I just listened to President Obama's prepared remarks and answers to questions at an Organizing For America event that was held in Washington DC and streamed over the Internet. As always, I continue to be amazed at how comfortable the president is in his own skin; how he's not afraid to engage in a little pointed humor; and how he speaks clearly and directly--and gives a straight answer to a straight question. Most of the time.
My biggest concern about the current health care reform legislation is that no reform that passes without including the so-called "public option" will have sufficient teeth to put the bite on the current excesses of the private, for profit, health insurers and the other big industry insiders (like the pharmaceutical companies) which have raked in obscene profits while literally bankrupting hundreds of thousands of ordinary Americans.
But the president will not commit to the public option. He says "it's important" but that it's "only one component of real health care reform." From everything I know about the issue, and presuming that a true single-payer system is not even on the table, however, the public option seems to be the sine qua non, the linchpin, the very foundation for all the other reforms he's advocating.
So why won't he just come out and commit to it? In the past, I have expressed great admiration for his grasp of politics as "the art of the possible." I still hold that to be true. I think, however, that he's being overly cautious in his estimation of what is, in fact, possible. I cannot escape the suspicion that on this issue, the American public is way, WAY ahead of everyone in Washington. I have seen reported the results of poll after poll after poll, all showing that over 76% of Americans support the public option when its terms are described accurately. On the other hand, several other credible polls show that as the dog days of August have come and gone, public support for the "public option," when called by that name, is decreasing.
Maybe the problem really is with the term "public option." Maybe the powers that be, the ones which do not wish to see their profits drop even one red cent, have managed to poison the well. Maybe they've so polluted the waters about what a "public option" is that the president is trying to get away from the term while retaining its substance. Or maybe I'm just blowing smoke--though I doubt it. I'm a lifelong non-smoker, remember?
My own experiences with both the public and private health care industries have taught me that all the alleged dangers of the public option are already occurring at the hands of private, for-profit insurers. And that the public option [assuming that it will be structured similarly to Medicare, as the currently-proposed legislation has it--Ed.], while capable of wrongfully denying coverage, at least will have an appeals process in place--which may be slow, but will be unbiased. Wrongfully denied coverage decisions can be overturned. Furthermore, you can't be held liable for paying for the costs of the treatment(s) in question while your appeal is in process. Nor will you lose your coverage, either because of your condition or because of your appeal.
As it is now, however, if your private insurer drops you, you're dropped. Period. Yes, there are steps to appeal that you can take, but they are not just slow--they are expensive. The insurers can afford to wait you out. Assume that you have something seriously wrong with you that is treatable, but expensive [and note that the longer it goes untreated, the worse and more expensive both it and its treatment will get--Ed.], and your coverage is denied. You can choose to appeal, and spend whatever other funds you have on the costs of pursuing that. Or you can choose to pay out of pocket for the medical treatments you need and forgo any appeal--you will never get reimbursed for what you spent on treatments for wrongfully-denied claims, by the way. Or, if you can't afford either of those options, you can just spend what little money you have on your everyday expenses, and die while that which was dire, but treatable, becomes fatal due to the lack of treatment and care you were wrongfully denied in the first place.
Let's face it: all that insurance is, is a wager. Further, you are betting on yourself to lose, for that's what will trigger the release of funds from the insurer. [Why do I suddenly hear Beck singing "I'm a loser, baby, so why don't you kill me"?--Ed] And the bet is rigged, for even if you lose, the insurer always has tons o' fine print to cite to justify its refusal to pay your claim. We are collectively being had, people. It's not just time for a change; it's overdue for a change.
But is a real change going to happen? I wonder, when I hear the president saying only that the private option is "important." I know his motive is to encourage both political parties to work together to find solutions. And while I agree that bipartisanship is a worthy goal, I also recognize that it isn't going to happen unless both sides want to play. Right now, the GOP seems more concerned with doing everything it can to mess up the Obama administration's efforts for the sake of its own presupposed electoral gains next year than it seems concerned with doing what is really in the best interests of America's citizens--all of us.
I just hope I'm the only one falling victim to issue fatigue, and that there are still plenty of people out there with the health, the strength, the energy, the vision, and the will to see genuine and substantial health care reform enacted. Because if I'm not the only one succumbing to issue fatigue, we're all SOL.
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