In an ideal world I would move forward with music projects and finding ways time to spend quality time with my family and friends. That’s about the scope of what i fit under “ideal”. Nothing fancy. No private submarines, Tibetan mountain retreats, million dollar hyper-cars…
But I also read my share of news, and keep up on some politics and current events. It gets tedious because I am dedicated to improving systems and building better mousetraps. When I see the statistics on the US healthcare system, I cringe. Really, anyone with a soul should cringe, even if they have excellent insurance and a high level of confidence that their personal situation delivers positive outcomes. We have the highest costs and in return we get outcomes that are the laughingstock of the developed world. Industrial nations can and should do better, and most do.
We have two major throttles to healthcare access in the US: The insurance industry, and the Pharmaceutical/Devices industry. the actual doctors/hospitals situation is merely a functional layer. We have good doctors and good hospitals. in fact. we have some of the best in the world. So that is not the problem. Do they profiteer? Sure. But it is chump change compared to the profiteering by the insurance and pharma industries. My opinion is that the foundational resistance to making healthcare more afforadable in the US comes from the insurance and pharma lobbies. They like the system just like it is. Insurance companies like small pools of insured individuals, just like a casino likes good odds (legalized odds-rigging). Pharmaceutical and med device companies like to make sure that they hold patents as long as possible and reap huge paybacks for as long as possible. The only possible obstacle would be government mandates to cover large pools of people and provide them with affordable care. That would put a dent in their very comfortable bottom lines.
As a result we see a small group of members of the US House of Representatives convincing the Speaker of the House to refuse to bring a vote to the floor on a seemingly unrelated issue: Spending and Spending cap. The bulk of the spending has absolutely nothing to do with health care. But what it does is shut down a big chunk of the government, creating a lever to gain traction they otherwise failed to muster when the Affordable Care Act was voted on in both houses of Congress, passed by both houses of Congress, and then found constitutional by the Supreme Court of the United States. The members of the house who are driving this bus had the opportunity to vote, did so, and failed. This current ploy of causing a government shutdown was certainly choreographed at that time. Otherwise we would have seen the usual riders, alternative language, markup… you know… the process as we know it. But just like the non-existant republican jobs plan, manufacturing plan, foreign policy plan, international trade plan (this list really does go on for ever), there was never a republican health care plan. Well, except for the part where the ACA is based on the health care system introduced in Massachusetts by Mittens Romney (back when he was Governor of Taxachusetts, before he was nominated by the RNC to run for President in 2012). But Mittens is a horrible republican! Really! Horrible! Just ask the people who held up Romney signs at the 2012 RNC Convention.
The skinny is that there are a lot of moving pieces here: political posturing; table setting for the 2014 and 2016 election cycles; a rallying cry to enhance the flagging reputations of the hard-right of the republican party… but the real driver might just be the republican version of “American Idol” where the winner gets a big chunk of campaign finance from the insurance and pharma industries. The kind of backing that differentiates winners from losers in the next two elections. That is the kind of thing that we see tons of in American politics. Don’t buy the headline, and certainly don’t buy the lead stories from partisan news sources. Go long on corporate influence. You will never regret it.