{"id":170,"date":"2017-08-08T19:12:14","date_gmt":"2017-08-08T19:12:14","guid":{"rendered":"http:\/\/www.greekmedicine.net\/blog\/?p=170"},"modified":"2017-08-08T19:12:14","modified_gmt":"2017-08-08T19:12:14","slug":"the-healthcare-battle-in-the-united-states-congress","status":"publish","type":"post","link":"https:\/\/www.greekmedicine.net\/blog\/events\/the-healthcare-battle-in-the-united-states-congress.html","title":{"rendered":"THE HEALTHCARE BATTLE IN THE UNITED STATES CONGRESS"},"content":{"rendered":"<p><strong>Why Is Securing Quality Healthcare for Americans So Difficult?<\/strong><\/p>\n<p><strong>The Political and Economic Picture<\/strong><\/p>\n<p>Of all the major industrialized nations of the world today, the United States is probably the only nation that does not guarantee healthcare to all its citizens.\u00a0 We spend more than any other advanced nation on healthcare, yet have worse outcomes for all the money we spend.\u00a0 In spite of the astronomical prices we pay for all aspects of healthcare in America, there are millions of people who are uninsured or underinsured, and obesity, diabetes, heart disease and other chronic and debilitating conditions run rampant and unchecked.\u00a0 In my travels, the foreign nationals I encounter constantly wonder why the United States has not been able to adequately tackle what they see as nothing more than the basic accounting and management problems presented by the task of providing sufficient healthcare to all.\u00a0 For sure, the roots of America\u2019s current healthcare crisis reach deep into the American psyche, into a primitive, unreasoning fear of what many see as the specter of socialized medicine or a \u201cgovernment takeover of healthcare\u201d a propaganda line that was promoted by Ronald Reagan and others back in the \u201860s.<\/p>\n<p>Healthcare is like a political football that keeps getting tossed back and forth on the shifting tides of America\u2019s political fortunes.\u00a0 We had a pretty good public healthcare system in the Affordable Care Act, also known as Obamacare during the previous administration, but now that the Republican Party is in control of the presidency as well as both houses of congress, they seem to be hell bent on destroying Obamacare.\u00a0 The only reason why they have not been able to repeal the ACA (Affordable Care Act) is due to the massive, vehement protests of ordinary citizens who would face dire health consequences if the ACA were to be repealed.\u00a0 In spite of all the Republican rhetoric and cynical double-speak about \u201cthe nightmare that is Obamacare\u201d, the simple fact is that Obamacare has indeed saved lives.\u00a0 The so-called alternative healthcare plan that the Republicans are trying to slap together, in a desperate effort to get something \u2013 anything \u2013 passed, which they have named the American Health Care Act (AHCA) has only about a 17% approval rating among American voters.\u00a0 So why are the Republicans so persistent in the face of what would seem to be surefire political suicide?<\/p>\n<p>Traditionally, the Republicans are the party of big business interests and the economic elite, whereas the Democrats have traditionally been the party of the working class.\u00a0 In recent years, however, a flood of corporate money into our political system has corrupted both parties and made them more beholden to the corporations and the super-rich than they have traditionally been, affecting the Democratic party as well as the Republicans.\u00a0 The Republican-led \u201cReagan revolution\u201d of the 1980\u2019s introduced the idea of \u201ctrickle-down economics\u201d \u2013 that giving more money to the super-rich and the economic elites would enrich the whole economy as the corporate executives would then invest that money back into their business enterprises.\u00a0 But in one form or another, over a thirty-plus year period, \u201ctrickle-down\u201d has failed to work, and the reason for this is not hard to figure out for any intelligent person who is willing to do some sincere, objective reflection:\u00a0 If the aggregate consumer demand for the goods and\/or services that the corporations provide is not there, simply investing money to expand operations and create jobs will not pay off.<\/p>\n<p>This leads us to the economic truth that consumer demand, which is supplied by the middle and working class, is the real engine that drives economic growth.\u00a0 Put another way, give a rich person some extra money \u2013 which they don\u2019t really need \u2013 and they will do one of three things: lavish spending on luxury items, stashing that money in an offshore or tax exempt bank account, or wagering it on the stock market casino in risky investments of questionable worth.\u00a0 But give a middle or working class person some extra money and they will pump it right back into the economy by buying needed goods and services.\u00a0 These economic realities may run counter to traditional conservative values like self reliance and the Protestant work ethic, but what works, works, and sooner or later these realities must be accepted if we are really serious about fixing our economy.\u00a0 In other words, to heal our economy, and our healthcare system, which is roughly one-sixth of it, we must take money from where it is not needed and put it where it is needed \u2013 back into the hands of ordinary consumers to drive economic growth.<\/p>\n<p>Due to terrible Supreme Court decisions like Citizens United, the floodgates of corporate money have been opened, and this \u201cdark money\u201d has had a corrupting influence on both major political parties.\u00a0 But since the Republican party has traditionally been the party of big business and the economic elite, they are the ones who are most corrupted by, and beholden to, the super rich and the big corporations.\u00a0 And so, the Republicans hardly seem to do very much anymore, legislatively speaking, unless there is some big tax break or giveaway to the corporations or the super rich involved.\u00a0 This so-called \u201cAmerican Health Care Act\u201d that they are trying to ram through congress is actually a pseudo- \u201chealth care\u201d act \u2013 it\u2019s actually a bill that, at its core, decimates and makes massive cuts in the Medicaid program, which is probably the single largest healthcare provider to poor and working class Americans, and gives that money in massive tax cuts to the corporations and the super rich.\u00a0 And no matter how they try to dress it up, no matter what kinds of changes they may make to it to make it more politically palatable, this basic core they will not change.\u00a0 It\u2019s really a tax cut bill masquerading as \u201chealthcare\u201d.<\/p>\n<p>Obamacare was funded mainly through a small or modest increase in taxes on corporations and the super rich \u2013 and now the top 1% and the big Republican political donors want their money back.\u00a0 As proof of this underlying agenda, Republican leaders speak of the urgent need to repeal and replace Obamacare so they can get on to other pressing business \u2013 the first item of which is what is euphemistically called \u201ctax reform\u201d.\u00a0 So one way or another, through this pseudo \u201chealthcare\u201d bill, or more openly via \u201ctax reform\u201d, the super rich and the Republican political donors fully intend to get their money back, and the people be damned.\u00a0 In reference to the current healthcare crisis, a recent political cartoon highlighted the main difference between Reagan era Republicans and today\u2019s Trump Republicans:\u00a0 The Reagan Republicans were into coming up with all kinds of convoluted explanations as to why \u201ctrickle-down\u201d economics would benefit everyone, whereas today\u2019s Trump era Republicans are much more cynical and direct, saying, \u201cI\u2019m cool with you dying\u201d to the lower classes.\u00a0 The nonpartisan Congressional Budget Office estimates that at least 16 million people would lose their health insurance under the current Republican plan, and of those, at least several thousand will probably die.\u00a0 This makes healthcare a more visceral, \u201chot button\u201d issue than anything else in American political life.<\/p>\n<p><strong>From Reason to Religion: Am I My Brother\u2019s Keeper?<\/strong><\/p>\n<p>There is a deep, irrational fear of \u201csocialism\u201d, \u201csocialized medicine\u201d and \u201ca government takeover of healthcare\u201d in the American psyche; perhaps it is a relic of the McCarthy era communist witch hunts, perhaps it is due to the rugged, independent American frontier mentality or the pioneer spirit \u2013 or a combination of all the above.\u00a0 So, whenever a group of legislators gets together with a sincere desire to improve the healthcare lot of the American people, as they did in the previous administration with Obamacare, or the Affordable Care Act, there arise irrational fears in the American psyche.\u00a0 During the Obamacare fight, conservative politicians were constantly invoking the specter of government-run \u201cdeath panels\u201d, being completely oblivious to the fact that there were actual death panels in the existing healthcare system in the form of health insurance company officials who continuously denied health insurance coverage to those with pre-existing conditions.\u00a0 \u201cDon\u2019t pull the plug on grandma!\u201d they would cry out.\u00a0 These irrational fears have robbed them of the mental clarity needed to figure out that the whole idea of insurance, in which risks and liabilities are spread out among the masses, and in which the many take care of the unfortunate few, is basically a socialistic concept.<\/p>\n<p>The Affordable Care Act was a good start in reforming America\u2019s healthcare system, but it didn\u2019t go nearly far enough.\u00a0 Some of the worst abuses of the private, for-profit health insurance companies were eliminated, like denying coverage to those with pre-existing conditions, but it still left those same private, for-profit health insurance companies in charge of our healthcare system, without any competition from the government \u2013 the foxes were still guarding the health care henhouse, so to speak.\u00a0 Obama and democratic legislators in congress refused to even give a single payer healthcare system or a public option to provide competition to the private, for-profit health insurance companies, and so keep costs down, a fair hearing.\u00a0 Solving America\u2019s healthcare crisis is essentially very, very easy.\u00a0 We already have a government-run healthcare system for those aged 65 or older called Medicare, and even as it is, it has run remarkably well, and is one of the most liked government programs for elderly and retired folks.\u00a0 Now, any third grader with halfway decent math and computational skills could see that making Medicare available to all and having a larger risk pool, with younger and healthier individuals paying into the system as well as older people, could only put Medicare on a sounder actuarial footing.\u00a0 Just one thing stands in the way of this eminently simple solution \u2013 the incredible financial might and political power of America\u2019s private, for-profit health insurance companies.<\/p>\n<p>Whether it\u2019s insurance or religion, the socialistic concept of taking collective care of the less fortunate finds a universal voice and advocacy.\u00a0 Quite early on in the Bible, in Genesis 4: 9, \u201cbad brother\u201d Cain asks God, who is inquiring about his brother Abel, \u201cAm I my brother\u2019s keeper?\u201d\u00a0 And prominent theologians have argued that the whole rest of the Bible is God\u2019s long, drawn-out answer in the affirmative.\u00a0 The whole Christian message definitely culminates in the life and ministry of Jesus Christ, who went around the Holy Land giving free healthcare to everyone who asked for it.\u00a0 \u201cAs ye have done to the least of my brethren, ye have done also unto me\u201d, says Jesus in the gospel of Matthew; in other words, the basic moral and ethical yardstick by which a society and a nation can be judged lies in how it treats the least and the poorest among them.\u00a0 This is diametrically opposed to the cynical, cold-hearted \u201cI\u2019m cool with you dying\u201d stance of the cartoonist\u2019s depiction of Trump era Republicans.\u00a0 In one way or another, all the world\u2019s great religious traditions answer Cain\u2019s question to God in the affirmative.<\/p>\n<p>Many states in the US have a law mandating that all drivers obtain car insurance \u2013 then what\u2019s wrong with a mandate that all obtain health insurance coverage, since what is being covered is our physical or bodily vehicle, which is much more precious to us than any car?\u00a0 Nevertheless, insuring one\u2019s health is much more complex, and involves some difficult and thorny ethical issues. \u00a0More than the differences that exist between different makes and models of cars, individual differences among people and their health are much greater, and definitely no one size fits all.\u00a0 And so, the factor of individual freedom and choice enters into the equation.\u00a0 President Washington\u2019s personal physician, Benjamin Rush, who was a signer of the Declaration of Independence, advocated for the inclusion of medical freedom, or freedom in healthcare, as a fundamental human right, but sadly, this was not given explicit mention or voice in our nation\u2019s founding documents.\u00a0 Although I may be a \u201cbleeding heart liberal\u201d on many other issues, I am most independent and in favor of individual freedom of choice when it comes to healthcare, and do not favor a blanket mandate of treatment procedures by the government.\u00a0 Above all, I believe that an individual must be free to follow his or her conscience in matters of healthcare, just as with religion, and must also be free to choose the way of natural healing.<\/p>\n<p>In the second part of my blog on the important and vital topic of healthcare, I will share and discuss my personal views and vision for an ideal healthcare system for America \u2013 and where the natural healing option and traditional healing systems like Greek Medicine fit into the picture.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This article discusses the political and economic aspects and dimensions of America\u2019s current healthcare crisis, and gives the opinions of the author as to how this crisis might be resolved. 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