By Manifesto Joe
It's not news by now that the Obama administration made a huge logistical mistake in the rollout of the new health care law. But the Republicans want you to pay no attention to that man behind the curtain. "Obamacare" is indeed a half-assed solution to the health care crisis, but the "GOP" has nothing, I repeat, absolutely nothing, to offer as an alternative. They simply want to go back to the way things were, and still are, with people getting turned down for "pre-existing conditions" and insurance companies stealing hard-earned money from healthy people with all those subpar policies.
But in California, often the country's "social leader," the "GOP" has found an even slimier way to sabotage health care reform. They have put up a fake website discouraging people from getting insurance. Here's a link to a Daily Kos story that gives the details.
There is absolutely nothing that this scum won't do. They are desperate for an issue. After the failure of things like the Benghazi attack, this is what these slimeballs have seized upon. Their villainy seems to know no low point.
Manifesto Joe Is An Underground Writer Living In Texas.
Showing posts with label health care reform. Show all posts
Showing posts with label health care reform. Show all posts
Wednesday, December 4, 2013
Saturday, November 16, 2013
The Real Problem Right-Wingers Have With 'Obamacare:' It Requires Insurers To Insure
By Manifesto Joe
It's obvious that President Obama made a big political -- I repeat, political -- mistake in selling his health care plan. And he should never have put any trust in computer geeks -- such people nowadays hold the Earth hostage to their "expertise," while in reality they are often among the most titanic fools on the planet. (Not only do their initial programs sometimes not work, they are forever changing programs that worked fine as they were. It seems that they never heard the old wisdom that if it works, DON'T FIX IT!)
But the Mainstream Media are failing to tell the entire story, which is, of course, nothing unusual. Obviously Fox News gives a distorted picture; that's their job as a right-wing propaganda instrument. But the MSM aren't doing a good job on this issue, either.
This isn't the case with everyone, but many of the plans that commercial "insurers" are canceling are "junk" insurance, policies that offer very limited "coverage" and would leave the "insured" in incredible binds if they actually needed things like hospitalization and such. The reason such "plans" are being canceled is that they don't meet the minimum standards that the Affordable Care Act set forth.
I got to see the flip side of this issue very recently, having been unemployed for 27 weeks. (Oh, and I still haven't been paid for the last week of that, and never will be -- thanks so much, Texas Workforce Commission.) I went with the expensive COBRA plan I was left with after being laid off, but went looking for cheaper alternatives to COBRA, in case I was jobless longer than I was.
In the first place, it was very hard to find anyone who would "insure" me at a reasonable price. I have asthma and allergies, and I take meds for high blood pressure. I was 56 at the time, too. If you're not absolutely healthy, you are usually rejected just for pre-existing conditions such as those. And they don't like older people, either.
The companies that would write me a "policy" were willing to write me junk. I was accepted by one company, then found out much to my horror that they didn't even offer a prescription drug plan to a customer who was willing to pay them over $400 a month. What they had was a discount "plan" that one can obtain cheaply at any retail pharmacy like Walgreens. And they wanted "mo' money" for that? I refused to pay these greedy scumbags one penny and canceled with them post haste.
Anyway, I wasn't making much headway at finding alternatives to COBRA, until I finally landed a job with benefits. Unlike many Americans, I was somewhat lucky.
But I got a good look at what's out there for people who buy their own health "insurance" a la carte, and it's dismal. It's either too expensive, or it doesn't cover jack shit.
For more details, here's a link to a story in Mother Jones magazine that presents more of the real picture.
The bottom line is that the insurance companies have been ripping Americans off for many decades. "Obamacare," minus the public option, was only a partial solution to the problem. It never was anything else. It was simply what Obama could manage to get through a Congress that is partially owned by the greedy, ruthless insurance companies.
WHAT HAPPENS IF THE REPUBLICANS SUCCEED?
It's pretty obvious, from all the political hay that they're making, is that the downtrodden Republican Party, ever desperate these days for an issue, is playing this up for all they can. It's their goal to derail the Affordable Care Act. In my own state, Gov. Rick "El Pendejo" Perry is absolutely refusing to cooperate with this law's implementation.
There are other sinister things going on, like Koch brothers-financed booths on college campuses, passing out free beer in trying to persuade young people not to buy health insurance, but rather just risk getting sick.
If "Obamacare" is derailed, then what? Well, it looks like we'll go back to the way things have been for decades. You know -- up to 50 million Americans uninsured, up to 30 million more underinsured, people with pre-existing conditions denied coverage, insurance companies getting obscenely rich while putting out little or nothing in return, people who do have health insurance paying higher premiums and higher taxes to cover the cost of uninsured people with their visits to ERs and charity hospitals. You know -- the very conditions that led to the passage of the half-ass "Obamacare" program in the first place.
I'm not an optimist. But what this all may mean is that, perhaps within a decade, Americans will at last get what they should have gotten long ago: Medicare-E (Medicare for Everybody). A single-payer system is the only solution to this travesty. But of course, what that means is that some people will simply have to die off, so that less brainwashed voters can force this to become law.
Let's face it -- the United States is the last, I repeat the very last, developed country on Earth that doesn't have a national health care system. We wouldn't have to do it the way everybody else has done it. Doctors and other providers don't have to become employees of a national service, the way it is in more "socialized" systems. In America, we can style it our own way.
But "free market" arguments don't wash on most points, and certainly not where health care is concerned. If I have a catastrophic illness, I'm not going to be in a position of shopping around for the best prices on doctors, hospitals, ambulances, etc., like some Arab trader. I'm going with whomever can take my case ASAP, with money as no object. (But of course, it's certainly the object, and the objective, of "providers" and "insurers." And they take everything that isn't nailed down.)
Perhaps you have noticed that among all the other developed countries on Earth, none, not one, of them seeks to emulate the American health care system. Interviews in those countries indicate that their people generally think Americans are just plain fucking crazy to have tolerated this shit for decade after decade.
I understand that one of the sticking points of "Obamacare" is that it requires coverage for mental health ailments. I hate to say such hurtful things, but in the case of many Americans, that strikes me as a pretty good idea.
Manifesto Joe Is An Underground Writer Living In Texas.
It's obvious that President Obama made a big political -- I repeat, political -- mistake in selling his health care plan. And he should never have put any trust in computer geeks -- such people nowadays hold the Earth hostage to their "expertise," while in reality they are often among the most titanic fools on the planet. (Not only do their initial programs sometimes not work, they are forever changing programs that worked fine as they were. It seems that they never heard the old wisdom that if it works, DON'T FIX IT!)
But the Mainstream Media are failing to tell the entire story, which is, of course, nothing unusual. Obviously Fox News gives a distorted picture; that's their job as a right-wing propaganda instrument. But the MSM aren't doing a good job on this issue, either.
This isn't the case with everyone, but many of the plans that commercial "insurers" are canceling are "junk" insurance, policies that offer very limited "coverage" and would leave the "insured" in incredible binds if they actually needed things like hospitalization and such. The reason such "plans" are being canceled is that they don't meet the minimum standards that the Affordable Care Act set forth.
I got to see the flip side of this issue very recently, having been unemployed for 27 weeks. (Oh, and I still haven't been paid for the last week of that, and never will be -- thanks so much, Texas Workforce Commission.) I went with the expensive COBRA plan I was left with after being laid off, but went looking for cheaper alternatives to COBRA, in case I was jobless longer than I was.
In the first place, it was very hard to find anyone who would "insure" me at a reasonable price. I have asthma and allergies, and I take meds for high blood pressure. I was 56 at the time, too. If you're not absolutely healthy, you are usually rejected just for pre-existing conditions such as those. And they don't like older people, either.
The companies that would write me a "policy" were willing to write me junk. I was accepted by one company, then found out much to my horror that they didn't even offer a prescription drug plan to a customer who was willing to pay them over $400 a month. What they had was a discount "plan" that one can obtain cheaply at any retail pharmacy like Walgreens. And they wanted "mo' money" for that? I refused to pay these greedy scumbags one penny and canceled with them post haste.
Anyway, I wasn't making much headway at finding alternatives to COBRA, until I finally landed a job with benefits. Unlike many Americans, I was somewhat lucky.
But I got a good look at what's out there for people who buy their own health "insurance" a la carte, and it's dismal. It's either too expensive, or it doesn't cover jack shit.
For more details, here's a link to a story in Mother Jones magazine that presents more of the real picture.
The bottom line is that the insurance companies have been ripping Americans off for many decades. "Obamacare," minus the public option, was only a partial solution to the problem. It never was anything else. It was simply what Obama could manage to get through a Congress that is partially owned by the greedy, ruthless insurance companies.
WHAT HAPPENS IF THE REPUBLICANS SUCCEED?
It's pretty obvious, from all the political hay that they're making, is that the downtrodden Republican Party, ever desperate these days for an issue, is playing this up for all they can. It's their goal to derail the Affordable Care Act. In my own state, Gov. Rick "El Pendejo" Perry is absolutely refusing to cooperate with this law's implementation.
There are other sinister things going on, like Koch brothers-financed booths on college campuses, passing out free beer in trying to persuade young people not to buy health insurance, but rather just risk getting sick.
If "Obamacare" is derailed, then what? Well, it looks like we'll go back to the way things have been for decades. You know -- up to 50 million Americans uninsured, up to 30 million more underinsured, people with pre-existing conditions denied coverage, insurance companies getting obscenely rich while putting out little or nothing in return, people who do have health insurance paying higher premiums and higher taxes to cover the cost of uninsured people with their visits to ERs and charity hospitals. You know -- the very conditions that led to the passage of the half-ass "Obamacare" program in the first place.
I'm not an optimist. But what this all may mean is that, perhaps within a decade, Americans will at last get what they should have gotten long ago: Medicare-E (Medicare for Everybody). A single-payer system is the only solution to this travesty. But of course, what that means is that some people will simply have to die off, so that less brainwashed voters can force this to become law.
Let's face it -- the United States is the last, I repeat the very last, developed country on Earth that doesn't have a national health care system. We wouldn't have to do it the way everybody else has done it. Doctors and other providers don't have to become employees of a national service, the way it is in more "socialized" systems. In America, we can style it our own way.
But "free market" arguments don't wash on most points, and certainly not where health care is concerned. If I have a catastrophic illness, I'm not going to be in a position of shopping around for the best prices on doctors, hospitals, ambulances, etc., like some Arab trader. I'm going with whomever can take my case ASAP, with money as no object. (But of course, it's certainly the object, and the objective, of "providers" and "insurers." And they take everything that isn't nailed down.)
Perhaps you have noticed that among all the other developed countries on Earth, none, not one, of them seeks to emulate the American health care system. Interviews in those countries indicate that their people generally think Americans are just plain fucking crazy to have tolerated this shit for decade after decade.
I understand that one of the sticking points of "Obamacare" is that it requires coverage for mental health ailments. I hate to say such hurtful things, but in the case of many Americans, that strikes me as a pretty good idea.
Manifesto Joe Is An Underground Writer Living In Texas.
Tuesday, December 29, 2009
From Joe's Vault: On Natural Monopolies
Joe's been kicking back a little during the holidays, but an old post seems relevant now in light of the health care debate. And, having noticed that Texans are now paying much higher electric rates than our neighbors are, even after we deregulated, this seems all the more relevant. From Sept. 28, 2007:
By Manifesto Joe
The late Molly Ivins once wrote something to the effect that after a service is deregulated, the result is that people often discover why it was regulated in the first place.
For 30 years, the "Priesthood of the Free Market" has been hellbent to sell Americans on the deregulation and privatization of damn near everything. Their progress has been astonishing. Even the Iraq war seems to have been about half outsourced.
After considering the deregulation of the electricity market, I am inclined to look beyond the "true believers" of the free market, and toward those whose only true belief is in maximization of profits, no matter the cost to anyone else. Remember the story of the Trojan Horse?
But the tide may finally be turning. It appears that many officials in states where electricity has been deregulated (about a third have done so) have come to similar conclusions as the late Molly.
The Sept. 21 online edition of the Fort Worth Star-Telegram reported:
Support for electric deregulation has dramatically fallen among the nation's utility regulators, with one-third in deregulated states expressing the likelihood of some sort of re-regulation, according to a new survey.
Conducted in conjunction with Standard & Poor's, the telephone survey of 96 state utility regulators also showed a plurality answering "none" when asked which states operate the most successful deregulated market. ...
Tim Morstad, an analyst with AARP-Texas ... said the poll should some as no surprise to anyone who pays a light bill in Texas. ...
"The rest of the country is figuring out what Texas consumers already know, that deregulation fails to deliver lower rates and better service," he said. ...
The survey also found that 43 percent of regulators in states with deregulation say it does not work well, and 37 percent said it does. Moreover, 54 percent of regulators in states with deregulation report that re-regulation is likely.
Texas is far from the only state where ratepayers have seen this kind of deception. This is from an article carried by The Associated Press in April:
BENTON, Ill. --This wasn't supposed to happen with deregulation. Electric bills were supposed to go down. Instead, Ellie Dorchincez can almost see the dollars evaporating every time she turns on the lights or opens the freezer at her small Farm Fresh grocery store.
Her electric bill, which used to be about $800 a month, has jumped to $1,800. ...
The cause of her distress is a common problem: the failure of deregulation to deliver its promise of lower electricity prices. In many states, it's had the opposite effect with sharply higher rates -- 72 percent in Maryland, up to 50 percent in Illinois.
Not one of the 16 states -- plus the District of Columbia -- that have pushed forward with deregulation since the late 1990s can call it a success. In fact, consumers in those states fared worse than residents in states that stuck with a policy of regulating their power industries.
An Associated Press analysis of federal data shows consumers in the 17 deregulated areas paid an average of 30 percent more for power in 2006 than their counterparts in regulated states. That's up from a 24 percent gap in 1990.
The idea was to move from a monopoly situation to robust competition for electric customers, with backers promising potentially lower rates in state after state. ...
But competition, especially for residential and small business customers, rarely emerged. ...
Consumer groups ... say deregulation has had a chance to prove itself. In Texas, for example, competition did develop after rate caps ended -- but the energy prices remained higher.
In Robert Kuttner's now-classic 1998 book Everything for Sale: The Virtues and Limitations of Markets, the economist wrote (p. 228):
We regulate some industries because they work more efficiently as monopolies. It would be wasteful and duplicative to have two parallel gas pipelines, two sets of telephone poles, two parallel rail lines, or two electric grids. Neither supplier could cover his costs by running at half-capacity, and both would soon have to raise prices or go out of business. Left alone, one would likely absorb the other. ...
Once we tolerate a monopoly, the producer is no longer subject to the discipline of competition. ... in principle the consumer is free not to buy the product. But in many natural monopolies, such as electricity, water, and transit, the product is a virtual necessity, and consumer demand is fairly inelastic; hence the consumer cannot discipline the monopolist.
Enter those godless socialists, the regulators. But I suspect that by now there are many God-fearing ratepayers in Texas and many other states who wish to God they had those crypto-Marxists back.
I reluctantly stuck with Reliant Energy here in the Lone Star State, in part just to see what they would do after the latest phase of deregulation. You know, like, to test the classical economic theory. Silly me. I went from paying 13.3 cents per kilowatt hour to 14.5 cents -- and the latter during the worst heat of the Texas summer. I'm certain, of course, that this was just a coincidence. I'm nevertheless switching to a "competitor" -- but not holding my breath for much improvement.
I posted this comment on a great blog, Red Hog Diary, about the health-care issue. But I think it also says a bit about natural monopolies that is salient:
A good incision sometimes works wonders. I'm going to try one.
The crucial thing so many seem to miss, and that populations of every developed country other than the U.S. have eventually understood, is that health care isn't a sector of the economy that is governed by a classical market mechanism. It's mostly what is termed a natural monopoly.
There are circumstances when one can make certain consumer choices. But if you've ever been picked up by an ambulance in what seemed like a life-threatening situation, you're not going to be able to shop around for the best room rates at the hospitals. Not if you want to live. Once you're in a hospital, you have to take it pretty much the way they offer it. It ain't like showing up at a flea market, haggling with the merchants like an Arab trader.
What I see is a fundamental mistake of people trying to apply classical economics to a sector that has never -- ever -- shown the appropriate characteristics for that. The rest of the world understands this. Even if they bitch about the particulars of their government systems, ask yourself why they aren't moving toward any emulation of ours.
Although I digress a bit -- these "thinkers" make the same mistake with utility deregulation. Where I live, under deregulation, I'm paying considerably more for electrical power now. It is another example of a natural monopoly. I can't play off two electrical grids against each other for lower rates, any more than I can do that between hospitals when I'm sick.
And, of course, I'm paying more for health care. Much, much more, outpacing inflation. Every passing year. And more for electricity. And more for medicine ... Get the picture?
I shouldn't leave this subject without noting that there is evidence of considerable chicanery by utility corporations left in charge of the proverbial henhouse. This is from an April 11 article in the online edition of the San Antonio Express-News:
Last week, TXU executives, facing a $210 million state fine for alleged price manipulations in the summer of 2005, threatened to withhold power by shutting down natural-gas-powered electricity plants if the allegations were not dropped.
That's so Enron. That kind of abusive management mentality went out of style with the Enron implosion of 2001. (It did? -- MJ)
The group of investors trying to buy TXU had to scold the TXU executives into withdrawing the threat a few days later. The executives' capitulation indicates that the potential buyers are deciding policy at TXU headquarters these days.
I have no argument whatsoever with market approaches that are genuinely competitive, socially responsible and deliver the goods in the best possible way. Ideally, the relationship between markets and governments is symbiotic: governments providing the infrastructure markets depend on to thrive, and strong markets supplying governments with the tax base they need in order to deliver on their end. Government entities can be maddeningly inefficient, but I've worked for large corporations that seemed to be trying to compete with them on that score.
This is how the prosperous economies of developed countries have really been built -- with a mixed system. (This World Wide Web: courtesy of the government. Look it up.)
As economist Kuttner wrote:
Faith in idealized market structures also has spawned a political jihad intent upon stripping away the community and governmental safeguards against market abuses and imperfections -- safeguards that are essential to the modern American system constructed during the Great Depression and after World War II. In addition, an overtly and proudly selfish ideology finances and propels the drive to cut taxes on the wealthy, punch holes in the social safety net, and "unchain" business from the shackles of regulation and litigation. The conservative catechism castigates those who would "reward need" by supporting public programs for the poor and, at its most radical, even rejects Adam Smith's conviction that the state must provide the bedrock of the educational and physical infrastructure of an industrialized society.
Plainly, utilities are usually natural monopolies, and Americans were ripped off en masse when the "Priesthood" sold so many on electric deregulation.
The corporate Trojan Horse is inside the gates, but it's not too late to drag it back out. It's just a shame that we the people, and more importantly our lawmakers, have to keep "relearning" these hard lessons.
R.I.P., Dear Molly. You saw this coming years ago, and you told us so.
Manifesto Joe Is An Underground Writer Living In Texas.
By Manifesto Joe
The late Molly Ivins once wrote something to the effect that after a service is deregulated, the result is that people often discover why it was regulated in the first place.
For 30 years, the "Priesthood of the Free Market" has been hellbent to sell Americans on the deregulation and privatization of damn near everything. Their progress has been astonishing. Even the Iraq war seems to have been about half outsourced.
After considering the deregulation of the electricity market, I am inclined to look beyond the "true believers" of the free market, and toward those whose only true belief is in maximization of profits, no matter the cost to anyone else. Remember the story of the Trojan Horse?
But the tide may finally be turning. It appears that many officials in states where electricity has been deregulated (about a third have done so) have come to similar conclusions as the late Molly.
The Sept. 21 online edition of the Fort Worth Star-Telegram reported:
Support for electric deregulation has dramatically fallen among the nation's utility regulators, with one-third in deregulated states expressing the likelihood of some sort of re-regulation, according to a new survey.
Conducted in conjunction with Standard & Poor's, the telephone survey of 96 state utility regulators also showed a plurality answering "none" when asked which states operate the most successful deregulated market. ...
Tim Morstad, an analyst with AARP-Texas ... said the poll should some as no surprise to anyone who pays a light bill in Texas. ...
"The rest of the country is figuring out what Texas consumers already know, that deregulation fails to deliver lower rates and better service," he said. ...
The survey also found that 43 percent of regulators in states with deregulation say it does not work well, and 37 percent said it does. Moreover, 54 percent of regulators in states with deregulation report that re-regulation is likely.
Texas is far from the only state where ratepayers have seen this kind of deception. This is from an article carried by The Associated Press in April:
BENTON, Ill. --This wasn't supposed to happen with deregulation. Electric bills were supposed to go down. Instead, Ellie Dorchincez can almost see the dollars evaporating every time she turns on the lights or opens the freezer at her small Farm Fresh grocery store.
Her electric bill, which used to be about $800 a month, has jumped to $1,800. ...
The cause of her distress is a common problem: the failure of deregulation to deliver its promise of lower electricity prices. In many states, it's had the opposite effect with sharply higher rates -- 72 percent in Maryland, up to 50 percent in Illinois.
Not one of the 16 states -- plus the District of Columbia -- that have pushed forward with deregulation since the late 1990s can call it a success. In fact, consumers in those states fared worse than residents in states that stuck with a policy of regulating their power industries.
An Associated Press analysis of federal data shows consumers in the 17 deregulated areas paid an average of 30 percent more for power in 2006 than their counterparts in regulated states. That's up from a 24 percent gap in 1990.
The idea was to move from a monopoly situation to robust competition for electric customers, with backers promising potentially lower rates in state after state. ...
But competition, especially for residential and small business customers, rarely emerged. ...
Consumer groups ... say deregulation has had a chance to prove itself. In Texas, for example, competition did develop after rate caps ended -- but the energy prices remained higher.
In Robert Kuttner's now-classic 1998 book Everything for Sale: The Virtues and Limitations of Markets, the economist wrote (p. 228):
We regulate some industries because they work more efficiently as monopolies. It would be wasteful and duplicative to have two parallel gas pipelines, two sets of telephone poles, two parallel rail lines, or two electric grids. Neither supplier could cover his costs by running at half-capacity, and both would soon have to raise prices or go out of business. Left alone, one would likely absorb the other. ...
Once we tolerate a monopoly, the producer is no longer subject to the discipline of competition. ... in principle the consumer is free not to buy the product. But in many natural monopolies, such as electricity, water, and transit, the product is a virtual necessity, and consumer demand is fairly inelastic; hence the consumer cannot discipline the monopolist.
Enter those godless socialists, the regulators. But I suspect that by now there are many God-fearing ratepayers in Texas and many other states who wish to God they had those crypto-Marxists back.
I reluctantly stuck with Reliant Energy here in the Lone Star State, in part just to see what they would do after the latest phase of deregulation. You know, like, to test the classical economic theory. Silly me. I went from paying 13.3 cents per kilowatt hour to 14.5 cents -- and the latter during the worst heat of the Texas summer. I'm certain, of course, that this was just a coincidence. I'm nevertheless switching to a "competitor" -- but not holding my breath for much improvement.
I posted this comment on a great blog, Red Hog Diary, about the health-care issue. But I think it also says a bit about natural monopolies that is salient:
A good incision sometimes works wonders. I'm going to try one.
The crucial thing so many seem to miss, and that populations of every developed country other than the U.S. have eventually understood, is that health care isn't a sector of the economy that is governed by a classical market mechanism. It's mostly what is termed a natural monopoly.
There are circumstances when one can make certain consumer choices. But if you've ever been picked up by an ambulance in what seemed like a life-threatening situation, you're not going to be able to shop around for the best room rates at the hospitals. Not if you want to live. Once you're in a hospital, you have to take it pretty much the way they offer it. It ain't like showing up at a flea market, haggling with the merchants like an Arab trader.
What I see is a fundamental mistake of people trying to apply classical economics to a sector that has never -- ever -- shown the appropriate characteristics for that. The rest of the world understands this. Even if they bitch about the particulars of their government systems, ask yourself why they aren't moving toward any emulation of ours.
Although I digress a bit -- these "thinkers" make the same mistake with utility deregulation. Where I live, under deregulation, I'm paying considerably more for electrical power now. It is another example of a natural monopoly. I can't play off two electrical grids against each other for lower rates, any more than I can do that between hospitals when I'm sick.
And, of course, I'm paying more for health care. Much, much more, outpacing inflation. Every passing year. And more for electricity. And more for medicine ... Get the picture?
I shouldn't leave this subject without noting that there is evidence of considerable chicanery by utility corporations left in charge of the proverbial henhouse. This is from an April 11 article in the online edition of the San Antonio Express-News:
Last week, TXU executives, facing a $210 million state fine for alleged price manipulations in the summer of 2005, threatened to withhold power by shutting down natural-gas-powered electricity plants if the allegations were not dropped.
That's so Enron. That kind of abusive management mentality went out of style with the Enron implosion of 2001. (It did? -- MJ)
The group of investors trying to buy TXU had to scold the TXU executives into withdrawing the threat a few days later. The executives' capitulation indicates that the potential buyers are deciding policy at TXU headquarters these days.
I have no argument whatsoever with market approaches that are genuinely competitive, socially responsible and deliver the goods in the best possible way. Ideally, the relationship between markets and governments is symbiotic: governments providing the infrastructure markets depend on to thrive, and strong markets supplying governments with the tax base they need in order to deliver on their end. Government entities can be maddeningly inefficient, but I've worked for large corporations that seemed to be trying to compete with them on that score.
This is how the prosperous economies of developed countries have really been built -- with a mixed system. (This World Wide Web: courtesy of the government. Look it up.)
As economist Kuttner wrote:
Faith in idealized market structures also has spawned a political jihad intent upon stripping away the community and governmental safeguards against market abuses and imperfections -- safeguards that are essential to the modern American system constructed during the Great Depression and after World War II. In addition, an overtly and proudly selfish ideology finances and propels the drive to cut taxes on the wealthy, punch holes in the social safety net, and "unchain" business from the shackles of regulation and litigation. The conservative catechism castigates those who would "reward need" by supporting public programs for the poor and, at its most radical, even rejects Adam Smith's conviction that the state must provide the bedrock of the educational and physical infrastructure of an industrialized society.
Plainly, utilities are usually natural monopolies, and Americans were ripped off en masse when the "Priesthood" sold so many on electric deregulation.
The corporate Trojan Horse is inside the gates, but it's not too late to drag it back out. It's just a shame that we the people, and more importantly our lawmakers, have to keep "relearning" these hard lessons.
R.I.P., Dear Molly. You saw this coming years ago, and you told us so.
Manifesto Joe Is An Underground Writer Living In Texas.
Tuesday, December 22, 2009
On Health Care: For Democrats, The Glass Is Half-Full; For Republicans, 'The Glass Is Mine'
By Manifesto Joe
Two votes down, one to go. It now looks certain that the maximum-diluted, piss-poor Senate version of "health care reform" will pass, and that some sort of conference-approved bill will make it to Barack Obama's desk.
There's not much meaningful left in the bill -- but something is better than nothing. Despite unhappiness among people like me, those who would heartily favor national single-payer, there are now no dissenters among the 60 Senate votes in the Democrats' bloc. Even Bernie Sanders (I-Vt.), who has described himself as a socialist, has apparently decided that this beats the status quo.
I'm not even a socialist; I'm a Keynesian. Yet my first instinct about this was to say, hell no. Then I thought some more.
There are some reasons why all 40 Senate Republicans are voting, as a bloc, against this. The denial of coverage for pre-existing conditions, one of the most heinous of the insurance companies' practices, would be banned. An estimated 30 million Americans would be able to get shitty private health insurance, with subsidies for those who can't afford it. SOMEBODY with plenty of juice doesn't want this passed -- they're just thankful that it wasn't real, far-reaching reform.
The Republicans, typically disingenuous, are doing a lot of posturing and posing on what they depict as a moral high ground. In a rare moment of genuine wit, Sen. John McCain, R-Ariz., called the Medicaid deals that were perhaps cut for Sen. Mary Landrieu's (D-La.) vote "The Louisiana Purchase."
Good for a chuckle, but come now -- Republicans never cut any deals like that to get legislation passed? It was recalled among TV journalists, at least those who actually possess memories, that Texas' own Tom "Twinkle Toes" DeLay, back in his infamous days as The Hammer of the House, came under fire for cutting deals like that in order to get the necessary votes for passage of Medicare drug coverage.
Granted, we've had some stinky bloodwurst made here, but a certain number of human lives will be saved because of it.
And, the issue won't go away. Monopoly insurers and Big Pharm are still screwing millions upon millions of us, with big profits going to their stockholders. I've been through the mill with them at workplaces -- Aetna, Blue Cross-Blue Shield, United HealthCare, etc. -- ostensibly competitors, but they certainly don't do price competition. Your employer is typically under contract for a calendar year. And, if they go to the expense and hassle of switching providers, they get pretty much the same deal from the "competition." Take it or leave it, MFs.
Something is better than nothing. In 1965, Medicare was passed for the growing population 65 and older. It's in trouble now because people don't want to pay the taxes to support it, and because crooked providers often find ways to bilk the system. But my wife and I have both been caretakers for sick, elderly people. I say, go ahead and cuss that single-payer Medicare system all you want -- that is, until you need it. Then it becomes something you can't figure out how people ever did without. I've got a big hint for those folks -- look at U.S. life expectancy, pre-1965 and post-1965. (And we're not even one of the best countries in that department -- about 42nd. Want to guess why that is?)
I repeat, something is better than nothing. LBJ couldn't get single-payer for all Americans through Congress. So he and the Democrats of the time (hey, and even a few Republicans, back when that party had moderates) did what they could do.
The fight for real reform is some years away. I'd hoped that, amid what is being called The Great Recession, enough people had become uncomfortable enough to have an epiphany -- that throughout the rest of the developed world, even conservatives realize that health care shouldn't be dominated by the profit motive.
But not quite enough people became that uncomfortable, and even some who did interpreted their pain in a back-asswards way, deciding that their taxes are too high while remarkably oblivious about their premiums and co-payments. And of course, the lobbies for Big Pharm and Big Insurance are the best that money can buy.
Some 56 senators, plus four who apparently had to be bought, are apparently going to deliver something, as opposed to nothing. So, let's get on with it, and see what tomorrow brings. Happy holidays.
Some related links:
Economist Robert Reich pretty much sums up my sentiments about this health care debacle. We're definitely on the same page.
The most magnificent Keith Olbermann sums up my initial reaction to this outcome. My source of disagreement is that, at 53, my days of idealism are long past.
And finally, Big Pharm has opened up a whole new door to obscene profits by doping up little kids, as well as their parents, with psychiatric drugs.
Break out that eggnog -- the real stuff. That's a much older panacea, and it probably won't kill you any quicker. Season's greetings.
Manifesto Joe Is An Underground Writer Living In Texas.
Two votes down, one to go. It now looks certain that the maximum-diluted, piss-poor Senate version of "health care reform" will pass, and that some sort of conference-approved bill will make it to Barack Obama's desk.
There's not much meaningful left in the bill -- but something is better than nothing. Despite unhappiness among people like me, those who would heartily favor national single-payer, there are now no dissenters among the 60 Senate votes in the Democrats' bloc. Even Bernie Sanders (I-Vt.), who has described himself as a socialist, has apparently decided that this beats the status quo.
I'm not even a socialist; I'm a Keynesian. Yet my first instinct about this was to say, hell no. Then I thought some more.
There are some reasons why all 40 Senate Republicans are voting, as a bloc, against this. The denial of coverage for pre-existing conditions, one of the most heinous of the insurance companies' practices, would be banned. An estimated 30 million Americans would be able to get shitty private health insurance, with subsidies for those who can't afford it. SOMEBODY with plenty of juice doesn't want this passed -- they're just thankful that it wasn't real, far-reaching reform.
The Republicans, typically disingenuous, are doing a lot of posturing and posing on what they depict as a moral high ground. In a rare moment of genuine wit, Sen. John McCain, R-Ariz., called the Medicaid deals that were perhaps cut for Sen. Mary Landrieu's (D-La.) vote "The Louisiana Purchase."
Good for a chuckle, but come now -- Republicans never cut any deals like that to get legislation passed? It was recalled among TV journalists, at least those who actually possess memories, that Texas' own Tom "Twinkle Toes" DeLay, back in his infamous days as The Hammer of the House, came under fire for cutting deals like that in order to get the necessary votes for passage of Medicare drug coverage.
Granted, we've had some stinky bloodwurst made here, but a certain number of human lives will be saved because of it.
And, the issue won't go away. Monopoly insurers and Big Pharm are still screwing millions upon millions of us, with big profits going to their stockholders. I've been through the mill with them at workplaces -- Aetna, Blue Cross-Blue Shield, United HealthCare, etc. -- ostensibly competitors, but they certainly don't do price competition. Your employer is typically under contract for a calendar year. And, if they go to the expense and hassle of switching providers, they get pretty much the same deal from the "competition." Take it or leave it, MFs.
Something is better than nothing. In 1965, Medicare was passed for the growing population 65 and older. It's in trouble now because people don't want to pay the taxes to support it, and because crooked providers often find ways to bilk the system. But my wife and I have both been caretakers for sick, elderly people. I say, go ahead and cuss that single-payer Medicare system all you want -- that is, until you need it. Then it becomes something you can't figure out how people ever did without. I've got a big hint for those folks -- look at U.S. life expectancy, pre-1965 and post-1965. (And we're not even one of the best countries in that department -- about 42nd. Want to guess why that is?)
I repeat, something is better than nothing. LBJ couldn't get single-payer for all Americans through Congress. So he and the Democrats of the time (hey, and even a few Republicans, back when that party had moderates) did what they could do.
The fight for real reform is some years away. I'd hoped that, amid what is being called The Great Recession, enough people had become uncomfortable enough to have an epiphany -- that throughout the rest of the developed world, even conservatives realize that health care shouldn't be dominated by the profit motive.
But not quite enough people became that uncomfortable, and even some who did interpreted their pain in a back-asswards way, deciding that their taxes are too high while remarkably oblivious about their premiums and co-payments. And of course, the lobbies for Big Pharm and Big Insurance are the best that money can buy.
Some 56 senators, plus four who apparently had to be bought, are apparently going to deliver something, as opposed to nothing. So, let's get on with it, and see what tomorrow brings. Happy holidays.
Some related links:
Economist Robert Reich pretty much sums up my sentiments about this health care debacle. We're definitely on the same page.
The most magnificent Keith Olbermann sums up my initial reaction to this outcome. My source of disagreement is that, at 53, my days of idealism are long past.
And finally, Big Pharm has opened up a whole new door to obscene profits by doping up little kids, as well as their parents, with psychiatric drugs.
Break out that eggnog -- the real stuff. That's a much older panacea, and it probably won't kill you any quicker. Season's greetings.
Manifesto Joe Is An Underground Writer Living In Texas.
Friday, December 18, 2009
A Quote That Sums Up Right-Wing Health Care Idiocy
"Keep your government hands off my Medicare!"
-- Speaker at a South Carolina town-hall meeting, July 2009.
Source: The Yale Book of Quotations, 2009 edition -- MJ
-- Speaker at a South Carolina town-hall meeting, July 2009.
Source: The Yale Book of Quotations, 2009 edition -- MJ
Monday, December 14, 2009
Conservatives Don't Even Know What Socialism Is
This is from Webster's New World College Dictionary, Third Edition:
socialism: 1 any of various theories or systems of the ownership and operation of the means of production and distribution by society or the community rather than by private individuals, with all members of society or the community sharing in the work and the products
The key words there are "ownership" and "means of production." Income redistribution is not part of the definition.
Now for the video portion of our program:
I love the smell of napalmed right-wing ass in the morning. -- MJ
socialism: 1 any of various theories or systems of the ownership and operation of the means of production and distribution by society or the community rather than by private individuals, with all members of society or the community sharing in the work and the products
The key words there are "ownership" and "means of production." Income redistribution is not part of the definition.
Now for the video portion of our program:
I love the smell of napalmed right-wing ass in the morning. -- MJ
Monday, November 23, 2009
Lieberman Just Wants To Keep His Chairmanship
Unless the ghost of Hanuka Past comes for a midnight visit, count on Liar Joe to be the key vote that kills the public option.
By Manifesto Joe
The one and only thing that makes the Bush presidency look good in hindsight is the thought that this man could have been a heartbeat away from the presidency. Liar Joe Lieberman voted with the Democratic majority Saturday night to bring the health care bill to debate on the Senate floor.
Barring divine intervention, consider that to be Liar Joe's ass-covering vote, the one that will save his chairmanship as a member of the Senate's majority Democratic caucus.
Don't count on any more of them. I think this man made his Faustian bargains long ago, and the time has come for Lucifer to collect the bill. Liar Joe will vote with the Republicans every time after this, I predict -- once again, unless the gods intervene. I've been wrong before, as the old Randy Newman song (a 1965 hit for Cilla Black) went. And I sincerely hope I'm wrong this time.
Liar Joe is chairman of the Senate Committee on Governmental Affairs, because the Democratic Senate majority accepts him as a caucus vote and permits it. I think they made a huge mistake back when. It was bad enough in 2006, when he got past the challenge of Ned Lamont. The Democratic Party should have kicked his scrawny ass to the curb when he campaigned for John McCain.
But, here he is, and here this is. Look for the upcoming vote to be, quite possibly, 59-41 "against" cloture of the health care filibuster -- with Liar Joe the deciding vote.
I honestly hope he will surprise me. Baby, I've been wrong before.
But I'm not holding my breath.
Manifesto Joe Is An Underground Writer Living In Texas.
By Manifesto Joe
The one and only thing that makes the Bush presidency look good in hindsight is the thought that this man could have been a heartbeat away from the presidency. Liar Joe Lieberman voted with the Democratic majority Saturday night to bring the health care bill to debate on the Senate floor.
Barring divine intervention, consider that to be Liar Joe's ass-covering vote, the one that will save his chairmanship as a member of the Senate's majority Democratic caucus.
Don't count on any more of them. I think this man made his Faustian bargains long ago, and the time has come for Lucifer to collect the bill. Liar Joe will vote with the Republicans every time after this, I predict -- once again, unless the gods intervene. I've been wrong before, as the old Randy Newman song (a 1965 hit for Cilla Black) went. And I sincerely hope I'm wrong this time.
Liar Joe is chairman of the Senate Committee on Governmental Affairs, because the Democratic Senate majority accepts him as a caucus vote and permits it. I think they made a huge mistake back when. It was bad enough in 2006, when he got past the challenge of Ned Lamont. The Democratic Party should have kicked his scrawny ass to the curb when he campaigned for John McCain.
But, here he is, and here this is. Look for the upcoming vote to be, quite possibly, 59-41 "against" cloture of the health care filibuster -- with Liar Joe the deciding vote.
I honestly hope he will surprise me. Baby, I've been wrong before.
But I'm not holding my breath.
Manifesto Joe Is An Underground Writer Living In Texas.
Monday, November 9, 2009
Odds Are Against Real Health Care Reform In Senate, But House Vote Was Worth It
By Manifesto Joe
The public option for health insurance probably doesn't stand a chance in the Senate. Renegade Joe Lieberman and several "blue dog" DINOs are very likely to stop it from getting to an up-or-down vote like we saw in the House late Saturday. But it was worth it to go this far, for three big reasons.
1. The debate has been educational, and the American public needed schooling on this subject.
I confess that I didn't know before this summer that private insurers, in the current system, have an exemption from federal antitrust laws. They've had it for many decades, all the way back to 1945. (Here's a link.) And yet these Tea Party imbeciles persist in bellowing about free markets, and patient choice? Unfortunately, there's no FDA-approved treatment for stupidity on the "free market" yet.
This antitrust exemption was apparently, in part, the brainchild of U.S. Sen. Pat McCarran, D-Nev. (Another link.) McCarran (1876-1954) was one of the era's notorious Red-baiters, chief sponsor of the McCarran Internal Security Act of 1950, which required Communist Party members and those in affiliated "fronts" to register with the government. By the way, the act was never enforced, and major provisions of it were ruled unconstitutional in 1965 and 1967, as it was decided that even commies have free-speech guarantees. This "distinguished gentleman," Sen. McCarran, was living proof that DINOs were around in the 1940s, too.
Another thing that this year's debate has made clear: The majority of U.S. bankruptcies are the result of catastrophic illnesses -- combined with a monopolistic private health insurance system that doesn't cover 47 million people, or can simply refuse to cover many others because of "pre-existing conditions."
(2) Democrats, real ones, can beat Republicans over the head with this in next year's midterm congressional elections.
The public option won in an up-or-down vote, 220-215, in the more representative and "little-d" democratic part of our legislative branch. And polls show that a majority of Americans favor a public option. There's an opportunity to pillory Republicans here, if Democrats will capitalize on it. The Republicans are ready to block something that a majority of the public had decided it wanted. Make the insurance-company prostitutes pay at the polls.
(3) If health care reform fails this time, or is diluted into just another subsidy for the private insurance industry, the eventual outcome may well be a single-payer system.
Saturday's vote in the U.S. House came against great odds -- the well-financed and ruthless opposition of the American health insurance monopoly. The vote came about because the anger that has been building among the American people for decades finally overpowered the insurance companies' almighty dollar.
If the status quo, or something like it, continues, the pressure from below will keep building. Some of the Tea Party fools may have been through illness and bankruptcy by then -- sometimes personal experience can make somebody realize that they've been a chicken supporting Colonel Sanders.
In time, we may finally get real reform: a single-payer system. If it takes misery and financial ruin for millions to get this done -- well, so be it. It took the Great Depression to turn enough Republicans into independents, and independents into Democrats, to get us something as basic as Social Security back in 1935.
I can see in this the beginnings of history repeating itself.
Manifesto Joe Is An Underground Writer Living In Texas.
The public option for health insurance probably doesn't stand a chance in the Senate. Renegade Joe Lieberman and several "blue dog" DINOs are very likely to stop it from getting to an up-or-down vote like we saw in the House late Saturday. But it was worth it to go this far, for three big reasons.
1. The debate has been educational, and the American public needed schooling on this subject.
I confess that I didn't know before this summer that private insurers, in the current system, have an exemption from federal antitrust laws. They've had it for many decades, all the way back to 1945. (Here's a link.) And yet these Tea Party imbeciles persist in bellowing about free markets, and patient choice? Unfortunately, there's no FDA-approved treatment for stupidity on the "free market" yet.
This antitrust exemption was apparently, in part, the brainchild of U.S. Sen. Pat McCarran, D-Nev. (Another link.) McCarran (1876-1954) was one of the era's notorious Red-baiters, chief sponsor of the McCarran Internal Security Act of 1950, which required Communist Party members and those in affiliated "fronts" to register with the government. By the way, the act was never enforced, and major provisions of it were ruled unconstitutional in 1965 and 1967, as it was decided that even commies have free-speech guarantees. This "distinguished gentleman," Sen. McCarran, was living proof that DINOs were around in the 1940s, too.
Another thing that this year's debate has made clear: The majority of U.S. bankruptcies are the result of catastrophic illnesses -- combined with a monopolistic private health insurance system that doesn't cover 47 million people, or can simply refuse to cover many others because of "pre-existing conditions."
(2) Democrats, real ones, can beat Republicans over the head with this in next year's midterm congressional elections.
The public option won in an up-or-down vote, 220-215, in the more representative and "little-d" democratic part of our legislative branch. And polls show that a majority of Americans favor a public option. There's an opportunity to pillory Republicans here, if Democrats will capitalize on it. The Republicans are ready to block something that a majority of the public had decided it wanted. Make the insurance-company prostitutes pay at the polls.
(3) If health care reform fails this time, or is diluted into just another subsidy for the private insurance industry, the eventual outcome may well be a single-payer system.
Saturday's vote in the U.S. House came against great odds -- the well-financed and ruthless opposition of the American health insurance monopoly. The vote came about because the anger that has been building among the American people for decades finally overpowered the insurance companies' almighty dollar.
If the status quo, or something like it, continues, the pressure from below will keep building. Some of the Tea Party fools may have been through illness and bankruptcy by then -- sometimes personal experience can make somebody realize that they've been a chicken supporting Colonel Sanders.
In time, we may finally get real reform: a single-payer system. If it takes misery and financial ruin for millions to get this done -- well, so be it. It took the Great Depression to turn enough Republicans into independents, and independents into Democrats, to get us something as basic as Social Security back in 1935.
I can see in this the beginnings of history repeating itself.
Manifesto Joe Is An Underground Writer Living In Texas.
Subscribe to:
Posts (Atom)