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Wendell Potter

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Hope the Supremes Strike Down ObamaCare? Get Ready for PanemCare

Posted: 04/ 2/2012 10:00 am

Since Supreme Court Justice Antonin Scalia clearly isn't going to take the time to actually read the health care reform law before he decides whether or not it's constitutional, maybe he and a couple of his buddies on the High Court can catch a screening of The Hunger Games, the movie about children battling each other to the death in a futuristic America, renamed Panem.

"You really want us to go through these 2,700 pages?" Scalia asked during arguments on the constitutionality of the law last week. "Is this not totally unrealistic? That we are going to go through this enormous bill item by item and decide each one?"

He joked that spending time to read the Affordable Care Act before the Court decides its fate would put him in danger of violating the Eighth Amendment's ban on cruel and unusual punishment. LOL, Judge.

Cruel and unusual punishment is crucial to the Hunger Games, but it only lasts 142 minutes and no one in the audience gets hurt, mitigating anybody's risk of violating the Constitution. The movie portrays a government completely disconnected from the people who struggle every day for the most basic elements of survival, including medical care. Only the wealthy residents of the Capitol have access to hospitals and modern medicine, which, fortunately for them, seems to have a cure for everything.

This society-gone-bad scenario of denying basic care to citizens based on their income or social status seems on the big screen not only cruel and unusual but even incomprehensible. I can just hear Justice Scalia asking, again, "Is this not totally unrealistic?"

Guess what, Judge, it's not. In fact, it's occurring every day in what is still called the United States. And if you and your colleagues decide to scuttle ObamaCare, it won't be long before we have PanemCare. For many Americans, we already do.

Don't believe me? Here's an offer. Travel with me later this month to Sullivan County, Tennessee, where I grew up, to witness an event that I'm betting you and other denizens of Washington's northwest quadrant can hardly imagine.

For three days beginning April 13, Remote Area Medical (RAM), an organization that flies American doctors to remote, third-world villages, will be hosting a massive outdoor clinic in the infield of the famous Bristol Motor Speedway. Ironically (or not), Bristol is an Appalachian Mountain town, part of what the Hunger Games calls District 12. The heroine hails from District 12, just like me.

Justice Scalia will have to be an early riser to get the full effect of a scene as surreal as anything Hollywood could dream up. Here's the advice RAM offers on its website about the Bristol event:

Be sure to arrive early. The clinic opens at 6:00 a.m., and patients are seen on a first-come, first-served basis. Lines can be long and start early in the morning. Numbers will be given out around 3:30 a.m. each day prior to the clinic opening. For the best chance of being seen, plan to arrive by 3:30 a.m. on the day you wish to receive treatment. Be prepared for cool weather and bring snacks. Once registered, be prepared for long waits before being seen by a doctor.

If you travel to Bristol with me, Judge, I'm almost certain you will be a changed man. You will begin to grasp just how dysfunctional and inequitable the U.S. health care system is and why the law you seem determined to declare unconstitutional was deemed necessary. Just knowing that most of RAM's clinics are now held in the United States rather than third world countries should tell you something.

The highway I traveled to a RAM clinic in Wise, Virginia, in 2007 from my parents' home not far from Bristol turned out to be my Road to Damascus. I was so struck by what I saw -- thousands standing in hours-long lines to get care in animal stalls at the Wise County Fairgrounds -- that I quit my job a few months later and began telling the truth. The truth about how health insurance companies really operate and how bad things really are out there for millions of Americans.

Until that day, I had been able to think, talk and write about the U.S. health care system and the uninsured in the abstract, as if real-life human beings were not involved. But when I witnessed what many citizens must go through to receive basic medical care, I could no longer see them as merely numbers on a spreadsheet.

So Justice Scalia, et al. If it's too much of a chore to actually read one of the most important pieces of legislation that will ever cross your desks -- one that will truly mean the difference between life and death for many -- go see the Hunger Games and travel with me to Bristol. It will be good for your constitution. And it might just save all but the very wealthiest of us from PanemCare.

 
 
 

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HUFFPOST SUPER USER
Val Mercy
In war, truth is the first casualty.
02:29 AM on 04/08/2012
You guys are so lucky in Tennessee. I wish I had healthcare :(
10:51 AM on 04/06/2012
So, what everyone is saying is that it was okay that democrats did not read the law when they passed it? Nancy Pelosi blatantly stating that "we have to pass the law to see what is in it..." And yet now you have problem with someone NOT reading the law. Absurd!
09:21 AM on 04/04/2012
This entire case has been a theater of the absurd. Scalia has been particularly kooky, suggesting at different times during the debate that people should be allowed to defer buying insurance until they are on their way to the emergency room, or that we should not "obligate" ourselves to treat critically injured or ill people who don't have insurance. But the real irony is that both parties in the case stipulated that the individual mandate is not a tax (even though the penalty is collected by the IRS) and everyone, including the court, concedes that if it had been structured as a tax it clearly would have been constitutional! A bill that imposed a healthcare tax on "free riders" and a tax credit for those with insurance would have accomplished the same thing and wouldn't even have made it to the Supreme Court. A "Medicare for All" bill would have been constitutional as well. Perhaps the biggest irony is that Sullivan County, TN voted for McCain over Obama 70% to 28% in the 2008 election and will probably vote for the Replication candidate in 2012 by a similar margin. What exactly is the Republican plan to help with those long lines at Bristol?
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Jo Hargis
03:46 AM on 04/06/2012
What is their plan? Their plan is to do absolutely nothing. I don't know what it will take to make people "get it", to make them understand...the R party is not going to help anyone that isn't already rich. They are not on our side. Period.

What I wish? Is that Pres. Obama could go to this clinic on the 13th, see it for himself and take the cameras (well, they're always with him anyways but you get my point) and let America see how it is. I've never been, but I can try to imagine.

What I find alarming more than anything else, about SCOTUS with regards to this case, is the complete lack of any bipartisanship on the part of certain (cough) members of the court. Scalia didn't even try to hide his sarcasm; didn't even try to mask his own partisanship, in the highest court in the land that we are supposed to depend on for their utmost impartiality. It's gone. That recent poll that shows 75% believe the court is partisan? Bingo. Would I prefer single payer? Of course. But ACA sure beats April 13, doesn't it? I wouldn't even mind so much if we supporters of ACA lost the SCOTUS battle if I just thought it was a non-partisan decision. If it's struck down, there is no way in he!! I'd ever believe that now.
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Jennifer Malcom
Waiting for the revolution...
06:32 AM on 04/04/2012
BS! That bill is a violation of our rights, and it's unconstitutional. We should not be forced to buy health insurance if we don't want to pay for it. I say let those who want the bill have it, and those of us who don't want it, shouldnt' have to...leave us alone to do what we choose to do about our own health.
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booksnmoreforyou
Progressive educator, activist for good government
01:59 AM on 04/06/2012
Do you even understand it? I SERIOUSLY doubt it. Explained in a graphic: http://img29.imageshack.us/img29/3458/thebigquestionaboutheal.png
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Jo Hargis
03:48 AM on 04/06/2012
Fine tune you sing now, until you get cancer. Seriously, put down your partisan glasses and think for yourself for once. You cannot go through life with no insurance; and with this plan, no one is stopping you from getting the insurance of your choice, just as you pretend to be doing now.
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Jennifer Malcom
Waiting for the revolution...
01:20 PM on 04/06/2012
I said those of us who don't want it...I will have it with my new job...but if didn't have a job, I would be forced to go on Medicaid...which I'm currently on,until I notify my social worker that I'm working (start next week). However, most cant' afford medical insurance, and some just plain don't want it. If they don't want it, why force them? If they don't have insurance,then they'll have to pay their own medical bills...sucks, but that's what should have happened in the first place...I rarely ever use medicaid, unless absolutely necessary (last time was about eight months ago, when I couldn't breathe, due to asthma and bronchitis.). That's when I go to a doctor...when I absolutely HAVE to...I don't go for a little tiny paper cut. I just don't want someone saying they're paying for me to go,because I will be paying back what I have to, to both TN and VA, plus I have to pay back some federal money, so while I will be working, I have a lot of paying back to do for a while...more than I can say for most who end up on welfare.
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Jennifer Malcom
Waiting for the revolution...
01:22 PM on 04/06/2012
However, that being said, I like having the OPTION to buy health insurance, if I feel I need it, I should not be FORCED to buy it.
04:58 AM on 04/04/2012
I read all 2,700 pages. Made marks and used Post-Its. I also read the versions leading up to the final mark-up of the ACA. I'm a private citizen who was interested in what it said. My understanding of it benefited no one but those who like to read what I write. My reading of it harmed no one. Here's a guy on whom MILLIONS will be affected by his decision, and he can't take the few days and read it?
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Cleverboots
06:48 PM on 04/03/2012
Justice Scalia won't read the bill and won't go to Tennessee because Justice Scalia couldn't care less and with a life term he doesn't have to care.
06:03 PM on 04/03/2012
This article doesn't consider the seriousness with which the judges take their jobs. While justice Scalia does have a strange and often times ridiculous sense of humor, he has interpreted the constitution thoughtfully and carefully. This whole populist mindset against the supreme court has existed since Marbury v. Madison. For example, in the Schecter case during FDR's administration,the Hughes court struck down the NRA law which interfered with intrastate commerce. Congress can only regulate interstate commerce, but they overstepped their bounds. FDR, who was a great man but irrational at times, attempted to pack the court and unravel the very fabric of our three branches. The people of America understood that the Supreme Court was a separate and able body that should not be tampered with, so the court packing did not succeed. Back to my original point. Justice Scalia was nominated and approved, constitutionally, to the Supreme Court. He is an extremely intelligent man, just like the other eight judges. Just because a law was passed by congress doesn't mean it's constitutional. FDR and Obama have the same attitude that Congress, even though it was fully Democrat, knew what they were doing. We can see that congress made great mistakes by not including a severability clause. If we just had a single payer system, this would be so much easier...but that's my own personal view.
04:36 PM on 04/03/2012
Wake up justices...Wake up America!! Wendell is spot on... What is wrong with this country?!
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Cleverboots
06:50 PM on 04/03/2012
People like Scalia making critical choices about other people's lives. #1! F&F
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HUFFPOST SUPER USER
DenverRight
Hic Sunt Dracones
03:19 PM on 04/03/2012
It is not the role of the Supreme Court to read the entire 2700 pages of ACA, let alone carve it up if the the mandate falls.

Believe it or not, the role of this APPLELLATE court is to decide the question of law and whether the facts determined in the lower court apply to that law.

The Supreme Court does not create new findings of fact. The findings of fact are determined at the initial trial. Apellate courts ensure that the law was applied correctly to the facts in the case.

So the Supreme Court is not going to re-try the original case, in the same way. Think about it. Soem cases take years of trail testimony and hundreds of thousands of pages of testimony. Do your REALLY expect the few appellate courts to read the voluminous documentary evidence of all the appeals that they accept?

The Supreme Court will rule on specific questions of law, which were presented in the oral arguments. They will undoubtedly read the portions of the ACA that pertain to those questions (ie, the individual mandate and the Medicaid expansion, among other things). They know the job that they are assigned. It's surprising that Mr Potter does not.

Or maybe the cheap political shots are all that count anymore, in online forums or in published commentaries.
02:43 PM on 04/03/2012
I think Mr. Potter missed it. Its not the justices job to determine if we need healthcare reform, I am sure they all agree we do. Their job is to decide if the bill is constitutional. Justice Scalia can go to Bristol and cry his eyes out but when he comes back his job is to determine whether the bill is consitutional or unconstitutional.

How does a clinic in Bristol help him do that?
03:49 PM on 04/03/2012
The point being, is that this Judge in all of his judicial glory, is making jokes about having to read the whole law of which he is suppose to make a decision on. The whole law, not a part like he wishes to do. And, Mr. Potter is pointing out to this Judge how many, many doctors are doing their whole job by volunteering to help those who cannot afford today's healthcare, and doing 100% of their job for free so that this can happen! This Judge doesn't think he needs to do his whole job to which he is paid extremely handsomely for, he wants to do 1% of it, which is typical of those hired by the 1%!
09:12 PM on 04/03/2012
Actually he only NEEDS to read the part that is being tried as unconstitutional not the entire bill. And again you are pointing out how bad we need universal healthcare reform which of course we all know is NOT the argument before the supreme court.

Furthermore I don't think it was the whole bill he didn't want to read it was that he didn't want to have a different case on every mandate.
01:35 PM on 04/03/2012
All - I'm admittedly politically conservative. So I know I'm outnumbered on this board.
But I see a lot of comments here lamenting a court decision that would result in some people (many people) becoming uninsured once again.

But I don't see that as the issue of the moment. What's being decided here is whether the insurance mandate, and possibly the entire law, is constitutional. If a law is unconstitutional, it can't and shouldn't stand. It doesn't matter if some people feel it would benefit society. If a law is deemed unconstitutional, it violates the law of the land.

For example, certain bad words are offensive to many people. But if Congress made a law saying that certain words were banned from our speech and our written documents, it would clearly violate the First Amendment. Just because the end result is good, doesn't mean something is right or legal.
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PenGoddess
We are the Universe
02:43 PM on 04/03/2012
The conservatives are all crying for insurance to be sold intrastate. Maybe it should be. That would end all doubt that it is a question of interstate commerce power over which is given to Congress in the Constitution.
03:29 PM on 04/03/2012
Congress' power to regulate interstate commerce does not necessarily mean it has the authority to require an individual (source of the term "individual mandate") to purchase insurance. Opening up boundary lines on insurance sales, and having Congress pass laws to regulate such transactions, is fundamentally different than Congress saying you and I must purchase health insurance.

We've got a constitutional argument here. All other concerns and debates are pointless until the Supreme Court decides whether this law is just under our system. That's what these justices were appointed to do. This is why the SC exists.
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HUFFPOST SUPER USER
booksnmoreforyou
Progressive educator, activist for good government
02:02 AM on 04/06/2012
I seriously doubt you actually understand the individual mandate. See http://img29.imageshack.us/img29/3458/thebigquestionaboutheal.png and then see what you say.
12:59 PM on 04/03/2012
Three cheers for people like Wendell Potter. It is getting harder and harder to see how the "common welfare" so prominently mentioned in the Constitution is being served in these divisive times. I'm going to make it a point to see Hunger Games. One of these days the imagery he described will not be so surreal---it will be everyday if power hungry conservative extremism wins out. We need a few champions out there nowadays and Potter seems like one of the very few on the firing line.
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HUFFPOST PUNDIT
PenGoddess
We are the Universe
02:46 PM on 04/03/2012
My co-worker read Hunger Games and was telling me about it. I couldn't bring myself to read it because it sounded too frightening and too much of a possibility in our society. But, I have been a great fan of Wendell Potter ever since I saw him for the first time on Bill Moyers Journal and then Countdown with Keith Olbermann. He is a man worth listening to. So I guess I will have to break down, overcome my fear, and go see the movie.
03:07 AM on 04/06/2012
You could read the book(s) instead. Then you'll get the whole "message" instead of the Hollywoodified, abbreviated version. They're a fast read.
03:33 PM on 04/03/2012
How does providing for the common welfare give two branches of the government power to violate the constitution?

As the old saying goes, "the ends don't justify the means." Making sure someone can afford a trip to the doctor is a noble end. But if the means is passing laws that violate the Constitution, that's not acceptable. Our leaders need to find a solution that helps people and adheres to our laws.
05:50 PM on 04/03/2012
You have presupposed that the individual mandate violates the Constitution. My assertion was that providing for the common welfare is prominently displayed in the preamble to the Constitution. That would seem to be what the founding fathers intended. Anyhow, Obamacare makes an important first step in divorcing health care coverage from the employment relationship, and that should be seen as a good thing. Something has to be done to change how we provide care and pay for it. I am not hearing any Republicans coming forward with anything constructive. If they do, I will be all ears.
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HUFFPOST SUPER USER
Chris Wundrow
12:00 PM on 04/03/2012
If the ACA is struck down--and 99% chance it will be--we'll be back to square one: 50 million uninsured and growing, millions of personal bankruptcies and broken system slouching towards inevitable collapse. And one more thing: the insurance companies will bolt, and it'll be a cold day in hades before they're ever got on board again.
03:52 PM on 04/03/2012
Why not focus on fixing a broken system, rather than papering over it for a few decades with government mandates and a trillion taxpayer dollars?

We've seen time and again that government solutions that involve raising new taxes and spending citizens' money ultimately end in failure.

Social Security was intended to solve the problem of elderly persons with no life savings from becoming destitute. It worked for a few decades while the country was young and growing. But it's a Ponzi scheme destined to collapse when collectors begin to outnumber payers.

Medicare was supposed to solve the healthcare problem for the elderly and Medicaid for the poor. Instead, those systems are more fouled up than ever. Yet they still tax me and my employer to fund them.

Food stamps, public housing, any number of other federal welfare programs. These all had good intentions. But they simply cost the taxpayer and solve no problems. We still have poor people. We still have uninsured people. We still have old people who barely get by. The only thing that ever changes is the amount of money the government wants to take out of your paycheck.

What is so wrong in saying enough? What is wrong in telling people that we don't intend to let you starve or let you fall if you hit a hard time, but it's your job to plan for your retirement, it's your duty to feed your family, it's your responsibility to pay for your own doctor visits?
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HUFFPOST SUPER USER
booksnmoreforyou
Progressive educator, activist for good government
02:03 AM on 04/06/2012
Uh, now I'm really sure you don't understand the situation and don't understand the rational for the individual mandate. See it explained real simply http://img29.imageshack.us/img29/3458/thebigquestionaboutheal.png and then see.
HUFFPOST SUPER USER
Jo Hargis
04:04 AM on 04/06/2012
@Mike: c'mon man, you've bought into some very seriously incorrect right wing myths.

You said "Social Security was intended to solve the problem of elderly persons with no life savings from becoming destitute."

and...

"Medicare was supposed to solve the healthcare problem for the elderly and Medicaid for the poor."

First off, SS is not broken. Don't fall for the lies. SS is just fine for the next 26 years or so, and all that is needed to fix even that small problem is to take off the income cap. Perhaps do a means test so that rich people aren't collecting SS also when they surely don't need it.

Medicare/Medicaid: one of the most successful programs ever. The costs of running these are a fraction of private health care, and it IS the most effective way, in the long run, to insure everyone and get our costs down. Everyone has to understand that the US cannot continue on the path we are on, and private health care IS the problem. The costs are exorbitant, and they are many times higher than every other developed country that has universal health care. Why should we be paying $2500-3k for an MRI in the US and people in Canada or Sweden etc. pay less than $300? That is just an example of the greed that runs our health care system.
08:29 AM on 04/04/2012
So many have tried to fix the system, Hilary, Barack. We can not afford to sit back and allow this country to go back to the way we were. Too much progress has been made with ACA and loosing it would be a travesty, an injustice and a catastrophe. All the unpaid medical bills will fall right back on all of our shoulders.

Social Security was a mandate that was enacted. Everyone has to contribute to it. How could the enactment of ACA be seen any different? I DON"T GET IT!!
03:16 AM on 04/06/2012
Agreed. Part of the whole problem has been how it was set up and languaged. When I lived in countries with universal health care, everyone "contributed" (rather than being forced to "buy insurance" or wade through the bewildering choice of plans offered trying to anticipate their health care needs. My employer, if I was working, myself, if unemployed, the state/province/county if I were on welfare contributed my share. Because everybody made their contribution, everybody benefited and no-one had to worry about losing their home over a serious illness or accident. In addition, no-one had to have a crystal ball to predict, when offered the choice to buy the additional insurance that would be needed in case of something serious, like cancer or dismemberment or a transplant surgery, which insurance to purchase that year--it didn't matter what happened, you were covered. No system is perfect and yes, some people might have a long wait for a transplant and some might not make it, but for the vast majority of people and 95% of health problems, you were covered. People, if this is socialism, what exactly is the problem with it?!
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Mark Cormier Arizona
2012 has put us on the path to Europe
11:18 AM on 04/03/2012
My proposal:
Require EVERYONE to go onto Obamacare including politicians, govt employees, judges including Supreme Court, President, etc..........It would be voted down TODAY !!!!
This user has chosen to opt out of the Badges program
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12:59 PM on 04/03/2012
What, exactly, does one "go onto" when one goes onto Obamacare?
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bjefrz
http://twentyfiveseventeen.blogspot.com
01:09 PM on 04/03/2012
Everyone will be covered by the ACA. Either you have employer paid insurance, or you're on government provided insurance (Medicare for the old, or MedicAid for the poor), you purchase individual insurance, or you pay a penalty.

Who would not be "on ObamaCare"?
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PenGoddess
We are the Universe
02:48 PM on 04/03/2012
And the individual insurance you could purchase through an exchange at a significantly lower rate. Having been unemployed on occasion and not having affordable health insurance, I often wondered why the government didn't form groups (like employers) so that individuals could join and reap the benefits of  group buying power. Sounds like they finally have.
10:33 AM on 04/03/2012
Here's a couple elements that exemplify how the bill is extortion of those not included in the privilege class like Pilosi and Obama: Page 50/section 152: The bill will provide insurance to all non-U.S. residents, even if they are here illegally. Page 58 and 59: The government will have real-time access to an individual's bank account and will have the authority to make electronic fund transfers from those accounts. and page 110. Page 65/section 164: The plan will be subsidized (by the government) for all union members, union retirees and for community organizations (such as the Association of Community Organizations for Reform Now - ACORN). Wow! what a sweet deal.

This is the biggest abuse of political power in the history of man! (if it's so great why are there so many exemptions?)
01:13 PM on 04/03/2012
Much of what you have cited here is taken from a chain email that was circulated in mid 2009. It "analyzes" (if you can call it that) a bill that had not yet been debated or passed by Congress, so it really is not an analysis of the real "Obama" care. It is just politically motivated negative misinformation. I have this feeling that you probably do not like the facts and research that are easily available on snopes.com but here is a link to what I am using as source material for my commentary. Your analysis is just a mixture of untruths. http://www.snopes.com/politics/medical/kithil.asp
02:46 PM on 04/03/2012
Oops, Snopes isn't the most accurate either. Also I have a copy of the complete bill and have verified the electronic funds access, for one. What about all those political buddies who have gotten exemptions? If it's so great why the exemptions? Let's be fair, spread the wealth. What about the infringement on religion? There are better and less intrusive ways to solve the healthcare problem, ways that don't suck more blood from Lady Liberty.
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PenGoddess
We are the Universe
02:58 PM on 04/03/2012
Thank you, Thomachuck. I had someone reply that I had it all wrong when I said the line items they were citing were untrue. Now, I have a link with which to defend it.
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bjefrz
http://twentyfiveseventeen.blogspot.com
01:14 PM on 04/03/2012
The government already has real time access to bank accounts and can order your bank to transfer amounts. Try not paying your tax bill if you want to see how that works now.

We already cover everyone who shows up an ER. We provide expensive ineffective care that way, but it's provided and paid for by everyone else who uses the system. For those who have assets (e.g a house or car) and no insurance, we provide catastrophic insurance in the form of bankruptcy protection. Meaning that if you show up in the ER after an trauma and need expensive care, you will get it. You will be billed and if you have no insurance, you will be forced into bankruptcy. Then your debts (all of em, not just the medical) will be discharged and the rest of us pick up the tab.

That's an expensive, cruel and ineffective way to provide health care and health care insurance. We need to fix it. This is a good first step.