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Edited on Sun Nov-22-09 10:43 AM by havocmom
edited for typo
Remember when Wall Street and Big Biz (with GOP) pushed 'Privatizing' Social Security? Remember how relieved we were that it didn't fly when we realized what would have happened to working class's security pension when Wall Street crashed and stocks fell mightily? It was bad enough that people of moderate means lost so much of the value they were counting on from their personal investments. The same could have happened to workers' Social Security, the last wall against abject poverty for many in their old age. Phew, we really dodged the bullet!
Or did we?
Without the shot of Social Security money, Wall Street fell. And merged, shuffled a lot of paper, pretended things were fine, paid out mega bonuses. And fell again, taking down giants this time.
Seems The Street really needed those forced payroll deductions that would have come from Privatizing Social Security. Hmmmm. Did anybody notice?
Health Care Reform comes along. Yes, indeedy, reform is needed, in so many of the facets of health care: The paying for it. The delivery of it.
The law suits driving doctors out of business and the fact that only a few doctors seem to be driving the quantity of malpractice suits but getting them out of medicine isn't done often enough, so all doctors end up paying career ending premium increases.
Insurers forcing providers to deliver less real health care to patients by setting up systems where quantity rules over quality of care and we end up with McMedicine. Insurers who are exempt from laws against collusion, making sure 'competition' is a farce.
Insurers who take payments for years, then let bookkeepers and lawyers decide who gets what care.
Insurers who hire doctors (who probably couldn't keep their own practices going) to give their bookkeepers and lawyers cover from being charged with practicing medicine without license.
Drug companies marketing directly to patients who then demand expensive meds they saw on TV, whether they are appropriate for the individual or not......
oh, so much reform needed
And, yes, covering more people would help with costs as ER as primary care is expensive. Plus, we might be a much healthier population if people could actually get the care they needed (that goes for the uninsured as well as those paying for insurance, but not actually getting what they paid for).
But the mandate.... ah, that is the monster offspring of the marriage of politics and Wall Street. Let me rant a bit more here on this mandate.
Wall Street didn't get to have payroll taxes (Social Security payments) mailed directly to it and they floundered for lack of new stone added to hold their pyramid up. But, if everybody HAS to buy insurance, by golly, payroll tax to Wall Street accomplished! Ok, through a side door, but accomplished none the less.
What does your insurance company (if you can afford one) do with the dollars you (and your employer, if you have a group policy) pay? It doesn't go into bandages and iodine. It gets invested on Wall Street. See where this is going?
Mandate that everyone buy insurance and insurance companies have more money to play with at the casino on the Street. The Street gets those new stones to hold up the pyramid a bit longer. Bonuses are safe and everybody gets to go out to swanky watering holes to celebrate.
Everybody but the middle class, working class, working poor, and flat-out-unable-to-eat-and-pay-rent-poor. They get a legal obligation to give money to the guys at the top, arguably the same guys who set up all the financial failures they so desperately need to camouflage in hopes of maintaining the lifestyle to which they think they are entitled. They get a government enforced bill, whether they can afford it or not; whether it actually gets them real care or not.
The folks working for wages or salaries (that are not subsidized by the massive bonuses like the Fat Cats get) have been losing economic ground for almost two generations now. Pay has not kept up. Job security is a myth from a bygone era. People are becoming homeless at a rather unnerving pace. And THEY get the bill for health care? THEY have to pay the tab or face penalties?
Wow.
The wage earner gets another tax, whether they have a roof over their head or not. They get a mandate to pay up and the money will end up going to Wall Street. Yep, mission accomplished.
Fuck this shit. If there is gonna be a mandate, there had better be a ROBUST public option, no opt out where the whims of state pols would put workers at financial risk, and the end of legal protections for insurers to be racketeers. There had better be some kick ass regulations of pay on the Street. There had better be some rules separating the banking, stocks, insurance industries again, and they by god better be seriously enforced.
The mandate is a side door payroll tax given to the Street. Just like they tried to do with privatizing the money taken out for Social Security. Without the other parties to the mess being forced to change, pay, accept REAL regulation, the Street might consider the ugly alternatives that could have gone down in America if FDR had not taken such strong measures to help mend the social contract with the working class back in his day.
The mandate is a tax, being levied by, and paid to, businesses with whom the workers have no representation. Why the hell isn't there some tea being pitched about that little reality?
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