Showing posts with label medicare privatization. Show all posts
Showing posts with label medicare privatization. Show all posts

Tuesday, March 7, 2023

Joe Biden's Sickly Plan To "Save" Medicare

 What safer place to kick off one's campaign for a second term than in the friendly "rich, white and blue" pages of the New York Times?  If you're an age-addled Joe Biden who must often rely on the cue cards supplied by your minions, publishing a "guest op-ed"  certainly beats holding a press conference and facing possibly hostile questions from the media.  Of course, it being the corporate-sponsored Washington press corps,  any hostility would probably be restricted to goading Biden into cutting health care rather than expanding it. 

It is far, far safer to pen (or have an underling pen) a gaffe-less and gutless essay in which the highest-rated responses in the readers' comments section are in the vein of "thank you for being a friend, Mr. President!"  It's perfect way to be seen as big and bold rather than as the sniveling and craven politician that he truly is.

Because when you carefully read between the lines of Biden's essay, there are all the usual buzzword-heavy signs and symptoms that this Medicare plan is just one more neoliberal head-fake to maintain, even enhance, the status quo of American pain and suffering. Nothing would still fundamentally change under this president's second watch.

It starts out with a real bang of a whimper, as Joe Biden actually tries to distance himself from the position of power that he has occupied for the last half-century: 

Only in Washington can people claim that they are saving something by destroying it.

The budget I am releasing this week will make the Medicare trust fund solvent beyond 2050 without cutting a penny in benefits. In fact, we can get better value, making sure Americans receive better care for the money they pay into Medicare.

He doesn't spell out his definitions of "value" and "care" in this campaign speech of an essay. He doesn't mention that his administration has already begun a pilot program that stealthily privatizes Medicare. Called the REACH program, it aims to move Medicare enrollees into private, for-profit managed care plans without their understanding or consent. This will result in the same kinds of restrictive networks and the rationing or denial of care that already operate in other for-profit "health maintenance organizations," or HMOs.

And as much as Biden pretends to chide "MAGA Republicans" in his op-ed, his privatization scheme is a direct offshoot of Donald Trump's own maga-rific agenda. Uncle Joe has simply changed the name of the horror that punishes the innocent and rewards the lords of capitalism.

As we have already seen with the cost-cutting-for-profit railroad disaster in Ohio, whenever private equity and shareholder interests hold sway, the rights of regular people disappear into a toxic mist. This will also hold true for Medicare privatization. Money might be saved for the investor class. Lives, not so much.

But back to Biden's mendacious op-ed.

The Inflation Reduction Act ended the absurd ban on Medicare negotiating lower drug prices, required drug companies to pay rebates to Medicare if they increase prices faster than inflation and capped seniors’ total prescription drug costs — saving seniors up to thousands of dollars a year. These negotiations, combined with the law’s rebates for excessive price hikes, will reduce the deficit by $159 billion.

He forgets to mention that the price reductions of which he boasts are only for 10 drugs  and they will not go into effect for many years. The exception is for insulin, which voters of all ages must often take to stay alive and, of course, vote in the next national elections.

 And as long as Biden mentions absurdity, isn't it insane how he keeps harping on about reducing the almighty deficit as though it were more important than reducing people's pain and anxiety? This is dog-whistled pandering to his Wall Street donors, pure and simple. Remember, he is only "asking" them to pay a smidgen more in taxes to pay for his deforms. This is money that will only grow exponentially for them once the stealth Medicare privatization is a done deal. It's the destruction that he only pretends to decry as he hypocritically poses as the savior of seniors. Or, as he specifies cynically, at least for another generation.

Here is my somewhat whimsical and censor-proof published Times response to Joe Biden:

Since this budget plan for Medicare is purely aspirational, and doesn't stand a chance of congressional passage, then why is it so limited?

Negotiations with nihilistic Republicans should start from a position of strength Politely asking the wealthy to pay just a wee bit more of their "fair share" in taxes is the same old, same old signal of defeat. It is a veritable invitation to a sausage-making party with the Party of No (and not a few of those "moderate" Dems.) If the Democrats are lucky, they'll get a deal for a tax increase beginning a decade from now for those making a million and up. Since Mr. Biden made no mention of the Medicare eligibility age, I can only assume that he is willing to raise it, just as President Obama offered to do during his "Grand Bargain" negotiations with John Boehner. The only reason that the eligibility age hasn't changed is that the Tea Party nihilists thought raising it by two years was just not cruel enough. I'd feel somewhat better if Joe Biden's plan to "protect" Medicare at least included a vow to maintain the current eligibility age. I'd feel a whole heckuva lot better if he'd embraced Bernie Sanders's plan to lower the eligibility age to 55. I'd be in heaven if the president threw all caution to the winds and began clamoring for Medicare For All, or at for least for the public option that he promised during his first campaign.