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Progressives Were Right: Obama's Health Plan Not Solving Crisis
New Data Show Why Simply Having Insurance Isn't Enough
While the contest for the 2012 Republican presidential nomination is already revolving around conservative-themed attacks on "Obamacare," back when the healthcare bill was being legislated, the most important debate was within the Democratic Party, which held large majorities in both houses of Congress. On one side were the drug companies, the insurance companies and President Obama -- the latter who had not only disowned his prior support of single-payer healthcare but had also worked with his corporate allies to actively undermine a modest public insurance option. On the other side were progressives who opposed any bill which further cemented the private insurance industry as the primary mediator between doctors and patients.
Two new studies - one from Massachusetts, one from Arizona - validate the original progressive criticism of the Obama health care bill. Specifically, the studies look at the inherent danger of strengthening insurance company power, and how doing that - as the Obama bill explicitly did - will not solve the underlying problems of medical debt and bankruptcy. As the studies show, those underlying problems then lead to skimping on preventative care and under-insured status. (iStockphoto/KLH49)
Ultimately, Obama and his corporate-backed allies organized enough conservative Democrats in Congress to win, effectively turning healthcare "reform" into a blank-check TARP-style bailout for the health industry. But, of course, to even whisper that last truism is to now run the risk of being labeled a blasphemer in a conversation that can only tolerate misleading red-versus-blue analyses. In today's national political debate, there are Republicans who insist "Obamacare" is a Canadian-style "takeover" of America's healthcare system, and there are Democrats who insist that the health bill is a major Medicare-like achievement -- any other argument, no matter how valid, has been vaporized by election-season pressure to fall in ideological line.
Unfortunately for the political class, however, reality doesn't take orders from partisans -- it persists irrespective of talking points, press releases and Twitter mobs. And on healthcare, the original progressive criticism is now being validated in a new study from Arizona. Going beneath the superficial rhetoric about health insurance and to the reality of actual health care and health costs, the study published by the American Journal of Public Health found:
Health insurance is not protecting Arizonans from having problems paying medical bills, and having bill problems is keeping families from getting needed medical care and prescription medicines, a new study has found... After taking age, income and health status into account, simply being insured does not lower the odds of accruing debt related to medical care or medications. In addition, says University of Arizona College of Pharmacy research scientist Patricia M. Herman, ND, PhD, who directed the study, medical debt is a separate and better predictor of whether people will delay or forgo needed medical care than their insurance status.
"On average, insurance coverage in Arizona is not protecting families from experiencing medical debt," Herman says. "From other studies we knew that paying medical bills is a problem for a substantial portion of both insured and uninsured Americans. This study helped clarify that the fact of medical debt is an additional and larger barrier to getting needed health care than whether a person is insured or not."
With 60 percent of all bankruptcies related to medical costs; with many of those medical-related bankruptcies occurring among those who have private insurance; and with the fear of medical bankruptcy encouraging the insured to unduly skimp on medical services, the Obama healthcare bill did purport to address the issue via caps on out-of-pocket expenses. But those weak caps -- and the bill's failure to achieve universal coverage -- promise to allow the medical debt problem to continue, just as they have in the state whose "reforms" most closely mimic Obama's bill.
As the Los Angeles Times recently reported:
Studying medical bankruptcies in Massachusetts, whose recent healthcare reform was a model for national reform, researchers found that while new insurance rules increased the number of people who had coverage, those rules did not improve coverage -- leaving many still struggling with medical debt... Proponents of the national healthcare reform passed into law last year have claimed that it would reduce medical bankruptcy in the United States by helping more Americans get insurance. This new study, which was published Tuesday in the American Journal of Medicine, suggests that a reduction in bankruptcies is unlikely.
Add to all of this a new Center for Public Integrity report about how American wages are still being eaten up by private health insurance premium increases, and the trajectory is clear: Events are proving that "real reform" and strengthening insurance industry power are mutually exclusive goals. That is, they are proving the veracity of progressives' original criticism of President Obama's healthcare legislation. This is, to be sure, a politically inconvenient truth to both parties and their insurance industry benefactors -- but alas, it is the truth. The longer we simply stare at it -- or pretend it doesn't exist -- the longer the healthcare crisis will continue.
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69 Comments so far
Show AllThis is a very slanted piece. Sure, the new national "Romneycare" is a huge disappointment, but much of it hasn't even kicked in yet. The free annual check-ups and "donut hole" closure were worthwhile additions to Medicare. Cost savings to Medicare was also a big positive.
Greg R,
You either have "amnesia" or "brain dead", and that's the mildest words I can use. Still, “Hope" Obama can be trusted? Have you forgotten the "promised" and bullshit during the primaries and presidential election?
Although Sirota's views are not slanted, he fails to mention that in addition to further entrenching the private insurance model, Obamacare also further entrenches the employer-sponsored medical insurance model that 1) worsens the economic impact for Americans who have lost their jobs, and 2) makes US small business's less competitive in the global market, thereby making the US economic downturn more severe and longer lasting than it would be if real health care reform had occurred.
raydelcamino,
While do not dispute what you said, but agrees with everything. You and many other need to understand the once "Americans Dreams" It's gone! Even if our economy recovers, which I doubt. Just look at what's on your table, almost everything is made in "CHINA", including the very computer you are using. No need for me to go further.....
Cencom,
By all mean please do join in, the more the merrier.
"I must disagree. Our economy will recover, it always has and the reasons are still there though they have taken a beating from all sides. ..."
You got to be drinking Kool-Aid, right? Haven't you notice productivity had increases all these years and why? Have you look at your computer and the things around the table, where they are made in? Mainly China and Thailand, Philippines and so forth. Oh, you must be thinking what Obama and Hillary promised “Green jobs!” Green jobs? I may not be up to date, but last I read China is speeding ahead investing in Green Technology and high speed trains? If I remember correctly China is or have built the biggest solar panel assembly plant in AZ and hope to corner the markets. They too are in wind power in big time and may bids for the high speed train here in CA and the northeast corridor. Maybe, you are thinking Americans busy installing solar panes? Sorry that is the domain of the "undocumented", as no Americans wanted to do it.
Studies have shown that single payer would CUT the costs of health insurance. The US spends far more per capita than any other country in human history -- literally. I agree the economy's a mess -- but genuine reform (that is, not Obamacare) would not only be possible, but economically beneficial.
Raydelcamino -- Good points.
What has always been a little surprising in the U.S. is that corporations and businesses OUTSIDE the health care pork barrel have not fought for a national health care plan that would free them from paying for their employees health insurance premiums.
U.S. companies have been at a disadvantage in many cases against foreign companies because of health care costs. Auto manufacturing is an obvious case when the U.S. faces off with countries such as Japan or Germany, which have more efficient and less expensive health care systems (although hardly perfect)
For example:
For General Motors, health care costs add $1,525 to the price of every car that leaves the lot and the company estimates that it spent $5.2 billion on health care benefits in 2004, more than it paid for steel.
http://thinkprogress.org/health/2008/11/18/170556/auto-health/
Since so many U.S. corporations and small businesses would benefit tremendously from a public single payer national health care system, it would have made sense for them to demand it from their lackeys in the political class. (Not because I have any faith in U.S. corporations to do anything far sighted or ethical but because they might have saved themselves money.)
However, it would have required some vision and organization to take on the concentrated power and wealth of the "health care" and pharmaceutical industry. Because of interlocking corporate boards, corporations owning multiple businesses, the ebb and flow of capital from banks & hedge funds, the overarching power of Wall Street and the "financialization" of the U.S. economy, perhaps it was always wishful thinking to imagine one sector of the U.S. corporate class--the industrial sector -- acting against another sector deeply rooted on Wall Street.
Since it is easy to confuse American voters with mass propaganda and hysteria (e.g. "death panels") -- there seems to be little hope of achieving a functional health care system that focuses on the public interest.
In general, it will be cheaper for businesses to simply eliminate employee insurance when they can or raise premiums and deductibles so high that it passes all the debt load onto their employees.
Although Obama's version of health care offers a few mitigating improvements, in general, it is a disaster for any authentic reform-- and a bonanza for corporate "health insurance" profits.
Interesting study in the New York Times showing that U.S. longevity problems -- dead last -- versus 12 other industrialized nations are entirely due to its awful health care system. (Number one in costs, however. The USA is still number one!)
http://www.nytimes.com/2010/11/30/health/30life.html
"What has always been a little surprising in the U.S. is that corporations and businesses OUTSIDE the health care pork barrel have not fought for a national health care plan that would free them from paying for their employees health insurance premiums."
Not all that surprising, unfortunately. After all, the big corporations can always relocate their factories to the Third World. And little businesses are too busy hating regulation(s) to care much about how Rethugs force them to pay through the nose to support the status quo. And now that the Dims are on the same side as the Rethugs, you won't be seeing small businessmen flocking to the Dims.
In addition:
1) The economics of insurance favor the large pools of people which characterize big business, giving them a significant insurance cost advantage over small businesses, and
2) big businesses are merging to create too-big-to-fail companies that can be assured of serial taxpayer funded bailouts if high insurance costs turn things sideways.
Points well taken. Thanks!
RANDY G: Since Ray Del Camino has been wisely posting this same point for some time, I asked myself that same question... why would employers NOT push for a universal health care ACCESS model, given the cost of insuring employees? And as mentioned, these expenditures cut deeply into their profit margins. I think the answer is related to the Ayn Rand conditioning that's so strong about insisting that it's "every dog for himself." This "pull yourself up by the bootstraps" conceit lets those with $ think, with confidence, that they earned it all... to instead begin to embrace an ethos built around sharing is to question the entire economic model (along with its conditioned sociological implications)... and that's one mirror, many would prefer not to gaze into. It's just one of the many ways Amerikans have been taught to shoot themselves in the foot and take the results for "reality."
GregR, you miss the point of Sirota's critique. He's looking at the facts of how having health insurance with for profit companies does NOT keep people from having too high medical bills and going into bankruptcy. It doesn't matter how much of AFCA has kicked in, it doesn't really change that dynamic, as shown by what's happened in Mass.
Good comment. Unless I missed something, the enormous power of the "health insurance" industry was largely due to Tricky Dicky Nixon's cronyism, packaging the sell-out as HMO. In the meantime, insurance lobbys have taken full advantage of K Street lobbying.
Uh, why do we need "health insurance" as a middleman whose only purpose is to skim money and drive up costs? The entire health insurance industry can be disposed of. Keep it simple & demand Single Payer.
Indeed - keep it simple - make it single payer. (&it will have to be us who make it happen...)
You're right--there is no need for a middle man, but the media will never lead the conversation to your point. You're saying the emperor has no clothes, an off-limit remark.
If you gauge "the taste of America" by how we care for our sick, this sick nation shows how truly broken we are psychologically. Fact is, we've been conditioned, psyopped, propagandized, and turned against each other from at least the time we're five, so much so that most can't see that this hugely expensive monster that does nothing but suck money out of sick people's pockets, often ruining them in the process, is totally unnecessary. For one thing, they lack the critical thinking skills to differentiate what is and what the pundits say it is. For another, our citizenry thinks things like maybe I could get a job in insurance! or wow, I've got a job with health insurance!. These are responses of spoiled brats. What happened to the adults in this country, or even the unspoiled children?
Speaking of emperors with no clothes, sometimes I think one of the massive problems with this age is that nobody will look at the fact that maybe there's not enough necessary work to do, what with everything being automated and computerized and honed to greater and greater efficiency. So now the jobs are all about "servicing" or "processing" each other for a profit, and nowhere is that more disgusting than in the medical industrial complex--all of its parts, from the insurance companies to the creepy, insidious pharmaceutical industry to the doctors who are little more than pharmaceutical reps.
Hmmmm . . . My remark, "Good Comment" was addressed to a post that mysteriously disappeared.
I have two issues with your great comment. First, there were a great many Progressives who saw ObamaCare for the piece of garbage it is from the very beginning.
Second, ObamaCare has set back real health care for far more than a decade. We will not see single-payer in most of our lifetimes, if ever. Obama, as he has done with every other issue, sabotaged any chance of meaningful reform -- as planned from the very beginning.
I am 63 years old. I have lived through Nixon, Reagan, daBushmen, not to mention the obscene Clinton and Carter. When you consider the damage this POS has done to the psyche of this nation, let alone everything he has touched, Obama is far and away the worst president in my lifetime.
We thought no one could be worse than Bush. We were wrong. Petraeus for 2016!
Just nitpicking here because you and I are definitely on the same team, Cencom. Your comments are spot on, as Thom would say. But every single Progressive I knew who might have been supportive used phrases beginning with "well, it's not what we want, but ....". And remember that right up to the very end this bill was rumored to include the "public option" (no comment on how idiotic that notion was, of course). Furthermore, the T-Par-T objections were not based in reality, so they were't factually "right".
I do so hope you are correct about getting further reform within your timeframe.
Thanks for your comments. Peace.
AAAA-men!
I was for it until I saw it.
When the first bill came out of the Kennedy committee I downloaded it and read the entire thing. Even though it had a public option I concluded it was a piece of garbage that was about a TARP to the health insurance companies. I did continue to lobby for a public option as the debacle went on, but that was more of a rear guard action in my mind.
I went to a townhall meeting with my congresscritter, Rick Larsen. We had about half tea pariers and about half progressives. We progressives were not attacking the tea parties for opposing it. We were pressing Rick Larsen to support Single Payer instead.
But you know what? The progressives in Congress, the ones in the Veal Pen, and the radio and cable talkers all did cave, didn't they? I basically had to stop listening to Randi Rhodes and Stephanie Miller because it made me sick and I still can't stand them.
I'll never trust Dean after he did a quick 180 and shilled for it or how he lied on national television and said that single payer was not universal healthcare but the AFCA was. (But then I already didn't trust him after he stood on stage in the '04 Presidential debates only a few feet away from Kucinich, who not only voted against the Iraq War but whipped against it, and lied that he, Dean, was the only candidate who'd been against the war. What hubris.)
...and Thom Hartmann, Maddow, and that ridiculous gasbag Ed Shultz. Basically the entire so called "professional left" fell in line and got behind Obamacare. They got their marching orders and they carried them out. It didn't even matter that AFCA was a piece of garbage, what mattered was delivering a political victory for Obama. Hartmann talked about that quite regularly.
Remember that Howard Dean was never anything remotely resembling a progressive. He just played one in the 2004 primaries.
Add Bill Maher to the list, who positively revels in the contradiction that Mitt Romney now eschews the plan Obama adopted from him but goes no further in his analysis. In fact Romney has correctly found the flaw in his own plan, it is ending up costing Massachusetts more in government subsides than he thought. Equally consistent is his solution, just cut the subsidies and offer the people who buy into it cheaper, less comprehensive insurance that offloads more of the costs to them. If the co-pays and deductibles are so high that people are afraid to use their health care or are still bankrupted if they have to use it, well that's on them. Romney is not a hypocrite. He exhibits consistent Republican thinking but Maher is a cheap partisan hack when brings Patrick Duvall on to tell us how well Mass ciizens like the new system. Ask the people who have had to use their new health insurance for serious treatment how they like it, Neither Bill, nor Rachael, not Stephanie, or even Ed have the depth, honesty or courage to do that.
Progressives Were Right: Obama's Health Plan Not Solving Crisis
Duuuuhh!
Just like we were right 30 years ago when we said Raygunomics would trickle down only yellow liquid.
Being right plus two bucks still buys a good cup of coffee in all but the high rent districts.
Obamacare is a sick joke perpetuated on the American people by the health insurance industry and Obama as part of a deal during his primary campaign in order to salvage a largely discredited and failed private system that needed to enlarge their customer base to include more younger healthier people. Those democrats that supported this crappy alliance with the devil overlooked the corrupt connection and stupidly went along with it instead of letting the private system collapse which would have opened the door to a civilized single-payer system.
OBAMA is a sick joke perpetuated on the American peoplw by the Corporation Industry. Mostly the banks, oil companies, anything to do with the Medical Industrial Complex and of course the MIC and everything else conected to it. Those democrats that went along with this crappy alliance got exactly what they wanted. Same with all the other republican dreams like never ending wars ect ad naseum.
As my father used to say: So soon dumb, so late smart.
Something that has been bugging me: Why would clear thinking progressives, those who were able to stand back from all the hopey/changey hype and see it for the scam it is, ever take seriously anything that comes out of the mouths of the ones who not only fell for the scam but actively maligned and marginalized those of us who didn't? Why would we want to read anything from Robert Scheer, for example, or John Nichols, or Katrina Van .... what's her new name? If I thought they were sincere and not just Democratic apologist shills, I'd give them some credit. The truth is they are opportunists in an opportunistic world. Very, very few of us will give up our positions and social connections for the good of humanity. It's rare. And as my psychologist friend says, people don't like that kind of person. Want some proof of that? Ralph Nader, a rare example of what empathy and dedication looks like, received under 1% of the vote. People hated him for standing in the way of the Democrats and Obama.
A succinct state of American politics, rvwalker...the only candidate of the past 65 years with a track record of successfully containing corporate power (Nader) is hated and reviled by the victims of corporate power.
RVR: I agree with you about Nader's depth & integrity, but I disagree in your assessment of HOW Americans view(ed) him. Here's why: Do you remember the way the media went to work doing a hatchet job on John Edward's hair to discredit him, or Howard Dean's noise? In how many venues did the thoughtful, conscientious Nader really get to establish his policies and gain clout with the American public? Their view of Nader is largely take "Through a Glass Darkly" (to make use of an evocative Bergman film title). It's an entire figment of the media's collective mind. They do NOT know the man! They know him, if at all, through the distortions of the right wing media echo chamber.
With media captured, we hear from generals, or pro-war sychophants, or industries' shills... the LAST person they want to give the podium or microphone to is an honest, articulate speaker who's been there... seen it all, and is savvy about the endless forms of ensuing corruption. After all, he's truly one who's devoted his ENTIRE life to making the nation a safer, healthier place for people to live. I love the man...
To sum up, quoting from the adage, "All we are saying... is give Peace a chance!" You could easily substitute the name Nader to evoke a similar meaning, and explanationn for the public's APPARENT view of this luminary.
And the few times the MSM mentions Nader, it's to say the following:
1. He's a lifelong bachelor (*wink wink*).
2. He's an Ay-Rab (*wink wink*).
3. He has a history of trying to impose regulations on industry (no winks necessary).
4. He's a Greenie, sometimes (time for more winks?).
5. He repeatedly fancies himself a presidential candidate, but nobody takes him seriously, except the Greenies.
6. He stole the presidency from Al Gore (heard only in the "left blogosphere" along with no. 5; just ignore the cognitive dissonance!).
Siouxrose,
Great comment. I thought you might like to know that the Bergman title is itself an allusion to a quote from I Corinthians 13:9-12. In the King James Version it reads:
"We know in part, and we prophesy in part. But when that which is perfect is come, then that which is in part shall be done away. When I was a child, I spake as a child, I understood as a child, I thought as a child: but when I became a man, I put away childish things. For now we see through a glass, darkly; but then face to face: now I know in part; but then shall I know even as also I am known."
If only we as a nation could become adults and put away childishness.
LIB WING: Thank you for the information. Very interesting! Bergman's films were so dark, and yet so patient in their examination of human interactions that I felt compelled to read his then-wife Liv Ullman's autobiography to understand more about him. I can't recall its title right now.
I will keep this post. It's very compelling info to me.
Insurance will never equal health care. They are two distinct products with two distinct purposes.
Exactly! I would only state that access to health care is a Human Right, not just a product to be sold.
Meanwhile, make good friends with the plants... They can help heal many issues, and if you know where to find them (or know someone who knows), you can cut out the capitalist middlemen, in many cases.
Not that this solves the health care issue; it doesn't... but as an aside... sometimes the best remedies don't cost much or anything at all, and work better than their pharmaceutical counterparts...
Good point about alternatives to pharmaceuticals, but if you break your leg or have a stroke or heart attack, you still need medical care and that's when you can go bankrupt!
Agreed. I'm talking about plants as a "both and" strategy, not as a replacement for universal health care and access to necessary surgeries. :)
Exactly! Thank you for this comment. We aren't going to solve anything until we examine our ideas about what medicine is, and what health care means. Sure there are emergency situations that will always need to be addressed, and that is one aspect of health care. But chronic disease is a massive factor driving the reliance on pharmaceuticals and biotechnology, as well as the propensity for heart attack, stroke, kidney failure, need for lifetime dialysis, organ transplants or major surgery.
Fortunately, these are preventable. There is an educated, trained and prepared army of radical healthcare workers in this country, the majority aren't medical doctors, and they are all in the business of mitigating chronic disease, helping people heal after catastrophic illness or trauma, and educating people about health lifestyle choices. They are acupuncturists, herbalists, nurses, midwives, doulas, lactation consultants, nutritionists, massage therapists, body workers, movement therapists, mental health workers, indigenous healers and spiritual workers. They hold the key to health care reform because they work from a model of wellness, not disease. They are not indentured servants of the pharmaceutical and insurance industry. When insurance and pharmaceuticals fail you, they are there to guide you on a path to real health, without the chemical and technology intensive, profit-driven practices that have inflate the costs of health care, disempower the individual, and destroy our environment in turn. They are real human beings who will treat you the same. Many will often accept barter from you when you can't afford your care. Their techniques are low tech and environmentally gentle, and can be taught to others.
These practitioners are organized. They are joining together to operate low cost, sliding scale clinics that do not deal with insurance, and keep the cost affordable enough to pay out of pocket. The Community Acupuncture Network is a great example of a grassroots medical model that is patient focused, not profit driven. If more and more of us turn to these practitioners for care, perhaps the medical doctors and surgeons will take note and join the team, or do their own radical organizing.
Most of the poeple you describe peddle scientifically dubious cures to people who are already healthy. My perfectly healthy wife is an addict of this "alternative" stuff - along with orthorexia (obsession with expensive fad diets - in her case, the raw vegan diet washed down with kombucha), and it is putting us in the poor house.
We all know about diet and exercise, but many kinds of disease strike even the most fastidious.
I spent a fair amt of time assisting alternate healers in their work, and while every field has its small % of rotten apples, I can't agree that "most of the people...peddle scientifically dubious cures."
I witnessed many patients who would show up to their first sessions with faces in varying degrees of agony, and after approx a month, would return in far less pain, and smiling, even.
The goal is to find what works for each person... So: no judgment if you don't like energetic healing, homeopathy, chinese or local herbs etc. But just because it doesn't feel good to you doesn't mean it doesn't work wonders for others... :)
Sorry. Orthorexia is actually OCD in disguise. It was invented to be about people who obsess about eating the "right" foods and it's true purpose is to serve the needs of agribusiness. Why not make it a disease to avoid food from Monsanto and CAFO's.
I can't address your wife's concerns but your statement about peddling dubious cures is ridiculous. Every field has its phonies but the Medical Monopoly tops them all. Worshipping at the feet of the medical monopoly is just useless blasphemy.
Of course disease can strike anyone but serious alternative medicine can fix almost anything better and cheaper than the monopoly can. The monoply is outstanding at emergency medicine, surgery is you actually need it and diagnostics. Everything else, poor to middling at best
See: "Why Stomach Acid Is Good For You" by JV Wright, MD & L. Lenard, PhD.
"The Trophoblast and the Origins of Cancer" by Nicholas Gonzalez, MD or read through his website www.dr-gonzalez.com
check out www.drhyman.com
try www.drmercola.com and search anything
"Biochemical Individuality" by Roger Williams, PhD
Google "Vitamin C and viral illness"
This is just to get started. For additional serious reading try "Nutritional Medicine" by Alan Gaby, MD
The Monopoly treats symptoms, nutritional medicine and other forms of alternative medicine treat causes.
The gov't, as handmaiden to the Monopoly does it's best to discredit and suppress whatever it can. And as Roger Williams makes clear, we are all biochemical individuals so what works for one may not be useful for another so statistical data alone cannot refute effectiveness. If a particular treatment or approach works for only 5% of those who use it, that doesn't mean it's useless. In the 70's when the Feingold diet was tested it was "proven" useless based on statistical date. But when the raw data was looked at, the children negatively affected by food additives, sugar, etc were the smallest children. Unfortunately, no further studies with all small children or higher amounts of wt based additives were fundable after that.
Agreed! The wellness model is sooo important!
We still need interventive allopathic medicine for certain stuff - broken bones, blocked arteries discovered too late, dialysis etc etc. And -- for just about everything else (including recuperating from Big Surgeries) -- local plants, herbalists and holistic healers working on sliding scales can be a cost effective, positive way to go for many, many people. Reduces our dependence at least somewhat on allopathic breadcrumbs... :)
So David, my friend, whom are we voting for in 2012 again?
ha! And you know it's coming, don't ya.
I'm still shocked that anyone could have supported that monster of a bill. Oh well, delusions die the hardest death.
And the terminal denial syndrome epidemic in the US shows no signs of subsiding.
Last year the dcratz and their spin doctors and apologists claimed that Obamney care was a small step in the right direction and would only be improved over the course of time. I fail to understand how shoveling hundreds of biillions of taxpayer dollars to some of the most despicable and disgusting predatory corporations in existence is a "step in the right direction." Barrycare reinforces the status quo and further entrenches the racket of for-profit pay or die health insurance. And to think that the corpora-dems are even considering actually improving it is laughably naive. Health care "reform" is done and behind them now ... it won't be revisited for at least a couple decades, and certainly not before 2020. Dennis Kucinich, who was apparently arm-twisted into voting for the bill, referred to it's passage as a "dark moment." Well, at least he got that right.
Rather than being "baby steps forward" as Obamabots claim, Obamacare bounced health care reform back to 1964 when the future of Medicare was in a tug of war like it is now and corporations were in total control of health care.
Obamacare will give insurance and pharma companies more money that will be used for ever larger bribes to politicians to assure passage of ever more legislation favoring insurance and pharma at the expense of the victims (often called patients).
Right. Paul Ryan just wants to complete the job of the AFCA by extending it to seniors. But the same nonsense Sirota describes about the conversation only being Red/Blue garbage extends here. Neither the Republicans nor the Democrats will admit that Ryan's plan is the same thing for seniors as the AFCA is for the rest of us, for totally different reasons. Oh well.