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Tuesday, September 08, 2009

Argument for the public option

I just love Hullabaloo - she nails it every time.

Any plan that forces the uninsured to pay their hard earned money to wealthy private insurance companies under penalty of law is a huge political risk. These are the same companies that have brought us to this place where people are routinely denied the care they were promised, lied to about what was covered, scammed into paying huge sums of money for no security and no guarantee. Health insurance companies have dealt with their customers in bad faith for years and years and now we are being told that everyone must pony up and pay them even more. For all the talk of reform, when you whittle this down, that one fact comes roaring back at you and it sticks hard in the craw of anyone who considers themselves progressive.

The Democrats simply do not understand that as much as many people mistrust the government and believe it is inept and malevolent, just as many mistrust the private sector and believe it is greedy and malevolent . . . [that would be me!!]

. . . the for-profit health insurance business is in business to make money for its shareholders, period. And everybody knows that you simply can't expect Wellpoint to not act like a capitalistic enterprise and try to make as much profit as they can from that transaction. We've just witnessed the Masters of the Universe thumb their noses at any call to decent human behavior even immediately after they nearly destroyed the financial system. Corporations are not designed to give a damn about anything but profits and they have the political system so wired that regulation is just another bargaining chip.

In any case, the insurance companies may be regulated under the law, but the remedy for the average person is to hire a lawyer and take them through the legal system all the way to that wholly-owned industry subsidiary they call the Roberts Court. That's a rather inefficient way to ensure that costs come down and people are covered. Especially since the people who are suing are probably dead by the time they get there.

Aside from its (dubious) merits as a cost control measure (which relies on that notorious commie concept of competition!) the public plan at least ensures that the people who object to being forced by law to contribute to obscene CEO salaries could choose instead to pay their money to a highly regulated non-profit government program. That program, rather than putting profits into the pockets of executives and shareholders, would put it back into the system to pay for more health care and would be structurally in place for future improvements. Since the party took Medicare for all Americans off the table before we even got here, it's not too much to ask for at least that one paltry choice, especially since it actually solidifies the compact between the people and their government, something that Democrats should always be trying to do.

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