I whooped with unrestrained joy when Obamacare passed in the Congress and was declared OK by the Supreme Court.
It wasn’t the national healthcare I wanted and most Western countries provide, but it was a step in that direction.
I had no clue that it would not work because its details were unworkable.
Not many members of Congress read all 381,517 words of the law they
voted for or against. There was complication enough in those.
But then came the 11,588,500 words of the special regulations. Twenty
thousand pages of those. That’s right, 20,000. Do you think our two
members of Congress and two senators read them all? Check out the photo
of the regulation pages accompanying this column.
OK, cumbersome and impossible that somebody wouldn’t run afoul of
some of those pages of regulation. But overall, we were on the road to
something akin to national healthcare, right?
Oh, then came the exemptions. This business and that union didn’t
have to comply with this or that regulation right now. But the general
citizenry would have to. Oh, the sign-up system didn’t work, so you get a
year’s exemption while it’s fixed.
Oh, wait, sorry, you can’t keep the health insurance plan you had,
when President Obama repeatedly said you could. People we all knew had
very minimal-coverage plans that could no longer be sold by
participating insurers.
Oh, and you signed up and got a subsidy because of low income. Last
year you got a better-paying job. Now you owe Uncle Sam a refund and you
don’t have that in the bank and have to borrow money. So maybe an
exemption this time? We’re up to 4 million people exempted, 3 percent of
the population — half who signed up last year.
Then there are the Medicare cuts and the quality-instead-of-quantity
care directive. Individual doctors are dumping Medicare patients. They
and hospitals are graded on results with sick patients. Great. But you
and I know many patients aren’t health-minded. They won’t change diets.
They ignore critical medicines. The issue is worse in poor and immigrant
neighborhoods.
Why should my doctor get penalized if I’ll do nothing to keep my blood pressure and weight under control?
If Medicare Advantage is forced to eliminate gym memberships, how does that help me to keep healthy?
Obamacare became a mess.
We healthcare progressives have to start acknowledging that in public.
We wanted national, single-payer healthcare.
Many of us have it. It’s already out there. It’s called Kaiser
Permanente. We could have taxed citizens and made that a shining star
system.
Not 20,000 pages. Just a slim document of your benefits. All your
medical records on one computer server. Your choice of doctors.
President Obama had the right idea.
But unlike Franklin D. Roosevelt with the Social Security Act and
Lyndon Johnson with the Civil Rights Act, he wimped out with Congress.
[so what now? Bob Jones?]
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