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RedEarth Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 09:31 AM
Original message
Krugman: Health Care Now
The whole world is in recession. But the United States is the only wealthy country in which the economic catastrophe will also be a health care catastrophe — in which millions of people will lose their health insurance along with their jobs, and therefore lose access to essential care.

Which raises a question: Why has the Obama administration been silent, at least so far, about one of President Obama’s key promises during last year’s campaign — the promise of guaranteed health care for all Americans?

......

I agree with administration officials who argue that these financial bailouts are necessary (though I have problems with the specifics). But I also agree with Barney Frank, the chairman of the House Financial Services Committee, who argues that — as a matter of political necessity as well as social justice — aid to bankers has to be linked to a strengthening of the social safety net, so that Americans can see that the government is ready to help everyone, not just the rich and powerful.

The bottom line, then, is that this is no time to let campaign promises of guaranteed health care be quietly forgotten. It is, instead, a time to put the push for universal care front and center. Health care now!


http://www.nytimes.com/2009/01/30/opinion/30krugman.html?_r=1&partner=permalink&exprod=permalink&pagewanted=print
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xchrom Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 10:36 AM
Response to Original message
1. +3 -- they will be taking more out of my paycheck for my share
of the health care plan my company has.

fuck -- the whole situation sucks.
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area51 Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 11:47 AM
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2. To the Greatest Page with you.
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1776Forever Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 11:53 AM
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3. Radio Host Ed Schultz is really steaming about health care lately - his premiums keep going up & up
And of course there are millions with NO health care insurance and it is getting worse! Schultz is championing Conyers health care bill:

Conyers To Introduce Universal Healthcare Bill Today
January 26, 2009

http://www.huffingtonpost.com/2009/01/26/conyers-to-introduce-univ_n_160974.html

John Conyers plans to introduce his universal healthcare legislation today, a Conyers aide tells the Huffington Post. The bill - known last session as H.R. 676 - is a favorite of healthcare reformers who back a single-payer system.

The bill, which will again be H.R. 676, is one of the more elegant to be introduced in the House, clocking in at just a few pages.

The plan is simple: everyone is eligible for a version of Medicare under a new U.S. National Health Insurance Program.

The program would effectively put private insurers out of business. What to do with all those employees? Hire them, says Conyers' bill.

"The Program shall provide that clerical, administrative, and billing personnel in insurance companies, doctors offices, hospitals, nursing facilities, and other facilities whose jobs are eliminated due to reduced administration (1) should have first priority in retraining and job placement in the new system; and (2) shall be eligible to receive 2 years of unemployment benefits."

Conyers, a Michigan Democrat and chairman of the Judiciary Committee, last introduced his bill, which garnered 93 cosponsors, in February 2007. It was referred to committee but never given a hearing.
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jtrockville Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 12:03 PM
Response to Reply #3
4. Sounds like his beef is with health INSURANCE, not health CARE
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1776Forever Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 12:10 PM
Response to Reply #4
5. I think it is both - He chewed out someone talking about health care yesterday.
I don't know how you can separate the two! If you don't have health insurance which is health care for all then you don't have a base for getting this country back to a healthy economy! I think Ed's talking about Conyers bill is great! We need his voice and a lot more!
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jtrockville Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 03:22 PM
Response to Reply #5
8. Here's how I separate the two:
Health CARE is an essential service.
Health INSURANCE is motivated by profits to deny health care.

One we need. One we are better off without.
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w4rma Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-31-09 08:26 PM
Response to Reply #8
10. As far as I can tell, health *insurance* adds about a 50% or more markup to health care. (nt)
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blueclown Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 12:15 PM
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6. Thank goodness for Krugman during these times.
He gives us a high profile, well-respected intellectual who the Obama administration respects. Krugman's views represent what most of us Democrats think. It helps keep Obama in perspective with average American struggles.
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Prophet 451 Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Jan-30-09 02:27 PM
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7. And universal healthcare would save the economy too
Seriously.

OK, let's say you want to set up a USHS (for lack of a better term). You're going to need hospitals, roads to connect them, amubulances. That's a stack of money going into construction and the auto industry right there. Then you have to fill the hospitals with beds, bedding, medical equipment, a canteen, maybe a newsstand. That's more money being pumped into the economy.

Then you need workers. Doctors and nurses, obviously but also janitors, groundkeepers, admin staff, IT specialists, a cook and serving staff (for the canteen), pharmacists, orderlies, someone to run the newsstand. A lot of those are unskilled or semi-skilled positions, positions that can be filled by people currently on the unemployment line. I've known people who were janitors, groundskeepers and suchlike in the NHS and it's a decent living. It's not luxury but it's a decent wage you can live on, unionised and pretty much recession-proof.

So, universal healthcare would pump a stack of money into the economy and create a load of jobs but what does it have to offer the moneyed class? Well, to start with, it's cheaper. OK, it costs an ungodly amount of money to set up but once it's done, you don't have to spend that kind of money again (as you might well have to with the banks), you just have to maintain it and that's pretty cheap. The current mixture of Medicare, Medicaid and private insurance costs Americans a combined total of around $2.3 trillion a year. Covering the entire US population under the NHS model would cost around $600 billion a year. Even the French model, generally accepted as the world's best, would only cost around $900 billion a year, less than half of what you currently pay so it means more money in the pockets of everyone who pays taxes. Oh, and private insurance spends typically 20-30% of it's expenditure on administration. The NHS, staffed by well-policed career civil servants with pensions and benefits, spends around 6.5% of it's expenditure on administration and they're unionised too so there goes that arguement.

A USHS can also deal with problems before they become problems. Here, it's recommended (but not required) that you get a check-up roughly every six months. I usually ignore that because I'm one of those horribly stubborn men who won't go to the doctor if I can possibly avoid it but I'm also on anti-depressent medication which requires a review every few months and my most recent review showed I had slightly high blood pressure. Because that was caught very early on, I can deal with it with a couple of fairly minor adjustments to my diet and lifestyle. Cost to the NHS: About fifteen minutes of the doctor's time to explain the changes I needed to make, no expenditure of drugs to deal with it. If you're sick and you have to pay for doctor's visits, you put them off as long as possible so when you finally do go to the doctor, you're sick as a dog and off work for weeks or even months. When doctor's visits are included in your taxes, you go as soon as you're sick and, in most cases, you're back at work by the end of the week.

Now, there's loads of different ways of funding universal healthcare. The UK, France and Germany all have entirely different funding mechanisms but the US is coming to this idea late in the game so there's nothing to stop the US from studying the existing methods and mix-and-matching parts, absorbing Medicare and Medicaid along the way, until you come up with something special and uniquely American. Morally, I don't think I need to justify universal healthcare here. Conservatives keep telling me that it's a bad idea because it would always be broke. I think they've missed the point. Of course it always broke! It's not supposed to turn a profit! You put money in and get healthcare out, that's how it's supposed to work. Then they tell me it can't work because government can't do anything right. Guys, the entirety of the rest of the civilised world manages this in some form. We can debate the particular methods in various ways but is the USA really so uncivilised that it can't even manage to build a working healthcare system? I don't think so. I think you have plenty of people who could set up and run such a system perfectly well. They will occasionally tell you that Europe is begging the US not to go down the road of "socialised medicine". They are lying to you. Every time some idiot here proposes abolishing the NHS, we shout them down and boot them out of office at the first opportunity. The NHS isn't perfect, don't get me wrong, there are problems but no corporate suit decides if you live or die.

Healthcare isn't "sexy". Politicians love posing with troops or battleships, they're "sexy". But healthcare is reliable, it saves lives day-in and day-out and it does so quietly, with minimal fuss. You have around forty million reasons you need a system like that and an economy to save.
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tucsonlib Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Jan-31-09 08:24 PM
Response to Original message
9. Back In September, Bush Gave A Televised Speech....
Edited on Sat Jan-31-09 08:27 PM by tucsonlib
for the purpose of selling the American people on his bailout plan for banks and financial institutions. The speech worked.(Bear with me here.) Inspired, I posted this comment on DU, quoting directly from Bush's speech with only a few substitutions and additions. Time to bring it back. I confess, it's the one comment of mine that I'm most proud of:


Imagine if Bush had given THIS speech Wednesday night:

"Good evening. This is an extraordinary period for America.
Over the past few weeks, many Americans have felt anxiety about their health and their future. I understand their worry and their frustration. Nearly 50 million Americans have no health insurance. Many more find themselves at the mercy of the Insurance and Pharmaceutical Companies, who are more concerned with profit than with providing quality care.

We're in the midst of a serious health care crisis, and the federal government is responding with decisive action.

I'm a strong believer in free enterprise, so my natural instinct is to oppose government intervention.

Under normal circumstances, I would have followed this course. But these are not normal circumstances. Our current health care system is not functioning properly. There has been a widespread loss of confidence.

The government's top health and economic experts warn that, without immediate action by Congress, thousands of Americans will die prematurely. Thousands more will be forced into bankruptcy.

I know that an economic rescue package will present a tough vote for many members of Congress. It is difficult to pass a bill that commits so much of the taxpayers' hard-earned money. However, I can assure you that a universal, single-payer health care system, like the one proposed in House Resolution 676 (Medicare For All), will actually cost LESS than the inefficient system currently in place. How will it work? Well, back in 1948, when Great Britain enacted universal health care, they sent out a pamphlet to all British citizens. It stated:

“Your new National Health Service (NHS) begins on July 5th. It will provide you with all medical, dental and nursing care. Everyone, rich or poor, man, woman or child could use it or any part of it. There are no charges except for a few special items. There are no insurer qualifications, but it is not a charity. You’re paying for it mainly as taxpayers and it will relieve your money worries in times of illness”

Pretty straight forward, and a good place for us to start. I promise you this - All decisions concerning your health care will be made solely by you and your doctor. The government will not have the power to deny or restrict your treatment options. No one will be refused coverage due to pre-existing conditions. You will be able to choose any doctor or hospital you wish.

I know that Americans sometimes get discouraged by the tone in Washington and the seemingly endless partisan struggles, yet history has shown that, in times of real trial, elected officials rise to the occasion.

And together we will show the world once again what kind of country America is: a nation that tackles problems head on, where leaders come together to meet great tests, and where people of every background can work hard, develop their talents, and realize their dreams.

Thank you for listening. May God bless you."




And within a week, Congress passed the bill.......


edited for grammatical error

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