Thursday, April 4, 2019

Health Care Head Fakes

As I guessed that it would a week ago, President Trump's threat to kill Obamacare via some reactionary judges went nowhere fast. It was a diversionary tactic designed to make us forget about the still-secret Mueller report, of which he no doubt has gotten an exclusive sneak peak. Though exonerating Trump of plotting an electoral conspiracy with Russia, it is reportedly none too flattering to him.

Trump's bluster was bound to be short-lived, because the Republican senate majority doesn't want to risk trashing the Affordable Care Act so close to the 2020 election. In their heart of hearts, they love this plan, massive giveaway
to the private insurance industry that it is. Moreover, Trump's own in-laws have their own huge stake in the grift, with the crown jewel of the Kushner brothers' financial empire being a multi-billion dollar online insurance company which depends on the ACA to survive.

Of course, the biggest beneficiary of Trump's short-lived health care head fake was the Democratic Party, which pounced on his threat as a means to raise campaign money while defending Obamacare in lieu of introducing Medicare For All legislation in the lower House. As a matter of fact, Speaker Nancy Pelosi's health care henchman, Wendell Primus had personally reassured insurance industry executives right after the November midterms that their capitalistic system would be living long and prospering under Pelosi's watch.


The secret meeting, originally reported by The Intercept in February, got renewed attention this week with some new reporting in Politico. Congressional Progressive Caucus Co-Chair Pramila Jayapal, chief author one of the single payer bills (HR 1384) confronted Primus directly over his undemocratic subterfuge.


This confrontation came only one day after Trump abruptly reversed course on his Obamacare offensive. His latest head fake has left Pelosi and her minions suddenly deprived of the fear-based rationale for keeping the neoliberal "there is no alternative" ACA alive. They find themselves forced to feebly deny the reports that they are actively trying to kill the universal care legislation supported by at least 70% of the electorate, including Republican voters. However, neither she nor Primus apologized for meeting secretly with insurance industry lobbyists in the first place.


Right before Trump inconveniently nixed his threat and left the Democratic leadership scrambling, the New York Times' Paul Krugman penned an exquisitely timed column about the latest nasty Republican plan to yank health care away from tens of millions of people. Being a victim of Trump's chronic head fakes is a terrible thing. This is despite the fact that Krugman dutifully inserts the latest tally of Trump's lies right at the beginning of his piece. As of Monday, at about the same time Trump was changing his mind via Twitter, he had lied a grand total of 4,682 times! He also happened to conduct his head fake reversal on April Fools Day.


Krugman writes:
Republicans just keep telling the same lies, over and over. Again and again they have promised to maintain coverage and protect pre-existing conditions — then offered plans that would cause tens of millions to lose health insurance, with the worst impact on those already suffering from health problems.....
ut Republicans cannot admit that the only way to protect pre-existing conditions is to emulate Democratic policies. The party of Eisenhower, or even the party of Nixon, might have been able to do such a thing, but the party of Fox News cannot.
Nor, however, do Republicans dare admit that they have no interest in providing protection that a vast majority of voters demands. So they just keep lying.
In other words, Krugman hews steadfastly to the corporate Democrat plan, sold to a scared public during the latest Trump Threat Week,  to merely protect coverage for pre-existing conditions as well as increasing federal subsidies for private insurers --  including, but by no means limited to, the very same Kushner family that liberal corporatists only pretend to hate.

My published response to Krugman:

How often do Republicans lie? How much do they despise everyone except rich people, preferably male and white? Let us tally up the totals and feel alternately angry and smug. Because hey, at least the Dems will fight for our inalienable right to pay hefty premiums to insurance companies and force them to cover the pre-existing conditions of some of us! After all, they're protecting a GOP plan, which leaves the GOP nowhere else to go but off the Social Darwinist cliff.
If we keep shooting stinking GOP fish in a barrel, maybe we can take the uninsured and underinsureds' minds off the fact that the US is the only civilized country lacking universal health coverage, and that the life expectancy of US citizens has dropped for a third straight year.
Anything to avoid informing people that contrary to centrist propaganda, any extra taxes they'd have to pay for Medicare For All would be far, far less than the premiums, co-pays, deductibles and other out of pocket medical expenses they now pay to our cutthroat market-based system.
 And that includes the cost of an ever-increasing number of premature burials.
Put another way, although 23 million people would lose coverage if the ACA is killed, another 29 million desperate people currently lack any coverage at all. But somehow, these have-nots aren't mentioned when pundits warn us not to let the perfect be the enemy of the good.
Instead, we're told to feel guilty about the great national tragedy of jobless insurance adjusters.
*****

Here's more excellent input from Dr. Adam Gaffney of Physicians for a National Health Plan:





4 comments:

Erik Roth said...


Wendell Potter: Trump and Pelosi Both Cater to Private Health Insurance --
https://therealnews.com/stories/trump-and-pelosi-both-cater-to-private-health-insurance-wendell-potter

Thus we see the leaders of the duopoly protecting the sacred cash cows of capitalism: insurance, pharmaceuticals, weapons production, arms sales, fossil fuels.

Jay–Ottawa said...


Great comment in the Times, Karen.

Comments in the Times on that Krugman post are now closed. There were well over 1000. Here are the results: Karen's comment (according to readers' recommends) came in 3rd, but was runaway first in generating replies (33), most of them well informed and supportive.

However, at least 2 of the 33 replies disagreed with Karen on one crucial point expressed in her comment, the one about the USA belonging to the club of "civilized" nations.

Erik Roth said...


"The Club" (the one we ain't in, as George Carlin asserted) just gave its most Orwellian accolade to the woman who sets the table:

https://www.washingtonpost.com/politics/nancy-pelosi-is-awarded-the-2019-kennedy-profile-in-courage-award/2019/04/06/51386298-5883-11e9-814f-e2f46684196e_story.html?utm_term=.b6ac5f8a59ce

"House Speaker Nancy Pelosi will receive the John F. Kennedy Profile in Courage Award at a ceremony next month, the Kennedy Library Foundation announced Sunday."

Jay–Ottawa said...


In an essay about the Yellow Vests while on a visit to her family in France, Vanessa Bee included an aside about the hospital care of her grandfather after a traumatizing fall. The patient was deep into his 90s, suffered from a bone disease, and was stricken with dementia.

"My father, stepmother, and I are all glad that this fall has opened my grandmother’s eyes to the fact that she needs a home aide to help care for her husband, if he comes home. Where I live now, in Washington D.C., such a suggestion would create financial anxiety, but this is not America so money never really comes up. No one frets over how much the stay will cost, or whether the doctors are injecting him with generic medication. Whatever the end of the road is for our family, it will not be pages of billing and harassing calls from debt collectors. My grandfather is 100 percent disabled, so my grandmother knows that when she does ask for help, the state will give it to her. Simple as that. In this way, things are better here. My father is often astonished when I tell him what things Americans must handle without support from the government."
https://www.currentaffairs.org/2018/12/home-for-the-gilets-jaunes-days

The French healthcare system, which is one of the best in Europe, could be set up in the USA, if and when taxpayers ever get their act together.