Tag Archive | President Trump

Socialized medicine is not a bad idea

This past weekend I went to the eye doctor. I had tried to order new contact lenses online. You can order all kinds of abominable things online without any hassle but for some reason buying contact lenses online requires that the seller contact your eye doctor. Well my eye doctor said that my prescription was expired and I had to have another eye exam.

My eye exam went well enough. The people there dilated my pupils to run some of the usual tests and did another special “contact lens test” that cost another $40 on top of a $50 deductible. After an hour and a half, I was released back into the world wearing a pair of oversized disposable sunglasses that made me look like a Florida retiree shuffling to an early bird special. And my eyeglass and contact lens prescription did not change one bit. I spent $90 just for the honor of getting permission to buy contact lenses online. I can’t apply that to the purchase of any new glasses or contact lenses. That’s an expensive two-year rubber stamp.

I’m lucky enough that I can afford to pay off the doctors to let me buy my contact lenses. I have good health insurance and I’m gainfully employed. Someone who is unemployed or under-employed or not paid as well at their job would be shit out of luck if they didn’t have the cash for this.

Even with the good health insurance we have, for-profit health insurance companies have earned their bad reputation for their treatment of consumers. When our youngest daughter was born, we sent in all the paperwork on time to have her added to our insurance policy, but for some reason the insurer didn’t process this in time and for several months we got letters from doctors and collection agencies looking for the money that the insurance company was supposed to pay. When my wife was in the hospital, she was being charged $1.50 per Tylenol pill. Why?

These experiences illustrate some of the inadequacies of our current healthcare system and they are MILD in comparison to some of what goes on. The Affordable Care Act (A.C.A. a.k.a. “Obamacare”) curtailed some of the most blatant insurance company abuses, but there are so many bad actors in the healthcare system that piecemeal reform hasn’t worked to fix things. For example, one of the first efforts of the Obama administration to pass its health plan was to make price guarantees to pharmaceutical companies and insurance companies.

The Trump administration’s effort to repeal Obamacare only accomplished in proving that the Republicans have had no real healthcare plan from day one. For all the meaningless votes to repeal the A.C.A. that the Republicans held in the intervening years, the half-assed effort to pass “Trumpcare” showed that this was all silly games. They have no real plan. Democrats would prefer to have socialized medicine but few establishment Democrats will come out and say that.

Socialized medicine doesn’t sound good to Americans because socialism in general has a deservedly bad reputation. Venezuela’s ongoing collapse is a lesson in how “progressive” authoritarians are best at running their countries into the ground. But socialized medicine does pretty well in capitalist countries. The Japan, Ireland, Sweden, the U.K., France, Germany, the list goes on– these are all civilized democracies with healthy business communities. This doesn’t mean they are immune from recession or fiscal difficulties, but it means that healthcare is not a confusing patchwork of providers trying to grab what they can from every consumer.

But socialized medicine is not the imposition of socialism and not a stepping-stone to a Stalinist state. And the most recent political debacle of Congressional Republicans calling off a vote because they knew they would lose was pathetic. There was no real reason to bring this vote within the first 100 days of the Trump administration, but Congressional Republicans still think it’s 2009.

The latest political shifts have given us an opening to resolve this issue once and for all. There are calls for a single-payer system in the populist right as well as the populist left. The cultural wars that have been using the healthcare debate as a proxy are now out in the open. We can have those discussions instead of hiding behind the skirts of medical policy.

Let’s have the healthcare debate we ought to have. Doctors in France get paid and people in Denmark don’t go bankrupt when a loved one gets cancer. Canadians don’t have to launch a GoFundMe campaign when they sprain their knee.

America is a great enough nation to establish and manage socialized medicine. Let’s go for it.

A Dog That Didn’t Hunt This Time

The most deplorable thing about the general election was the awful choices voters were handed. The wife of a former President and a shady real estate mogul best known for hosting a reality television show? There was no way the outcome could be anything less than embarrassing. Each candidate deserved to lose.

There’s not much negative about Donald Trump that he didn’t say himself. He refused to even read the news during his campaign, brushing aside the pleas of his staff that he prepare for debates or learn about the world he was asking to lead. He’s arrogant and vulgar and his life is a monument to bad taste and delusions of grandeur. He’s been wrong about almost everything. But he was right on illegal immigration and crime and America is so desperate for people to speak at least partially honestly on controversial topics that this paid big dividends at the polls.

Hillary Clinton is an intelligent person with political skills and a mastery of the law and public policy. While there’s no doubt she got to where she was in large part because she is a former first lady, she’d be a formidable candidate and no question the most qualified by experience on the ballot. No one doubted her intelligence or her skill. But her career has been marred by repeated short-sighted judgements based almost solely on political calculation. In the end Hillary Clinton outsmarted herself.

The Clinton campaign followed the conventional wisdom of American politics that says accusations of racism is the Kryptonite of Republican candidates. Anyone so shamed with that scarlet ‘R’ is supposed to meekly apologize for whatever infraction they’ve committed, and sulk off to political purgatory. Trump threw that political calculus out the window and if fortune smiles upon our republic it will be his enduring legacy.

Trump set the stage early with his stand against illegal immigration. It was considered radical and extreme because he delivered a speech with his usual bombast. But the Democrats’ year-long overreaction to Trump’s stand against illegal immigration was their biggest gift to him.

You can’t solve a problem by pretending it doesn’t exist or trying to demonize those who want to fix it, even if your opponent is an ignorant blowhard. Illegal immigration on the scale we have now suppresses wages, brings criminal aliens into the country, poses serious public health risks, and often places unfair burdens on state and local governments forced to provide higher levels of service for populations that pay little or no taxes. You would have to be a reclusive millionaire not to see first-hand some of the negative effects unchecked immigration has had on our country. Somehow the view from Trump Tower was better than that from Chappaqua.

[N.B.: The idea of building a wall to solve the immigration problem shows just how clueless Trump is. Many if not most illegal immigrants enter the U.S. legally and then overstay their visas and Mexican cartels have shown themselves extremely adept at digging tunnels.]

Instead of serious policy solutions to issues of immigration and crime, Democrats delivered pompous moral lectures and in doing so they helped hand the election to Donald Trump. While it was impossible to cast a vote for either candidate, it was fun watching the premature Clinton victory celebration dissolve into a weepy pity party.

But what Trump supporters will soon realize is that they’ve been sold a false bill of goods. Trump is no real populist, and he’s aligned himself with religious conservatives hostile to science. It’s good to no longer ignore realities that were verboten in American political discourse, but Trump has never been interested in helping working-class Americans before. He’s a snake oil salesman. His willingness to speak a few harsh truths somehow overshadowed his bulwark of lies and empty boasts.

But the game has been changed in at least one positive way: The valid concerns of working-class Americans can no longer be shunted to the nether regions of the Internet by smearing them as “racist.” That’s the silver lining of Trump’s victory; it may be the only one.

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