U.S Health Care Reform: What’s happening, IN PLAIN ENGLISH!

“America just caught up with the rest of the world. Now everyone gets free healthcare! Why are they so angry?”

“I thought you were supposed to provide for the poor. Why are people against the Bill?”

“Wait–I’m confused. Didn’t Obama just do a good thing?”

The British can’t see what the fuss is all about and it’s really not their fault–America’s non-stop party squabbling is not helping. Barack Obama signed the US healthcare bill as law, the entire country went into a rage and if you’re not American, you probably don’t understand why…

BECAUSE nobody is explaining ANY of it properly.

Let’s break this down, nice and simple.

The United States government has never paid for health care. Never–in it’s entire life. Why? Because it’s not in The U.S Constitution, the foundational legal doc for America’s existence. In the name of freedom and independence, The Constitution encourages taking total personal responsibility for oneself (health care and all). Well, the first people to take advantage of that freedom were health insurance companies–the ‘shops’ of healthcare, if you like. Americans ‘shop’ for the best doctor or dentist, they always have; they’ve never known any other way. Gradually, health insurance companies became competitive. If someone couldn’t afford to shop, the government wouldn’t pay for you but they’d help you try to get ‘discounts’, so you wouldn’t stop trying to afford shopping.

This sounds sadistic to the British. Why? Because the British government cut out all this ‘shopping’ business: it promised to pay for health care–no shopping or competition involved. In Britain there’s only government-funded hospitals, government doctor’s surgeries (offices) and government ambulances. (Unless you’ve chosen to pay private insurance.) Nobody in Britain remembers life before the NHS because the ‘pay-for-a-doctor-or-die-in-the-street’-method, was considered primitive and inhumane. Since 1946 the NHS is how it’s ‘always’ been. The biggest disadvantage of the NHS is that you can’t buy a ‘better’ doctor–you just take what you’re given. But if everyone else in the country is also at that disadvantage then, none of us will ever know or want any different, right?

From day one, Britain and America’s models have been as different as chalk and cheese. This is the first difference between our countries that nobody bothers to explain.

The only universal healthcare America has, is what the British would consider ‘discount’ schemes. These are Medicaid, which covers low income families and Medicare, for over 65’s and the disabled. Medicare is 100% federally-funded/managed; Medicaid is 50% state-funded, 50% federally-funded and 100% state-managed. Medicare is an automatic entitlement (i.e you grow old, you claim it), Medicaid is determined by eligibility (i.e show proof of income, we’ll decide if you pay all/part of the fee). Both are in trouble. Why? Because the Health Insurance companies are getting more expensive. Medicare is claimed by fewer people these days, but it is also bankrupt because insurance companies are expensive ; approximately 4 people’s taxes pay for 1 person’s Medicare. Medicaid is also increasingly expensive because states charge high premiums for revenue, making it inaccessible anyway. Neither work.

Still with me at this point?

So what do you think happened? There are an estimated 308 million Americans to provide for. They’re all fed up with the greedy health insurance companies. The government’s ‘help’ programs are failing. Everything’s been badly managed and has spiralled out of control. Then along came Barack Obama.

Of all the changes Obama promised to make during his presidential campaign, healthcare reform was the biggest. To quote: “I’ll make our government open and transparent…No more secrecy, that’s the commitment I’ll make to you as president. And when there’s a bill that ends up on my desk as president, you the public, will have 5 days to look online and find out what’s in it before I sign it, so that you know what your government’s doing…and you can decide whether your representative’s actually representing you.” Now that sounded like change we could all believe in. Inspirational stuff.

Except when he became president, he did the exact opposite of all these things.

Last year a healthcare reform bill 1500 pages long was written, in obscure legal jargon, which an average man cannot read nor understand. In November 2009, this bill was hurried through the House of Representatives without the public getting to read it. On Sunday 21st March 2010, the House voted 219-212 and Obama signed the bill as law. The public were only given 36 hours to read it online.

The American public, even some of Obama’s staunch supporters, were furious. Every step of the way.

To pay for the new reform, the Obama administration says it is taking $500 million from Medicare. Hold on, isn’t Medicare bankrupt? That’s right–it’s a hollow wall. As a result of this bill, health insurance companies are raising their rates and collecting federal funding at the same time. Hold on, aren’t health insurance companies already rich from overcharging people? That’s right–they’re still the controllers of health care. The reform doesn’t take effect for 3 years. The total predicted spending costs are currently at $2.5 trillion. Hold on, didn’t Obama say he would cut people’s taxes to help recover from the recession? Yes, that’s what he said. America’s national debt is already past $700 million and the country is still in a recession.  This can only mean one thing: the American people would have to pay for it…all.

As a friend of mine said, “…He put out a bill that most people can’t stomach in this economic climate…He tried to do too much all in one go.”

To think that the health care reform bill has created one problem, is wrong. It creates several separate problems. The country has gone berserk and torn itself down the middle because many Americans are fiercely against any sort of government dependency. Many believe that a move like this bill, is an enormous and dangerous step backwards. America’s emancipation from British rule was to abolish government dependency, establishing an American government which would represent and preside over the people, not provide. Because once upon a time, a British government once said it would provide for it’s American colony…it robbed them instead. America never forgot that.

And that dear friends, is what all the fuss, is all about.

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4 comments
  1. Daniel K said:

    And that’s one view point regarding the matter.

    Unfortunately, while the historical backdrop is accurate enough, the accounting and details aren’t so much. The bill has been tabbed at $1 trillion over 10 years according to the non-partisan Congressional Budget Office, and due to the changes the bill makes it will result in a deficit reduction over that time of over $100 billion.

    Those that don’t live in the so-called “Red States” and don’t get their talking points and information from Fox News are overwhelmingly in support of health care reform and a government run public option.

    However, much about this bill was diluted due to political pressures and Republican obstructionism, and the end result is something less than what we could have received, and no public option.

    What it does do is help 32 million uninsured Americans finally get insurance, and it stops insurance companies from denying coverage to people with pre-existing conditions.

    You can read a succinct, yet detailed list of what this bill does here: http://www.cbsnews.com/8301-503544_162-20000846-503544.html

    I’m all for personal freedoms, but health care should be a basic human right, not a privilege.

  2. thebritishmittentree said:

    I could care less about FOX News because I know they’re slanted, just like every other news channel available. After 25 years in Britain with only one news bias pumping through the country, I’ve had quite enough of television (which my other blog discusses with humour!) If my viewpoint happens to coincide with what FOX News has reported, that’s of a lesser importance to me because believe it or not, my endeavour here is to try and be factual, not partisan. (I say ‘trying’ because I don’t have an editor as yet.)

    One thing I will acknowledge is that this is an enormous ongoing case which has thousands of voices, making it difficult to find the clear line between fact and estimate. The dear British friends I have don’t even have a compass for this kind of stuff. My attempt has been to sweep away the lingo, the veiled words, the American syntax so that they can get ‘something’ of a clearer picture about the Healthcare bill. And attempt, I did! 🙂

  3. mum said:

    The health insurance are in control of this situation, they are far too greedy and the there should be a law that can limit them.

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