Showing posts with label Medicare. Show all posts
Showing posts with label Medicare. Show all posts

Thursday, July 23, 2020

Medicare and Obamacare: Same Old Story

(Note: When the fur was flying over the ACA (Obamacare) more than seven years ago, I found an early story about the fur flying over Medicare in 1966. I wrote about it for the late Alan Colmes and his website, Liberaland. This is the story as it was published at Alan.com, October 22, 2013.)
In the next town over from us the recycling station is in a huge semi-trailer.  You have to climb six narrow metal steps to get up into it, but there is an aisle you can walk down and there are huge open boxes in which to throw your stuff. 
The beauty of it is that while I’m dropping off my own recyclables, I can dig through the newspaper and magazine bins to see what’s there for the taking.  Through the years we’ve found some fascinating reading, some of it as current as yesterday, but last week we found a treasure trove:  Seventeen Consumer Reports magazines, ranging from1965 to 1980.

What struck me as I read through them was how much actual watchdogging went on within those pages and to what lengths they went to explain their findings. Page after page of small print, as if they actually anticipated that their readers would want to take the time to read it all. (No internet, no cable. I get it. But still. . .)
Back in June, 1966, their headline story was about the new Medicare law taking effect in July. The law was complicated.  Every aspect of health insurance, hospitalizations, physician and pharmacy services, and medical goods had to be considered.  Nothing like it had ever been done on such a large scale before. The Government was pouring an estimated $3 billion plus into it during the first year alone. Who would pay for what?  Who would gain the most?  Who would lose the most?  (Sound familiar?)
There were worries about overcrowding of existing facilities.  All of those sick folks who had never been eligible for insurance due to their pre-existing condition (old age) would now be bursting through the doors looking for a chance to live longer.
There were worries about elderly patients not wanting to leave their hospital beds, now that the money worries had been eased.  There were worries about relatives scheming to leave their kin in those happy places rather than to have to take care of them at home.
There were worries about understaffing.   They would need some 20,000 more doctors and more than 70,000 nurses, with a need for another 200,000 nurses by 1970.
But they were nothing compared to the worries keeping the insurance providers, the pharmaceutical companies, the heads of hospitals, and the Hippocratic doctors up at night.  The threat of socialized medicine was upon them.  This was it!
So let’s take a trip in the way-back machine–all the way back to the year 1961 when one Ronald Reagan agreed to make a 10 minute LP record sponsored by the AMA as part of Operation Coffee Cup, the supposed grass-roots plan to keep medicine out of the hands of the Government.
They called it “RONALD REAGAN speaks out against SOCIALIZED MEDICINE”.
This was the same Ronald Reagan who, as president, pretty much kept his paws off Medicare, that dread  portal to full-blown Socialism. I'm guessing the Heritage Foundation, much as they adore The Man, would just as soon forget the time The Best President in the Whole Wide World caved to the forces of the “politically popular” Medicare program and began talking up adding catastrophic acute care provisions for the elderly!
Such was the evolution of a hated, perennially doomed social program.  Which brings us to the Affordable Care Act.
The ACA start-up costs may well be expensive to the point of mind-boggle, but, just as with Medicare, it’s a plan that is essential and long overdue.  It’ll be full of jitters and glitches and adjustments, just as Medicare was. The full effect will be maddeningly slow, there will be a multitude of reasons to doubt it,  and the opponents–those same opponents who have spent years trying to kill Social Security and Medicare–will never give up. (Forbes is claiming the ACA website is crashing on purpose because “they” don’t want us to know how costly the plans really are. It’s also claiming a rise in insurance premiums by 99% for men and 62% for women–a claim already disputed and put to rest.)
But here’s the thing about the opposition:  When they showed their willingness to spend many millions on a Tea-Party-sanctioned hissy-fit against it that went nowhere and benefited no one, they lost any chance to have a voice in the discussion about essential, low-cost Government-sponsored health care.
It will happen, with or without them.  And years from now their cheering audiences will be shouting, “Hands off my Obamacare!”

Tuesday, January 31, 2017

No, I Won't Quit

I'll be the first to admit that one of the reasons I haven't been as active here as I've been on Facebook and Twitter is because chaos--even planned, organized chaos, as we've seen coming from the Bannon White House--is exhausting!

But there's another reason. Lately I've been raging on in short spurts because it's all I've got. I'm going in for surgery in two days, but I'm confident it'll only be a temporary setback.  The anticipation, I'm hoping, is far worse than the actual deed and the aftermath. The tests, the paperwork, the ups and downs--it's nothing compared to what's going on in my favorite country in the world. (And then there's this: I have Medicare and a good supplemental, ensuring very good care.  Millions of Americans can't say the same. When I get out of this I'm going after those self-serving, self-absorbed bastards forcing us to stay at the very bottom of the list of civilized countries providing health care for their citizens. There must be a limit to our patience; people are hurting and dying because of them.)

We've worked too hard to build this nation. We're not going to let it go up in flames simply because the notion of a celebrity president going rogue was too seductive to turn down.  We'll get back to sanity, no matter how long it takes or how we have to get there. 

And me--I'm not done yet. I want to be there right along with the rest of you, fighting the good fight, storming the walls, voices raised in battle cries heard round the world.  (We'll be doing that, right?)

I'll be doing it at my keyboard but you can bet I'll be doing it. 

See you soon.





Tuesday, October 22, 2013

Medicare and Obamacare: Same Old Story

Note:  Thanks to Alan Colmes, I am now a regular contributor on his website, Liberaland.  He posted this piece this morning, so if you're interested in reading the complete piece it continues over there.  Thanks.
__________________
 
In the next town over from us the recycling station is in a huge semi-trailer.  You have to climb six narrow metal steps to get up into it, but there is an aisle you can walk down and there are huge open boxes in which to throw your stuff.

The beauty of it is that while I’m dropping off my own recyclables, I can dig through the newspaper and magazine bins to see what’s there for the taking.  Through the years we’ve found some fascinating reading, some of it as current as yesterday, but last week we found a treasure trove:  Seventeen Consumer Reports magazines, ranging from1965 to 1980.

What struck me as I read through them was how much actual watchdogging went on within those pages; and what lengths they went to explain their findings. Page after page of small print, as if they actually anticipated that their readers would want to take the time to read it all. (No internet, no cable. I get it. But still. . .people read this stuff.  They read it.)

Back in June, 1966, their headline story was about the new Medicare law taking effect in July. The law was complicated.  Every aspect of health insurance, hospitalizations, physician and pharmacy services, and medical goods had to be considered.  Nothing like it had ever been done on such a large scale before. The Government was poring an estimated $3 billion plus into it during the first year alone. Who would pay for what?  Who would gain the most?  Who would lose the most?  (Sound familiar?)

(Continue here. . .)

Tuesday, August 14, 2012

Happy Birthday, Social Security. And Many, Many More. XOXOXO


Today marks the 77th anniversary of the signing of the Social Security Act, and even though it's not one of those anniversaries we might consider A Big One, it's important.  For this reason:  it may well be the last time any of us will be able to celebrate this landmark law without also being reminded of its untimely death.

Two years ago, when we celebrated Social Security's Diamond Anniversary (well, some of us did) the usual rumblings against the best and brightest of our safety net programs could be heard, but since they were far off and not unlike anything we had heard before (and since the Democrats were still in the majority), we did the usual and just ignored them.

Two years later, they're not just rumblings, they're lightning strikes. Even the folks who have the most to gain from the continuance of Social Security are getting ready to cast their ballots for the very politicians who are not just promising but itching to kill it dead.  Mitt Romney and his cohort, the SS-hating Paul Ryan, would like nothing better than to get the chance in November to kill off all such safety nets once and for all.  If they win the presidency, we can kiss goodbye any hope of saving Social Security and its offspring, Medicare and Medicaid.  The only reform we'll see is a slow elimination or corruption or privatization of the social programs many more addled Americans have now been lulled into associating with "Big Bad Government."

The creation of the Social Security program was nothing short of a miracle.  Days after FDR was sworn in for his first term, in March, 1933, he appointed a committee to come up with a plan to help the people who had become victims of a devastating depression by giving them money.  Cash in their pockets.  Money that the oldest, the ones who couldn't work, would never have to pay back.  And they did it without judgment because they knew the people in this nation were poverty-stricken because they, the government, hadn't been governing with the best interests of the citizens in mind.  In effect, they owed them.  (Well, no, they didn't say that, but they didn't have to.)

Roosevelt signing the Social Security Act into law.  August 14, 1935

Roosevelt envisioned creating a long-term safety net that would eventually be self-sustained by payroll deductions when everyone got back to work, but he was adamant about the need for the Federal government to start these payments before the coffers were filled.  His idea was that the normal safety nets had long disappeared, the country was in trouble, and the government had a moral duty to help out.

President Roosevelt appealed his case for Social Security to Congress this way:
In the important field of security for our old people, it seems necessary to adopt three principles: First, non-contributory old-age pensions for those who are now too old to build up their own insurance. It is, of course, clear that for perhaps thirty years to come funds will have to be provided by the States and the Federal Government to meet these pensions. Second, compulsory contributory annuities which in time will establish a self-supporting system for those now young and for future generations. Third, voluntary contributory annuities by which individual initiative can increase the annual amounts received in old age. It is proposed that the Federal Government assume one-half of the cost of the old-age pension plan, which ought ultimately to be supplanted by self-supporting annuity plans.

The amount necessary at this time for the initiation of unemployment compensation, old-age security, children's aid, and the promotion of public health, as outlined in the report of the Committee on Economic Security, is approximately one hundred million dollars.
(Roosevelt's message to Congress on Social Security, January 17, 1935)
 For all intents, remember, the treasury was empty, and such a request must have sounded plain loony to some.  Of course it did.  The Republicans fought him all the way, but they were in the minority and they lost.  (Interesting to note, though, that 81 Republicans in the House and 16 in the Senate voted for the Social Security Act.)
Three years after the law was enacted he went before the American people and talked about what it meant for the country:
Five years ago the term "social security" was new to American ears. Today it has significance for more than forty million men and women workers whose applications for old-age insurance accounts have been received; this system is designed to assure them an income for life after old age retires them from their jobs.

It has significance for the needy men, women and children receiving assistance and for their families--at least two million three hundred thousand all told; with this cash assistance one million seven hundred thousand old folks are spending their last years in surroundings they know and with people they love; more than six hundred thousand dependent children are being taken care of by their own families; and about forty thousand blind people are assured of peace and security among familiar voices.
It has significance for the families and communities to whom expanded public health and child welfare services have brought added protection. And it has significance for all of us who, as citizens, have at heart the Security and the well-being of this great democracy.

These accomplishments of three years are impressive, yet we should not be unduly proud of them. Our Government in fulfilling an obvious obligation to the citizens of the country has been doing so only because the citizens require action from their Representatives. If the people, during these years, had chosen a reactionary Administration or a "do nothing" Congress, Social Security would still be in the conversational stage--a beautiful dream which might come true in the dim distant future.
But the underlying desire for personal and family security was nothing new. In the early days of colonization and through the long years following, the worker, the farmer, the merchant, the man of property, the preacher and the idealist came here to build, each for himself, a stronghold for the things he loved. The stronghold was his home; the things he loved and wished to protect were his family, his material and spiritual possessions.

His security, then as now, was bound to that of his friends and his neighbors. But as the Nation has developed, as invention, industry and commerce have grown more complex, the hazards of life have become more complex. Among an increasing host of fellow citizens, among the often intangible forces of giant industry, man has discovered that his individual strength and wits were no longer enough. This was true not only of the worker at shop bench or ledger; it was true also of the merchant or manufacturer who employed him. Where heretofore men had turned to neighbors for help and advice, they now turned to Government.

Now this is interesting to consider. The first to turn to Government, the first to receive protection from Government, were not the poor and the lowly--those who had no resources other than their daily earnings--but the rich and the strong. Beginning in the nineteenth century, the United States passed protective laws designed, in the main, to give security to property owners, to industrialists, to merchants and to bankers. True, the little man often profited by this type of legislation; but that was a by-product rather than a motive.

Taking a generous view of the situation, I think it was not that Government deliberately ignored the working man but that the working man was not sufficiently articulate to make his needs and his problems known. The powerful in industry and commerce had powerful voices, both individually and as a group. And whenever they saw their possessions threatened, they raised their voices in appeals for government protection.

It was not until workers became more articulate through organization that protective labor legislation was passed. While such laws raised the standards of life, they still gave no assurance of economic security. Strength or skill of arm or brain did not guarantee a man a job; it did not guarantee him a roof; it did not guarantee him the ability to provide for those dependent upon him or to take care of himself when he was too old to work.

Long before the economic blight of the depression descended on the Nation, millions of our people were living in wastelands of want and fear. Men and women too old and infirm to work either depended on those who had but little to share, or spent their remaining years within the walls of a poorhouse. Fatherless children early learned the meaning of being a burden to relatives or to the community. Men and women, still strong, still young, but discarded as gainful workers, were drained of self-confidence and self-respect.

The millions of today want, and have a right to, the same security their forefathers sought--the assurance that with health and the willingness to work they will find a place for themselves in the social and economic system of the time.
("A Social Security Program Must Include All Those Who Need Its Protection." RADIO ADDRESS ON THE THIRD ANNIVERSARY OF THE SOCIAL SECURITY ACT. AUGUST 15, 1938)

This is what we're fighting to save.  The moral code of this country, as spelled out by the founders, has always dictated that government is there to serve the needs of the people.  Sometimes that's ignored, as Roosevelt himself infers in his radio address, but it's never forgotten.

Even now, it's not forgotten.  Not by us.  Reading through Roosevelt's statements on Social Security, it's clear that he intended to work tirelessly to do what was right for the people still suffering from the effects of a man-made, wholly unnecessary depression.  We need to remind our leaders today--also to blame for a wholly unnecessary depression--that social safety nets are an obligation they've inherited, and are, in fact, an obligation they agreed to when they took their oaths of office and vowed to uphold the constitution.

So let's get to the meat of it: President Obama is no Roosevelt.  Not even close.  But in my heart of hearts I believe he knows in his heart of hearts what he should do. So far he hasn't done it well, but there's no denying baby steps have been taken.  He dropped the ball early on and hasn't recovered it yet, but there's hope.  With President Obama, there's hope.

If Mitt Romney is elected president, either because of or in spite of his running mate, in all likelihood the Republicans will take both the House and the Senate, and that will be the end of Obamacare, of Social Security, of Medicare and Medicaid, of any chance at easing the conditions of the poor and middle class and rebuilding a country nearly devastated by a man-made economic crisis not of our choosing and not of our making.

How do we get that message out?  I don't know, but it can't hurt to keep reminding voters that once upon a time, in conditions much like these, something happened in this country that changed us forever.  Our government took charge and did, not just what they were elected to do, but what they were morally obligated to do. They took care of a nation in mortal pain.  And the country survived.  It thrived.  So much so that, until this latest man-made fiasco, we were still seen as the greatest nation in the world.

We could keep reminding them of that.


Thursday, February 25, 2010

Breaking News! A People Person Discovered in Congress!

It's the morning of the Day After Weiner Socks it to Congress, calling the Republicans a "wholly-owned subsidiary of the insurance industry", and the video is going viral--I can only hope.  I'm going to do my part today to pester everybody in America about it, and I'd better not be the only one.  I'm asking--no, begging--everyone who cares about putting an end to the corporate takeover of our once-great country to join forces with the good congressman from New York.  (Okay, it's New York.  I know, I know. . .we here in the hinterlands don't CARE how they do it in New York.  But this guy gets us.  He cares about us.  He actually is--dare I say?--one of us.)


Rep. Anthony Weiner (Big D-NY) has been one of my heroes for a long time now.   His passion, his outrage over corporate excesses and governmental indifference is inspiring and always entertaining.


He is smart and funny and absolutely sure of his positions on everything.  He wants Single Payer and he makes no bones about it.  Medicare for All.  But he's open to a Public Option, if that's what they're going to settle for.  As long as it leads to Single Payer.  What he's totally, rabidly against is Business as Usual.  Oh,  how he's railed against it.  Sometimes he gets close to looking like Jimmy Stewart at the end of that long filibuster scene in "Mr. Smith Goes to Washington", and I suffer with him.  Life can be hard for defenders of the people these days.

But my man Anthony rose above even himself yesterday, and today I celebrate and revel in his outrageously over-the-top outrage.  It's about time.  I love that man!

So in this clip are my two favorite people's people:  Anthony Weiner and Rachel Maddow.  The very nature of this video ensures hate mobs going after it with a vengeance.  Who cares?   This is for US:



Visit msnbc.com for breaking news, world news, and news about the economy

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