During the next four years the Republicans will use the Democratic "reform as
a political punching bag. The plans to
cut Medicare by hundreds of billions of dollars based on increased efficiency
will frighten senior citizens. The
bureaucracy being put in place by the "reform will be evident to all. The
complexity of the law will include federal rules on what employer-based
insurance plans are "qualified." All Americans will see new income
tax forms for the individual mandate and to determine income eligibility for insurance
subsidies. The new federal insurance bureaucracy will be ridiculed by the
Republicans.
Labor unions will see good health insurance coverage they fought years to get for their members disappearing as taxes on their plans go into effect. These high taxes are likely to cause employers to cut back on the derisively labeled "Cadillac plans, which are really the kinds of health coverage all Americans should have. The result " more people will be uninsured by employers and forced to buy health insurance on their own, or more working Americans will find themselves joining the large pool of tens of millions of Americans who are underinsured. Reform will make the problems worse for these Americans.
The problem of insurance companies denying care recommended by a doctor is likely to get worse under "reform. A recent study in California found that insurance company denials can occur in up to 40% of cases with some insurance companies. Congress could fix the problem by giving consumers the power to sue insurance companies for denial of care. But, despite lobbying by consumer advocates, they refused to do so. The industry has few ways to control costs so experts predict that there will be increases in denial of care. "There are going to be a lot of denials," said insurance industry analyst Robert Laszewski, a former health insurance executive, told the Los Angeles Times. Denial of care is the issue the Mobilization for Health Care is protesting.
During the four years it takes to put the "reform into place, more than 100,000 Americans will die each year from preventable illness. That is the current rate of annual preventable deaths, something the U.S. leads all developed nations in, and it will not slow when Obama signs the pro-insurance reform bill. Will the Congress close its eyes and watch 400,000 Americans die during Obama's first term? Or, will it do the obvious and open up Medicare to all during this period of transition? The Democrats paymasters in the insurance industry will urge them to quietly let Americans die so people do not experience that Medicare, America's single payer system, works.
And, those who were shut out of the process of developing real health care reform " the majority of Americans who favor a single payer, improved "Medicare for All, national health system " will keep organizing. The Mobilization for Health Care for All, www.MobilizeForHealthCare.org, will be one of example of many. Those shut out will fight back and keep pointing out how simple and efficient the reform could have been. How the Democrats could have reduced bureaucracy instead of increased it, helped the economy rather than hurt it and made sure every dollar went to health care rather than 31% of spending going to insurance industry profits and the bureaucracy the insurance industry creates. The already popular single payer system, which Obama himself used to support, will become even more popular. The control of the Democratic Party by big business interests will become evermore evident and "reform" will be understood as a multi-hundred billon dollar corporate giveaway.
The Democrats, like generals so often do, are fighting the last war. The Clinton experienced taught them that failure to pass health care reform cost them elections. The Obama administration experience will teach them that passing legislation that is only good for the insurance industry will cost them elections and could cost Obama a second term. A bad bill will be worse than no bill, will be the new lesson.
Americans voted for Obama who said in 2005 that the country would get single payer when the Democrats won back the House, Senate and Presidency. They even prefer the Obama of the presidential campaign who promised health care for all and opposed insurance mandates. They want the Obama they supported to return and put their interests ahead of insurance company profits.
Simply expanding and improving Medicare so it covers all Americans is the only way to avert this populist revolt. Will the Democratic leadership recognize this and change course or will they steer themselves into a disaster in order to satisfy their big donors in the insurance industry? There is a single payer bill, HR 676, in the House that will be voted on when Rep. Weiner introduces it on the House Floor. Let's hope for the sake of all Americans that the Democratic Party leadership wakes up and puts the necessities of the American people before the profits of their donors. They still have time.
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