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Republican Gestures

Repealing Health Care
Posted on July 11, 2012
by Ed Stein

This just in: the House voted to repeal the new health care law. That is, the Republicans in the House went through the fruitless exercise of once again voting to do something the Senate has no intention of going along with. This makes sense for Republicans, because it must be really embarrassing for them that Obama managed to pass a law that was almost entirely their idea. The whole notion of the mandate to buy health insurance was cooked up by the Heritage Foundation and endorsed by Mitt Romney when he gave Massachusetts citizens nearly universal coverage. It’s really funny to hear them denounce it all now as a big government intrusion into our lives, and as a–gasp!–tax, which nobody thought to mention until he Supreme Court decided that’s what the penalty for not buying it really is. What troubles me most about the repeal effort is that I don’t hear any Democrats asking the obvious question: WHAT PART OF THE LAW DO YOU WANT TO REPEAL? The part that allows your kids to stay on your plan? The part that prevents insurance companies from denying coverage for pre-existing conditions? The part that ends lifetime limits on coverage? The part that closes the donut hole in Medicare? The part that prevents insurers from kicking you off your plan if you get sick? The part that establishes the state insurance exchanges (another Republican idea)? Or is it just the part that Obama passed it and not Republicans.


( 4 comments — Leave a comment )
Jul. 12th, 2012 01:42 am (UTC)
For my money... all of it. Every single individual aspect of it (with the sole exception of the "The part that prevents insurers from kicking you off your plan if you get sick" which is a mater of contract law, fraud and all that).

Every part of it is a move in the *wrong direction*. The medicare actuary has officially stated that this act *tripples* the growth rate of overall medical spending in the US. The senate budget committee has stated that the first decade spending of this bill will be 2.5 Trillion dollars, and that it is *not* paid for. It will increase the deficits by at *least* half a trillion.

Here's the thing. When you take your dog to the vet, you see a person that is as well-trained and smart as a doctor. They look at your pet and *you* pay the bill. A vet visit costs $65 here for a basic visit. A visit to a PCP for a basic checkup costs $250.

We took our dog to the vets when he cut his nose last year. The vet had to come in specially, put in 8 rather complicated stitches under general anaesthesia. The bill was $150. I wanged my head and needed 9 very simple staples, the bill was $5000.

There are many reasons for that, but by FAR the biggest is that at the vets *you pay for the services you get*. Not someone else, you. So the vets *can't* charge that much, no one would go.

Obamacare is moving things *away* from people paying for the services they recieve, and that's what is causing the radical increase in per-proceedure costs! If I am paying for my meds, I want generics if I have a choice, I may want drugs that are somewhat less effective (so long as they'll still probably work). If *someone else* is paying, I want the latest and greatest *best* pills I can get! If I am paying, I may want to have the surgeon use autoclave instruments rather than disposables, knowing that there'll be a few hundred dollars difference in the cost, in exchange for a slightly higher infection risk. If I am paying, I may want my PCP to prescribe what he *knows damned well* the specialist is going to prescribe, acknowledging that the PCP may miss a nuance and I may die for that $300.

So, yes, I want the part where a parent can carry their kid on their policy til they are more than 1/4 done with their life repealed. I want the part that mandates that insurance not be used as insurance, but instead as mandatory charity repealed. I want the part that says that that charity must be *unlimited* repealed. I want the part that says that at *no* point should seniors pay for their own meds repealed. And let the states decide whether or not to institute their own damned exchanges.
Jul. 12th, 2012 06:49 pm (UTC)
Yeay!!! I'm not the only one that thinks that insurance, and especially mandating insurance, is UTTER MADNESS.
Jul. 12th, 2012 01:49 am (UTC)
there are some very important points here which, of course, don't get a lot of play/traction, but oh how they should
Jul. 12th, 2012 06:50 pm (UTC)
I think it plays to everyone's self interest. Of course we want to be taken care of, we just don't want to pay for someone else to be taken care of. The fundamental problem is greed.
( 4 comments — Leave a comment )



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