As usually happens when his back is against the wall, and mounting opposition is shifting the tides against him, The President set out to quell the storms, calm the mutiny, unite the troops & defeat the enemy with the best and most used tool in his arsenal...his persuasive words. And as usual, when it most matters, he not only performed a technical victory, but was given another stroke of his seemingly unending good luck by way of an unprecedented heckling by an overzealous republican. Yes I will certainly address that in a later blog, one thing at a time!
I listened to the whole speech, at times rewinding to listen again, and also taking notes. I'm not sure who would care to hear my take on a rebuttal of this argument, but since the Republican Response is so very inadequate to address such a powerful orator, I'm hoping that some may find a new perspective through the lens I look through.
Let me first address the issue of Obama's words verses his actions. During last years campaign, there were a couple of times where I found myself what i called at the time "intoxicated" by some of Obama's speeches and bipartisan rhetoric. Namely, the forum he and McCain held with Rick Warren, and during the DNC, when he accepted his party's nomination. The DNC speech was given on the eve of the Sarah Palin announcement, and it was so good that I found myself sad to be excluded from the movement, a side-linner to History, an irrelevant square in a hip new age. I told a coworker at the time (who supported Obama) that his if speech had intoxicated an avowed conservative such as myself, so I could only imagine what impact it would have on a liberal or moderate. I 'sobered up' long before the November election of course, but when he won, I wondered if my concerns about his radical ideology, his lack of experience, his chicago style political history were irrational, and I would be shown to have been wrong in opposing him. Months later when the work of his Presidency began in full, I saw that everything I most hoped that he was genuine about, turned out to be fancy campaign rhetoric and nothing more. I saw that He will say things that sound good to the masses to get something done, then later when he goes back on those words and is confronted with what he previously said, like a good lawyer, he finds a technicality to wiggle out of those words, or turn their meanings into other things. Since seeing that on multiple occasions, I have lost faith that what he says is straight talk, or that he intends to keep his word in controversial issues.
That being said, I'd I will now address the speech itself.
The President started out his address saying we are the only wealthy nation that does not have healthcare for all. Well for starters, not having health insurance, is not the same is not having health care. The President uses misleading words well, like a lawyer..because he is a lawyer. Secondly, we are different from the world in many many ways. We are the only wealthy nation that has the death penalty, we are the only nation that was founded on the idea of Representative democracy. We are the only nation whose founding documents declare our rights to be from God, and limit Government's role to protecting those rights. We are the only nation that achieved this amount of wide spread wealth and success in a mere 200 years. We are the only nation to have put a man on the moon. We are the only nation that has has invented cars, radios, planes, the atomic bomb, spaceships, rolled toilet paper, photographic film, skyscrapers, cell phones,baseball, the computer, the internet...and in terms of medical breakthroughs anthesthesia, penicillin, chemotherapy, heart-lung machine, CPR, ketamine, glucose meter, balloon cathe, heart transplantation, fetal surgery, DNA discovery, i can go on and on and on. The very freedom to create things, and yes profit from them here, has unleashed an avalanche of discovery that has advanced all the other nations, which now benefit from the work done here. Imagine what we, as in all of mankind, might have if all the Western societies had our system..imagine what medical revolutions we would see. Conversely, if we had gone down the same path they did 50-100 years ago, our medical system would be a mere shadow of what we have today in terms of breakthrough. consider this quote "Everything that is really great and inspiring is created by the individual who can labor in freedom." – Albert Einstein
The next part of Obama's speech went into some personal sad stories about people's struggles with our system. What I dont understand is why he didn't also talk about the sad stories in other systems as a reason for never going down the single payer route...such as this Story in the UK about how doctors refused to render care to a premature baby because he was born 2 days too early, so he died after 2 hours fighting alone for his life. Or how about the unbelievable stories about people who are put on the "death path" because doctors have decided they have a short time to live, so they can remove water and food to "humanely" send them along the path that is inevitable for them. What many fail to realize is that there are major differences in how Americans value life, fight for it at all costs, and the emphasis we put on the limitations of medicine verses faith in the miraculous. Many a doctor has said that there is little hope, no hope, etc..only to be proven wrong when a person miraculously recovers. We've all heard stories like this. So we are not ready for any system that would leave these decisions to doctors who would give up all hope and restrict nutrition to our loved ones. (I am not saying that Obama's plan does this either, I'm just emphasizing that it is important to point out the flaws in other systems also.) In the UK and systems like it, there is no such opportunity given..once it is pronounced that you are without hope, then the wheels are in motion to make sure that is a self fulfilling prophesy. There really is NO medical system in the world that puts as much into prolonging life as the US system. As far as all the bemoaning and trashing of our morals in pointing out the flaws of our Medical system, I am proud to say that we do not need a medical "ethics" board to tell us that a premature baby should be given treatment to help him survive, or when to stop giving food to someone who is fighting for their life.
Another thing I took issue with is the President's repeated claim that we spend more on healthcare than any other country. I would like to know, exactly who the "we" is. Is he saying the government spends more? Or that we the people plus the government spend more combined on healthcare than other nations? If it is the latter, it would make sense that we spend more as a whole because, 1. we have the money to do so, and 2. we are one of the largest/most populous wealthy countries. How can you compare a country like England with their 60 million citizens, with our robust 350 million? We also spend more on cars, on TVs, on Education, on illegal drugs, on really everything, because we have the largest GDP. But what concern is it of the government, what we privately spend our money on? So here are some clear facts about our health care spending: it's about 15.3% of our GDP, which is second in the UN countries. Of that spending, here's the breakdown 31% goes to hospital care, 21% goes to physician services, 10% to pharmaceuticals, 8% nursing homes, 7% to administrative costs, and 23% to diagnostics, pharmacies, malpractice, etc. (expect that administrative cost to skyrocket under a government plan). according to this report the top 1% of the population accounts for 27% of all spending and the top 5% accounts for 50% of all spending..in other words, people that would be spending that amount anyway, because they wouldn't be on the new public plan. So who is this 5%? Who are the single largest group in terms of spending? Mostly its seniors. So tell me, how do we bring down "our" spending if we aren't going to spend less on seniors?
The next point I'd like to address is the President's clear and repeated claim that you will not be 'required' to take the public option if you are happy with your private insurance. Once again, this is classic political double speak. Technically it is true...the government is not going to force you to switch over. However, if your employer decides to drop insurance as a benefit, you will be involuntarily dropped into the public plan. There is a fine if the employer does that, but it is still FAR less expensive than the cost of your health insurance, so when the going gets tough, they may decide to pay the fine and put you into the public plan. Here is what fatcheck.org has said. So while you won't be forced onto the plan by the government, it is possible that your employer could force you onto it.
One thing the President discussed was the new requirements on insurance that they can't drop you or deny you coverage, and that they will have to limit out of pocket costs and cover screenings. This is my reaction to this. I DO NOT think the government should tell businesses how to run their business. But I also do not think we should have insurance for routine medical care, anymore than we should have car insurance covering every oil change and fill up. Having insurance cover every little thing is one of the reasons costs are artificially high. Look at two sections of the industry where insurance does not cover the costs: Abortion and Lasic surgery. In the case of abortion, the costs have stayed very affordable over decades, and Lasic surgery keeps getting better and cheaper at the same time. (Full disclosure, I am Pro-life) (and I am pro lasic eye surgery.) If we were all paying out of pocket, as we do when we take our dogs to the vet, then those routine costs would be much cheaper..and we could have coverage for catastrophic instances, and/or chronic ailments.
When the President declares with resolute conviction that he will not sign a bill that adds "ONE DIME to the deficit now or ever"...this reminds me of when he said on the campaign trail that he would go through the budget "Line by Line" to eliminate wasteful spending. We all know that was empty rhetoric, this is also. There simply is NO way to fund this without adding to the deficit. If we really had a trillion dollars in waste and abuse in Medicare then #1, why would we want to give the government another section of healthcare to run? and #2, why haven't we already eliminated that, or do so with or without this plan? The CBO has been on record that this will add over a Trillion dollars to the deficit. Click here to read the letter the CBO sent to Charlie Rangel the chairman of the ways and means committee.
a few more things:
~The President mentioned an insurance exchange and how options keep costs down...so why not pass a law that says you can buy insurance across state lines and open up a true free market instead of this false market with more and more government chokehold?
~The President said he wants to hold insurance companies accountable. Why should we trust government/politicians to keep anyone honest? They dont even hold themselves accountable.
- As you read this, the man who writes our tax code has been guilty of cheating on his taxes, and yet he still holds his chairmanship of that powerful committee.
- elected officials are known to have received sweetheart mortgages from the very companies who gave out bogus loans and received government bailout money only to turn around and pay out bonus money to top executives. not one thing has been done about that
- congressmen fund waste and skim money from the public coffers for pet projects and then
- raise their own salaries even when their approval is in the single digits.
- congressmen have gotten away with scandal after scandal, thievery after thievery, and then they want to be the sanctimonious hypocrites who keep a private company honest?
~The President said that this plan will be self-sufficient and rely on its own premiums.
- social security and medicare were also promised to do this, yet we know that both will be insolvent in the next two decades. How in the world does a government who has promised but not delivered on this so many times before, expect us to believe it this time? Does anyone remember the parable of the talents?
~During the campaign McCain warned that Obama's plan would mandate coverage and fine those who do not have it. Now we know that was true. The fines will vary depending on your income, but anywhere from $1000-$3800 dollars a year will be fined, oh and by the way, it only applies to legal citizens. Illegals will be exempt from this mandate.
how is this constitutional?
- by what authority does the government who is by the people and for the people suppose they can mandate that we purchase medical insurance?
~the President said our healthcare problem is a deficit problem. I say our deficit problem is in large part due to the government entitlements in the past. Our obligations for medicare and social security will bring our country to its knees within my lifetime. How can any intellectually honest person reason that we give out another large entitlement we cannot afford?
~The President argued that having to pay for Insurance is one of the reasons our automakers can't be competitive in the world. So in 2001 when Ford was the #1 grossing company in the world, was it not providing insurance? No, I contend that our auto makers can't be competitive because the unions will not make the necessary concessions in time, when things get tough. non-union companies can trim the fat without recourse (such as Toyota), but our automakers have their hands tied. And if Insurance is the reason they aren't competitive, is he advocating that the companies drop insurance as a benefit?
~The President spoke of a veiled reference to tort reform. Make no mistake, he is not advocating wide spread tort reform, but rather a study to be commissioned in a small area, that will likely lead little or no changes to our ridiculous american lottery called the Tort System. This is nothing more than a half measure.
This is my basic overview of the President's address. Its long, but believe it or not, it is abridged. I do not have all the answers, nor do I claim to, but I think its worth an honest look at each issue. Feel free to voice your opinions. We will not be able to go back and change the apparatus once it is in place, so having an open and honest discussion is the right and proper thing to do.