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From Bad to Worse: The GOP Assault on the Nation's Health and Wellbeing


From Bad to Worse: The GOP Assault on the Nation's Health and Wellbeing

Tim Koechlin

The US health care system is complicated, for sure. But in some essential and profoundly consequential ways, it’s not complicated at all.

A few related truths about health care in the US:

The US health care system is (and has long been) wildly inefficient, inequitable and ineffective. The depth of its dysfunction is quite shocking (more on this below). The Affordable Care Act (ACA) made the US health care system better. The Republicans’ repeal and the ACA would make dramatically worse.


It is time: Single Payer NOW!!


It might be time to consult your copy of Karl Marx for Idiots. The Republican program is designed to create a useful mass of proles who will sicken and die as soon as they can no longer work. The disabled and elderly gotta go. Driving down the standard of living generally will make the surviving proles eager to work at China-level wages, fitting in nicely with Lord Trump’s goal of bringing back Jobs! Jobs! Jobs!. And the dumbing down of education on all levels, thanks to Betsey DeVos, will mesh nicely with moronic screen-based nonsense to keep the proles incapable of analyzing their plight, much less acting against their oppressors. My prediction: Rich folks live expectancy will go to 100; poor folks will be lucky to make it to 60.


Healthcare Proposal:

Politicians on both sides of the aisle spend a majority of their time raising money to finance their reelection campaigns. The rest of the time is spent arguing with the opposing party to give the illusion that they are actually attempting to govern. There is one subject that is toxic to both parties and that is Universal Healthcare. With healthcare being 20% of our GDP, this should be the number one issue and the government should be trying to put forth long-term solutions. The Republicans want to simplify the tax code while the Democrats want the rich to pay their fair share. These two issues can be solved with universal healthcare. Whether you’re rich or poor, everybody should pay 10% of their income for universal healthcare without any caps on net income. These funds would be paid into an account similar to SSI or FICA. The only argument left would be the quality of coverage that this would give to all Americans. In my opinion, that coverage should be a $500 deductible with 20 / 80 coverage for up to $10,000, and then the universal healthcare will pay for anything above. In other words, you would never pay more than $2,500 in any given year. This coverage would not cover vision or dental insurance. Insurance companies would now offer supplementary insurance to pay for that 20% (similar to AARP). This supplementary insurance would still promote competition within the market which would keep the quality of coverage high. Public-sector workers would lose nothing if the government would pick up the cost of this supplementary insurance. Private-sector employees who had been covered by their employer would no longer require it and could be given a one-time pay raise to restore the lost value of losing those benefits.

Let’s do some basic math. We currently have about 90 million people that can’t afford coverage because they are either underemployed or completely out of the work force; indirectly, the government ends up footing the bill when these people have emergency room visits or unpaid doctor bills. We have about 50 million people on welfare, disability and social security. There are approximately 20 million public-sector workers and most of them are married with children. There is an additional element to this equation that is often overlooked. About 20% of our economy is based on government contracts for the private sector. Some examples are road construction and military equipment contracts. These private-sector workers are well-paid and have excellent insurance coverage that is very similar to that of public-sector workers. When you add up all of these disparate groups of people who already have healthcare coverage through the government, we’re really not that far away from universal healthcare as things stand right now.

At the very least, this proposal should be discussed within the government and then a nationwide referendum should be held so that the people can ultimately decide.
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