In order to stay in power, authoritarians need power concentrated into the hands of a small plutocracy. As long as there is a middle class in a free society, there will be always be challenges to an authoritarian. So ending healthcare is another way to make the middle class weaker, which is the authoritarian’s goal. Trump’s friends don’t worry about paying for their own healthcare. The super-rich can pay and Congress has its own policy.
If we, the middle-class and lower class Americans, get sick and die -that’s a win for Trump and his GOP. If we are too busy staying alive to summon the energy challenge him, that’s also a win for Trump and the GOP. The demise of a healthy middle class is their main goal! Why? Without a middle class, the ruling class can stay in power. That’s also what they have in Russia, North Korea and China!
Trump wants to stay in power for life. He has even said so. Trump wants to stay in power for life because he knows he stole the election and has been stiffing the US government of taxes all his life. If he must see justice, the Trump Organization and the Trumps will be broken. It’s that simple.
What is healthcare? The way we usually refer to healthcare, we don’t speak of actually taking care of anyone’s health. We speak about how to pay for doctors.
But there is no such thing as a free lunch. It’s a metaphor. Let’s go over that.
Doctors and hospitals have expenses and must make a living. People get sick and need their services.
Ideally, if people paid doctors directly, there would be no need for insurance. But, costs are so high for many treatments, and very few can afford to pay for some of these treatments directly.
So, healthy people and younger people pay monthly into a pool, so when and if they are sick, there will be funds there for them. That is insurance. The only things that can affect the costs of the services are these.
#1 – The profit percentage and actual cost of the administration, whether it be by a private company or a government agency, is the real cost to consumers.
Private insurers have an obligation to make profits to share with their investors. Private insurance company profits tend to be unregulated and hence we, as consumers, pay more for private insurance.
The GOP likes to cite administrative waste as the bad issue with government run insurance. But in the end, this is simple math. People must be paid to “administrate” claims – and there is no reason to believe a private company can do it for less than a government agency.
#2. Bring down costs of the actual care. Note that a private company has no incentive to bring down costs. They are only interested in their bottom line, which goes up as things become more expensive. I’d like a private insurer to explain how they have, in the past, brought down the cost of health care. They have not. It’s quite the opposite.
#3. Incentives for people to get healthier. Yes, that works. But again, what incentive does a private company have for that? None. And do they do it? Not at all. Yes, people are often responsible for their own health, but not always.
#4 Change what is not covered. By covering less diseases and by excluding pre-existing conditions, one can get costs down for healthier people, but the cost is that many are left to stay sick or die. This is not compassionate. This is not Christian. This is not what America is all about. Americans know this.
And this is what the GOP is pushing right now. The GOP pushes it because they are sold out to the insurance companies and big pharma. They do not represent out interests as Americans. This is why they want to repeal before they replace.
The GOP knows very well they have no interest in doing anything better for Americans. They know the diagram. They are hoping Americans are that stupid. What did Trump say? “How stupid are Iowans? If they cared about anyone but their own selves, they would create a replacement before they repeal the ACA.
It’s OK. They won’t last 2 years if they repeal the ACA. In fact, I don’t think they will last 2 years anyway. They have shown their true colors. Trump is being exposed for the scoundrel he has always been.
#5. Lobbying for big pharma and insurance companies results in bribing government officials to protect company profits. This results in them getting what they want for their bottom lines, while people get the short end of the stick. Lobbying must end.
Conclusion: There are no reasons that private companies can administer a risk pool for less than another body of people called a government agency. Private companies have a duty to make large profits for shareholders. There is no evidence that private companies have in the past, been effective at getting doctors and big phama to ask for less for their services.
Evidence in world markets show that Americans pay more for health care and are also less healthy than folks in many other countries that use a single payer method of administration.
The ACA was not perfect but it was better than what we had before.
We can make it better.
There are only two reasons that the GOP wants to end the ACA.
#1 The GOP is sold out to big pharma and insurance companies. They cannot change the costs of actual treatments.
#2 Donald Trump said he would end Obamacare. He wants to get it done so he looks like less of a liar to his base. He’s always been a liar. His base is catching on. Hopefully, Americans are not quite as dumb as Donny thinks they are.