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Harlan Green

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Obamacare -- What Loss of Freedom?

Posted: 06/30/2012 12:49 pm

Hallelujah. The Supreme Court of our land has given Obamacare a clean constitutional bill of health, thanks to Chief Justice Roberts, who says government does have the power to tax those who can afford to buy health insurance, but won't.

Republicans framed Obamacare, or the Affordable Care Act, as a loss of individual freedom. But the only freedom lost is the freedom to be treated without having to pay for it, which is what the uninsured do when they have to go to emergency rooms. Most of us have health care, of course, if we have family and children to care for. Individual responsibility really means one should have to pay for their own health care, rather than taxpayers or the already insured.

So why are Republicans so adamantly against it, when they claim to believe in individual responsibility, and the constitution? It is because they might be taxed more, and of course they maintain all taxes are fundamentally evil. They say they abhor any kind of government aid or regulation as if they lived 100 years ago, when everyone had to take care of themselves -- or suffer the consequences. But that was when birth and death rates were far worse than today, and we lived shorter lives. Are there any Republicans who would like to return to those days? Please stand up!

More Americans will be healthy, both physically and financially, since medical bankruptcies will become rarer and serious disease rates should drop, since preventative health care will be encouraged. And simple math tells us that with some 30 million more insured due to the mandate requirement, health care costs will be spread among more users of health care.

So know that health care premiums will drop, since as with Medicare, administrative costs will be severely restricted -- 85 percent of premiums have to be spent on health care -- so that providers cannot as they currently do use more than 25 percent of their premiums just for marketing, which means overselling all those medicines (like erectile dysfunction aids) that choke our daily television screens.

Actually, the real results of what is not yet a universal health care system with 20 million are not being openly discussed, at least yet. It should release a surge of consumer spending, for instance, according to economists such as Robert Shiller. Consumers will no longer have to put so much aside for those sick days because they no longer have to worry so much about budget busting medical bills. They might even enjoy more vacation days to spend with their families, if they take advantage of available preventative care measures for such things as obesity and bad diets.

Yale Economist Robert Shiller has been advocating just such universal insurance for years in books such as The New Financial Order, Risk in the 21st Century, and Finance and the Good Society. It is part of his thesis that with the information age's ability to collate huge amounts of information we can level the playing field against risky outcomes, such as loss of income, or value in one's home, or even serious illness, by insuring against such outcomes.

"If firms and individuals cannot insure themselves against bad outcomes, they will be necessarily cautious; the economy will grow more slowly than it should," says a New York Times book review of Finance and The Good Society. "A company will not invest in a new factory if it cannot hedge against swings in exchange rates that might render its investment unprofitable. An individual will not consume to the full extent of his capacity if he cannot insure his house or health."

So at least we are on the way to a better health care system. It's a start.

Harlan Green © 2012

 

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12:09 PM on 07/04/2012
You clowns are missing the point...Obamacare is not about health care, it is about control...there is no point in controlling the poor, and the wealthy, such as the cadillac-communist that wrote this garbage, are already calling the shots.

Any good totalitarian: Mao, Lenin, Hitler, Stalin, Castro or your ideal Obama the First (and last) knows that you have to herd your cattle, the middle class.

This will not stand, long live the republic
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thejazz
I'll burn that bridge when I come to it.
10:03 AM on 07/03/2012
While the health care law is good, and has plenty of potential, it still is not freedom. Health care wise, I never felt as free as when I lived in Canada under that health care system.
09:26 AM on 07/03/2012
The health care law is a good thing for working Americans. I know of a couple who both retired as public school teachers after years of service. The husband chose to work in a poorer district for a lower salary because he felt he could make a difference in his student's lives.

He had a stroke one day while driving from a volunteer job of teaching prisoners to read.

The initial treatment and the follow up therapy has almost bankrupted the couple.

It is a true travesty when people that devote their entire lives as public servants in the truest sense, have an unforeseen illness strike them and their choice is to deny themselves or their family members care or go bankrupt.
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maurage
03:05 PM on 07/02/2012
My freedom of choice as I see it, having been a resident on both sides of the boundary of the 48th parallel is that my choice of employer when looking for a job was never influenced by whether or not he was offering health insurance and when I became an self-employed entrepreneur in the 1980's, being married and the father of 3 young kids, I never had to worry about health insurance for myself and my family and paid gladly my $108 monthly premium. That was north of the 48th. South of the 48th, in my fifties, still being self-employed, what I was saving in income tax was less than what my and my wife's health insurance costs were when healthy. My wife had some medical issues and I learned the hard way what full disclosure in a health insurance application, deductible and copay meant. Now back north, I am free not to have to worry about that bs (preexisting conditions, premium, deductible and copay) and I am still in my 50's. It is worth the incremental income tax that I have to pay.
DanBest
My micro bio is empty
12:55 PM on 07/02/2012
Cons, you rushed forward to defend the indefensible: a person's right to stick someone else with their health care costs. You've turned on your own creation, the only hope for preserving the private insurance system and you've provided no actual fixes that address our HCS in any reasonable manner. And for a collection of sychophants who ignored any of Bush's assaults on the constitution, or for that fact, have looked the other way while Obama maintained and implemented even worse assualts, you drew a line in the sand over this? And you want the rest of us to believe that if a republican president with a republican majority had suggested this, you would have similarly gone apesh*t? This is, has and always will be political for your side. Republicans knew that they would get no credit for HC reform, so they went all in, running in circles with their siren helmets on and creating an ungovernable mess in this country, insinuating that they would continue the extortion as long as the American people had the audacity to support the "democrat" party. Maybe if you had tried to work with the opposition, you know, like democrats did with Bush even after the supreme court appointed him, then you may have had a point.
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12:33 PM on 07/02/2012
T.R. Reid, correspondent and author of "The Healing of America" , hosted a one-hour PBS show, "Sick Around the World", comparing the health care systems of the U.S., Britain, Switzerland, Germany, Taiwan, and Japan. It's available for viewing at:

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/
FRONTLINE: sick around the world |PBS

Only Britain has socialized medicine; the other four countries use social insurance like the U.S., but limit the profits on the base insurance:

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/countries/
Five Capitalist Democracies & How They Do It | Sick Around The World | FRONTLINE | PBS

These graphs compare the health care systems of Japan, Britain,Switzerland, and Germany to the U.S.:

http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/etc/graphs.html
FRONTLINE: sick around the world: Graphs: U.S. Health Stats Compared to Other Countries | PBS

A review of "The Healing of America":

http://www.tomhull.com/ocston/books/reid-healing.php
Tom Hull: T.R. Reid: The Healing of America

"...(pp. 13-14):
The academics have a term for this approach to problem-solving:

"comparative policy analysis." The patron saint of comparative policy analysis was an American military hero who went on to become our thirty-fourth president: Dwight D. Eisenhower. That's why this book is dedicated to his memory..."
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11:19 AM on 07/02/2012
http://www.pnhp.org/facts/single-payer-faq
Single-Payer FAQ | Physicians for a National Health Program

"What is single payer?

Single-payer national health insurance is a system in which a single public or quasi-public agency organizes health financing, but delivery of care remains largely private. Under a single-payer system, all Americans would be covered for all medically necessary services, including: doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug and medical supply costs. Patients would regain free choice of doctor and hospital, and doctors would regain autonomy over patient care.

Is national health insurance ‘socialized medicine’?

No. Socialized medicine is a system in which doctors and hospitals work for and draw salaries from the government. Doctors in the Veterans Administration and the Armed Services are paid this way. The health systems in Great Britain and Spain are other examples. But in most European countries, Canada, Australia and Japan they have socialized health insurance, not socialized medicine. The government pays for care that is delivered in the private (mostly not-for-profit) sector. This is similar to how Medicare works in this country. Doctors are in private practice and are paid on a fee-for-service basis from government funds. The government does not own or manage medical practices or hospitals.

The term socialized medicine is often used to conjure up images of government bureaucratic interference in medical care..."
11:18 AM on 07/02/2012
For one thing, we lost the constitutional guarantee that all taxes must originate in the house of representatives.
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Robert Masters
To take my property is to take my means to live
11:16 AM on 07/02/2012
My freedom of choice has been taken away. My choice to pay for services or pay for insurance. I choose to pay for services and Barack, Pelosi and Reid have forced me to only pay for insurance by their definition.
DanBest
My micro bio is empty
01:26 PM on 07/02/2012
Your freedom to show up at an ER and get free healthcare has been violated? I can remember cons arguing at the outset that they shouldn't have to pay for other people's healthcare. Glad you did away with that sophistry and you admit you want me to pay for your "choices".
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Robert Masters
To take my property is to take my means to live
01:31 PM on 07/02/2012
Is english your native language?  Where in my post where I say I pay for services do you read "free?"
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lakabux
Imagine...
01:34 PM on 07/02/2012
Must be nice to be a millionaire. For the rest of us however, a catastrophic illness or injury is gonna need some sort of insurance.
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EconomicLogic
11:13 AM on 07/02/2012
The figure for Americans who don't get medical care is zero. To reduce the 50 million with no insurance, ObamaTax forces states to take up to 25 million more Medicaid patients. But the Supreme's have made that a state's choice, likely to reduce the 25 million estimate. With low payments for Medicaid patients, half of all doctors already do not take them. ObamaTax will cut Medicare payments to doctors and hospitals by approximately 30% next year = Medicaid levels. So many doctors will refuse new Medicare patients too! Among the many baby boomers retiring are baby boomer doctors. Tthere will be a large shortage of doctors so most will be able to “just say no” to new Medicaid and Medicare patients! That’s not good news. if a Republican president had cut Medicare payments 30% and claimed Medicaid was the best solution for the uninsured, liberals would have been marching in the streets! Paying 30% less will buy longer waits, shorter "face time" with doctors, and fewer doctors to choose from. Even if you worship Obama as many liberals do, perfect implementation for ObamaTax will still leave 20 to 25 million people with no medical insurance! The newly insured will be mainly people forced into Medicaid, assuming their state participates! Every Medicaid patient already knows Medicaid is lower quality care, from lower quality doctors, when compared with a free visit to an emergency room – that’s one reason 10 million eligible people don’t sign up for Medicaid.
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MeinNH
Ooooo Silly Me
12:07 PM on 07/02/2012
Lies lies and more lies.....
12:13 PM on 07/02/2012
Wow, you are quite the spin-doctor. Actually, medicare payments will not be cut, but the rate of medicare's outlays will be controlled and slowed.

It's fine if you don't like the law, but why don't you read up a little before spewing forth? Is all the apocalyptic verbiage really necessary? The world (and indeed even the quality of our health care) will not come crashing down as a result of this law.

You would have much more credibility if you included fewer veiled insults and more substantiated facts.
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EconomicLogic
10:28 AM on 07/05/2012
ObamaDoesn'tCare said the 2003 legislation to cut medicare payments to doctors by 30% (per formula) was not going to be delayed again in 2013.  ObamaDoesn'tCare added a similar 30% cut for Medicare hospital services payments.  These cuts were done to save about $50 billion a year.  Whether or not Congress allows them to happen in 2013, they were part of the assumptions CBO used to calculate the costs of ObamaDoesn'tCare.  I deal with data and facts, not character attacks.  I leave those for liberals. If throwing half the uninsured into Medicaid and leaving the other half uninsured can not be accurately called ObamaDoesn'tCare, then you liberals have very low standards for your leader's.medical insurance "reforms". You would never accept this "non'solution" if it came from Republicans.
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Jpl100
Keep your badges, this isn't the Boy Scouts!
11:04 AM on 07/02/2012
"Republicans framed Obamacare, or the Affordable Care Act, as a loss of individual freedom." BS, we framed it as an unconstitutional exercise of Congressional power under the Commerce Clause. The Court vindicated that position.

The Democrats framed the statute as a penalty when they passed it, specifically rejecting any argument it was a tax. The Court rejected that argument and relied on the assertion it is tax and is constitutional under Congressional power to tax and spend.

Now that it is absolutely clear to all that (i) Obamacare is in fact the largest increase in taxes on the middle class and (ii) the Democrats defrauded the people about that fact all along, the people will either accept or reject that tactic in November.

Time will tell. That is how our Democracy works.

Fool me once, shame on you, fool me twice, shame on me.
12:21 PM on 07/02/2012
Yet again, apocalyptic language from a die-hard right winger. I really don't think this comes close to being the largest tax increase, it's probably among the smallest and the actual penalty, even if you want to call it a tax, will hit very few people.

Plus, there are a whole host of other provisions in the law that make sense and are good.

Perhaps if the other side had actually offered some viable alternative in the previous 8 years instead of an unpaid-for prescription coverage plan with a huge doughnut hole, you might have more credibility. As it is, nothing has been offered as a counter except heated, alarmist rhetoric.
12:13 PM on 07/04/2012
Are you a lamb or a steer? Regardless, it is obvious that you are a kool ade drinker.
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shryock
It never is what it is anymore
12:27 PM on 07/02/2012
In other words, just so it is absolutely clear to all, for Republicans, the bottom line for all freedom is money.

Just call it a FEE, like Romney did in Massachusetts.
jjtx
living between the trees
10:46 AM on 07/02/2012
Can anyone help me? If you do not purchase health insurance and incur the penalty, what do you get in terms of health protection?

Now, I am not a freeloader and will have health insurance for as long as I can afford to do so. I do now; I always have. I am merely curious as to what happens with those who would freeload when they have the money to purchase insurance. Anyone know???????
11:19 AM on 07/02/2012
You get the emergency room, just like now.
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11:22 AM on 07/02/2012
you would be fined a nominal fee, and no benefits would be awarded to you. if you don't pay the fee, or "tax", the IRS deducts the amount from your tax returns. if you're not getting any $ back on your returns, they just remind you of what you owe next April 15th. so it's toothless.
10:39 AM on 07/02/2012
Too much goes to women and not enough to men.

You know the ACA covers women with breast cancer but doesn't cover men who get breast cancer?

Why are men being treated like second class citizens?
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11:23 AM on 07/02/2012
men have been getting the short end of the stick for far too long in this country!
DanBest
My micro bio is empty
01:29 PM on 07/02/2012
You two satarists are a hoot.

"And out of all men, the chance of getting breast cancer is about 0.1% or less."

You have a better chance of being crushed by a vending machine..
02:10 PM on 07/02/2012
Amen.

Point that out to any female and they will accuse you of hating women.

It's like they don't even know how stupid they sound, like it's just a gut reaction to any criticism of female privilege. It's the real reason I don't respect them. Because they are physically incapable of sharing or caring about the welfare of men. Nope it's just women, women, women.
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lakabux
Imagine...
01:40 PM on 07/02/2012
Bull. Read here: http://preview.tinyurl.com/82zc787
02:08 PM on 07/02/2012
You just linked me to an article that mentioned the word "men" 3 times and the word "women" 107 times.

It mentioned that low-income men are eligible for colonoscopies but not mammograms. So you didn't read the article or you didn't think I would?

"Under current policy, state agencies must spend at least 60 percent of program funds for screening of breast and cervical cancer and referrals for treatment, and no more than 40 percent may be spent for other purposes, including other public health approaches, such as consumer education, patient navigation, health professional education, or monitoring and evaluating these services"

So 60% of the funding goes directly to services that ONLY provide for women, and the other 40% goes to services for men? Nope. Once again men get the short end of the stick. Thanks for the link.
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guitargeorge1964
Independent!!!
10:37 AM on 07/02/2012
Funny story. A drummer I used to play with posted on facebook that "the government has already taken away our freedom of speech and now with Obamacare they are stripping us of the rest of our feedoms". I replied to him that I was so upset about it, that while I'm on vacation this week, I'll either be out camping or kayaking, but I'll definitely be blogging about how I know longer have freedom. More than one person after me didn't get the sarcasm. Lol!
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MatthewHubbard
blogger, just not for HuffPo
09:45 AM on 07/02/2012
In California and other states, auto insurance is mandatory, but I haven't seen anyone talk about armed insurrection to combat this. Moreover, health insurance is a much better bet than car insurance in the long run. You can drive for decades and never get into an accident your insurance will pay for. Even if you are healthy, health insurance means affordable regular check-ups that can catch small problems before they become serious.

When I was a young man, the true tyranny was the draft, the government forcing people into very hazardous labor at very poor pay. The Tea Party types of that day were 100% behind it, and only dirty hippies like me protested it. It's still remarkable to me to think that Nixon ended the draft for all intents and purposes and we've fought several wars and not reinstated it.
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Robert Masters
To take my property is to take my means to live
11:14 AM on 07/02/2012
Do you even understand the difference between a state government and a federal government?
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MatthewHubbard
blogger, just not for HuffPo
11:48 AM on 07/02/2012
Yes, it's police forces versus armies.

And Social Security is forcing everyone into the retirement and catastrophic injury insurance business whether they like it or not.

I was a libertarian for a while in my youth. Then I met a few of you. Thanks, but no thanks.
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Nadine Stoddard
12:02 PM on 07/02/2012
WHAT is wrong with comparing a state law with a federal law? WHY would you ask this question? To me, Matthew's observations are valid and to the point!
11:19 AM on 07/02/2012
You don't have a right to drive a car on public roads. You do have a right to breath, however.