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What If 50 Million More Americans Have No Health Care Coverage?


Considerable lobbying efforts to reform health care proceed the week of June 22 in Washington, with a public rally on the 25th. This is just "frosting on the cake" to everything that is occurring daily inside the beltway as well as (it seems) in every column, blog, newspaper and on-air reporting such as MSNBC, CNN, FOX and the like. The Congressional Budget Office (CBO) recently "scored" the draft of a bill Sens. Kennedy/Dodd are floating through the halls of Congress, the Affordable Health Choices Act, released by the Senate Committee on Health, Education, Labor, and Pensions (HELP) on June 9, 2009. Doug Elmendorf, Director of the CBO, said in a June 15, 2009 letter to Kennedy (www.cbo.gov) that Kennedy's bill, "would result in a net increase in federal budget deficits of about $1.0 trillion over the 2010-2019 period". The draft bill, once fully implemented, would cover 39 million individuals and that folks who had existing coverage would, "decline by 15 million (roughly 10 percent) and coverage from other sources would fall by about 8 million, so the net decrease in the number of people uninsured would be about 16 million". President Obama spoke on his plans to reform health care at a town hall meeting in GreenBay, Wis. and before the American Medical Association in Chicago the week of June 15 as well. And this is not to mention the ads pummeling us on TV telling us that a government-run plan is not in our best interests. Oh, really?

The CBO report, though admittedly incomplete because it says, "those figures do not represent a formal or complete cost estimate for the draft legislation", is being touted by forces opposing health care reform as an example of why such reform today cannot proceed. We are told it is just too darn expensive. To this, we are hearing about replacing a public plan as one option for all Americans, with the creation of health care co-operatives (co-ops). But when did such regional plans of limited populations of insureds ever measure up the major players in the health care and health care insurance industries? How about, never. Let's face it, those making big profits by charging horrendous costs for health care in our country and for the monumental health care premiums to those of us who can still afford insurance don't want the playing field to change.

But let's back up a moment, by asking what the title to this post states: if nothing is done to our health care system, what will result is that another 50 million (give or take a couple million but who's counting) folks will become uninsured, underinsured and lose everything to a bankruptcy filing because medical bills cannot be paid. Now, consider that the 47 million plus who are presently in these categories cause hospitals to overcharge patients who are insured (to cover the cost for treating uninsured Americans who, for example, use the emergency rooms as a private doctor's office). This is reported to be about $1,000.00 per covered patient. So what will occur if nothing is done, and done pronto, is that millions more Americans will be unable to seek health care for their diseases and illnesses. And those millions more that do get to the emergency room will only make it more costly for those of us who still have insurance because we will be paying even more than $1,000.00 per patient. In the end, if we think our nation is unhealthy because of our lifestyles (obese because of eating too much, then smoking or drinking too much, etc.), what happens when 100 million Americans cannot be treated for their diseases and illnesses?

Now, politicians don't like to do anything until after the fact - - - just look at the Wall Street bailout fiasco. With health care, our elected representatives have a chance once and for all to be proactive. For heaven's sake, they need a kick in the pants from all us voters to do this - - - and to understand what is happening "in the trenches" throughout America. Next week in Washington can certainly be a start! To be sure, however, to do nothing or to further procrastinate will be utter failure to reform a system that is already broken - - - for perhaps millions more Americans who can't get health care or health care coverage. If politicians think that waiting another decade to fix things, heaven help them (us too). The sine qua non of waiting again is certain disaster. There will be no manna from heaven by waiting any longer. With how both houses of Congress and the president are aligned, the "perfect storm" for reforming health care is upon all of us.

At the end of the day, what cures a broken system intended to benefit every single American and those in earnest wanting to become citizens is effective competition among the private and public sectors so that each one of us can choose the option that is best for our particular circumstances. After all, no competitor who wants our business should be fearful of competition if the product and services it offers is quality-based and is affordably priced. But we know that those in the business of providing health care and health care insurance don't see it that way, since competition of the sort being proposed to reform health care now (with a public option) will reduce the bottom lines. Or perhaps those present bottom lines are a result of charges that are bloated with too much 'pork' from a system that has charged too much for too long? The only way to change the status quo is for all Americans to "stand up and be counted". Remember the movie, "Network" where the famous line there was, "I'm mad as hell and I'm not going to take it any longer"? Well, for Americans today debating health care reform, that line is only too applicable. One other point in conclusion: ask a Member of Congress what type of health insurance he or she has? Betcha it is a public plan that is the best taxpayer money can buy. Trouble is, perhaps, our elected representatives don't want the voters that put them in office to have the option of having what keeps them and their families healthy.

 
 
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07:26 PM on 06/19/2009
All I hear is "health insurance" when what we need is health care! As long as the conversation stays in an insurance frame the outcome is not likely to lead to more accessible care. Also, at this point after all the hundreds of thousands that have lost jobs in the last year, isn't that 47 million number that keeps getting thrown around a bit low? I don't know about anyone else, but the COBRA payment for the insurance that the company I worked had for before it went bust was not anything I could afford!
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Digeeedad
04:03 PM on 06/19/2009
The 70% + of us here in the USA need to take a few lessons from the brave Iranians and HIT THE STREETS!

What the heck is wrong with us? The future of OUR health care is being debated and bandied about by POLITICIANS who have a Cadillac health coverage program, thanks to US and most of them are probably completely out of touch as to the health care realities of the common family. What they ARE obviously "in touch" with is the constant and generous donations from the insurance and pharmaceutical lobbies! These pompous public SERVANTS need to be reminded, in a BIG WAY, that they work FOR US, not the special interests

WHY are we ALLOWING these people to decide what WE are going to have to live with, when it is US who will be paying for and utilizing what THEY so graciously "dole out"???

What we need and should DEMAND, is a NATIONAL BALLOT vote for US the people paying for and using the public health system to decide! The outrage and demand should be... "here's what WE voted for Congress and Mr. President.... NOW figure out a way to MAKE IT WORK! If you balk or fail, this will be your last term in office"!

As it stands, it's like going to a restaurant that you are a shareholder in, paying for the meal, knowing what you want, but being told what you will be eating???

National health care vote, by the people.... NOW!!!!
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milesz
attorney, commentator, and author
05:18 PM on 06/19/2009
You can have a chance to "hit the streets" next week, when much lobbying on DC will occur, and a public rally on 6-25! Go to the website for Healthcare For America Now and find out more details.
08:36 PM on 06/21/2009
Thank you!

NOW EVERYONE NEEDS TO GO OUT THERE AND GET INVOLVED!
08:35 PM on 06/21/2009
I agree with you wholeheartedly, but talk is cheap, folks have got to
get involved.

Talk to your family, talk to your friends, talk to your neighbors and your
acquaintances, for heavens sake talk to your enemies, get people
involved, try to get people to do what the brave Iranians are doing,
organize rallies!

LET YOUR VOICE BE HEARD!

For crying out loud, President Obama cannot do this by himself, he
needs the help of the grassroots organization to get 100% behind
him!

YES WE CAN! YES WE CAN! YES WE CAN!
apoyo
Micro-bio? Sounds serious.
04:02 PM on 06/19/2009
What would happen if everyone dropped their private health insurer?

How would these companies stay afloat without your premium dollars to pay themselves exorbitant salaries at the same time they deny you the care recommended by your doctor?

Never doubt that that is what they are fighting for. They and their paid for legislators.

You don't enter into the equation.

Only your money does.
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milesz
attorney, commentator, and author
05:20 PM on 06/19/2009
As the main line in the movie, "Network" - - - "I'm Mad as Hell and I'm Not Going to Take It Any Longer'--- it is now time for all Americans to speak up to each and every elected representative who we put in Congress. Your chance to do so will be on 6-25 at a public rally for health care reform in DC.
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WorkingClass
03:26 PM on 06/19/2009
All the money we need for health care is in the Pentagon budget. We spend more for "defense" than ALL THE REST THE WORLD COMBINED.
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milesz
attorney, commentator, and author
05:23 PM on 06/19/2009
But enough voices across the country, like yours', can make a difference! Health care is a right for all Americans, and since the present system health care delivery system is broken, the need to change it mandates that money presently placed in other governmental coffers come over to fund health care reform. Thanks for your comment.
12:04 PM on 06/19/2009
Each year, more than 18,000 Americans die due to lack of health care. That is more than a disgrace. It is an avoidable national tragedy. A national single payer system, such as that contained in Rep. John Conyers' H.R. 676 and Sen. Bernie Sanders' S. 703, would end that tragedy and provide health care for all Americans.

Contrary to misleading Republican and conservative propaganda, single payer is NOT "Socialized Medicine", where the government tells patients which hospitals and doctors to go to. Single payer health care is when there is only one payer of doctors, the government, but patients can go to any doctor and hospital they choose.

By cutting out the profit-only insurance middlemen, single payer will save the insurance industry's wasteful administrative costs and doctors' and hospitals' time and expenses wasted on insurance paperwork. In fact, single-payer national health insurance would save enough on administrative paperwork -- more than $350 billion per year -- to provide comprehensive coverage to all Americans, including those refused insurance coverage now due to pre-existing medical conditions as well as those who have lost their jobs. It would give us truly universal healthcare and still cost us all less than we all pay now as a society.

This is why most Americans, including doctors, favor single payer health care, not socialized medicine, and not insurance industry profit-care.

This is also why insurance companies and members of Congress who depend on insurance industry contributions are furiously opposing single payer health care.
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milesz
attorney, commentator, and author
05:24 PM on 06/19/2009
Come to Washington, DC on 6-25 and voice what you have written; or at least phone your Senators and Congresspersons to express your sentiments as you have done here.