize is NOT amassing wealth or power. The prize is instead the power of community, cooperation and the drive to ensure everyone has enough.

At least that is how I believe. As to whether we will actually mature enough as a species to avoid going extinct through war or degradation of the environment, your guess is as good as mine. But we as individuals are not now, not ever excused from fighting the good fight.

Every day.

October 12, 2019

A bit of a rant about Comcast in particular and cable companies in general

On Oct. 10, Comcast moved the Turner Classic Movies channel to its sports package.

Think about that for a minute. I have to pay another $9.99 a month for basically one channel, as neither my wife or I are interested in sports at all. We are having a sports 'package' rammed down our throats so my wife can watch her favorite channel.

Sigh.

So I pitched a big bitch. I called Comcast, and also completed a chat with them. I found out when my contract is over and I will be cutting the cord (cable) at that time unless they reverse this gouge.

I'm sick of getting the shaft. Seems like we get nickel and dimed mercilessly - that is capitalism at its best - you pay DEAR for as little as they can get away with giving you.

I looked over Comcast's 10K report for 2018 - wait for it............

Net profits - $11.3 billion
CEO salary - $35 million

OK...rant over.

October 12, 2019

Lawrence Tribe on AMJOY

Tribe is saying that Trump has betrayed this nation, betraying his oath, abusing his power.

He has eschewed the term 'smoking gun,' and substituted 'smoking Howitzer.'

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About PatrickforB

Counselor, economist and public servant.
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