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The Devastating Consequences of a Corporate Health Care Bill

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Wading through the endless debate over health care has exhausted the patience of most Americans -- the zigzags, obscure language, and long-winded discussion is inherently repulsive.

But now the dust is starting to settle, and the Congressional vision for health care in the U.S. is emerging. Instead of being "progressive," it will amount to a massive, corporate-inspired attack on American workers, the elderly, and the poor.

After months of confusion and delay, Congress has shipwrecked the popular energy over health care onto the jagged rock of corporate interests. More spectacularly, health care "reform" is being used as an opportunity to greatly advance corporate influence over social spheres long-dedicated to the working-class -- seemingly harmless provisions carry with them enormous implications.

These devils hide in the details of the competing health care bills in Congress; both contain debilitating right-wing policies hidden within a progressive shell. Obama is indeed acting as the agent of change, to the great benefit of the U.S. corporate elite.

And although the final bill has yet to be crafted, there exists general agreements as to what the end version will look like. Americans will be forced to buy shoddy corporate insurance with no limit to the cost, no guarantee of quality, with large premiums and other tricks to further gouge consumers. If a public option emerges in the final bill -- by no means a guarantee -- it will be shrunken enough to insure very few people (2 percent of the U.S. population).

But it gets worse. How this health care "reform" will be paid for has implications that dwarf the above atrocities.

For example, the Democrats were determined to pass a health care bill that "will not add one cent to the deficit." And they have succeeded: the House and Senate health care bills both plan to reduce the deficit by over $100 billion. But a second-grader could do the math here: more service does not equal less cost -- a truism that dominates the for-profit health care industry.

So how does the government plan to save billions of dollars as they "help" millions of people?

The two biggest cost saving schemes are the most damaging. The first is the enormous attack on Medicare. Since its inception, the corporate elite wanted this program struck down. Now they have their man for the job -- a Republican could never get away with such obvious treachery.

The Congressional Budget Office estimates that the Senate version of health care would cut $404 billion from Medicare and Medicaid; the house version would cut $570 billion. The final cut could be much more. Obama made the ridiculous claim that only "wasteful" parts of Medicare would be cut. The truth is far different.

One way that both Congressional health care bills will gut Medicare is referred to as "forced productivity gains" -- cost saving measures essentially; trimming the fat.

What are these savings? The most mentioned device -- by politicians and media alike -- is the reduction of "wasteful tests" and procedures that doctors routinely perform, an idea that the health care mega-corporations love. It will save them billions, while having catastrophic effects on the health care of millions of people.

For example, the recent announcement that women will now be persuaded to cut back on screenings for breast cancer and cervical cancer have caused an uproar nationwide: people are correctly making the connection behind Congress' "forced productivity gains" and the new "recommendations" that will be used by insurance companies to justify cutting these services, both of which will boost profits. The general agreement behind rationing health care in this way will be an attack on not only Medicare, but serve as the backbone of any health care bill passed, negatively effecting everyone unable to afford luxury health care.

Another piece of Medicare that's being trimmed is Medicare Advantage, a favorite program of the elderly because of its comprehensive services. Premiums for this program are already rising drastically in anticipation of the health care bill's passage, considered by Congress to be "wasteful." Without this program, Medicare will be greatly devalued and be more appropriately named: "band-aides for seniors."

Finally, The Senate health care bill attacks Medicare by reducing payments to doctors by 25 percent. If doctors receive such a drastic reduction in pay, they will simply refuse to see Medicare or Medicaid patients; people will thus be insured only on paper.The newly insured Medicaid patients under any new congressional bill will be sorely disappointed.

Once Medicare is undermined in the above ways, the corporate sponsored right-wing will make a very convincing argument that "Medicare doesn't work", leading to future cuts that will further destroy the program.

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Shamus Cooke is a social service worker and activist living in Portland Oregon.

The views expressed in this article are the sole responsibility of the author
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Governance by KMGuru on Saturday, Nov 28, 2009 at 11:45:35 PM
85% of OEN's readers say Start Over by Scott Baker on Sunday, Nov 29, 2009 at 3:36:24 AM
I agree with you 99% by Jack Flanders on Sunday, Nov 29, 2009 at 9:42:04 AM
I wish I could be as optimistic as you are, Mr. Scott. by Nathan Nahm on Sunday, Nov 29, 2009 at 8:52:18 PM
OMG by Mad Jayhawk on Sunday, Nov 29, 2009 at 9:22:39 PM
Wow... and Uck! by Jack Flanders on Sunday, Nov 29, 2009 at 9:33:28 AM
thank you by liberalsrock on Sunday, Nov 29, 2009 at 9:38:48 AM
Grid Lock by Hoss Hoss on Sunday, Nov 29, 2009 at 10:30:21 AM
This bill exposes the lie of this so-called "democracy" by Stewart Wechsler on Sunday, Nov 29, 2009 at 10:48:53 AM
America, wake up and Take action! by Caronome on Sunday, Nov 29, 2009 at 11:19:42 AM
"THE CRAP STORM NOW IN PROGRESS" by muservin on Sunday, Nov 29, 2009 at 11:22:53 AM
Let us do something by BFalcon on Sunday, Nov 29, 2009 at 11:40:31 AM
Yup by Bryan Emmel on Monday, Nov 30, 2009 at 2:29:29 AM
"Can't we all unite?" by Ian MacLeod on Monday, Nov 30, 2009 at 4:35:48 AM
No, unfortunately not by BFalcon on Monday, Nov 30, 2009 at 3:26:23 PM
Or related to health care by BFalcon on Monday, Nov 30, 2009 at 3:27:59 PM
The facts are mounting by Jeffrey Rock on Sunday, Nov 29, 2009 at 12:51:46 PM
Thank you Shamus! by Michael Shaw on Sunday, Nov 29, 2009 at 1:42:53 PM
The Elecorate Needs to Wake Up! by Rafe Pilgrim on Sunday, Nov 29, 2009 at 4:46:20 PM
Be realistic by BFalcon on Monday, Nov 30, 2009 at 3:32:49 PM
Very simple. Or very complex. by TomK on Sunday, Nov 29, 2009 at 6:53:29 PM
It's not JUST health care, it's also jobs, industrial policy by Reprobate on Sunday, Nov 29, 2009 at 9:50:02 PM
What do we cover? by Robert Affolter on Monday, Nov 30, 2009 at 2:39:47 AM
You seem to understand very well by BFalcon on Monday, Nov 30, 2009 at 3:37:09 PM
Health care by emily horswill on Monday, Nov 30, 2009 at 5:08:32 AM
Kucinich is no saint by BFalcon on Monday, Nov 30, 2009 at 3:42:05 PM
No, not half by BFalcon on Monday, Nov 30, 2009 at 3:48:57 PM
I AGREE by MARGARET BASET on Monday, Nov 30, 2009 at 5:41:51 AM
Corp. Healthcare Bill by Lucretia on Monday, Nov 30, 2009 at 3:58:11 PM
DOCFIX IS BAD AND BASED ON BLACKMAIL OF PATIENTS by doubleaseven on Tuesday, Dec 1, 2009 at 6:54:31 AM
Forcing people to buy coverage by Starla Immak on Tuesday, Dec 1, 2009 at 11:29:11 AM
Liberals need to quit their endless whining by Ed Tubbs on Wednesday, Dec 2, 2009 at 2:48:50 PM