Archibald MacLeish - American poet and Librarian of Congress
I've spent the past several days trying to educate myself on the recently passed Health Care Act. Sadly, in all too typical fashion, response to this legislation has been heavy on partisan political rhetoric and light on honest and thoughtful discussion of it's pros and cons. Just try, as I have done recently, to find an unbiased and factual presentation of the content of this bill - it's practically impossible.
My intention was to record some of my thoughts on the merits and drawbacks of this monumental bill. But along the way I found myself more struck by the inability of so many to do anything more than toe a particular party line. Being a political conservative myself, it's been frustrating to hear one conservative mouthpiece after another proclaim the end of America as we know it, the socialization of our country, or a prediction of the economic collapse that this bill will bring.
When did the land of the free become the wasteland of independent thought?
I know that most of us are smarter than to be swayed by the hyperbole that comes from the media. Sensational sells - rational thought does not. The likes of Limbaugh, Beck, Hannity, O'Reilly, et al, make their living by providing the sensational, not by providing measured and reasonable analysis of issues. Surely we all know and understand this. Surely...
Our federal government has looked seriously at the prospects of national health insurance throughout most of the 20th century. President Roosevelt called for a study of a national health insurance plan in the 1930's as part of the legislation that would eventually become the Social Security Act of 1935.
President Truman won re-election in 1948 in part by campaigning on a pledge to provide medical insurance to all citizens. At that time the AMA was a chief opponent, being one of the first to label such a program as "socialized medicine." That campaign, along with a then growing anti-communist sentiment pushed a national health insurance plan to the side.
In the 1960's, President Johnson's "Great Society" directed health insurance concerns towards the needs of the growing population of senior citizens and the indigent poor and disabled. Despite continued opposition from the AMA, this ultimately led to the establishment of Medicare and Medicaid as part of the Social Security Act.
President Nixon attempted to establish a national health plan in the 70's called the Comprehensive Health Insurance Plan, but proved unsuccessful in large part because of his failed presidency in light of Watergate.
Successive Presidents have each attempted, in one manner or another, to incorporate some type of national health plan. President Carter actually proposed a plan to have corporations provide insurance to all employees, continued national coverage for the elderly and disabled, and the creation of a public corporation to sell to all others. President Clinton attempted the Health Security Act which would have provided coverage to all Americans.
The point to the history above is that the idea of health coverage for all Americans has been around for nearly a century. This new legislation is not so new in concept, just new in the fact that it was successfully passed.
The new bill is not perfect. Even the Obama administration have admitted that much. But it is a strong and bold step in the right direction. The sensationalistic charges against it are just that. Which of these aspects of this legislation can any of us rightfully have significant problems with?
- The immediate end to lifetime and annual caps on coverages.
- The end of coverage being denied due to pre-existing conditions.
- Tax credits for small businesses to help with the cost of providing coverage to employees.
- Young adults being covered under parents policies until the age of 27.
- Check-ups and preventive care provided at no cost or co-pay.
- The end of discontinuing coverage due to onset of sickness.
- A requirement that insurers reveal overhead costs.
- Senior prescription costs shortfall is cut in half.
- Medicare coverage expanded to smaller hospitals and clinics.
- Negotiated insurance made available to uninsured on a sliding pay scale.
These are good things it would seem to me. All things that most of us should be glad to see happening.
That does not mean the bill is perfect or even without flaws. I personally am opposed to the requirement that all citizens must have insurance. I'm also not convinced that this plan will in fact lead to savings rather than an increase in our already substantial national debt.
But the fact is that this plan is a start. And, on the whole, I would say it's a pretty good start.
But maybe that's just the dissenter in me talking...