Health Care Reform – Facts and Fiction

 In a series of commentaries I have set forth the misconceptions, the distortions and the outright lies to which the American Public has been subjected.

  It is difficult to understand why this is being done. There are some business groups that have a stake in the status quo and I can understand their struggle to protect their profits and increase them, even if it is at the expense of the Nation's needs.

The Republican Party stands opposed, as they oppose all Democratic initiatives, because they see obstruction and denunciation as the means to further their own political fortunes. These positions are unpatriotic for even a “loyal opposition” should put the Nation’s needs ahead of their parochial ambitions.

It is harder to understand the rank and file Republicans who write columns and who write Letters to the Editor distorting the facts, for they have no “horse in the race.” They remind me of the Communists of the ‘30s and even the ’40s who followed the party line no matter where it led them.

In my posting entitled “Health Insurance Reform” posted on August 11, 2009, I set forth unassailable facts and figures to show that we do not have the “best medical care in the world.” In fact dollar for dollar we have one of the worst.

In my commentary, “Health Insurance Reform - Lies and Damned Lies” posted on 8/19/09, I called attention to some of the lies being circulated and the viscous attacks being orchestrated against reform, running the gamut from unfounded claims of “death panels”, the use of swastikas and the word “Nazi”. I waited for some Republicans out of some sort of decency, some sort of honesty, some sort of responsibility to denounce these lies but instead found them using weasel words to defend them, and sadly this included that “maverick” John McCain. I looked for Republican columnists and Letter to the Editor writers to distance themselves from the worst of these outrages, but their loyalty apparently is to their party and not their country.

In my posting, “Health Reform - Reality” posted on August 25, 2009, I quoted at length from a major brokerage house that pointed out that if nothing is done about reforming our present system, we face economic disaster.

Among the commentaries to Health Reform Realities there are three particularly worth reading. Tanya Keith and her husband, professionals, and middle class earners who had insurance set forth the disasters that befell them because of our crazy quilt system.

Nicole Scheller, a recent mother, in another comment to Health Reform Realities related her horrific experiences with trying to gain coverage from her insurance company after she had her baby. No facts, no personal disasters, move these opponents. They keep inventing dangers from reform that must emanate from their own nightmares, or from the Right wing nut factory, for they have no basis in reality.

Roger Berkley is a small business man but with a business much larger than Tanya’s. He employs about 200 people. He tells at length what is happening to him under the present system. His is in the form of a podcast and I particularly commend the antepenultimate message entitled: Healthcare: The Great American Boondoggle, though the two following are also worth listening to.

One widely circulated e-mail about that the Democratic bill, claims that it “would cede vast powers to a “Health Choices Commissioner”. Where do they get such nonsense? I investigated these claims on the web. It appears that this one is just another one of the endless e-mails on all kinds of subjects that are circulated, and I have received many, that are out and out lies, but which naïve people are impressed with, and they hit the forward button. Snopes.com is a web site that specializes in exposing such e-mails. I suggest to the reader that they go here for the top 25. If nothing else it will be good for a laugh. But what about the “Health Choices Commissioner”? This one is dealt with at length by PolitiFact.com that won the Pulitzer Prize in 2009, and they point out that this lie originated in what may be the “longest chain e-mail ever received” filled completely with falsehoods about the bill pending in Congress.

The only part of this e-mail that is true is that the bill provides for the creation of a Health Choices Commissioner. This is part of the Health insurance exchange that is to be set up to create a market place for insurance shoppers. The bill says that a Health Choices Commissioner will run the exchange, and that he or she will make sure that insurers are offering basic benefits and adhering to the regulations. Individuals then choose their own plan from offerings on the exchange. To the extent that insurance plans have to meet basic requirements, those instructions are ultimately coming from Congress. See here for a discussion of this, and for those who want to really know what is and what is not in the bill.

But as usual the liars are ahead of the game. The truth has to always play catch-up, and for many people the truth never catches up with the fears engendered.

I have been wanting to discuss the merits and demerits of the few suggestions that have been offered by Republicans, but so much space has to be devoted to rebutting lies, that there is little left for an honest discussion.

Is a public option desirable? What are the true pros and cons? But even beyond this, if this is the Republican main concern, as it appears to be, let them say, “if you take this off the table we will join you in reform.” But if no concessions will bring them on board, then action must proceed without them, or with such few as allow patriotism to trump partisanship.

If medical malpractice reform is the hang-up, Obama has already met them more than halfway. But except for space limitations, I could show this to be a red herring. What we need to do away with is malpractice, not the right to recover for those injured. This is not a right of lawyers, though to be sure they benefit; it is a right of the injured. If a surgeon amputates the wrong leg am I to be denied an adequate remedy?

Are we all agreed that people with medical pre-conditions should not be discriminated against? If not, let’s debate that.

But stop the lies! Stop the smears! Stop the innuendo!

Debate is good. But opponents of reform don’t want to debate, they don’t want to discuss, they don’t want to compromise. They want delay till hell freezes over. They want the status quo, and the status quo is not sustainable. The status quo spells disaster for the country.

Finally, I commend to the reader the article by Hendrick Herzberg in the curreent issue of the New Yorker.