Advertisements

Socialized Medicine and the State of the Union

Self-described socialist Vermont Sen. Bernie Sanders has officially proposed a Medicare For All Act, which is basically a socialized single-payer insurance scheme, and although it’s not likely to become law in the near future it’s nonetheless an ominous development.
The bill already has 15 Democratic Senators signed on, including several who are considered contenders for the party’s next presidential nomination, and all the polls confirm our anecdotal evidence from conversations at the local hipster bars that the party’s increasingly leftward base is enthusiastic for the idea. For now they don’t comprise a majority of popular opinion, much less the needed congressional majorities, and there’s also a putatively Republican president to veto anything they might get passed, but the idea no longer seems so far-fetched.
Democrats have been chasing the white whale of socialized medicine for a century or so, and Republicans have been successfully fending off the bogeyman of their efforts for just as long, The left has long noted that America is alone among the industrialized nations in not offering some sort of universal health insurance, and the right has long been able to reply by noting how much longer people in those countries have to wait for a medical procedure, and how much they pay in taxes, how puny their militaries become to pay for it, how free markets are as always more efficient than the government-run variety, and all those arguments still stand.
Even the editorial board at The Washington Post acknowledges the budget-busting implications of Sander’s proposal, and such relatively centrist Democrats as recent Democratic presidential nominee Hillary Clinton are warning against Sanders’ influence on the party. The Democrats had a hard enough time getting the semi-socialized Obamacare passed with bigger majorities in congress and a more true-blue Democrat in the White House, they suffered huge electoral losses on the lower ticket right down to the city council levels as a result, and for now there are only 15 Democratic senators and the usual number of House members signed on.
That’s for now, though, and these days there’s no telling how long that will last. For four consecutive electoral cycles the Republicans gained everything but the presidency on a promise to repeal Obamacare, and on the fourth try a putatively Republican won the White House on the same promise, but so far it’s proved as impossible as ever to undo any entitlement program that has a couple of million telegenic beneficiaries. The Republicans are betting that when Obamacare inevitably fails with vast human consequences both public opinion and the Democrats will come crawling for some free market solution, and not notice they didn’t try to at least stave it off, but we wouldn’t make that bet.
Some Trump-wary Republican pundits we respect think the Democrats are lurching so far leftward with a socialized single-payer system that they’ll wind up with a ’72-style loss, but these days seem even weirder than that weird year. Once upon our young lifetimes the words “socialized medicine” were a career-ending slut, but that was before a self-described socialist won 45 percent or so of the Democratic votes. It’s not good to root for other party going to the extremes, whether you’re a Republican or a Democrat, because there’s always a good chance that your party will as well.
Those sound arguments about the inefficiencies and far-reaching costs of socialized medicine still persuade most Republicans and the more sane sorts of Democrats, but the vast majority of the country is as always susceptible to promises of coverage for everyone at a vastly lower price. We can easily believe that next time around those silly Democratic primary voters will buy it, as the last time around the Republican party nominated a candidate peddling the same snake oil. All indications are that after an illegal-immigrant-bashing campaign Trump is eager to sign the illegal-immigrant-friendly “DREAM Act” that Obama and those bigger Democratic majorities couldn’t get passed, and he’s also capitulated to the Democrats’ budget and debt ceiling proposals, so there’s no telling how he might come out on a deal to immortalize him as the man who brought universal health coverage to America.
For now, at least, there are clean-ups from the floods and “Russia” leaks and plenty of other things to worry about.

— Bud Norman

Advertisements

What’s the Symbol for Hate?

Every now and then during our drives about town we will spot a bumper sticker on another vehicle exclaiming that the motorist loves Obamacare. A heart-shaped symbol substitutes for the word “love,” as if scanning the four letters would take too much time out of our busy days, and of course there’s no room at all for an explanation of this uncommon affection.
Which is a shame, because we’d love to hear these proudly Obamacare-loving drivers state their reasons. It was easy enough to understand the enthusiasm back when the so-called Affordable Health Care Act was being pitched to an unwary public, and it was going to provide coverage to every single citizen and perhaps even a few non-citizens while allowing everyone who was satisfied with their existing plans to keep them, somehow help the employers who would suddenly be stuck with reams of new regulations, and cost the public treasury a trifling $980 billion, and lower everyone’s premiums to boot. Only the hard-hearted skeptics didn’t love that, but now that they’ve been proved right in every regard those bumper stickers are hard to comprehend.
By now those drivers should know that at least four million of the uninsured will choose to pay a fine cheaper than insurance and remain uninsured, at least seven million people with insurance will be forced off their plans whether they like them or not, employers are hoping to reduce their newly imposed costs by limiting workers’ hours, the Congressional Budget Office’s estimated tab after the budget gimmicks expired has now swelled to $1.85 trillion, and in the latest bit of vindication for the skeptics a Society of Actuaries report says the price of an insurance premium will continue to rise for most Americans. Health and Human Services Secretary Kathleen Sebelius admits that at least part of the rise is directly attributable to Obamacare, telling a group of reporters on Tuesday that “These folks will be moving into a really fully insured product for the first time, and so there may be a higher cost associated with getting into that market.”
The secretary was quick to add that some people will see their insurance costs go down and that subsidies will be available for many lower-income Americans to help them with the cost of their newly-mandated coverage, and others with a heart-on for Obamacare will no doubt find other silver linings. There seems to be an awfully dark cloud within those silver linings, though, particularly for the now-quite-lower-income Americans who will be paying both higher premiums and higher taxes as a result of the subsidies, and Obamacare’s more realistic fans are already talking about the latest round of revisions and refinements. We anticipate that they’ll find all the problems are caused by the pesky remains of a free market insurance system and that even more government control is required, and if the problems persist they’ll prescribe more of the same.
Some conservatives have argued all along that Obamacare was meant to fail to such an extent that the public would at last demand a full-fledged single payer system such as can be found in the more fashionably socialized countries. They’ve been dismissed as paranoid right wing crackpots, of course, but we knew quite a few left-wingers who giddily espouse the very same theory as the reason for their support of the bill. Those who love Obamacare for its faults tell us that fully government-run health will be wonderful, but they’re hard-pressed to explain why something that’s so obviously a good idea can’t be sold to the public without mucking things up first, and they don’t seem to have planned for the possibility that a public fed up with higher premiums and worse care might turn to Republican congressional candidates disinclined to go the Swedish route, but they’re the only ones who seem pleased with the way things are going.

— Bud Norman