A HILL TO DIE ON
Do not be surprised if the Republican leadership throws Donald Trump under the bus and enacts the 25th Amendment, then blames Trump alone for the failure of the Iran War, subsequent rise in inflation, and the collapse of health care—all in the hope of salvaging their control of power. Trump is an easy target because he is guilty as charged. But We The People know the Republican leaders are complicit. This makes the midterm elections look very good for the Democrats. But Democrats are excellent at losing elections. They could use a positive campaign issue instead of always yelling about what the other side is doing wrong.
They need a hill to die on.
Health care is a major issue in this country. We have arguably the best health care in the world, if you can afford it. Even after the Affordable Care Act became law, insurance premiums with high co-pays and deductibles were the norm. If you are wealthy, cost doesn’t matter. But most Americans struggle to make their premiums and to pay their medical bills. The solution of taking out a loan to cover medical costs is no solution at all. By all global measurements, factoring in per person cost and healthcare outcomes, the United States ranks at or near the bottom among industrialized nations. I have seen an overall rank as low as 69th in the world. Most surveys I have seen place us nearer to 37, which is still shameful for the richest country in the history of the world.
What’s different about all the other countries? They have universal healthcare. Everyone has access to equal treatment. There are problems, certainly, country by country, but the point is that healthcare is much more readily available, and democratic, elsewhere. We need Medicare for All.
But how? It should be simple. Consider. The average annual income for a family of four in the US is $106,000. I personally don’t know anyone in that bracket, but it takes a huge number of people making a whole lot less just to bring the average down from the billionaires and trillionaires. The average cost of insurance premiums for a family of four is between $18 and $27 grand. Even at the lower number, that’s 16% of that average income. Remember, there are a great many people making less than $106K who still have to pay that much in insurance premiums. I am not a math genius, but even I can see that killing private insurance and increasing the Medicare payroll tax from 3%, where it is now, to 8 or 9, or even 10% across the board, would save everybody money in the long run while at the same time providing better care for anyone who needs it.
It’s not like there are no models out there. Yes, the health insurance companies will balk, but how good are they at helping Americans? Maybe it’s time for them to go.
Remember, to whom much is given, much is expected. It also might be worth remembering that it takes a mighty work/consumer force to keep the wealthy afloat. But getting Congress to do anything close to this will take a long, long time and a great many down ballot changes. Still, for anyone who believes in helping our fellow citizens realize a better life, this is a hill worth dying on.