By Eric Anschutz, August 19, 2009
There is a kind of mania afoot in America. We see genuine distress among some in our country, driven by talk radio and TV, and fueled by misinformation and distortions and outright lies about the purposes and consequences of President Obama’s health care proposals.
It is no surprise, then, when town-hall meetings provoke shouts of “We want our country back,†and “Obama is shredding the Constitution.†The President has been labeled a racist, socialist, a fascist and (at least once) a murderer. And it’s not limited to snarling haters; numbers of gentle senior citizens seem genuinely distressed. I have seen cameras turned to a happy-faced little girl holding a sign: “Obama Lies, Granny Dies.â€
You will have read of the pistol-packing nut-case standing outside Obama’s recent town hall meeting in New Hampshire to protest health care. Holding his sign: “It’s Time to Water the Tree of Liberty,†this Glock-armed protester was snidely making reference to Thomas Jefferson’s long-ago protest against King George, the tyrant of Jefferson’s time, implying thereby that Obama’s health care is somehow the modern equivalent of taxation without representation.
When we learn Jefferson’s full text: “ The tree of liberty must be refreshed from time to time with the blood of patriots and tyrants,†we realize that the New Hampshire protester may be suggesting that American patriots should act to shed Obama’s blood so that the American “Tree of Liberty†can flourish once again.
Rush Limbaugh, Glen Beck and Sean Hannity are among those who daily levy allegations of racism, nazism, and fascism. Conservative icon and writer Richard Viguerie says with all the venom he can muster that Obama is, without doubt, a socialist, and perhaps even a Marxist (is there a difference?). And Sarah Palin charges that Obama’s “evil†and “Orwellian†plans will result in the deaths of her son (born with Down Syndrome) and of her aging parents, all to be brought about by a “death panel†being created by Obama to decide who gets lifesaving care, and who dies.
Republican Minority Leader, Representative John Boehner, poured fuel on Palin’s fire by adding: “This provision may start us down a treacherous path toward government-encouraged euthanasia.†To which conservative talk show hostess Laura Ingraham added that government bureaucrats would “come to an old person’s house†to discuss options for dying.
The fact is, of course, that none of these concerns has merit. Everyone who has health care today can decide to keep the policy and the insurance plan they currently have, though the proposed legislation is designed to reduce costs while improving services.
Concerns about the “rationing†of health care ignore the fact that insurance companies ration care every day. They are in business to make money, and they do so by charging the highest fees they can get away with, by excluding applicants with pre-existing conditions and by denying payout whenever possible to policy holders who get sick. Only 50% of their revenue goes to payout on claims; the remaining 50% is for “administration,†which includes very high executive compensation, very large advertising budgets, and a large cadre of clerks who review every claim with a fine-toothed comb in an effort to find a way, whenever possible, to deny payout. Obama’s proposed system seeks to improve on every aspect of the current shortfall.
The 40 million or so Americans currently not insured will be required to buy insurance from a menu of options, a menu that is proposed to include a “public†option, namely an insurance plan funded and administered by the Federal Government, ala Medicare and Medicaid and the Veteran’s Health Care System. It will be fully funded by policy payments. Coverage for the very poor will be paid for by repeal of Bush tax cuts for those earning over $250,000 a year. Obama has promised to veto any health care legislation that is not fully funded. Health care will not add to the national debt, Republican charges to the contrary notwithstanding.
US health care currently costs Americans 17% of our Gross Domestic Product (or, to put it another way, about two months wages for the average worker). The next highest cost for health care is in Japan, at 10% of GDP. Canada and European countries (Germany, France, England, Norway, Sweden, Denmark and others) are at less than 10%. US health care costs, already outlandishly high, are climbing even higher. Economists tell us that without reform, if we do nothing, the cost of US health care as a percent of GDP will double again by 2050. Economists tell us too that we cannot hope to continue as a world-class economy unless health care costs are curtailed and reduced.
There is a narrow slice of Americans who distrust government and perceive a cabal of “left wing†media and “liberal†political leaders united, as they see it, in an effort to turn our country into a socialist dictatorship. Their fears, however, irrational, are stoked daily by right wing talk shows who provide constant repetition of emotionally charged phrases such as “death panels†and government “takeover†of the economy.
Let us be clear: the health-care bill that recently passed the House (the Senate has not yet acted) does not contain any provisions that would deny treatment to the elderly or infirm. Indeed, coverage to such people would be widened and improved. One provision allows doctors to be reimbursed for voluntary discussions (only if the patient wants such a discussion) of so-called “living wills†with patients, but does not in any way threaten to deny treatment to dying patients against their will. The legislation anticipates saving hundreds of billions of dollars by reforming the health-care system itself, a process that would try to increase the efficiency of medical care by better connecting payments to health outcomes and discouraging doctors from unnecessary tests and procedures. The Obama Administration hopes that many of these reforms will be made in the coming years by independent panels of scientists, who will be appointed by the President and overseen by Congress.