Single-payer national health care isn’t going to get here because it would be the right thing to do. And it hasn’t a prayer of showing up as a response to the 45, 46, 47 million (and counting) Americans who don’t have it.
Single-payer national health care isn’t going to get here because it would be the right thing to do. And it hasn’t a prayer of showing up as a response to the 45, 46, 47 million (and counting) Americans who don’t have it. Nor will it arrive because of the inequity of job-slavery that parents with sick kids endure. For sure the haves will never present it to the have-nots as a fair and equitable sharing of America’s bounty.
So, how then will it arrive?
Boeing and Chrysler, Wal-Mart and CitiGroup, General Electric and Exxon
will soon enough be beating down the doors of Congress for relief from
their present employee health costs. They will be particularly adamant
about their growing obligation to retirees.
They’ll wipe at their wire-rimmed glasses and talk about competitiveness and level playing fields in world markets.
Congress will listen. Faced with unprecedented pension fund defaults
and corporate dismemberment of health care plans, drowning in
skyrocketing co-payments and watching hospitals turn away the sick and
injured at emergency rooms, Congress is already at the pump and primed.
The old feared and demonized Democratic ‘socialized medicine’ will suddenly morph into the Republican ‘long overdue health care reform’ and the House and Senate will march hand in bi-partisan hand into the healthy glow of a healthy sunset.
Goodbye Managed Care, so long HMOs and bye-bye to company health
plans. Auf wiedersehen to insurance salesmen and the companies they
work for, having long worked against us. Arrivederci to all those
co-signators, co-payments, opt-ins, opt-outs, limits of liability,
thresholds of participation, write-offs of previous conditions,
responsibility confusion, privacy intrusion, incomprehensible billings
and surprises at the cashier.
Your friendly old Republican Scrooge is going to make it all go away. Not because he has seen the Ghost of Illness Past, that never moved him sufficiently, but because the Ghost of Illness Yet to Come has appeared on the stair.
Post) General Motors has been at the forefront of a push to get the UAW
to assume responsibility for tens of billions of dollars that the
automakers owe for health care and other benefits for retirees. The
automakers want to make lump-sum payments to a trust fund and leave to
the union decisions related to investing assets and paying benefits.
GM has 332,000 union retirees and $50 billion in retiree health-care obligations.
the Detroit automakers have more than $90 billion in unfunded retiree
health-care obligations, covering about 1.5 million working and retired
An unfunded $700 billion to fight a ridiculous war against an undefeatable enemy is merely an economic fly to be swatted by future generations. Businessmen shrug at that and eagerly line up for their next tax concession.
They are hardened men, fast on the draw and faster at the leveraged
buyout. A few billion here, a few thousand layoffs there, it’s the way
But an unfunded $90 billion, attributable to three American
automobile companies that are already on their knees and would be
perfectly solvent if it weren’t for a few decades of crappy
decision-making at the executive level—that’s a problem needs solving.
That’s no longer socialized medicine, that’s long overdue health care reform
that will allow every God-fearing (possibly Republican) worker to
recognize that his (mostly Republican) employer has his best interests
at heart. If it weren’t for the Democrat holdouts and their unending
political posturing, we’d have had it a long time ago.
May 11th) Big business jumped on board the health care reform train
earlier this week with the announcement of the Coalition to Advance
Healthcare Reform (CAHR). No presidential candidate worth his or her
salt has failed to come out in favor of affordable high quality health
care for all Americans. (As Wharton health care economist Mark Pauly
says, “That’s like being in favor of affordable Bentleys for
everybody.”) The bandwagon has room enough for all of them: The CAHR
includes 40 big players including Safeway, Del Monte, Heinz,
Kimberley-Clark, PepsiCo, Clorox, Norfolk Southern, GlaxoSmithKline,
Aetna, Eli Lilly, Cigna and Kraft Foods.
No Mark, the Bentleys will still be owned and driven by the rich, but
we’re likely to see Fords for everyone because the employment cost of
having everyone walk to work is just too high.
There will be losers and who the losers are and how much they lose
has always been the backbreaker to any meaningful reform. Big Pharma
and Big Insurers have always muscled their way past Senate and House
receptionists to nail down their interests.
But CAHR is the long awaited hole in the dike and dissatisfied
workers didn’t cause the breach, stockholders are the ones shaking
their fists. PepsiCo isn’t about to go down the tubes because retirees
swamped their boat.
The Coalition has endorsed
five core principles to guide health care reform. Reforms must result
in a market-based health care system; individuals must carry mandated
health insurance coverage; coverage for low-income individuals will be
subsidized; reforms must include strong personal financial incentives
for adopting healthy behaviors; and the difference in tax treatment
between employer-provided and individual health insurance policies must
That’s eye-wash. Mandated by whom? Subsidized by whom? Financial incentives for healthy behavior? Are they kidding? They can get same-tax-treatment between employers and employees, but only with a single-payer (federal) system supported by the general tax base. And they know it.
They will get it. Single-payer will
- squeeze 40% of the cost out of the system,
- take 50 million uninsured off the rolls,
- unburden businesses all the way from the mom-and-pop drycleaner to General Motors (if there still is a GM).
United Airlines can fly the friendly skies instead of skidding
through the bankruptcy courts of America. The quid-pro-quo is probably
that American business and industry will have to come home and pay their taxes.
They will probably have to pay an additional ‘health tax’ of some sort
as the price to unburden themselves, but they’ll be eager as hell to do
Unburdened, they are worth additional gazillions and if a
GlaxoSmithKline here or an HMO there gets their floor waxed, so be it.
The Private Equity Market that has just recently defined itself
will be wowed. If a pharmaceutical or a health insurer takes a hit
along the way to wow, that’s just Darwinian Republicanism.
least initially, it doesn’t look as though the Coalition members are
proposing to shirk their health insurance obligations. Instead the
Coalition aims to put those responsibilities where they properly
belong—into the hands of individual Americans. If so, that would be a
big win/win for both employers and employees.
Which would be a crock and a sham, if businesses were really serious
and really meant it. But solving their health care problem for today’s
employee doesn’t solve it for retirees
and that’s where the shoe pinches. That’s like ‘solving’ social
security with an immediate annuity-based system. What about the folks
with their hand already out?
Business, large and small, is taking off their wire-rimmed glasses,
wiping their eyes and trying out the phrase–single-payer socialized
medicine. It takes a little getting used to. But so does the Ghost of Illness Yet to Come.