When the Son of man shall come in his glory, and all the holy angels with him, then shall he sit upon the throne of his glory: And before him shall be gathered all nations: and he shall separate them one from another, as a shepherd divideth his sheep from the goats: And he shall set the sheep on his right hand, but the goats on the left. Matt 25:31-33
Republicans have been trying to focus a lot of attention on President Obama’s promise to the American people. That promise was that under the Affordable Care Act, if you liked your current insurance you could keep it.
What has been lost in this conversation, however, are the bigger lies that Republicans have been telling since they decided to “bet the farm” on repealing this law.
It is true that healthcare.gov has problems.
It is also true that as many as 5M people who purchase their insurance on the open market may have received cancelation notices from their insurance provider because their plans were not compliant with the minimum requirements under the ACA.
Both of those things can be fixed. But Republicans don’t want to fix Obamacare. They want to repeal it. The reason they want to repeal it is because weakens their POLITICAL position. If it DOES ultimately deliver healthcare coverage to 20M people who can’t currently afford to purchase insurance on their own, those people will punish any future candidate or party who proposes to take it away.
Republicans also don’t want to offer an alternative BECAUSE they also know that it will NOT compare well to what already exists with Obamacare. The last time they tried in 2009, their alternative proposal covered 17M FEWER people and cost $36B more.
Instead, in order to leverage their political position that Obamacare should be repealed, they ALSO have to argue that the current healthcare system is just fine. That way they can also claim that Obamacare is making things worse, rather than making them better.
This argument has two added benefits. It appeals to those who fear change. They get to hear Republicans tell them that this particular change is unnecessary. And it appeals to those who make more money under the current system than they would under the new system. Their motivations are obvious.
So that’s why John Boehner, criticizing Obamacare, said yesterday, “This is going to destroy the best health care delivery system in the world,”
This is a BIG LIE. Easily on the same scale of “If you like your insurance you can keep it”.
We DON’T have the best healthcare delivery system in world. Not even close.
What we DO have is the most EXPENSIVE and INEFFICIENT healthcare delivery system in the world.
Here is the proof with excerpts from NBC News.
Two studies out this week — and studies going back 15 years or longer — show quite the opposite. Americans pay more per capita for health care than people in any other industrialized country. In return, we are sicker, die younger and are unhappier with the system.
According to the Commonwealth Fund Study, healthcare costs $8,508 a head in the US, compared to $5,669 per person in Norway and $5,643 in Switzerland, the next-highest-spending countries. New Zealanders spend just $3,182 per person. If we were getting better outcomes than everyone else, perhaps you can justify it, but we aren’t. The U.S. has the eighth-lowest life expectancy in the Organization for Economic Co-operation and Development, which groups developed nations.
The reason is simple. Too few people have access to healthcare services, particularly the sorts of services that can prevent the onset of expensive chronic conditions like diabetes and heart disease.
In the latest survey of more than 20,000 people from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, Britain and the U.S., Commonwealth researchers found that 37 percent of Americans went without recommended care, did not see a doctor when sick, or failed to fill prescriptions because of costs, compared to as few as 4 percent to 6 percent in Britain and Sweden.
And 23 percent of U.S. adults either had serious problems paying medical bills or were unable to pay them, compared to fewer than 13 percent of adults in France and 6 percent or fewer in Britain, Sweden, and Norway, Commonwealth reported Wednesday in the journal Health Affairs.
The #1 cause of bankruptcies in this country (62%) is medical expenses. What’s worse, 78% of those filing for bankruptcy because of medical bills HAD some form of health insurance. In Europe the #1 cause of bankruptcy is living beyond your means or job loss.
Obamacare deals with the bankruptcy issue by putting annual and lifetime caps on medical expenses. This is one of several requirements that add cost to individual policies particularly for the young, healthy, and well off. But it also caps the premium cost to 8% of income, so those of more modest means can still afford to purchase insurance with some government help.
75% of Americans polled said that our healthcare system needs fundamental changes or just rebuilt. Compare that to 50% or more of the Dutch, Swedes, and even Brits who are happy with their system.
Contrary to Republican claims, US patients wait longer to see a primary care physician than any other major industrialized country except Canada. That’s one of the reasons why we treat more people in our emergency rooms than any other country.
Even the U.S. Institute of Medicine says U.S. health care is a mess, with tens of thousands of Americans dying from medical errors and drug overdoses, and with the system wasting $750 billion in 2009.
While lifespans in all industrialized countries are increasing, US lifespans are not increasing as fast as European countries. Also there are huge regional differences in this country with poor Republican southern states lagging behind populous Democratic northern states.
This information is not new news to Republicans. They have described the growth in Medicare costs as a ticking time bomb. It’s ticking because until recently the cost of healthcare was growing at a rate 2-4 times GDP. Clearly that is unsustainable.
The Republican solution was to force seniors to pay more of the cost increase themselves. That is also unsustainable.
Obama’s solution is to restructure the way that healthcare is delivered in this country as a first step to bending the curve of healthcare cost. If we increase the number of people who can afford to visit their primary care physician where preventative care is practiced, we will reduce or at least delay the onset of chronic conditions like diabetes and heart disease which account for 80% of our costs. If we change the business model from transactions to outcomes, we have hope of physicians and their patients becoming aligned with the goal of better health rather than just treatment of disease. Finally, under Obamacare, the government is taking a more active role in regulating insurance companies. That has to expand to controlling costs particularly of pharmaceuticals.
And that’s the other basic problem. Restructuring 17% of the economy is going to create economic winners and losers. Those who feel that they are going to lose under the new system are pouring money into the campaign chests of Republicans. That money is being used to mount a cynical campaign of misinformation that easily rivals the worst of the tobacco industry.
Republicans know that the current system is unsustainable too. But they are more concerned with the precarious political position that they are in. They would prefer to preserve the current system that is bankrupting and ultimately killing innocent people, if that means that they can expand their political power.
There is a day of judgment coming though. Hopefully that day will come sooner rather than later. When it does, the goats will be separated from the sheep. The liars from the innocent. The punishment will be awesome, swift, and appropriate to the offense.