Monday, November 26, 2018

HEALTHCARE

During his 2 terms in office, President Obama, despite obstruction by the Republican Congress, was able to craft a system of mandated, affordable, comprehensive quality health insurance which resulted in coverage for most Americans. It had a rough start but ultimately took root and became successful. During the 8 years of the Obama administration the stated goal of Senator McConnell the leader of the Republicans in the Senate was to make the Obama presidency fail. They failed in that goal despite controlling both houses of Congress by the end of the 8 years.
The goal of Trump during his 2 years as president has been to undo all accomplishments associated with the name Obama including Obamacare (the Affordable Care Act), but they failed. The American people had tasted Obamacare and they liked it. The people who especially benefitted from it included the blue collar Whites who had voted for Trump. When they realized that Trump wanted to take away their health care they rebelled. No matter how hard they tried, Trump and the Republicans could not come up with a replacement for Obamacare. So Obamacare remains, perhaps a little weakened but still there.
So now the task of the incoming Democratic Blue Wave House of Representatives will be to revive and enhance Obamacare. Some say the goal should be Single Payer. Although I would be OK with Single Payer health insurance if that is how it ultimately plays out, I don't think that should necessarily be an ideological goal. The goal should be, as it was under Obamacare, mandated, affordable, comprehensive, quality health insurance with no precondition. It has to be mandated because that is how insurance works. Well people have to pay in as well as sick people. If a person does not join and develops a potentially fatal illness or injury would he then say "let me die because I did not join when I was well?"  It has to be affordable so that everyone can participate. It has to be comprehensive and quality to include maintenance of wellness which will keep down the costs as well as making a better life for the population. It should not be a cheap predatory plan which does not produce the necessary services. I also think a public option would be a good idea to fill in the gap where effective private insurance is not available. It also would insure competition with private insurance. If the public option drives out private insurance because the private can't compete OK, but I doubt that that will occur in every case everywhere. In any event the goal should be mandated, affordable, comprehensive, quality health insurance with no preconditions however that comes about.

No comments:

Post a Comment