Lost in all the shrillness of the health care debate is one unmistakable fact: The current system is broken. Too many people have poor access to affordable health care. Even those who have good coverage are being charged a higher percentage of the premium costs. In the meantime, health insurance companies are making very large amounts of money.
President Obama said in a speech this week that we cannot afford the status quo. I agree completely. I have personally lived in that nether world between having health care and being eligible for Medicaid. It is a scary place to be.
In their hatred of all things Obama, conservatives have forgotten that there is a real problem. Or maybe they all have cushy middle class jobs and don't know there are a lot of others who cannot get insurance. A government-run medical insurance would have all the problems of any government-run program, but it might be better than the obscenely profitable system in place now.
Regardless, conservatives need to look beyond the rhetoric and see the need. Relying on an unregulated private sector is not working. So now is the time to come up with a solution. That is, if you are really interested in governing and not posturing.
Friday, September 18, 2009
Wednesday, September 16, 2009
Obfuscating the Real Issues
The silver lining in the whole Joe Wilson debacle is highlighting an important issue. Unfortunately, I think that everybody gets it wrong. When the congressman called out You lie, it was at the point where President Obama asserted that his health plan would not cover illegal immigrants.
Technically, Obama was right and Wilson wrong. However, I do understand Wilson's point. Given the history of court decisions, it is entirely possible that a judge somewhere could decide that it is unconstitutional to exclude illegals from the government health care option. Critics ascertain that Obama is being coy by claiming he is not including them while knowing that eventually they will be.
This is not impossible, but it does go against all of the president's previous rhetoric regarding the rights of illegals. So, while it is possible that they would end up being included by court decree, Obama was not necessarily being cynically untruthful.
Actually this debate misses two points:
1. The anti-immigrant forces continually contend that illegals use government services but don't pay taxes. I haven't seen recent numbers, but I remember a study from the 1980s (when this debate was at one of its cyclical high points) that showed that many illegals overpaid taxes. This was because they had taxes withheld from their checks, but because they didn't file tax returns, they didn't receive refunds to which they might have been entitled. Further, they had Social Security taxes withheld for which they would never receive a benefit. If this still holds true, then even if illegal immigrants became eligible for the government health plan, they might well be paying for it--at least at the same pace others in their economic class would. People may still object on principle, which I respect, but the cost to citizens might not be as significant as one might think.
2. In essence, most illegal immigrants already receive government health care, directly or indirectly. The vast majority of illegals are working poor. So if they have phony documents, some may qualify for Medicaid. Who pays for that programs? Taxpayers. In this case, the immigrants that some worry about getting government-paid health care are already getting it. So it's really a wash. Not all have the documentation to get Medicaid. But hospitals who accept any government insurance (nearly all of them) cannot turn anyone away from receiving treatment. If they can't pay, then the hospital either eats the cost or (more often) taps into a state fund that pays for indigent patients. Again, where does this money come from? Taxpayers. In short, I don't think that covering illegal immigrants in a government health play would change the amount of money that taxpayers pay for their health care. The difference would only be which account it comes from.
I am not trivializing the debate over immigration. This is a serious subject that needs better resolution than we have now. My point is that it is a distraction to the real debate about if health care should be reformed, if so how, and whether there should be a government-run plan as part of it. To focus on illegal immigrants is to ignore the real issues and is a shame. Next time, I want to talk a little about it.
Technically, Obama was right and Wilson wrong. However, I do understand Wilson's point. Given the history of court decisions, it is entirely possible that a judge somewhere could decide that it is unconstitutional to exclude illegals from the government health care option. Critics ascertain that Obama is being coy by claiming he is not including them while knowing that eventually they will be.
This is not impossible, but it does go against all of the president's previous rhetoric regarding the rights of illegals. So, while it is possible that they would end up being included by court decree, Obama was not necessarily being cynically untruthful.
Actually this debate misses two points:
1. The anti-immigrant forces continually contend that illegals use government services but don't pay taxes. I haven't seen recent numbers, but I remember a study from the 1980s (when this debate was at one of its cyclical high points) that showed that many illegals overpaid taxes. This was because they had taxes withheld from their checks, but because they didn't file tax returns, they didn't receive refunds to which they might have been entitled. Further, they had Social Security taxes withheld for which they would never receive a benefit. If this still holds true, then even if illegal immigrants became eligible for the government health plan, they might well be paying for it--at least at the same pace others in their economic class would. People may still object on principle, which I respect, but the cost to citizens might not be as significant as one might think.
2. In essence, most illegal immigrants already receive government health care, directly or indirectly. The vast majority of illegals are working poor. So if they have phony documents, some may qualify for Medicaid. Who pays for that programs? Taxpayers. In this case, the immigrants that some worry about getting government-paid health care are already getting it. So it's really a wash. Not all have the documentation to get Medicaid. But hospitals who accept any government insurance (nearly all of them) cannot turn anyone away from receiving treatment. If they can't pay, then the hospital either eats the cost or (more often) taps into a state fund that pays for indigent patients. Again, where does this money come from? Taxpayers. In short, I don't think that covering illegal immigrants in a government health play would change the amount of money that taxpayers pay for their health care. The difference would only be which account it comes from.
I am not trivializing the debate over immigration. This is a serious subject that needs better resolution than we have now. My point is that it is a distraction to the real debate about if health care should be reformed, if so how, and whether there should be a government-run plan as part of it. To focus on illegal immigrants is to ignore the real issues and is a shame. Next time, I want to talk a little about it.
Monday, September 14, 2009
This is a hero?
Apologies for not posting recently (at least to my one fan, Jeff). My new job left me needing to make a new schedule. Hopefully, I will post more regularly.
You have heard by now about Congressman Joe Wilson's You lie outburst during President Barak Obama's speech to Congress about the Democrat's health care bill. Under normal circumstances, it would be discussed for a couple of days and Wilson would go back to obscurity.
But we don't live in normal times. The Democrats will probably use their power to censure the congressman in some way. And the conservative wing of the Republican party are turning him into a hero.
What Joe Wilson did was rude and completely out of line (in my next post, I will discuss the actual issue). He did apologize, which should end the issue. Censure is probably unwarranted. If I were Nancy Pelosi, I would quietly send out a message to all congressmen reminding them that the US Congress is not like the British Parliament (those guys are nuts) and that any future actions by anyone would result in some clearly defined penalty.
The Republicans, likewise, should just move on. Their guy apologized and they should move the focus to the issues that they have with the president's plan.
Amazingly, though, there are conservatives who are lionizing Wilson for his brave stand against the evil Obama. A guy who once attended our church now lives in DC and works for the congressman. His wife posted on her facebook page how proud she was and other conservative Christians chimed in with their approval.
Are you kidding me? Tell me what would have happened had a Democrat done something similar to President Bush. You know that Rush Limbaugh would have demonized him and Bill O'Reilly would have lamented the decline of respect for the presidency. Tell me I'm wrong.
This, of course, is just the continuation of the hatred of all things Obama. It has nothing to do anymore with what is right or logical. It has only to do with attacking what they view as the enemy of all things right and holy. And it grieves me to see Christians leading the way with torches and pitchforks.
There are important issues to discuss. The health bill may be the worst thing to ever be proposed. But let's discuss the issues, not make a hero out of a hothead who doesn't have the self-control (isn't that what the Bible promotes) to know when to keep his mouth shut. Conservatives need an articulate voice (I heard Wilson Sunday on Fox News--not articulate at all) not a guy who is famous for being rude.
You have heard by now about Congressman Joe Wilson's You lie outburst during President Barak Obama's speech to Congress about the Democrat's health care bill. Under normal circumstances, it would be discussed for a couple of days and Wilson would go back to obscurity.
But we don't live in normal times. The Democrats will probably use their power to censure the congressman in some way. And the conservative wing of the Republican party are turning him into a hero.
What Joe Wilson did was rude and completely out of line (in my next post, I will discuss the actual issue). He did apologize, which should end the issue. Censure is probably unwarranted. If I were Nancy Pelosi, I would quietly send out a message to all congressmen reminding them that the US Congress is not like the British Parliament (those guys are nuts) and that any future actions by anyone would result in some clearly defined penalty.
The Republicans, likewise, should just move on. Their guy apologized and they should move the focus to the issues that they have with the president's plan.
Amazingly, though, there are conservatives who are lionizing Wilson for his brave stand against the evil Obama. A guy who once attended our church now lives in DC and works for the congressman. His wife posted on her facebook page how proud she was and other conservative Christians chimed in with their approval.
Are you kidding me? Tell me what would have happened had a Democrat done something similar to President Bush. You know that Rush Limbaugh would have demonized him and Bill O'Reilly would have lamented the decline of respect for the presidency. Tell me I'm wrong.
This, of course, is just the continuation of the hatred of all things Obama. It has nothing to do anymore with what is right or logical. It has only to do with attacking what they view as the enemy of all things right and holy. And it grieves me to see Christians leading the way with torches and pitchforks.
There are important issues to discuss. The health bill may be the worst thing to ever be proposed. But let's discuss the issues, not make a hero out of a hothead who doesn't have the self-control (isn't that what the Bible promotes) to know when to keep his mouth shut. Conservatives need an articulate voice (I heard Wilson Sunday on Fox News--not articulate at all) not a guy who is famous for being rude.
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