Skip to main content

As i watch time and energy being burned up after the Hobby Lobby fiasco I could scream.  I have been involved in health care reform since the healthcare workers of Boston held "Health University" in the 1960-70s era.  I was a "visiting lecturer" at the Biophysical Lab at Harvard Medical School during that time.  My stint there was shortly after Jared Diamond did his.

The idea that health care can be a for profit business and not neglect the people's welfare is insane.  The idea that insurance companies will gladly pay out in a fair way is insane.  The idea that the huge profits made by drug companies are not creating a medical community based on pushing pills is insane.  The list is long and the flaws are so many.  Read on below and I'll touch on what I have learned in my more than half a century as a professor in medical schools.

Single-payer health care

Single-payer health insurance collects all medical fees, then pays for all services, through a "single" government (or government-related) source. In wealthy nations, this kind of publicly managed insurance is typically extended to all citizens and legal residents. Examples include the United Kingdom's National Health Service, Australia's Medicare, Canada's Medicare, and Taiwan's National Health Insurance.

The standard usage of the term "single-payer health care" refers to health insurance, as opposed to healthcare delivery, operating as a public service and offered to citizens and legal residents towards providing near-universal or universal health care. The fund can be managed by the government directly or as a publicly owned and regulated agency

I have lived in Israel (1963-1965), France (1974 and 1992) and Germany (1986) and experienced health care that was superb each time.  My family and I were covered from the day I arrived on the job.  I get rather peeved by people who have the trite answer: "so go live there".

I fought hard to defend Obama's rather inadequate idea for health care and rejoiced when he signed the bill on my birthday even though I knew it was flawed.  

The last few years I have watched and felt pain as the squabbles went on over the ACA.  So much time and effort wasted because the plan is flawed and because the oligarchy wants to maximize profit at the people's expense.

If we are going to go on fighting let us think about what we are fighting for.  Let us make sure it can work and not be constantly victimized by politicians who only serve the profit makers in the ruling oligarchy.

Finally, let us understand what health is all about.  It is not the single issue we have let them frame it as.  Health includes, air quality, water quality, agriculture, climate, and much much more.

Poll

health care

0%0 votes
6%7 votes
2%3 votes
87%93 votes
1%2 votes
0%1 votes

| 106 votes | Vote | Results

EMAIL TO A FRIEND X
Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags

?

More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

  •  Well said don. (8+ / 0-)

    Humor Alert! No statement from this UID is intended to be true, including this one. Intended for recreational purposes only. Unauthorized interpretations may lead to unexpected results. This waiver void where prohibited. Artistic License - 420420

    by HoundDog on Tue Jul 01, 2014 at 04:42:15 PM PDT

  •  Progress to any kind of single payer, universal (8+ / 0-)

    coverage health insurance was never going to be easy.  Too many rich and powerful people have a vested interest in keeping the old system in place.

    Same with the other elements you include.  Making progress toward "the common good" requires years of hard work, coalition building, and awakening a disinterested and distracted public.

    The Supreme Court has clearly come down on the side of corporate power vs protecting the rights of the people.  There is no judicial remedy from a bought and paid for Supreme Court which make for an even longer game.

    “The future depends entirely on what each of us does every day.” Gloria Steinem

    by ahumbleopinion on Tue Jul 01, 2014 at 04:45:11 PM PDT

    •  Time we did something STRONG about this (6+ / 0-)
      Too many rich and powerful people have a vested interest in keeping the old system in place.

      An idea is not responsible for who happens to be carrying it at the moment. It stands or falls on its own merits.

      by don mikulecky on Tue Jul 01, 2014 at 04:47:58 PM PDT

      [ Parent ]

    •  How many acts like this (3+ / 0-)

      will it take before a tipping point is reached?

      I think the right-wingers are giving us awesome opportunities, and they're not trying to disguise their goals anymore, either.

      Their problem is that the acid of their hatred is too noxious.

      The downside for us comes if we expect change to happen automatically. It won't.

      Starting today we need to actively look for ways we can help the Republicans self destruct.

      This also very effectively provides perspective to the claims of those who say "there's no difference between Democrats and Republicans." As of now, I'm sorry but I just don't have time for that nonsense.

      If your strategy depends on having fewer people show up to vote, that is not a sign of strength. That is a sign of weakness. President Obama

      by Had Enough Right Wing BS on Tue Jul 01, 2014 at 06:06:45 PM PDT

      [ Parent ]

      •  You are being simplistic (9+ / 0-)
        This also very effectively provides perspective to the claims of those who say "there's no difference between Democrats and Republicans." As of now, I'm sorry but I just don't have time for that nonsense.
        The differences are clear.  Where we fail is on the sameness which we deny.

        The two parties and the electoral system are part of the system and BOTH help to stabilize it.  That means that BOTH are leading us down in the long run.

        An idea is not responsible for who happens to be carrying it at the moment. It stands or falls on its own merits.

        by don mikulecky on Tue Jul 01, 2014 at 06:11:11 PM PDT

        [ Parent ]

        •  Given the choice between walking into (2+ / 0-)
          Recommended by:
          ahumbleopinion, BusyinCA

          a wall and being blasted into the same wall strapped to a rocket, the choice is clear.

          Maybe I've already walked into too many walls, but the difference between Democrats and Republicans seems a lot more significant than a matter of style.

          A brand-spanking new system sounds great, but realistically I still think we have a better shot at raising the effectiveness of the one we have now.

          If your strategy depends on having fewer people show up to vote, that is not a sign of strength. That is a sign of weakness. President Obama

          by Had Enough Right Wing BS on Tue Jul 01, 2014 at 06:27:52 PM PDT

          [ Parent ]

          •  try reading this (5+ / 0-)

            Global Insanity: How Homo sapiens Lost Touch with Reality while Transforming the World

            The Global Economy that sustains the civilized world is destroying the biosphere. As a result, civilization, like the Titanic, is on a collision course with disaster. But changing course via the body politic appears to be well nigh impossible, given that much of the populace lives in denial. Why is that? And how did we get into such a fix? In this essay, biologists James Coffman and Donald Mikulecky argue that the reductionist model of the world developed by Western civilization misrepresents life, undermining our ability to regulate and adapt to the accelerating anthropogenic transformation of the world entrained by that very model. An alternative worldview is presented that better accounts for both the relational nature of living systems and the developmental phenomenology that constrains their evolution. Development of any complex system reinforces specific dependencies while eliminating alternatives, reducing the diversity that affords adaptive degrees of freedom: the more developed a system is, the less potential it has to change its way of being. Hence, in the evolution of life most species become extinct. This perspective reveals the limits that complexity places on knowledge and technology, bringing to light our hubristically dysfunctional relationship with the natural world and increasingly tenuous connection to reality. The inescapable conclusion is that, barring a cultural metamorphosis that breaks free of deeply entrenched mental frames that made us what we are, continued development of the Global Economy will lead inexorably to the collapse of civilization.

            An idea is not responsible for who happens to be carrying it at the moment. It stands or falls on its own merits.

            by don mikulecky on Tue Jul 01, 2014 at 06:33:58 PM PDT

            [ Parent ]

            •  I agree, we face many threats. Most are (3+ / 0-)
              Recommended by:
              don mikulecky, worldlotus, BusyinCA

              the result of our own actions.

              I guess my biggest difference with the idea of "a cultural metamorphosis that breaks free of deeply entrenched mental frames that made us what we are," is that it seems to magnify the amount of effort we'll have to inspire among, "much of the populace [that] lives in denial."

              I question if now is the time to re-invent the wheel.

              I'm sure you know as much history as I do. Far too many of our species most horrific chapters started (perhaps) with the best of intentions, yet morphed into something ugly.

              It's true, we may not have time for my more incrementalist approach.

              What percentage do you think could be persuaded to start from scratch in the next five years? What timescale are you thinking in?

              If your strategy depends on having fewer people show up to vote, that is not a sign of strength. That is a sign of weakness. President Obama

              by Had Enough Right Wing BS on Tue Jul 01, 2014 at 07:01:01 PM PDT

              [ Parent ]

              •  do you read? (2+ / 0-)

                there were a dozen reports today making this crystal clear

                It's true, we may not have time for my more incrementalist approach.
                recognizing that you are in denial is the first step in dealing with your addiction

                An idea is not responsible for who happens to be carrying it at the moment. It stands or falls on its own merits.

                by don mikulecky on Tue Jul 01, 2014 at 07:24:10 PM PDT

                [ Parent ]

                •  So what percentage of the population (0+ / 0-)

                  do you think has been--or even can be--persuaded?

                  Sorry to post and run, but I've gotta go.

                  I'll watch for your posts in the future. You have good ideas, I just wonder about implementation.

                  Later,

                  Bill

                  If your strategy depends on having fewer people show up to vote, that is not a sign of strength. That is a sign of weakness. President Obama

                  by Had Enough Right Wing BS on Tue Jul 01, 2014 at 07:30:07 PM PDT

                  [ Parent ]

                  •  it is changing as we write (0+ / 0-)

                    implementation is being done by nature every moment

                    You can watch or participate..

                    oh and electoral politics will implement what?

                    An idea is not responsible for who happens to be carrying it at the moment. It stands or falls on its own merits.

                    by don mikulecky on Tue Jul 01, 2014 at 07:36:52 PM PDT

                    [ Parent ]

          •  Why would you intentionally (1+ / 0-)
            Recommended by:
            don mikulecky

            walk into a wall of your own volition?

            Is not walking into the wall truly not "viable" or "pragmatic"?  There's got to be another way.

            You may think that. I couldn't possibly comment.-- Francis Urqhart

            by Johnny Q on Wed Jul 02, 2014 at 12:01:17 AM PDT

            [ Parent ]

  •  When you get it through the Congress, let me know. (3+ / 0-)
    Recommended by:
    auapplemac, grover, BusyinCA

    "Because I am a river to my people."

    by lordcopper on Tue Jul 01, 2014 at 04:50:55 PM PDT

  •  We can (and should) make progress toward Single... (5+ / 0-)

    We can (and should) make progress toward Single Payer at the state level.

    •  Won't a single payer law still have restrictions (2+ / 0-)
      Recommended by:
      grover, AlexDrew

      as does Medicare today?

      Medicare limits what it will pay for and how much. Women are covered for some GYN tests only every two years. You have to pay more for certain meds under Plan 2 Drug program.

      Single Payer could be written to preclude paying for birth control only in the case of treating an actual medical problem.

      If ObamaCare just squeaked through, how in heaven's name do you think Single Payer has a ghost of a chance in today's Congress. And if the midterm predictions are correct, the outcome this November's elections will make it impossible - just like immigration changes. (Oh, they may pass an immigration law, but it wouldn't be anything we'd want to sign on to.)

      It’s the Supreme Court, stupid! Followed by: It's always the Supreme Court! Progressives will win only when we convince a majority that they, too, are Progressive.

      by auapplemac on Tue Jul 01, 2014 at 05:15:18 PM PDT

      [ Parent ]

      •  All single payer plans have restrictions (4+ / 0-)

        I think single payer will come from the states, just like it did in Canada. The first few states will be key. They will need to do it well to set an example for the other states to follow.

        All single payer plans ration medical care, some a lot more than others and all fight for government budget. In the US we ration medical care on the basis of ability to pay. There are always tradeoffs.

        "let's talk about that" uid 92953

        by VClib on Tue Jul 01, 2014 at 10:53:52 PM PDT

        [ Parent ]

  •  That's what I was thinking (4+ / 0-)

    today - that if we had single payer, this probably wouldn't be an issue.

    Health care or insurance via work is ridiculous.

    Well, I would bet that anti-birth control would sue to stop the gov from paying for birth control benes.

    The banks have a stranglehold on the political process. Mike Whitney

    by dfarrah on Tue Jul 01, 2014 at 05:10:27 PM PDT

    •  re: "I would bet that anti-birth control would sue (1+ / 0-)
      Recommended by:
      don mikulecky

      to stop the gov from paying for birth control benes."

      ...yes, but wasn't part of the decision a specific statement that it would be okay for the government to pay for that part if they get their opt-out?
       It seems like that would come next to me, too, but I think the court actually already cut off that avenue for a lawsuit.

      We are all pupils in the eyes of God.

      by nuclear winter solstice on Tue Jul 01, 2014 at 07:05:02 PM PDT

      [ Parent ]

      •  Are you talking (0+ / 0-)

        about the current decision?

        I was talking about had there been single payer instead of ACA.

        And I was saying that had some sort of single payer passed instead of ACA, someone would likely sue anyway on whatever grounds they thought might fly.

        So, I don't know how the current decision applies to a re-writing of the past.

        The banks have a stranglehold on the political process. Mike Whitney

        by dfarrah on Wed Jul 02, 2014 at 05:54:45 PM PDT

        [ Parent ]

  •  This says it all: (8+ / 0-)

    The idea that health care can be a for profit business and not neglect the people's welfare is insane.  The idea that insurance companies will gladly pay out in a fair way is insane.  The idea that the huge profits made by drug companies are not creating a medical community based on pushing pills is insane.

    Thank you.  Keep posting that comment everywhere until it sinks in.

    The banks have a stranglehold on the political process. Mike Whitney

    by dfarrah on Tue Jul 01, 2014 at 05:14:17 PM PDT

  •  I don't really understand what you (1+ / 0-)
    Recommended by:
    FG

    Mean by

    Now Do You See?
    You're saying that as though the vast majority of members here didn't want socialized universal care in 2009.

    We did.

    The questions were: could we realistically get it with the Congress we had? (No)

    How long should the Dems fight for something that we realistically couldn't get? (This issue was open to debate)

    And was the president and Dem leadership selling out by trying to get something pretty good rather than walking away empty handed and finding another day to fight (The source of most fights).

    Although in hindsight, seeing that we only held the House for two years, I think this matter should be resolved by now. There never was "another day to fight."

    But "now do you see?"  Huh? We saw. We squabbled about the details as moderate Republicans and blue dog Dems drained much of PPACA away. And this is what we're stuck with. But for about 8M citizens, it's a godsend.

    I'm glad we didn't stand on principle and leave those people high and dry. We saw those people and chose not to abandon them.

    And here we are.

    What are we supposed to do? Scrap it all and institute socialized healthcare? Great!

    We need a Dem majority of liberal Dems in both chambers and a Dem president.

    Let's get busy.

    © grover


    So if you get hit by a bus tonight, would you be satisfied with how you spent today, your last day on earth? Live like tomorrow is never guaranteed, because it's not. -- Me.

    by grover on Tue Jul 01, 2014 at 07:55:46 PM PDT

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site